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  • Maurer, Barbara  (2)
  • 1
    In: Molecular Cancer Therapeutics, American Association for Cancer Research (AACR), Vol. 22, No. 5 ( 2023-05-04), p. 555-569
    Abstract: High levels of macrophage migration inhibitory factor (MIF) in patients with cancer are associated with poor prognosis. Its redox-dependent conformational isoform, termed oxidized MIF (oxMIF), is a promising tumor target due to its selective occurrence in tumor lesions and at inflammatory sites. A first-generation anti-oxMIF mAb, imalumab, was investigated in clinical trials in patients with advanced solid tumors, where it was well tolerated and showed signs of efficacy. However, imalumab has a short half-life in humans, increased aggregation propensity, and an unfavorable pharmacokinetic profile. Here, we aimed to optimize imalumab by improving its physicochemical characteristics and boosting its effector functions. Point mutations introduced into the variable regions reduced hydrophobicity and the antibodies’ aggregation potential, and increased plasma half-life and tumor accumulation in vivo, while retaining affinity and specificity to oxMIF. The introduction of mutations into the Fc region known to increase antibody-dependent cellular cytotoxicity resulted in enhanced effector functions of the novel antibodies in vitro, whereas reduced cytokine release from human peripheral blood mononuclear cells in the absence of target antigen by the engineered anti-oxMIF mAb ON203 versus imalumab reveals a favorable in vitro safety profile. In vivo, ON203 mAb demonstrated superior efficacy over imalumab in both prophylactic and established prostate cancer (PC3) mouse xenograft models. In summary, our data highlight the potential of the second-generation anti-oxMIF mAb ON203 as a promising immunotherapy for patients with solid tumors, warranting clinical evaluation.
    Type of Medium: Online Resource
    ISSN: 1535-7163 , 1538-8514
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2023
    detail.hit.zdb_id: 2062135-8
    SSG: 12
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 83, No. 7_Supplement ( 2023-04-04), p. 2974-2974
    Abstract: Modulation of immunosuppressive tumor microenvironments (TMEs) can enhance immunotherapy response rates in solid cancers. One of the key TME regulators is the macrophage migration inhibitory factor (MIF). In addition to its role in tumor cell proliferation, angiogenesis and metastasis, MIF induces polarization of macrophages to a suppressive M2-like subtype, suppresses cytotoxic T cells and correlates with poor response to immune checkpoint therapy. Therapeutic interventions are hampered due to MIF’s ubiquitous expression and non-pathological roles. In contrast, the disease-related structural isoform of MIF, termed oxMIF, is exclusively present in solid tumor tissue, can be specifically targeted by antibodies and oxMIF neutralization blocks protumorigenic activities attributed to MIF. We determined the antitumorigenic and TME-modifying potential of the new oxMIF-specific antibody ON203 in preclinical models including fresh tumoroids retaining an intact TME isolated from colorectal adenocarcinoma (CRC) patients. 3D tumoroids were treated with ON203 and tumor cell killing was analyzed by high-content 3D computational bioimaging. ON203-induced TME modulation was assessed by secretome analysis and flow cytometry. To understand ON203’s action on the TME and to determine factors influencing the response to ON203 we performed dimensionality reduction (UMAP) to comparatively visualize the composition of the tumoroids. To further characterize the immune population differences between conditions, we employed multi-parameter clustering (FlowSOM/XShift) and compared the abundance of each cluster across conditions. We also investigated functional marker expression differences across each of the conditions. ON203 demonstrated excellent tumor penetration and retention and reduced tumor cell proliferation in mouse xenograft models. oxMIF presence was confirmed in all freshly isolated CRC tumoroids and correlated with a “cold” phenotype with high IL-10 and TGF-β levels. Four out of five ON203-treated CRC tumoroids responded with significant tumor cell death. In the responding tumoroids ON203 activated NK and NKT cells (upregulation of Granzyme B and CD107a) and supported an anti-tumor M1-like polarization and macrophage activation (upregulation of CD16 and HLA-DR). Taken together, the anti-oxMIF antibody ON203 demonstrated antitumorigenic effects by reducing tumor cell proliferation and by modulating the TME towards immunosupportive functions. In the upcoming clinical Phase 1 trial ON203’s safety, tolerability, pharmacokinetics, and pharmacodynamics in patients with solid tumors will be analyzed to evaluate its potential as a standalone or combinatorial therapy with immune checkpoint inhibitors. Citation Format: Barbara Maurer, Eric R. Haas, Irina Mirkina, Julia Mayer, Alexander Schinagl, Jennifer L. Guerriero, Michael Thiele. Targeting the oxidized form of macrophage migration inhibitory factor (oxMIF) with antibody ON203 activates the tumor microenvironment [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 2974.
    Type of Medium: Online Resource
    ISSN: 1538-7445
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2023
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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