Assessing T-cell engagers in vivo: How BRGSF-HIS mice can help
A commentary, June 2022
Immuno-oncology is based on the decades-long knowledge that tumors can escape the patient’s immune system in order to keep growing and metastasize. Immunotherapies have been developed to try and prevent cancer cells from “fooling” immune cells, and allow these last ones to fight back. One approach for immunotherapy is to target immune checkpoints, also called ICP blockade, to prevent tumor cells from cheating the immune system, so that it can eventually eliminate them.
T-cell engagers to bring the right cell to the right place
Another approach is to physically drive immune cells to the tumor by targeting, with a single compound, the T-cell co-receptor CD3 and a tumor-specific antigen. Such compounds are called T-cell engagers (TCEs), and they are used not only to recruit T-cells to the tumors but also enhance T-cell effector mechanisms. Interestingly, the additional targeting of the T-cell costimulatory receptor CD28 seems to enhance T-cell activation and thus increase TCE efficiency.1 Considering the broad expression profile of CD3 and CD28, and the risks that their targeting entail, physiologically relevant models are of utmost importance to assess TCEs’ efficacy, but also their toxicity. We have shown previously the value of CD3 and/or CD28 genetically humanized mouse models for anti-tumor efficacy assessment. Although these models can prove suboptimal for safety and toxicity assessment, one interesting alternative for such application exists: the reconstituted BRGSF-HIS mouse model.
T-cell engagers assessment in BRGSF-HIS model
BRGSF-HIS mice show specific features offering high versatility as a preclinical model: functional myeloid and lymphoid compartments, a broad therapeutic window, robust engraftment of cancer cells including AMLs, and no GvHD, just to list a few.
In a context of safety assessment, this model was treated with a CRS-inducing anti-CD28 compound (Fig. 1A),2 and exhibited an increased cytokine secretion (Fig. 1B).
Similarly, BRGSF-HIS mice treated with the monoclonal anti-CD3 antibody OKT3 (Fig. 2A) developed an induced Cytokine Release Syndrome characterized by T-cell depletion in the blood and spleen (not shown), decreased body weight (Fig. 2B), and a significant increase in cytokine secretion (Fig. 2C).3 OKT3-induced CRS in BRGSF-HIS mice is enhanced by the myeloid compartment and can be mitigated by the anti-IL-6R blocking antibody Tocilizumab (Fig. 2C).
To test BRGSF-HIS mice response to a T-cell engager, FDA-approved TCE Blinatumomab was injected (Fig. 3A). This treatment also induced cytokine release (Fig. 3B), and body temperature drop (Fig. 3C) in a dose-dependent manner.
The reconstituted BRGSF-HIS model can thus be used for safety and toxicity assessment of a variety of compounds, including TCEs. BRGSF-HIS and genetically humanized mouse models are complementary to assess T-cell engager-induced CRS, in addition to efficacy.
Of note, genetically humanized CD3 and CD28 mouse models and the BRGSF-HIS model are available at genOway, designer and provider of multiple preclinical models in several research areas, including immuno-oncology, metabolism, cardiovascular diseases, and neuroscience.
Zhou S, Liu M, Ren F, Meng X, Yu J. The landscape of bispecific T cell engager in cancer treatment. Biomark Res. 2021 May 26;9(1):38.
Ye C, Yang H, Cheng M, Shultz LD, Greiner DL, Brehm MA, Keck JG. A rapid, sensitive, and reproducible in vivo PBMC humanized murine model for determining therapeutic-related cytokine release syndrome. FASEB J. 2020 Sep;34(9):12963-12975.