PMID- 35769484 OWN - NLM STAT- MEDLINE DCOM- 20220701 LR - 20240102 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - A TNFR2-Specific TNF Fusion Protein With Improved In Vivo Activity. PG - 888274 LID - 10.3389/fimmu.2022.888274 [doi] LID - 888274 AB - Tumor necrosis factor (TNF) receptor-2 (TNFR2) has attracted considerable interest as a target for immunotherapy. Indeed, using oligomeric fusion proteins of single chain-encoded TNFR2-specific TNF mutants (scTNF80), expansion of regulatory T cells and therapeutic activity could be demonstrated in various autoinflammatory diseases, including graft-versus-host disease (GvHD), experimental autoimmune encephalomyelitis (EAE) and collagen-induced arthritis (CIA). With the aim to improve the in vivo availability of TNFR2-specific TNF fusion proteins, we used here the neonatal Fc receptor (FcRn)-interacting IgG1 molecule as an oligomerizing building block and generated a new TNFR2 agonist with improved serum retention and superior in vivo activity. METHODS: Single-chain encoded murine TNF80 trimers (sc(mu)TNF80) were fused to the C-terminus of an in mice irrelevant IgG1 molecule carrying the N297A mutation which avoids/minimizes interaction with Fcgamma-receptors (FcgammaRs). The fusion protein obtained (irrIgG1(N297A)-sc(mu)TNF80), termed NewSTAR2 (New selective TNF-based agonist of TNF receptor 2), was analyzed with respect to activity, productivity, serum retention and in vitro and in vivo activity. STAR2 (TNC-sc(mu)TNF80 or selective TNF-based agonist of TNF receptor 2), a well-established highly active nonameric TNFR2-specific variant, served as benchmark. NewSTAR2 was assessed in various in vitro and in vivo systems. RESULTS: STAR2 (TNC-sc(mu)TNF80) and NewSTAR2 (irrIgG1(N297A)-sc(mu)TNF80) revealed comparable in vitro activity. The novel domain architecture of NewSTAR2 significantly improved serum retention compared to STAR2, which correlated with efficient binding to FcRn. A single injection of NewSTAR2 enhanced regulatory T cell (Treg) suppressive activity and increased Treg numbers by > 300% in vivo 5 days after treatment. Treg numbers remained as high as 200% for about 10 days. Furthermore, a single in vivo treatment with NewSTAR2 upregulated the adenosine-regulating ectoenzyme CD39 and other activation markers on Tregs. TNFR2-stimulated Tregs proved to be more suppressive than unstimulated Tregs, reducing conventional T cell (Tcon) proliferation and expression of activation markers in vitro. Finally, singular preemptive NewSTAR2 administration five days before allogeneic hematopoietic cell transplantation (allo-HCT) protected mice from acute GvHD. CONCLUSIONS: NewSTAR2 represents a next generation ligand-based TNFR2 agonist, which is efficiently produced, exhibits improved pharmacokinetic properties and high serum retention with superior in vivo activity exerting powerful protective effects against acute GvHD. CI - Copyright (c) 2022 Vargas, Wagner, Shaikh, Lang, Medler, Anany, Steinfatt, Mosca, Haack, Dahlhoff, Buttner-Herold, Graf, Viera, Einsele, Wajant and Beilhack. FAU - Vargas, Juan Gamboa AU - Vargas JG AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. AD - Graduate School of Life Sciences, Wurzburg University, Wurzburg, Germany. FAU - Wagner, Jennifer AU - Wagner J AD - Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Shaikh, Haroon AU - Shaikh H AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. AD - Graduate School of Life Sciences, Wurzburg University, Wurzburg, Germany. FAU - Lang, Isabell AU - Lang I AD - Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Medler, Juliane AU - Medler J AD - Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Anany, Mohamed AU - Anany M AD - Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. AD - Department of Microbial Biotechnology, Institute of Biotechnology, Giza, Egypt. FAU - Steinfatt, Tim AU - Steinfatt T AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Mosca, Josefina Pena AU - Mosca JP AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. AD - Graduate School of Life Sciences, Wurzburg University, Wurzburg, Germany. FAU - Haack, Stephanie AU - Haack S AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Dahlhoff, Julia AU - Dahlhoff J AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Buttner-Herold, Maike AU - Buttner-Herold M AD - Department of Nephropathology, Friedrich-Alexander-Universitat Erlangen-Nurnberg, Erlangen, Germany. FAU - Graf, Carolin AU - Graf C AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Viera, Estibaliz Arellano AU - Viera EA AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Einsele, Hermann AU - Einsele H AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Wajant, Harald AU - Wajant H AD - Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. FAU - Beilhack, Andreas AU - Beilhack A AD - Interdisciplinary Center for Clinical Research Laboratory, Department of Internal Medicine II, University Hospital Wurzburg, Wurzburg, Germany. AD - Graduate School of Life Sciences, Wurzburg University, Wurzburg, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220613 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Immunoglobulin G) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) SB - IM EIN - Front Immunol. 2023 Dec 18;14:1352525. PMID: 38164131 MH - Animals MH - *Encephalomyelitis, Autoimmune, Experimental/metabolism MH - *Graft vs Host Disease MH - *Hematopoietic Stem Cell Transplantation MH - Immunoglobulin G/metabolism MH - Mice MH - Receptors, Tumor Necrosis Factor, Type II/metabolism MH - T-Lymphocytes, Regulatory PMC - PMC9234581 OTO - NOTNLM OT - GvHD OT - TNF OT - TNFR2 OT - agonist OT - regulatory T cells OT - serum retention COIS- The University of Wurzburg has filed a patent concerning the construction of TNFR2 agonists. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/07/01 06:00 MHDA- 2022/07/02 06:00 PMCR- 2022/01/01 CRDT- 2022/06/30 02:35 PHST- 2022/03/02 00:00 [received] PHST- 2022/05/10 00:00 [accepted] PHST- 2022/06/30 02:35 [entrez] PHST- 2022/07/01 06:00 [pubmed] PHST- 2022/07/02 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.888274 [doi] PST - epublish SO - Front Immunol. 2022 Jun 13;13:888274. doi: 10.3389/fimmu.2022.888274. eCollection 2022.