WO2023022729A1 - Anticorps et fragments de liaison à l'antigène dirigés contre cd155 et leurs méthodes d'utilisation - Google Patents

Anticorps et fragments de liaison à l'antigène dirigés contre cd155 et leurs méthodes d'utilisation Download PDF

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WO2023022729A1
WO2023022729A1 PCT/US2021/046855 US2021046855W WO2023022729A1 WO 2023022729 A1 WO2023022729 A1 WO 2023022729A1 US 2021046855 W US2021046855 W US 2021046855W WO 2023022729 A1 WO2023022729 A1 WO 2023022729A1
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seq
antibody
antigen binding
chain variable
variable region
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PCT/US2021/046855
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English (en)
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Aftab S. Karim
Robert Holgate
Arron HEARN
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Tasrif Pharmaceutical, LLC
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Priority to CN202180103365.5A priority Critical patent/CN118302445A/zh
Priority to AU2021460932A priority patent/AU2021460932A1/en
Priority to PCT/US2021/046855 priority patent/WO2023022729A1/fr
Priority to EP21954398.0A priority patent/EP4387998A1/fr
Priority to JP2024510508A priority patent/JP2024531426A/ja
Priority to CA3229327A priority patent/CA3229327A1/fr
Publication of WO2023022729A1 publication Critical patent/WO2023022729A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2803—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
    • C07K16/2809—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily against the T-cell receptor (TcR)-CD3 complex
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2896—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against molecules with a "CD"-designation, not provided for elsewhere
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/31—Immunoglobulins specific features characterized by aspects of specificity or valency multispecific
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/60—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/622—Single chain antibody (scFv)
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/76—Antagonist effect on antigen, e.g. neutralization or inhibition of binding
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2319/00—Fusion polypeptide
    • C07K2319/01—Fusion polypeptide containing a localisation/targetting motif
    • C07K2319/03—Fusion polypeptide containing a localisation/targetting motif containing a transmembrane segment
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the disclosure relates generally to treatment of diseases utilizing monoclonal antibodies.
  • This disclosure relates specifically to targeting cells expressing either CD155 (PVR) or Nectin 4 (or both) with the anti-CD155 antibodies or antigenbinding fragments (antibody fragments) disclosed here.
  • Antibodies against CD 155 disclosed in this application bind the poliovirus receptor and additionally bind Nectin 4.
  • CD 155 and Nectin 4 are receptors that are overexpressed in numerous primary and metastatic tumors.
  • CD 155 and Nectin 4 have also been identified as ligands for the checkpoint molecule, T cell immunoglobulin and ITIM domain (TIGIT).
  • CD155/PVR and family of receptors is found in various tissues in humans and other animals. In mice, the murine ortholog of CD 155 is known as Tage 4. CD 155 and Nectin 4 have been described as novel checkpoints. Whereas the CD155/PVR receptor may have a role in normal development, this receptor is overexpressed in certain pathological conditions including malignancies such as glioblastoma multiforme (GBM), breast cancer including triple negative breast cancer (TNBC) , leukemias (including AML), sarcomas, ovarian carcinoma, colon cancer, pancreatic cancer, lung cancer and rare but deadly cancers such as malignant peripheral nerve sheath tumor.
  • GBM glioblastoma multiforme
  • TNBC triple negative breast cancer
  • leukemias including AML
  • sarcomas ovarian carcinoma
  • colon cancer pancreatic cancer
  • lung cancer and rare but deadly cancers such as malignant peripheral nerve sheath tumor.
  • CD155/PVR plays a role in cell adhesion, motility, apoptosis, proliferation and metastasis.
  • Modified poliovirus has been utilized as a vector to treat cancers overexpressing CD155/PVR by direct local administration into tumor. Systemic administration of modified poliovirus therapeutics for cancer is not feasible as the majority of the population in the world is vaccinated against the poliovirus and poliovirus based therapeutics will likely be neutralized by the immune system upon systemic administration.
  • CD 155 antibody can also enter the central nervous system either by crossing the blood brain barrier or thru other routes either as a therapeutic in and of itself or as a delivery agent for another therapeutic.
  • a monoclonal antibody targeting mouse CD155/PVR can enter the central nervous system upon systemic administration and can cross the blood brain barrier in mice with GL261 tumors in the brain in vivo.
  • monoclonal antibodies targeting the human and mouse CD155/PVR have also been shown to be internalizable and utilized to deliver and express pay load, such as mRNA.
  • pay load such as mRNA
  • antibodies or antigen binding fragments against the transferrin receptor have been shown to cross the blood brain barrier in animal models and more recently in humans. Sequences for single domain antibodies or polypeptides such as FC5 and FC44 are also known in the art and FC 5 and FC 44 cross the blood brain barrier. Therapeutics incorporating blood brain barrier crossing molecules have entered or will enter clinical trials.
  • Antibodies or ligands against the insulin receptor and insulin growth factor 1 receptor are yet other examples of peptides and proteins that cross the blood brain barrier and can be fused to the anti- CD 155 antibodies described in this invention.
  • the anti CD 155 antibody is fused either chemically or through recombinant molecular biology with proteins or peptides to permit the anti CD 155 antibody to cross the blood brain barrier.
  • Anti-CD 155 antibodies can be fused or chemically ligated or produced with recombinant technology to peptides or proteins (or antibodies) such as FC 5, FC 44, anti- type 1 insulin-like growth factor receptor (IGF1R) as well as anti transferrin receptor antibodies (against transferrin receptor 1 or transferrin receptor 2) and antigen binding fragments.
  • peptides or proteins or antibodies
  • FC 5 peptides or proteins
  • FC 44 anti- type 1 insulin-like growth factor receptor
  • transferrin receptor antibodies against transferrin receptor 1 or transferrin receptor 2
  • CD 155 and Nectin 4 have been described as novel checkpoints and the role of these novel checkpoints are of great import in immunooncology. Binding of CD 155 to T cell immunoglobulin and ITIM domain (TIGIT) leads to inhibition of T cells and NK Cells. Recently, Nectin 4 has also been shown to bind TIGIT whereby tumors expressing Nectin 4 are thought to inhibit immune cells, particularly T cells. Furthermore, soluble CD 155 levels are generally higher in patients with tumors that overexpress CD 155. Elevated levels of membranous CD155 and soluble CD 155 (sCD 155) may have an immunosuppressive effect at least in part by downregulating DNAM 1(CD 226).
  • Antibodies described in this invention against CD 155 can bind CD 155 (membranous or soluble CD 155) leading to upregulation of DNAM 1 (CD 226). Also, Antibodies that bind to both CD 155 and Nectin 4 can be used to target cancers that overexpress either CD 155 or Nectin 4 (or cancers that express both CD 155 and Nectin 4). Anti CD 155 antibodies can be used to block checkpoint pathways or they can be used to produce bispecific antibodies that bind to CD 155 (or Nectin 4) and also bind T cells or NK cells thus engaging T cells or NK cells to kill the tumor cells. To date, no ADCs targeting CD 155 are in clinical trials and none have been approved by the FDA.
  • Enfortumab Vedontin which targets Nectin 4
  • Antibody drug conjugates can be prepared using the humanized antibodies described here to treat patients with cancers that overexpress CD 155 (or Nectin 4). As part of this disclosure, antibodies against CD 155 have been shown to deliver payload. In this case, mRNA was delivered and expressed in cancer cells overexpressing CD 155. Furthermore, the antigen binding fragments that bind CD 155 or Nectin 4 can be incorporated into Chimeric Antigen Receptors of immune cells (i.e. CAR T Cells and CAR NK Cells) for treatment of tumors expressing either Nectin 4 or CD 155.
  • CAR T Cells and CAR NK Cells Chimeric Antigen Receptors of immune cells
  • Antibodies or antigen binding fragments against CD 155 can also be used in combination with other small molecule therapeutics sych as tyrosine kinase inhibitor and PARP inhibitors as well as combinations with antibodies against known checkpoint targets.
  • the antibodies of this disclosure can be used in combination with one or more checkpoint inhibitors targeting CTEA 4, PD1, PDL1, CD 112R, OX 40, TIGIT, NKG2A, CEACAM 1, B7H3, B7-H4, VISTA, LAG3, CD137, KIR, TIM 1, TIM3, FAIR 1, HVEM, BTEA, CD 160, CD 200, CD 200R and A2r and other checkpoints are well known in the art.
  • the antibodies and antigen binding fragments against CD 155 and Nectin 4 described here can also be developed as theranostics where the antibody or antigen binding fragments against CD 155 comprises a radioactive label from one of the following (a) 1-124 (b) Gallium 68 or (c) Lutetium 177 for either the diagnosis or the treatment of cancer.
  • An embodiment of the disclosure is a method of treating a systemic or neurological disorder in a mammal comprising administering to a patient a composition comprising: a therapeutic agent; and a non- viral ligand capable of binding to CD 155, wherein the ligand is conjugated to the therapeutic agent to treat a neurological disorder or systemic disorder.
  • the neurological disorder is a primary or metastatic brain tumor.
  • the neurological or systemic disorder is at least one from the group consisting of the following primary or metastic cancers (i) glioblastoma multiforme; (ii) neuroblastoma; (iii) oligodendroglioma, (iv) glioma, (v) astrocytoma, (vi) anaplastic astrocytoma, and (vii) meningioma, and (viii) primary or metastatic cancer of the breast, lung, kidney, pancreas and metastatic melanoma.
  • primary or metastic cancers i) glioblastoma multiforme; (ii) neuroblastoma; (iii) oligodendroglioma, (iv) glioma, (v) astrocytoma, (vi) anaplastic astrocytoma, and (vii) meningioma, and (viii) primary or metastatic cancer of the breast, lung, kidney, pancreas and metastatic
  • the disorder is at least one from the group consisting of (i) breast cancer (including TNBC); (ii) lung adencarcinoma; (iii) melanoma; (iv) ovarian cancer; (v) AML; (vi) sarcoma; (vii) leukemia; (viii) bladder cancer; (ix) pancreatic carcinoma; (x) cervix carcinoma; (xi) colorectal carcinoma; (xii) epidermoid carcinoma; (xiii) hepatocellular carcinoma; (xiv) malignant gliomas; (xv)malignant peripheral nerve sheath tumor and melanoma;
  • the tumor overexpresses CD 155.
  • the tumor overexpresses Nectin 4.
  • the tumor expresses both CD 155 and Nectin 4.
  • the ligand is at least one from the group consisting of: (i) an antibody against CD155 or Nectin 4; (ii) an antigen binding fragment against CD155 or Nectin 4.
  • the ligand is one which crosses the blood-brain barrier.
  • a fusion protein includes a first segment binding to CD 155 and a second segment which is the therapeutic agent.
  • the antibody or antigen binding fragment is conjugated to the therapeutic agent where the therapeutic agent is at least one from the group consisting of (i) a drug; (ii) a prodrug; (111) siRNA; (iv) antisense DNA or RNA; (v) messenger RNA; and (vi) guide RNA for CRISPR (vii) a plasmid; (vii) a single or double stranded oligonucleotide (RNA or DNA); (viii) a peptide; (ix) a protein; (x) a gene and (xi) a toxin.
  • the therapeutic agent is at least one from the group consisting of (i) a drug; (ii) a prodrug; (111) siRNA; (iv) antisense DNA or RNA; (v) messenger RNA; and (vi) guide RNA for CRISPR (vii) a plasmid; (vii) a single or double stranded oligonucleotide (RNA or DNA); (
  • the ligand is capable of binding to Nectin, Nectin 2 (CD112), Nectin 4, Neel, PVRL1, Necl-1, Necl-4, poliovirus receptor related 1 protein, or poliovirus receptor related 2 protein.
  • the antibody or the antigen binding fragment drug conjugate further comprises a liposome or lipid nanoparticle (LNPs) which encapsulates the therapeutic.
  • the liposome is a pegylated liposome cross-linked to the ligand.
  • the ligand is a D171 antibody or an antibody with a heavy chain variable region sequence or light chain variable region sequence with more than 75% homology to the sequence of the D171 heavy chain variable region or the sequence of the D171 light chain variable region.
  • the anti CD 155 antibody specifically binds to any intracellular, transmembrane or extracellular epitope of CD 155.
  • D171 specifically binds to amino acids 35 to 50 of CD 155.
  • the antibody or antigen binding fragment against CD 155 binds to a tumor and elicits an immune response against the cancerous growth or tumor.
  • At least one antibody selected from the group consisting of a full antibody, antigen binding fragments, Fab, Fab2, Fc, and scFv , variable region of the light chain and/or heavy chain comprise a first component binding to CD155 and a second component binds to an effector cell in order to engage T cells or NK cells or other immune cells or to stimulate antibody-dependent cell-mediated cytotoxicity (ADCC) or complement dependent cytotoxicity (CDC).
  • the at least one is selected from monoclonal antibody, polyclonal antibody, humanized antibody, and chimeric antibody.
  • the effector cell is at least one from the group consisting of natural killer cells and lymphocytes including cytotoxic T cells.
  • the antibody is administered by at least one method from the group consisting of intravenously, intra-arterially, intratumorally, intrathecally, intramuscularly, subcutaneously, intravesicularly (i.e bladder), intraperitoneally, and via convection- enhanced delivery.
  • At least one antibody selected from the group consisting of a full antibody, antigen binding fragments, Fab, Fab2, Fc, and scFv or other antigen binding fragments comprising a first component binding to CD 155 and a second component binding to an effector cell in order to stimulate antibody-dependent cell-mediated cytotoxicity or complement dependent cytotoxicity (CDC).
  • An embodiment of the disclosure is a method of delivering a therapeutic agent into the central nervous system either by systemic or local administration.
  • the anti CD155 antibody or antigen binding fragments may cross the blood brain barrier of a mammal comprising administering into the bloodstream of the mammal a non- viral ligand targeting CD 155 wherein the non- viral ligand is conjugated with a therapeutic agent.
  • the mammal has a brain tumor. In an embodiment, the mammal suffers from an adverse condition of the brain which is not a tumor.
  • the anti CD 155 antibody or antigen binding fragments is itself a therapeutic or it delivers a therapeutic for the treatment of a systemic disorder such as cancer of the kidney, pancreas, ovaries, lungs, colon and sarcoma such as malignant peripheral nerve sheath tumor (MPNST).
  • MPNST malignant peripheral nerve sheath tumor
  • a nucleic acid-based drug is conjugated to an anti-CD155 antibody or antigen binding fragment. In an embodiment, a nucleic acid-based drug is conjugated to an anti-Nectin 4 antibody which also binds CD 155.
  • An embodiment of the disclosure is a composition comprising a humanized D171 antibody or a humanized Ab825.
  • An embodiment of the disclosure is a humanized Anti CD155 antibody such as the humanized Ab 825 comprising a selenocysteine residue greater than 10 amino acids from the C-terminus.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody comprising an Fc region optimized to enhance ADCC.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody optimized for CDC.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody conjugated to a contrast agent for MRI/CT.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody conjugated to diagnostic agents for a PET scan.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab 825 antibody conjugated to a fluorescent probe such as IR800.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody conjugated to a radiosensitizing drug.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody conjugated to a chelator.
  • a humanized D171 antibody or a humanized Ab825 antibody conjugated to a radioisotope is a humanized D171 antibody or a humanized Ab825 antibody conjugated to a radioisotope.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized A8b25 antibody conjugated to a a nucleic acid therapeutic such as mRNA, siRNA, RNA or DNA oligonucleotide, a single or double stranded DNA.
  • a nucleic acid therapeutic such as mRNA, siRNA, RNA or DNA oligonucleotide, a single or double stranded DNA.
  • a humanized D171 antibody or a humanized Ab825 antibody wherein the humanized D171 antibody or the humanized Ab825 antibody is the therapeutic.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody wherein the humanized D171 antibody or the humanized Ab 825 blocks the binding of the CD 155 (poliovirus receptor) to TIGIT.
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody, wherein a humanized D171 antibody or a humanized Ab 8
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody, wherein a humanized D171 antibody or a humanized Ab825 blocks CD 155 (poliovirus receptor) thereafter upregulating the expression of DNAM 1 on NK cells or on T cells (or both).
  • An embodiment of the disclosure is a humanized D171 antibody or a humanized Ab825 antibody, wherein the humanized D171 antibody or the humanized Ab825 blocks CD 155 (poliovirus receptor) thereafter upregulating the expression of DNAM 1 on T cells. All of the above also apply to antigen binding fragments against CD 155 and Nectin 4.
  • An embodiment of the disclosure is a method of identifying the extent of a tumor in a mammal overexpressing CD 155 comprising the steps of administering a antibody or antigen binding fragment that binds CD 155 where the antibody or antigen binding fragment has been conjugated with a label.
  • the label is at least one selected from the group consisting of a radioisotope, a chromophore, a fluorophore, and an enzyme.
  • the label is selected from the group consisting of a gamma ray or positron emitting radioisotope, a magnetic resonance imaging contrast agent, an X-ray contrast agent, and an ultrasound contrast agent.
  • a selenocysteine residue is utilized to conjugate the label with the antibody or antigen binding fragment against CD 155.
  • the imaging is conducted through at least one technique selected from the group consisting of CT, ultrasound, MRI, SPECT and PET. In an embodiment, the imaging is performed during at least one time selected from the group consisting of pre-operative, intra-operative, and post-operative.
  • An embodiment of the disclosure is a method of delivering a therapeutic agent across the blood brain barrier where the therapeutic agent is conjugated to an anti-CD155 antibody or antigen binding fragments.
  • the anti CD 155 antibody or antigen binding fragment described in this disclosure is expressed as part of a therapeutic Chimeric Antigen Receptor T- cell (CART) or a therapeutic Chimeric Antigen Receptor NK cell for the treatment of CD155 positive tumors.
  • a humanized antibody or antigen binding fragment described in this disclosure is expressed as part of a therapeutic Chimeric Antigen Receptor T- cell (CART) or a therapeutic Chimeric Antigen Receptor NK cell for the treatment of Nectin 4 positive tumors.
  • the anti CD 155 antibody or antigen binding fragment is capable of crossing the blood-brain barrier.
  • a fusion protein includes at least two segments where the first segment binds to CD 155 or Nectin 4 and a second segment facilitates the crossing of the blood brain barrier.
  • the cell therapeutics comprise T cells expressing the antigen binding fragment which binds CD 155 and/or Nectin 4.
  • the method further comprises a liposome or a polyethylenimine (PEI) polymer or a lipid nanoparticle (LNP).
  • PEI polyethylenimine
  • LNP lipid nanoparticle
  • a humanized D171 antibody or antibody with at least 90% homology to the D171 antibody specifically binds to amino acids 35 to 50 of CD155.
  • the anti CD 155 antibody or antigen binding fragment binds to the primary or metastatic tumor expressing CD 155 and/or Nectin 4 and after binding elicits an immune response against the primary or metastatic tumor.
  • At least one antibody or fragment selected from the group consisting of a full antibody, antigen binding fragments, Fab, Fab2, Fc, scFv comprise a first component binding to CD 155 and a second component binding to an effector cell.
  • the at least one selected from the group consisting of a full antibody, antigen binding fragments, Fab, Fab2, Fc, scFv is selected from monoclonal antibody, humanized antibody, chimeric antibody.
  • patients can be treated by injecting into a patient the antibody or ann antigen binding fragments, or a DNA encoding the antibody (or antigen binding fragments) of any one of the above described antibodies, wherein the injection is at least one of intravenous, intra-arterial, intramuscular, intrathecal, intraventricular, intra tumoral, subcutaneous, or intralymphatic., intravesicular (i.e Bladder cancer or ventricular tumors of the CNS) and intratumoral and via convection-enhanced delivery.
  • the injection is at least one of intravenous, intra-arterial, intramuscular, intrathecal, intraventricular, intra tumoral, subcutaneous, or intralymphatic.
  • intravesicular i.e Bladder cancer or ventricular tumors of the CNS
  • intratumoral via convection-enhanced delivery.
  • An embodiment of the disclosure is a method of delivering a therapeutic agent across the blood brain barrier of a mammal comprising administering into the bloodstream of the mammal a non- viral ligand targeting CD 155, wherein the non- viral ligand is conjugated with a therapeutic agent.
  • the non viral ligand is a monoclonal antibody or antigen binding fragment described in this application.
  • the therapeutic agent is encapsulated into a liposome and the liposome is conjugated to the monoclonal antibody or antigen binding fragment that binds CD 155 and/or nectin 4.
  • the mammal has a brain tumor.
  • the mammal has an adverse condition of the brain, wherein the adverse condition of the brain is not a tumor.
  • the therapeutic agent is conjugated to an anti-CD155 antibody or antigen binding fragments.
  • the therapeutic agent is conjugated to an anti-CD155 antibody or anti-CD155 antigen binding fragments and is administered to a mammal for treatment of motor neurons in the brain, brainstem, spinal cord, or other CD155-expressing cells in the brain.
  • An embodiment of the disclosure is a method for delivering antibodies to the brain of a mammal by fusing an antibody or antigen binding fragment of another therapeutic antibody to an anti CD 155 antibody or antigen binding fragments.
  • the therapeutic antibody or therapeutic antigen binding fragments is fused to an antiCD 155 antibody or antigen binding fragment by a manner selected from the group consisting of chemically, antibody engineered, or avidin-biotin based crosslinking.
  • the anti-CD155 antibody or antigen binding fragments that bind CD 155 is the therapeutic in and of itself.
  • the anti-Nectin 4 antibody or antigen binding fragments is the therapeutic in and of itself.
  • An embodiment of the disclosure is a method of identifying the extent of a tumor in a mammal overexpressing CD 155 comprising the steps of administering a non-viral ligand targeting CD 155 which has been conjugated with a label; and imaging the brain tumor.
  • the label is at least one selected from the group consisting of a radioisotope, a chromophore, a fluorophore, and an enzyme.
  • the label is selected from the group consisting of a gamma ray or positron emitting radioisotope, a magnetic resonance imaging contrast agent, an X-ray contrast agent, and an ultrasound contrast agent.
  • a selenocysteine residue within the antibody or antigen binding fragment is utilized to conjugate the label with the non-viral ligand.
  • the imaging is conducted through at least one technique selected from the group consisting of CT, ultrasound, MRI, SPECT and PET. In an embodiment, the imaging is performed during at least one time selected from the group consisting of pre-operative, intra-operative, and postoperative.
  • a human or humanized antibody against the human poliovirus receptor is modified with a selenocysteine residue as one embodiment to facilitate stoichiometric conjugation to a reporter molecule for diagnosis of a disease or as a therapeutic for treatment.
  • a human or humanized antibody against the human poliovirus receptor is conjugated to a therapeutic such as small drug molecules either directly coupled or encapsulated in an nanoparticle being delivered to target cells over-expressing CD155 such as tumor cells.
  • a human or humanized antibody against the human poliovirus receptor is conjugated to a fluorophore or other reporter molecule for the non-operative, preoperative, intraoperative or postoperative diagnosis or treatment of target cells overexpressing the CD 155 receptor such as tumor cells.
  • a human or humanized antibody against the human poliovirus receptor is fused with a therapeutic peptide either thru antibody engineering or chemical coupling.
  • a human or humanized antibody against the human poliovirus receptor is fused with another therapeutic antibody (or antigen binding fragment) either chemically or thru antibody engineering in order to create bispecific antibodies where one component is the human or humanized antibody (or antigen binding fragment) against the human poliovirus receptor.
  • a human or humanized antibody against the human poliovirus receptor binds tumor cells overexpressing CD 155.
  • a human or humanized antibody against the human poliovirus receptor also binds tumor cells over expressing Nectin 4.
  • An embodiment of the disclosure is a humanized D171 antibody or humanized Ab825 or an antibody with a similar sequence to the D171 antibody comprising at least one selected from the group consisting of a selenocysteine residue greater than 10 amino acids from the C- terminus; an Fc region optimized to enhance ADCC; optimization for CDC; coupling to a contrast agent for MRI/CT; coupling to diagnostic agents for a PET scan; coupling to a fluorescent probe; coupling to a radiosensitizer; coupling to a chelator; coupling to radioisotopes; coupling to a therapeutic agent; and wherein a humanized anti CD 155 antibody is a therapeutic.
  • An embodiment of the disclosure includes the humanized anti CD 155 antibodies or antigen binding fragments disclosed here bind the poliovirus receptor and inhibit the poliovirus receptor from binding to TIGIT.
  • Another embodiment includes the humanized anti CD 155 antibody and antigen binding fragments disclosed here will bind Nectin 4 and inhibit Nectin 4 from binding to TIGIT.
  • Figure 1 shows that mouse Anti- IL 13 alpha 2 Antibodies and mouse Anti CD 155 Antibodies cross the BBB and bind mouse IL 13 alpha 2 (mlL 13 alpha 2) and mouse CD 155 (mCD 155) in GL 261 tumors In Vivo.
  • Fluorophore labeled Mouse anti-IL13 alpha 2 receptor antibodies and Fluorophore labeled anti CD 155 antibodies were injected into test mice.
  • the fluorophore labeled antibodies crossed the blood brain barrier and accumulated in GL 261 tumors in C57B16 mice.
  • GL 261 tumors express both receptors, the mouse CD 155 and the mouse IL 13 alpha 2 receptor.
  • FIG. 2 shows that the D171 Monoclonal Antibody conjugated to liposome encapsulated eGFP mRNA is internalized and GFP is expressed in U87 tumors In Vitro.
  • U87 Tumors overexpress Human CD 155.
  • D 171 Monoclonal Antibody against human CD 155 was conjugated with liposomal encapsulated eGFP mRNA and eGFP fluorescence in U87 cells was recorded after a 24 H exposure to lOng/well of eGFP encoding RNA containing liposomes functionalized with D171 antibody.
  • Three Cellular Densities were explored
  • Figure 3 shows that the D171 Antibody against human CD 155 conjugated with liposomal encapsulated fluorescein labeled mRNA and fluorescein was detected in approximately 80% of U87 cells.
  • the D171 conjugate is internalized in U87 cells in vitro.
  • U87 cells are known to overexpress CD 155.
  • Figure 4 shows a comparison of tumor bioluminescence and dye fluorescence imaging 72 hours after injection of Ab825-VT680 and control VT680 in mice with U87MG tumor.
  • Ab825-VT680 conjugate binds and accumulates in U87MG tumors In Vivo.
  • the control mice were either untreated or treated with VT 680 dye alone.
  • the mice treated with the fluorophore labeled anti- CD 155 antibody showed accumulation in the tumor as demonstrated with fluorescence imaging.
  • Bioluminescence showed that the area of fluorescence accumulation correlated with the area of tumor seen with bioluminescence imaging.
  • Figure 5 shows the potential mechanisms of action for anti CD 155 Antibodies and Antigen Binding Fragments.
  • CD 155-TIGIT interactions and CD 155-CD 96 interactions (not shown) is a target for Checkpoint blockade.
  • the Anti-CD 155 Antibody and Antigen Binding Fragments can be used for (a) ADCC (c) Checkpoint blockade, (d) Radioimmunotherapy, (e) Antibody Drug Conjugates (ADCs) (f) Bispecific Antibodies where one binds CD 155 and the other binds a second receptor such as CD3 on T Cells and (g) to prepare anti CD 155 CAR T or CAR NK Cells.
  • the Anti CD 155 Antibodies and Antigen Binding Fragments also bind Nectin 4 and the constructs described here can also target Nectin 4.
  • Figure 6 shows the DC T Cell Assay in 50 patient samples with the Humanized Monoclonal Antibodies VH3 N54S D56G/Vk2 N92Q (Sample 2) and VH3 N54S D56G/Vk3N92Q (Sample 3) and VH4 N54S D56G/Vk3N92Q (Sample 4).
  • the frequency of proliferation % of patient samples with proliferation
  • Stimulation Index SI
  • Figure 7 shows the binding assay results demonstrating strong and specific binding of the humanized antibodies against CD 155 (PVR) with cell membrane receptors PVR and Nectin 4. No Cell Fixation. Inverse Hit is seen with CD 226 (DNAM 1) and TIGIT which are natural ligands of PVR. The assay was done with over 5000 membrane receptors. Strong and specific binding was seen with PVR and Nectin 4. Inverse Hit (white spots) was seen with TIGIT and CD 226 as these receptors are ligands for PVR and bound to endogenous PVR in the assay creating inverse hit spots.
  • Figure 8 Cell Binding Studies with EC 50 for the Humanized Monoclonal Antibodies against CD155 with HAP1 Cells, Vero Cells and U87 Cells.
  • the variants with N54S D56G in the heavy chain variable region (HCVR) and the variants with N92Q in the light chain variable region (LCVR) had higher affinity binding with CD 155 when compared to the variants with N54Q D56E or N54S D56E in the HCVR or N92E in the LCVR.
  • conjugated refers to any manner in which the ligand is coupled to the therapeutic agent including, but not limited to, chemically, electrostatically or through the creation of fusion constructs of a ligand and therapeutic agent by employing all tools of molecular biology.
  • all tools of molecular biology includes but is not limited to production of custom Chimeric Antigen Receptors where an antibody or antigen binding fragments is incorporated into a Chimeric Antigen Receptor in CAR T cell therapy for eliminating disease, including but not limited to, cancer.
  • An antibody also known as an immunoglobulin (Ig) is a large Y-shape protein produced by plasma cells that is used by the immune system to identify and neutralize foreign objects such as bacteria and viruses.
  • the antibody recognizes a unique part of the foreign target, called an antigen.
  • Each tip of the "Y" of an antibody contains a paratope (a structure analogous to a lock) that is specific for one particular epitope (similarly analogous to a key) on an antigen, allowing these two structures to bind together with precision.
  • a bispecific monoclonal antibody (BsMAb, BsAb) is an artificial protein that is composed of fragments of two different monoclonal antibodies and consequently binds to two different types of antigen.
  • BsMAbs are engineered so that it simultaneously binds to a cytotoxic cell (such as a receptor like CD3 on T cells) and a receptor on a tumor cell resulting in killing of the tumor cell.
  • the blood-brain barrier is a highly selective permeability barrier that separates the circulating blood from the brain extracellular fluid (BECF) in the central nervous system (CNS).
  • BECF brain extracellular fluid
  • CNS central nervous system
  • the blood-brain barrier is formed by capillary endothelial cells, which are connected by tight junctions with an extremely high electrical resistivity of at least 0.1 D m.
  • the blood-brain barrier allows the passage of water, some gases, and lipid soluble molecules by passive diffusion, as well as the selective transport of molecules such as glucose and amino acids that are crucial to neural function.
  • Conjugated includes but is not limited to molecular, chemical, and electrostatic binding.
  • An example of molecular binding is antibody engineering.
  • An example of a chemical bond is a covalent bond.
  • An example of electrostatic binding is biotin and streptavidin.
  • CD155 is a Type I transmembrane glycoprotein in the immunoglobulin superfamily. Commonly known as Poliovirus Receptor (PVR) due to its involvement in the cellular poliovirus infection in primates, CD155's normal cellular function is in the establishment of intercellular adherens junctions between epithelial cells. CD155 is a transmembrane protein with 3 extracellular immunoglobulin-like domains, D1-D3, where DI is recognized by the virus. Synonyms include PVR; CD155; HVED; NECL5; Necl-5; PVS; and TAGE4.
  • PVR Poliovirus Receptor
  • Fusion proteins or chimeric proteins are proteins created through the joining of two or more genes that originally coded for separate proteins. Translation of this fusion gene results in a single or multiple polypeptides with functional properties derived from each of the original proteins.
  • the fusion proteins are produced through molecular biology techniques or chemical coupling of two antibodies or antigen binding fragments.
  • the antibody has functional groups available for modification with a label, crosslinker, or covalent modification.
  • the functional group on the antibody are primary amines, sulfhydryl groups, carbohydrates, selenocysteine, or incorporation of an unnatural amino acid.
  • a crosslinker can be used to link a gene, polypeptide, or small molecule to an antibody.
  • the crosslinker can be a heterobifunctional crosslinker.
  • the heterobifunctional crosslinker is succinimidyl acetylthioacetate (SATA), succinimidyl trans-4-(maleimidylmethyl) cyclohexane- 1 -carboxylate (SMCC), succinimidyl 3-(2-pyridyldithio)propionate (SPDP), l-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDAC), N-((2- pyndyldithio)ethyl)-4-azidosahcylamide (PEAS; AET), 4-azido-2, 3,5,6- tetrafluorobenzoic acid, succinimidyl ester (ATFB, SE), benzophenone-4-maleimide
  • SATA succinimid
  • the crosslinket can be a peptide crosslinker sensitive cathepsin cleavage.
  • the crosslinker can be one used for site-specific crosslinking such as azide crosslinker with BCN for click chemistry. Available likers can be used to crosslink the antibody to the payload based on click chemistry using azides(N3).
  • the reactive functional groups are the same on each end. The reactive ends often target primary amines and sulfhydryl groups.
  • azides react with alkynes via the copper- catalyzed azide-alkyne cycloaddition reaction.
  • a metal free azide-alkyne reaction can be used for conjugation.
  • the crosslinker reacts nonspecifically with available sites upon UV illumination.
  • Human Antibodies are antibodies produced in human system or other mammalian systems or using yeast or phage technology. Humanized antibodies are antibodies from non-human species whose protein sequences have been modified to increase their similarity to antibody variants produced naturally in humans. The process of "humanization” is usually applied to monoclonal antibodies developed for administration to humans (for example, antibodies developed as anti-cancer drugs). Humanization can be necessary when the process of developing a specific antibody involves generation in a non-human immune system (such as that in mice). The protein sequences of antibodies produced in this way are partially distinct from homologous antibodies occurring naturally in humans, and are therefore potentially immunogenic when administered to human patients.
  • Humanizing antibodies involves removing potentially immunogenic sequences in a non-human antibody.
  • a less immunogenic sequence for humans may be inserted in place of the immunogenic sequence.
  • the non-human antibody is humanized by 1) reviewing the structure to determine what sequences will be immunogenic to a human, 2) removing the sequences that will be immunogenic to a human, 3) maintaining or improving the ability of the antibody to bind to its target receptor, 4) assess the binding of the antibody to the target receptor, 5) screen for bad immunogenic responses, 6) remove the sequences responsible for the bad immunogenic response.
  • software is used to identify potentially immunogenic sequences to be removed.
  • the anti CD 155 antibodies may be fused to another therapeutic antibody to navigate the therapeutic antibody across the blood brain barrier.
  • the approved therapeutic antibody is not able to get across the blood brain barrier alone.
  • the anti-CD155 antibody travels retrograde through nerves and enters the CNS.
  • the anti-CD155 antibody travels through the blood-CSF barrier.
  • a ligand is a substance (usually a small molecule) that forms a complex with a biomolecule to serve a biological purpose.
  • the ligand is usually a signal-triggering molecule, binding to a site on a target protein.
  • the target protein to which the ligand binds is a receptor on a cell.
  • An antibody or antigen binding fragment that binds CD 155 is considered a ligand for CD 155.
  • Non- viral means any polypeptide, including DNA/RNA segments and proteins, which lack sufficient structure to be considered a virus.
  • Non-viral further excludes any complex polypeptide that is created through a process which begins with a virus and cleaves portions of the virus to create the polypeptide.
  • a polypeptide is linear chain of amino acid residues is called a polypeptide.
  • a protein contains at least one long polypeptide. Short polypeptides, containing less than about 20-30 residues, are rarely considered to be proteins and are commonly called peptides, or sometimes oligopeptides. The individual amino acid residues are bonded together by peptide bonds and adjacent amino acid residues.
  • a protein is a large biological molecule, or macromolecule, consisting of one or more long chains of amino acid residues. Proteins differ from one another primarily in their sequence of amino acids, which is dictated by the nucleotide sequence of their genes, and which usually results in folding of the protein into a specific three-dimensional structure that determines its activity.
  • a receptor is a protein molecule usually found embedded within the plasma membrane surface of a cell that receives chemical signals from outside the cell. When such chemical signals bind to a receptor, they cause some form of cellular/tissue response, e.g. a change in the electrical activity of the cell. In this sense, a receptor is a protein molecule that recognizes and responds to endogenous chemical signals. CD 155 is also known as the poliovirus receptor.
  • “Therapeutically effective amounts” are amounts which eliminate or reduce the patient's tumor burden, or which prevent, delay or inhibit metastasis.
  • the dosage will depend on many parameters, including the nature of the tumor, patient history, patient condition, the possible co-use of cytotoxic agents, and methods of administration. Methods of administration include injection (e.g. parenteral, subcutaneous, intravenous, intraperitoneal, intrathecal, convection enhanced etc.), for which the molecule or complex binding the PVR is provided in a nontoxic pharmaceutically acceptable carrier.
  • mRNA or gene for a reporter molecule EGFP was delivered to cells expressing CD155 via a anti CD155 Antibody conjugated to liposomes encapsulating nucleic acids, both in mice (against the mouse CD 155) and human (against the human CD 155) cell lines using monoclonal antibodies against the respective poliovirus receptor in these cell lines.
  • D171 antibody was used to deliver liposome encapsulated mRNA to U87 tumors that express CD 155.
  • mRNA for GFP was expressed upon delivering mRNA conjugates of D 171. This delivery system is extendable to other nucleic acids and drugs based on the results.
  • the anti-CD155 monoclonal antibody unexpectedly enters the central nervous system and coated the tumor.
  • the potential applications of this finding include the utilization of CD 155 to facilitate transcytosis of ligands and ligand conjugates across the blood brain barrier or other barrier preventing entry into the CNS, providing a potential alternative to the transferrin receptor. Fusion of therapeutic peptides or proteins to antibodies against CD155 or antigen binding fragmentss against CD155 may provide a pathway to cross the blood brain barrier or other barrier preventing entry into the CNS.
  • Antibodies against CD 155 bind CD 155 in human and mouse cell lines and are internalized by the mouse and human cells in vitro. An antibody against the mouse CD155 binds to tumor in vivo and crosses the blood brain barrier.
  • Anti CD155 antibodies have diagnostic potential in vivo for diagnosing CD 155 tumors and for demarcation of CD 155 tumors preoperatively, intraoperatively and postoperatively.
  • the anti CD 155 antibodies may have therapeutic potential, either alone with induction of the immune system such as antibody directed cell cytotoxicity, or as Anti CD155 antibodies fused to other peptides, polypeptides or antibodies.
  • Various cargo such as toxins, proteins, peptides, small drug molecules, RNA or DNA based drugs such as genes, messenger RNA, and oligonucleotides.
  • Each of the above can be directly coupled to the anti CD 155 antibody or the antibody against CD 155 can be coupled to nanoparticles/liposomes encapsulating toxins, proteins, peptides, small drug molecules, RNA or DNA based drugs such as genes, messenger RNA, oligonucleotides.
  • the ligand-PVR interaction such as the anti CD 155 antibody-PVR may serve as transcytosis pathway for macromolecules across the blood brain barrier and may prove to be an alternative to transferrin.
  • the Anti CD 155 antibody or any ligand binding the PVR which crosses the blood brain barrier, can also serve as transporter of drugs, proteins, peptides, polypeptides that are fused or conjugated to the anti-CD155 antibody or other PVR ligand.
  • Ligands that can be used in the present disclosure include but are not limited to Anti CD 155 AB, Further included are Fusion Proteins of Antibodies and antigen binding fragments that bind CD 155 (and/or Nectin 4) and fusion proteins of such antibodies and antigen binding fragments. Still further included are Ligand Conjugates of Liposomes and Encapsulation of RNA or DNA or modified nucleic acids or other therapeutics and Ligand Conjugates of nucleic acids or other therapeutics without liposomes.
  • the antibodies against CD 155, capable of crossing the blood brain barrier are selected from the group include but are not limited to antigen binding fragmentss (Fab, FcV), humanized anti-CD155 antibodies, anti-CD155 antibodies targeting coupled liposome/nanoparticle and encapsulated or unencapsulated therapeutics including toxins, genes, DNA or RNA based drugs or other therapeutics; anti CD 155 antibody coupled to a fluorescent probe, or contrast agent for diagnosis of tumor or for the identification of tumor or tumor margins to assist in delineating tumor nonoperatively, preoperatively, intraoperatively or postoperatively; anti CD155 antibody can be fused to proteins peptides toxins or other antibody or antigen binding fragmentss to be delivered across the blood brain barrier utilizing CD 155 for transcytosis that upon crossing, either CD 155 or the fused protein or both can then bind the target cell within the CNS; unconjugated Antibody against CD155 can serve as a therapeutic if it induces Antibody Directed Cell Cytotoxicity or Complement Directed
  • Anti CD 155 antibody in mice unexpectedly crossed the blood brain barrier and bound to the tumor.
  • Antibodies do not normally cross the BBB. Poliovirus itself has other pathways for entering the CNS.
  • the antibodies are used for treatment of neurological diseases. In an embodiment, it may be beneficial to deliver a substance across the blood brain barrier when there is not a tumor. In an embodiment the neurological disease is not a brain tumor.
  • Antibodies are comprised of various portions including but not limited to the heavy chain, light chain, Fab, Fc, scFv, carbohydrate, variable region, and constant region.
  • the antibodies can be modified in ways including but not limited to glycomodification, alterations of the amino acids in the constant region, use of different human mAh isotype (e.g. IgG4), linking an isotope to mAh with a stable linker, linking a drug to the mAh with a cleavable linker, inserting DNA for mAb variable region fused to signaling peptide into T cell to induce expression of CAR, and crosslink regions from two mAbs.
  • different human mAh isotype e.g. IgG4
  • Monoclonal Antibody based (mAb-based) therapeutics have many functions, including but not limited to antitumor mAbs, angiogenesis inhibition, T cell checkpoint blockade, radioimmunotherapy, antibody-drug conjugate, bispecific antibody, and chimeric antigen receptor T cell.
  • One embodiment of this invention includes a bispecific antibody where one antibody or antigen binding fragment binds to CD 155 (or Nectin 4) expressed on the tumor cell and the antibody or antigen binding fragment binds to CD 3 (a T cell receptor ) on T-cells thus approximating the T-cells to the tumor cells to enhance T cell mediated killing of tumor.
  • Another embodiment includes a bispecific antibody where one antibody or antigen binsing fragment binds to CD 155 (or Nectin 4) on the tumor cell and another antibody or antigen binding fragment binds a receptor on NK cells (i.e such as the CD 16, NKG2D, SLAM receptor or natural cytotocicity receptors such as NKp46, NKp44 or NKp30 on NK cells) thus approximating the NK cell to the tumor cells to enhance NK cell mediated killing of tumor.
  • Immune mediated effects of tumor-specific IgG include, but are not limited to, ADCC, opsonization, and CDC. Direct effects of tumor-specific IgG are to block ligands, inhibit receptor dimerization, and induce apoptotic signaling.
  • Bispecfics incorporating anti CD 155 antibodies and antigen binding fragments along with an antibody or antigen binding fragment that binds Type 1 Insulin like Growth Factor Receptor or FC 5 or FC 44 or transferrin receptor (Tfrl or Tfr2) can be prepared to facilitate the crossing of the blood brain barrier.
  • a potential limitation to developing monoclonal antibodies for neurooncology is the inability to cross the BBB.
  • a monoclonal antibody targeting a brain tumor needs to first enter the central nervous system either thru the BBB (for antibodies crossing the BBB from the vascular lumen across the BBB into the brain and central nervous system), be injected directly into the tumor (convection enhanced therapy), or be directly injected intrathecally (in spinal fluid).
  • Other mechanisms for entry into the CNS should be proposed such as retrograde thru muscle or nerves. Only after the Monoclonal antibody enters the CNS can it bind to the primary intracranial brain tumor (if the brain tumor metastasizes to the periphery, the antibody can bind the tumor without entering the CNS).
  • mRNA is able be internalized into the cell when it is encapsulated in a liposome coonjugated to anti CD 155 antibody or antigen binding fragment.
  • Anti CD155 antibody D171 binds the poliovirus receptor at amino acid residues 35-50 of the poliovirus receptor.
  • a humanized antibody against human CD 155 is conjugated to a liposome containing antisense DNA or antisense RNA, or plasmid or genes with native or chemically modified residues.
  • the liposome contains mRNA with native or chemically modifies residues.
  • the humanized antibody against the human CD 155 and the conjugated liposome are capable of crossing the blood brain barrier and delivering the mRNA or nucleic acid therapeutic to the CD155 expressing cells.
  • the present disclosure includes aviral delivery of therapeutics including mRNA and genes via ligand conjugates where the ligand, such as a monoclonal antibody, binds to CD155/PVR leading to internalization and subsequent release of therapeutics permitting function of the drug or mRNA/gene expression (mRNA/gene).
  • ligand such as a monoclonal antibody
  • mRNA/gene mRNA/gene expression
  • D171 antibody conjugated to mRNA encapsulated in liposomes has been shown here to be internalizable and able to deliver the payload to CD 155 expressing cells where the mRNA was expressed in tumor cells in vitro. This proof of concept lays the groundwork for delivery of nucleic acid therapeutics and other drugs to cells with humanized anti CD 155 antibody drug conjugates.
  • the ligand can be 1) an antibody against PVR/CD155, 2) an antibody or antigen binding fragments that binds the PVR/CD155, a fusion protein that binds PVR/CD155 wherein one part binds the CD155/PVR and the other part is a toxin such as diphtheria, 3) a antibody or antigen binding fragment conjugated to a therapeutic drug or prodrug such as a nucleic acids or genes where the antibody or antigen binding fragment binds the CD155/PVR.
  • the therapeutic drug or prodrug such as doxorubicin, siRNA, antisense DNA or other antisense molecules, messenger RNA encoding proteins or enzymes or peptides or cytokines, Cas 9 mRNA , Cas 12a mRNA and guide RNA for CRISPR, or naked DNA genes or plasmids.
  • the antibody or antigen binding fragment against CD 155 can be conjugated to a mRNA encoding one of the following mRNA for a cytokine (a) mRNA encoding IL 2 and (b) mRNA encoding IL 7 and (c) mRNA encoding IL 12, (d) mRNA encoding IL15, (e) mRNA encoding IL 21 (f) mRNA encoding IFN gamma and (g) mRNA encoding IFN alpha, and (i) mRNA encoding GM-CSF.
  • the humanized anti- CD 155 antibodies can be used to target neurons, astrocytes, regenerating muscle, and the spinal cord.
  • Antibodies against CD155 or fragments or fusion constructs either alone or conjugated have preoperative, intraoperative or postoperative diagnostic roles in identifying the full extent of tumor or extent of tumor resection.
  • a patient with GBM is treated preoperatively with fluorescent labeled antibody against CD 155 that crosses the blood brain barrier or is directly injected in to the tumor, and the contours of the antibody fluorescence guides the surgeon intraoperatively with regards tumor resection.
  • Soluble CD155 can act as an antidote to overdose of anti CD155 Antibody conjugates by adding the soluble CD155 to bind anti CD155 antibodies. Furthermore, in one embodiment, treatment of patients with antibody drug conjugates of anti CD 155 antibodies is preceded by first administering unconjugated anti CD 155 antibodies to block CD 155 on normal cells. The subsequent addition of the anti CD 155 antibody drug conjugates will then be directed to tumors overexpressing CD 155.
  • Antibodies against CD 155 or fragments or fusion construct either alone or conjugates have diagnostic applications to identify tumors in brain, the extent of tumors in the brain by imaging mechanisms such as PET scan, MRI, Nuclear scan, CT scan, Ultrasound, and other imaging modalities standard to the art.
  • CD 155 While the function of CD 155 is not fully known, CD 155 has been shown to bind TIGIT (T cell immunoreceptor with Ig and ITIM domains), CD 226 (DNAM 1) and CD 96. Soluble CD 155, a prognostic tumor biomarker, is often secreted from CD 155 positive tumors and may function in binding DNAM 1. Membranous CD 155 and Soluble CD 155 may function to suppress the immune system thus permitting CD 155 positive tumors to grow. Blocking of Soluble CD 155 or Membranous CD 155 with Anti CD 155 antibodies can reverse the immunosuppression.
  • TIGIT T cell immunoreceptor with Ig and ITIM domains
  • CD 226 CD 226
  • Soluble CD 155 a prognostic tumor biomarker
  • CD 155 Blocking of CD 155 with anti CD 155 antibodies can also block binding of CD 155 to TIGIT thus diminishing the inhibitory signal conveyed by CD 155-TIGIT binding.
  • CD 155 is a novel checkpoint and CD 155 modulation with anti-CD155 antibodies provides a novel pathway to treating cancer using multiple mechanisms of action. While CD 155 is found at lower levels in normal tissues such as muscle and kidney, CD 155 is overexpressed on many different cancers making CD 155 a novel yet common target for the treatment of wide variety of malignancies.
  • the monoclonal antibodies of this invention bound not only CD 155 but also Nectin 4, another tumor marker. The monloclonal antibodies in this invention were shown for the first time to bind Nectin 4.
  • the monoclonal antibodies D171 and AB 825 (Ab825 and AB825 are interchangeably used in this specification and Figures and Claims) which are related to the humanized antibodies of this invention were never before shown to bind Nectin 4.
  • Nectin 4 has recently been shown to bind TIGIT.
  • the antibodies of this invention will block the binding of both Nectin 4 and PVR with TIGIT thereby blocking the inhibitory signal to immune cells such as T Cells.
  • the antibodies or antigen binding fragments against CD 155 is administered to a human for the treatment of cancer in combination with an additional drug, cell therapy or an immunomodulator comprised of an antibody against a checkpoint molecule.
  • the antibodies or antigen binding fragments against CD 155 is administered to a human in combination with an additional immunomodulator comprised of an antibody against an immune checkpoint molecule selected from then group consisting of CTLA 4, PD1, PDL1, CD 112R, OX 40, TIGIT, NKG2A, CEACAM 1, B7H3, B7-H4, VISTA, LAG3, CD 137, KIR, TIM 1, TIM3, LAIR 1, HVEM, BTLA, CD 160, CD 200, CD 200R and A2r.
  • an additional immunomodulator comprised of an antibody against an immune checkpoint molecule selected from then group consisting of CTLA 4, PD1, PDL1, CD 112R, OX 40, TIGIT, NKG2A, CEACAM 1, B7H3, B7-H4, VISTA, LAG3, CD 137, KIR, TIM 1, TIM3, LAIR 1, HVEM, BTLA, CD 160, CD 200, CD 200R and A2r.
  • the anti CD 155 antibody or antigen binding fragments is fused to an antibody or antigen binding fragments that is known to cross the blood brain barrier such as the anti transferrin receptor antibody or antigen binding fragments ( or the FC 5 antibody or antigen binding fragments that crosses the blood brain barrier).
  • the anti CD 155 antibody or antigen binding fragments can be coupled to the antibody (or antigen binding fragments) that crosses the blood brain barrier either chemically or thru recombinant techniques thus enabling the anti CD 155 antibody to cross the blood brain barrier.
  • a bispecific antibody comprising the antibodies described in this invention binds CD 155 (or Nectin 4) on tumors and CD3 on T cells.
  • a bispecific antibody comprising one or more of the antibodies described in this invention binds CD 155 (or Nectin 4) on tumors and another part of the bispecific antibody binds a receptor on NK cells (i.e Cd 16, SLAM receptor, NKp46, NKp44 or NKp30 on NK cells).
  • the anti CD 155 antibody or antigen binding fragments is fused to an antibody or antigen binding fragments that is known to cross the blood brain barrier such as the anti transferrin receptor antibody or antigen binding fragments (or the FC 5 antibody or antigen binding fragments that crosses the blood brain barrier).
  • the anti CD 155 antibody or antigen binding fragments can be coupled to the antibody (or antigen binding fragments) that crosses the blood brain barrier either chemically or thru recombinant techniques thus enabling the anti CD 155 antibody to cross the blood brain barrier.
  • the antibodies of this invention bind and block the PVR (CD 155).
  • the humanized monoclonal antibodies of this invention may be used to treat patients exposed to the poliovirus by blocking the poliovirus receptor and preventing poliovirus from binding to the poliovirus receptor (PVR; CD 155).
  • the antibodies of this invention may also be administered to a mammal, including humans, to treat infections such as HIV by elevating the expression of DNAM 1 (CD 226) on T cells.
  • the antibodies of this invention may be used to treat sepsis by elevating the expression of DNAM 1 on T cells and Nk cells. It is conceivable that an overdose of the humanized antibodies against CD 155 of this invention can be treated by administering soluble CD 155 to bind the humanized antibodies and neutralize its effects.
  • the AB825, D171 or any of the humanized antibodies of binds to PVR (CD 155) in vivo in animals expressing the human PVR.
  • the human PVR can be an expressed transgene or the human PVR can be expressed on human cells such as U87 tumor cells implanted in mice. Pior to this work, Ab825 or any of the humanized antibodies of this invention were never injected in vivo in live animals. In another embodiment, Ab825 and the humanized antibodies against CD 155 described in this invention have been shown to bind Vero cells from African Green Monkeys, thus these antibodies bind PVR (CD 155) in non-human primates ( Figure 8).
  • the D171 antibody is an anti CD 155 antibody that was conjugated to liposome encapsulated mRNA and successfully delivered and expressed in human U87MG tumors. For the first time, it was shown that an anti- CD 155 antibody (D171) is internalized and the liposomal mRNA conjugated to the D171 was internalized and was expressed. This work provided foundational support for making antibody drug conjugates of D171, AB 825 and the related humanized antibodies in this invention. The internalization of D171 and its ability to carry payload to a human tumor cells is also an embodiment of this invention.
  • Ab825 is an antibody that shares sequences with the anti-CD 155 antibody, D171.
  • D171 was first described in 1985 by Nobis et al (J General Virology). Sequencing data showed that the heavy chain variable region (VH) of D171 antibody has more than 90% of the sequence identical to the heavy chain variable region (VH) sequence of Ab 825.
  • the light chain variable region (VL) of the D171 antibody and the CDRs of D171 also have significant overlap in sequence with Ab825. Given such a high degree of homology in the sequence of D171 and Ab 825, there was no need humanize both antibodies separately.
  • the Ab825 sequence was humanized by removing potentially immunogenic sequences. Ab 825 was also analyzed for for potential deamidation and isomerization sites, three of which were within the CDRs of Ab825. In addition to humanization, the potentially unstable sites were mutated and the panel of antibodies were then tested for binding properties.
  • the humanized anti-CD 155 antibodies with the most optimal binding properties were than tested with cytokine release assay for risk of infusion reaction, Episcreen DC T cell assay for proliferative response, off target and on target binding with a panel of over 5000 known membrane receptors and epitope mapping of the binding site in PVR.
  • the antibodies were also selected based on the ability to bind monkey CD 155 (african green monkey -Vero cells). A less immunogenic sequence for humans was inserted in place of the immunogenic sequence.
  • the antibodies were first mutated in the framework region and the variants were tested for binding and stability. The ability of the antibody to bind to the PVR receptor was assessed. The binding to the PVR receptor was maintained or improved or worsened in the numerous variants.
  • software is used to identify potentially immunogenic sequences to be removed. There can still be bad immunogenic responses after removing the sequences identified in the software. Even after humanization, the various mutations have unpredictable impact in the binding or immunogenicity of the humanized antibody.
  • Ab825 sequences were analyzed for immunogenicity and CDR instabilities/liabilities (such as aspartate isomerization site or a high or medium risk deamidation site), either of which which may affect the conformation of CDRs and thus antigen binding (i.e binding to CD 155).
  • CDR instabilities/liabilities such as aspartate isomerization site or a high or medium risk deamidation site
  • the poliovirus receptor also known as CD 155
  • CD 155 is overexpressed in many cancers including glioblastoma, malignant meningioma, malignant peripheral nerve sheath tumors, pancreatic cancer, lung cancer, and GI malignanicies including colorectal cancer, breast cancer including triple negative (TNBC).
  • the poliovirus receptor is also naturally found in healthy tissues, albeit with lower receptor densities, in cells such as motor neurons of the brain and spinal cord.
  • One example of such a known antibody is the murine antibody where the heavy and light chains were incorporated into a human IgGl chimeric antibody designated herein as Ab825.
  • Ab 825 is derived from D171, a mouse antibody against human CD 155.
  • the heavy chain variable region (designated herein as VHO) and the light chain variable region (designated herein VKO) of Ab825 binds to the poliovirus receptor in human and non human primates.
  • the heavy chain variable region VHO is disclosed as Sequence ID NO 1 and the light chain variable region VKO is disclosed as Sequence ID NO 5.
  • the complementarity determining regions (CDRs) of VHO, CDR1, CDR2, and CDR3 are disclosed as Sequence ID NO 2, Sequence ID NO 3, and Sequence ID NO 4, respectively.
  • the CDRs of VKO, CDR1, CDR2 and CDR3 are disclosed as Sequence ID NO 6, Sequence ID NO 7, and Sequence ID NO 8, respectively.
  • the amino acid sequences listed in SEQ ID 1 to SEQ ID 31 and the CDR definitions and protein sequencing are according to Kabat.
  • One aspect of the present invention involves modifying and humanizing this heavy chain variable (VH) region and light chain variable (VK) region in order to make the antibody more stable and to minimize the immunogenicity and toxicity when the antibodies are used for therapeutic and diagnostic purposes in living humans.
  • VH heavy chain variable
  • VK light chain variable
  • the designed variable region genes were cloned into vectors encoding a human IgGl or IgG4 heavy chain constant domain and a human kappa light chain constant domain.
  • Chimeric and humanized antibodies including IgG4 S241P were transiently expressed in CHO cells, purified by Protein A and tested for binding to the PVR using Biacore (Surface Plasmon Resonance).
  • variable region heavy chains designated VH1 to VH5
  • variable regions light chains designated VK1 to VK4
  • the invention is an antibody or antigen binding fragments against the poliovirus receptor (CD 155) of an IgG isotype.
  • This antibody or antigen binding fragments will have a heavy chain variable region from any one of SEQ ID NOS. 1, 9, 10, 11, 12, or 13 with a CDR 1 of SEQ ID NO. 2 and a CDR 3 of SEQ ID NO. 4.
  • the CDR2 will be SEQ ID NO. 3, but with one or more of the following modifications:
  • the asparagine in the sixth position of CDR 2 is substituted with one of alanine, glutamic acid, lysine, glutamine, serine, or threonine; and/or
  • the light chain variable region will be any one of SEQ ID NOS. 5, 14, 15, 16, or 17 with a CDR 1 of SEQ ID NO. 6 and a CDR 2 of SEQ ID NO. 7.
  • the CDR3 will be SEQ ID NO. 8, but with the asparagine in the fourth position of CDR 3 being substituted with one of alanine, glutamic acid, glycine, lysine, glutamine, or serine.
  • the antibody or antigen binding fragments against the poliovirus receptor is an IgG isotype.
  • the heavy chain variable region and light chain variable region are defined in terms of their CDRs.
  • the heavy chain variable region will include the VH0 CDR 1 of SEQ ID NO. 2 and the VH0 CDR 3 of SEQ ID NO. 4.
  • the VH0 CDR2 will be SEQ ID NO. 3, but with one or more of the following modifications:
  • the asparagine in the sixth position of CDR 2 is substituted with one of alanine, glutamic acid, lysine, glutamine, serine, or threonine; and/or (2) the aspartic acid in the eighth position of CDR 2 is substituted with one of glutamic acid, glycine, or arginine; and/or
  • the light chain variable region will have the VKO CDR 1 of SEQ ID NO. 6 and the VKO CDR 2 of SEQ ID NO. 7.
  • the VKO CDR3 will be SEQ ID NO. 8, but with the asparagine in the fourth position of CDR 3 being substituted with one of alanine, glutamic acid, glycine, lysine, glutamine, or serine. More preferred antibody embodiments were developed from particular combinations of the previously described heavy chain variable regions VH1-VH5 (SEQ ID NOS: 9-13) and light chain variable regions VK1-VK4 (SEQ ID NOS: 14-17).
  • VH3 and VH4 together with VK2 and VK3 were deemed among the best variable heavy chain and light chain humanized variants based on the T cell epitope profile.
  • VK or Vk are used interchangeably.
  • VH and Vh are also used here interchangeably.
  • VH0/VK0 The liability reduced substitutions in VH0/VK0 included mutations at VH N54Q, N54S, D56E and D56G together with VK N92E and N92Q and these variants of VH0/VK0 were tested for binding to the poliovirus receptor, and upon analysis of binding, were then selected to be incorporated in combination into certain preferred humanized variants of VH3/VK2, VH3/VK3 and VH4/VK3.
  • modified VH and VK regions have the following sequence and designation:
  • VH and VK regions nine preferred antibody (or antigen binding fragmentss) against the poliovirus receptor (CD155) were identified, having the following heavy chain variable region and light chain variable region, respectively: (i) VH3 N54Q D56E [SEQ ID NO: 18] and VK2 N92E [SEQ ID NO: 19];
  • the present invention is intended to encompass the novel heavy chain variable regions and light chain variable regions forming the antibodies.
  • the humanized antibodies in this invention were shown to bind not only PVR (CD 155) but also Nectin 4 (PVRL4).
  • PVRL4 Nectin 4
  • the dual specificity of this antibody and antigen binding fragments described in this invention broaden the range of tumors that can be treated with the antibodies described in this invention.
  • the humanized antibodies in this invention which are related to D 171 and Ab825 have been shown for the first time to bind Nectin 4 in addition to binding PVR. D171 and AB 825 or any of there variants were never previously shown to bind Nectin 4.
  • Another embodiment includes an antibody or antigen binding fragments against the poliovirus receptor (CD155) comprising:
  • the antibody or antigen binding fragment above can be conjugated to a prodrug or a drug for the treatment of tumors expressing Nectin 4.
  • the antibody or antigen binding fragment above can be conjugated to a prodrug or a drug for the treatment of tumors expressing CD 155 (PVR).
  • Another embodiment includes antibody drug conjugates above where the drug or prodrug is from one of the following : a nucleic acid, vedontin, a pyrrolobenzodiazepine, liposomal doxorubicin, a topoisomerase inhibitor, MM AE, MMAF, DM 1, paclitaxel, temozolomide, doxorubicin, deruxtecan, a radiosensitizing drug, tesirine , docaxtel and a PARP inhibitor.
  • One embodiment includes antibodies or antigen binding fragments above where the antibody or antigen binding fragment binds CD 155 (PVR) and blocks the binding of CD 155 (PVR) to TIGIT.
  • One embodiment includes antibodies or antigen binding fragments above where the the antibody or antigen binding fragment binds Nectin 4 and blocks the binding of Nectin 4 to TIGIT.
  • One embodiment includes the antibodies or antigen binding fragments above where the antibody or antigen binding fragments binds to CD 155 (PVR) in non-human primates.
  • One embodiment includes the antibody or antigen binding fragment above where the antibodies or antigen binding fragments bind to Nectin 4.
  • Another embodiment includes the antibody or antigen binding fragments above where the antibodies or antigen binding fragments binds CD 155 (PVR) leading to elevation of DNAM Ion at least one of the following (a) T cells and (b) NK cells.
  • Another embodiment includes a bispecific antibody or antigen binding fragment comprised of the antibody or antigen binding fragment that binds either the poliovirus receptor or Nectin 4 and a second part of the bispecfic antibody or antigen binding fragment that binds CD 3 on T cells.
  • Another embodiment includes the bispecific antibody or antigen binding fragments comprised of the antibody or antigen binding fragment above that binds either the poliovirus receptor or Nectin 4 and a second part of the bispecfic antibody or antigen binding fragment that binds a receptor on NK cells.
  • Another embodiment includes antibodies or antigen binding fragments of where the antibody or antigen binding fragments against CD 155 is administered to a human and the antibody or antigen binding fragment binds to CD 155 in the human and prevents poliovirus from binding to CD 155.
  • Another embodiment includes antibodies or antigen binding fragments of claim 63 where the antibody or antigen binding fragments against CD 155 is administered to a human for the treatment of cancer in combination with an antibody against an immune checkpoint molecule selected from then group consisting of CTLA 4, PD1, PDL1, CD 112R, OX 40, TIGIT, NKG2A, CEACAM 1, B7H3, B7-H4, VISTA, LAG3, CD137, KIR, TIM 1, TIM3, LAIR 1, HVEM, BTLA, CD 160, CD 200, CD 200R and A2r.
  • Another embodiment includes antibodies of claim 63 where the antibody against CD 155 comprises an IgG4 isotype with a S241P hinge mutation or a S228P hinge mutation.
  • Another embodiment includes antibodies or antigen binding fragments of claim 63 where the antibody or antigen binding fragments against CD 155 comprises a label from one of the following (a) 1-124 (b) Gallium 68 or (c) Lutetium 177 (d) a contrast agent for CT scan (e) a contrast agent for MRI scan and (f) a diagnostic agent for PET scan.
  • Another embodiment includes antibody or antigen binding fragment of claim 63 where the antibodies or antigen binding fragments against CD 155 is conjugated to a mRNA encoding one of the following mRNA for a cytokine or a mRNA for a gene editing enzyme (a) mRNA encoding IL 2 and (b) mRNA encoding IL 7 and (c) mRNA encoding IL 12, (d) mRNA encoding IL15, (e) mRNA encoding IL 21 (f) mRNA encoding IFN gamma (g) mRNA encoding IFN alpha (h) mRNA encoding GM-CSF (i) mRNA encoding Cas9 (j) mRNA encoding Casl2a or (k) mRNA encoding Cas 13.
  • a gene editing enzyme (a) mRNA encoding IL 2 and (b) mRNA encoding IL 7 and (c) mRNA encoding IL 12, (
  • Another embodiment includes a CAR T cells or CAR NK cells comprising an antigen binding fragment above.
  • Another embodiment includes antibodies or antigen binding fragments above where the antibody or antigen binding fragments against CD 155 binds to CD 155 expressed on a tumor and elicits an immune response against the tumor through ADCC or CDC.
  • An embodiment includes the D171 antibody conjugate where the D171 antibody conjugate binds a tumor expressing CD 155 and the D 171 antibody conjugate is internalized by the tumor.
  • Another embodiment includes an antibody or antigen binding fragment with heavy chain variable region with SEQ ID 1 and a light chain variable region with SEQ ID 5 where the antibody or antigen binding fragment binds to Nectin 4.
  • This antibody or antigen binding fragments of this invention where the antibody or antigen binding fragment blocks the binding of Nectin 4 to TIGIT.
  • This antibody or antigen binding fragments may be conjugated to a prodrug or a drug for the treatment of tumors expressing Nectin 4.
  • the antibody or antigen binding fragment comprising a heavy chain variable region of SEQ ID 1 and a light chain variable region with SEQ ID 5 where the antibody or antigen binding fragment binds PVR leading to elevation of DNAM Ion T Cells or NK Cells.
  • CD 155 and Nectin 4 have each been described as ligands of TIGIT. Binding of CD 155 with TIGIT or Binding of Nectin 4 with TIGIT leads to inhibition of T Cells or NK Cells, as TIGIT is expressed on immune cells. Blockade of CD 155 or Nectin 4 with the antibodies of this invention will prevent either CD 155 or Nectin 4 (or both) from binding TIGIT.
  • PVR is a natural ligand of TIGIT (Alteber et al in Cancer Discovery in May 2021). PVR is also a natural ligand of CD 226 and CD96.
  • D171 has been shown to block PVR (CD 155) from binding TIGIT (Yu et al in 2009 in Nature Immunuology Volume 10 (9) Supplementary Figure 4b and 4c). Reches et al (Journal of Immunotherapy of Cancer in 2020) has shown that Nectin 4 is a ligand for TIGIT. D171 antibody also binds PVR and blocks PVR from binding CD 96 (Meyer et al Journal of Biological Chemistry Vol 284 (4) pages 2235-2244 see also page 2242).
  • the antibodies or antigen binding fragments of this invention that bind CD 155 and Nectin 4 can be used to make bispecific antibodies or bispecific antigen binding fragments.
  • Bispecific antibodies or bispecific antigen binding fragments is an embodiment of this invention where a bispecific molecule binds CD 155 and CD 3 (or Nectin 4 and CD 3).
  • Ma et al in the Journal of Cancer in 2019 Vol 10 page 5153 have produced bispecific antibodies targeting CD 3 and CD 155. These bispecifics were shown to have activity against bladder cancer.
  • Further examples include bispecifics that bind of CD 155 (or Nectin 4) and a receptor on an NK cell to engage immune cells to destroy tumors that express CD 155 (or Nectin 4).
  • the antibodies and antigen binding fragments disclosed here can be incorporated in bispecific antibodies.
  • Antibody Drug Conjugates are an embodiment of this invention where the antibodies described are conjugated to drugs such as Vedontin, Deruxtecan and Tesinne where these drugs are conjugated to the antibodies of this invention and delivered to tumors that express either CD 155 or Nectin 4 (or both).
  • ADCs targeting CD 155 are intemalizable with delivery of therapeutics. These ADCs against CD 155 have multiple mechanisms of action given that the target receptors are also a checkpoint molecule.
  • the Antibody Drug Conjugates can be conjugated through various linkers known in the art including but not limited to cathepsin sensitive peptide crosslinkers.
  • the antibodiy or antigen binding fragments may be conjugated to at least one drug (Antibody Drug Conjugate), such as MMAE, MMAF, paclitaxel, temozolomide, doxorubicin (including liposomal doxorubicin), deruxtecan, topoisomerase inhibitors, radiosensitizing drugs, radiolabeled antibody or antigen binding fragments, Tesirine, any pyrrolobenzodiazepine (PBD), DM 1, Vedontin and docaxtel and PARP inhibitors such as rucaparib.
  • Drug Conjugate such as MMAE, MMAF, paclitaxel, temozolomide, doxorubicin (including liposomal doxorubicin), deruxtecan, topoisomerase inhibitors, radiosensitizing drugs, radiolabeled antibody or antigen binding fragments, Tesirine, any pyrrolobenzodiazepine (PBD), DM 1, Vedontin and doca
  • the antibody or the antigen binding fragment comprising the heavy chain variable region with SEQ ID 1 and a light chain variable region with SEQ ID 5 was conjugated to a fluorophore and administered to a mammal where the antibody conjugate binds and accumulates in tumors that express CD155 (PVR) in the mammal ( Figure 4).
  • ADC with nucleic acid delivery including mRNA Anti CD 155 conjugates of Liposomes encapsulating mRNA for reporter molecule EGFP with delivery and expression of mRNA in CD 155 expressing cancers.
  • the antibodies or antigen binding fragments can also be conjugated to one or more therapeutic nucleic acids being delivered via antibodies or antigen binding fragments, where the therapeutic nucleic acid is any one or more of silencing RNA, shRNA, long RNA, ribozyme, messenger RNA, a plasmid DNA, or non-plasmid double stranded DNA and short single stranded DNA and double stranded DNA.
  • Antibody Drug Conjugates can also be prepared by conjugating antibodies or antigen binding fragmentss in this invention with mRNA (encapsulated in liposomes or complexed with polymers) where the mRNA encodes peptides, proteins (such as IL 12, IL 15 or IL 2 ) and enzymes (such as gene editing enzymes Cas9 or Cas 12a and other Cas enzymes such as Cas 13).
  • mRNA payload can be conjugated to the anti CD 155 antibodies to deliver mRNA encoding polypeptides and proteins including vaccines.
  • DNAM 1 (CD 226) elevation can be achieved by administering Anti CD 155 antibodies with blockade of CD 155 (membranous CD 155 or blockade of soluble CD 155).
  • a DNAM 1-CD 155 Axis has been described where the expression of CD 155 on cell membranes or secreted as soluble CD 155 downregulate DNAM 1 (CD 226) expression.
  • Therapeutic intervention with the humanized monoclonal antibodies against CD 155 is an embodiment of this invention where the Anti CD 155 antibodies are administered to patients with Cancer or HIV infection (or other diseases where DNAM 1 (CD 226) is downregulated).
  • Blockade of membranous CD 155 or soluble CD 155 with the humanized anti CD 155 antibodies of this invention will increase the expression of DNAM 1 (CD 226) on T cells and NK cells. Elevation of DNAM 1 will re-establish immunosurveilance mechanisms.
  • Carlsten et al (Journal of Immunology in 2009 Volume 183 page 4921) have shown that CD 155 tumors downregulate CD 155 on NK cells.
  • Seth et al in the Journal of Biological Chemistry in 2011 have shown that anti CD 155 antibodies upregulate CD 226 (DNAM 1) in T cells.
  • the antibodies or antigen binding fragments disclosed in this application against CD 155 may be used in the treatment of sepsis.
  • Chimeric Antigen Receptor T Cells and Chimeric Antigen Receptor NK Cells can be prepared with the humanized antigen binding fragments described in this invention.
  • the CAR T Cells and CAR NK cells can be used to target cancers that overexpress either CD 155(PVR) or Nectin 4 (or tumors that express both CD 155 and Nectin 4).
  • a humanized antigen binding fragment comprised of a HCVR such as SEQ ID 25 and a LCVR such as SEQ ID 23 can be incorporated into a CAR T and CAR NK cells.
  • ADCC and CDC are mechanisms by which antibodies bind tumor cells and the effector cells then destroy the cancer cells that are coated with the antibody.
  • the antibodies against CD 155 can facilitate ADCC or CDC upon binding and coating the cancers cells.
  • the Fc region of the anti-CD 155 antibodies can be further optimized for ADCC or CDC.
  • Antibodies or antigen binding fragments against CD 155 described here can be conjugated to at least one marker compound such as the fluorophore, IR 800 Dye.
  • the antibodies and antigen binding fragments can also easily be radiolabeled with radioactive labels such as 1-124 or Gallium68 for diagnosis or Lutetium 177 for therapy.
  • the antibodies or antigen binding fragments described in this disclosure can be conjugated to at least one marker compound such as the fluorophore, IR 800 Dye.
  • the antibodies or antigen binding fragmentss described herein may be of an IgG isotype such as IgGl IgG2 or IgG4 as wells as IgE and IgM isotypes.
  • the humanized antibody against CD 155 comprises an IgG4 isotype with a S241P hinge mutation or a S228P hinge mutation.
  • the antibodies disclosed here are related to D171 which is known to bind the poliovirus receptor (CD 155) and block poliovirus from binding the poliovirus receptor (CD155) (Nobis et al 1985 in Journal of General Virology Vol 66 page 2563).
  • the humanized antibodies disclosed here can block the poliovirus receptor and block poliovirus from binding the poliovirus receptor in a human.
  • the antibodies of this invention can be administered to patients to provide passive immunity to susceptible individuals who have been exposed to the poliovirus.
  • Linear and 3D Epitope mapping of PVR and Nectin 4 with humanized monoclonal antibodies that bind CD 155 and Nectin 4 will be performed using the peptide excision approach where the the CD 155 or Nectin 4 antigen affinity is captured with immobilized test monoclonal antibodies. Limited proteolysis on the immune complex with washing of the unbound peptide (GluC and LysC digestion). Elution of the affinity bound peptides are then analyzed with high resolution mass spectrometry. Identification of peptides by comparison of the antigen peptide profiles with and without the antibody is then analyzed.
  • the Heavy Chain Variable Region (HCVR) of Ab825 (SEQ ID 1) has potential high affinity promiscuous MHC Class 2 anchor residue at position 18 (Valine) and position 64 (Phenylalanine).
  • the Light Chain Variable Region (LCVR) of Ab825 (SEQ ID 5) has potential high affinity promiscuous MHC Class 2 anchor residue at position 2 (Isoleucine) and 53 (Tyrosine).
  • the HCVR of Ab825 also has potential Pl moderate affinity promiscuous MHC Class 2 anchor residue at positions 32 (Tyrosine), position 48 (Isoleucine) and position 93 (Valine).
  • the LCVR of Ab825 also has potential Pl moderate affinity promiscuous MHC Class 2 anchor residue at position 3 (Valine), position 4 (Methionine), position 29 (Valine), position 47 (Leucine). Humanization of the heavy chain variable region and the light chain variable region of D 171 or Ab825 has not previously been described or taught prior to this invention. Furthermore the stabilization of the potential deamidation sites and potential isomerization sites of Ab825 in the CDRs with mutations that stabilize the anti- CD 155 antibody or antigen binding fragment is a critical part of this invention.
  • the VH (Asn)54 position of SEQ ID 1 which was identified as susceptible to deamidation can be mutated with the amino acids Alanine, Glutamate, Lysine , Glutamine, Serine and Threonine among others.
  • the VH Asp56 of SEQ ID I which was identified as susceptible to isomerization can be mutated with amino acids Glutamate, Arginine or Threonine among others and the VH T 57 of SEQ ID 1 can be mutated with Glutamate or Lysine among others.
  • the VkN92 of SEQ ID 5 was also identified as a potential deamidation site and can be mutated with amino acids Alanine, Glutamate, Glycine, Lysine, Glutamine or Serine among others.
  • the DC T cell assay showed that different variants of the humanized anti CD 155 antibodies had different degrees of immunogenicity.
  • the data in Figure 6 shows the percent frequency of proliferation responses from 50 donors on days 9 10 and 11.
  • the antibody with the HCVR VH4 N54S D56G (SEQ ID 25) and LCVR Vk3 N92Q (SEQ ID 23) was the least immunogenic with lowest frequency of proliferation and lowest mean Stimulation Index (SI), even lower immunogenicity than observed for FDA approved Herceptin.
  • Cytokine Release Assay also showed that the antibody with the HCVR VH4 N54S D56G (SEQ ID 25) and LCVR Vk3 N92Q (SEQ ID 23) had the lowest risk of infusion reaction with a profile that was similar to control Erbitux.
  • the antibody with the HCVR VH4 N54S D56G (SEQ ID 25) and LCVR Vk3 N92Q (SEQ ID 23) also has a much lower risk of infusion reaction than Ab825 (VHO/VkO) on cytokine release assay.
  • the humanized variants were found to bind PVR and Nectin 4 when tested against over 5000 cell membrane receptors ( Figure 7).
  • Ab825 and the humanized variants of Ab825 disclosed here were never known to bind Nectin 4 prior to this invention.
  • humanized Ab825, D171and Ab825 are expected to bind Nectin 4.
  • the lead humanized monoclonal antibodies against CD 155 had sub nM dissociation constants thus confirming high affinity.
  • Transiently humanized mice will be implanted with human tumors (with luciferase) that express CD 155 and the humanized IgG4 S241P antibodies against CD 155 will be given IV to the mice in combination with either alone in one set of mice or in combination with other checkpoint inhibitors and the size of tumors will be recorded with bioluminescence imaging.
  • bispecific antibodies with humanized anti CD 155 antibodies and anti CD 3 antibodies will be tested in one group of mice.
  • Another group of mice will be tested with ADCs prepared with humanized anti CD 155 mice and deruxtecan conjugated with a cathepsin sensitive peptide crosslinker.
  • One control group of mice will be untreated mice.
  • Transiently humanized mice are well known in the art where human tumors can be studied with human blood for a short time period.
  • the invention contemplates not only the antibodies and antigen binding fragments, but also DNA encoding the antibodies or antigen binding fragmentss, as well as any other polynucleotide or plasmid comprising a nucleotide sequence encoding the antibodies or antigen binding fragmentss.
  • the invention also includes any cell line that produces any of the antibodies or antigen binding fragments disclosed in this application. All of the compositions and methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure.

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Abstract

Un anticorps humanisé ou un fragment de liaison à l'antigène spécifique du récepteur de poliovirus (PVR) est utilisé pour préparer des conjugués anticorps-médicament (ADC) en vue de cibler des acides nucléiques, des peptides, des protéines, des médicaments et des produits radiopharmaceutiques dans des cellules cancéreuses. Ces anticorps peuvent être utilisés pour le blocage de points de contrôle où la liaison à PVR (CD 155) empêche PVR de se lier à TIGIT. Les anticorps humanisés sont utilisés seuls ou en combinaison avec d'autres inhibiteurs de points de contrôle connus dans l'état de la technique. L'anticorps humanisé module l'axe PVR-DNAM-1 pour réguler à la hausse l'expression de DNAM1 (CD 226) sur des lymphocytes T ou des cellules NK, ce qui permet de rétablir les mécanismes d'immunosurveillance. L'anticorps est incorporé dans des cellules CAR-T ou des cellules NK CAR. Des anticorps bispécifiques sont produits par incorporation des anticorps anti-CD 155 ou des fragments de liaison à l'antigène pour entrer en contact avec des lymphocytes T ou des cellules NK en vue de lutter contre des cancers exprimant CD 155. Les anticorps anti-CD 155 se lient à la nectine 4, ce qui permet de cibler des cancers qui expriment la nectine 4.
PCT/US2021/046855 2021-08-20 2021-08-20 Anticorps et fragments de liaison à l'antigène dirigés contre cd155 et leurs méthodes d'utilisation WO2023022729A1 (fr)

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AU2021460932A AU2021460932A1 (en) 2021-08-20 2021-08-20 Antibodies and antigen binding fragments against cd155 methods of use thereof
PCT/US2021/046855 WO2023022729A1 (fr) 2021-08-20 2021-08-20 Anticorps et fragments de liaison à l'antigène dirigés contre cd155 et leurs méthodes d'utilisation
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