PMID- 30379598 OWN - NLM STAT- MEDLINE DCOM- 20191209 LR - 20191217 IS - 1545-326X (Electronic) IS - 0066-4219 (Linking) VI - 70 DP - 2019 Jan 27 TI - Redirected T Cell Cytotoxicity in Cancer Therapy. PG - 437-450 LID - 10.1146/annurev-med-062617-035821 [doi] AB - Bispecific antibodies that recruit and redirect T cells to attack tumor cells have tremendous potential for the treatment of various malignancies. In general, this class of therapeutics, known as CD3 bispecifics, promotes tumor cell killing by cross-linking a CD3 component of the T cell receptor complex with a tumor-associated antigen on the surface of the target cell. Importantly, this mechanism does not rely on a cognate interaction between the T cell receptor and a peptide:HLA complex, thereby circumventing HLA (human leukocyte antigen) restriction. Hence, CD3 bispecifics may find a key role in addressing tumors with low neoantigen content and/or low inflammation, and this class of therapeutics may productively combine with checkpoint blockade. A wide array of formats and optimization approaches has been developed, and a wave of CD3 bispecifics is proceeding into human clinical trials for a range of indications, with promising signs of therapeutic activity. FAU - Clynes, Raphael A AU - Clynes RA AD - Xencor, Inc., Monrovia, California 91016, USA; email: rclynes@xencor.com , jrd@xencor.com. FAU - Desjarlais, John R AU - Desjarlais JR AD - Xencor, Inc., Monrovia, California 91016, USA; email: rclynes@xencor.com , jrd@xencor.com. LA - eng PT - Journal Article PT - Review DEP - 20181031 PL - United States TA - Annu Rev Med JT - Annual review of medicine JID - 2985151R RN - 0 (Antibodies, Bispecific) RN - 0 (Antigens, Neoplasm) RN - 0 (CD3 Complex) SB - IM MH - Animals MH - Antibodies, Bispecific/*therapeutic use MH - Antigens, Neoplasm/*immunology MH - CD3 Complex/*administration & dosage/immunology MH - Cytotoxicity, Immunologic/drug effects/immunology MH - Forecasting MH - Humans MH - Immunotherapy/*methods/trends MH - Neoplasms/immunology/*therapy MH - Risk Assessment MH - T-Lymphocytes/drug effects/*immunology MH - Treatment Outcome OTO - NOTNLM OT - CD3 bispecific OT - Fc domain OT - PD-1 blockade OT - antibody OT - cytokine release syndrome EDAT- 2018/11/01 06:00 MHDA- 2019/12/18 06:00 CRDT- 2018/11/01 06:00 PHST- 2018/11/01 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2018/11/01 06:00 [entrez] AID - 10.1146/annurev-med-062617-035821 [doi] PST - ppublish SO - Annu Rev Med. 2019 Jan 27;70:437-450. doi: 10.1146/annurev-med-062617-035821. Epub 2018 Oct 31.