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Strengthening the cytotoxic immunogenic response against PD-L1 overexpressing cancer with anti-PD-L1 and


                                                                                                                                                                       Poster Title



                   anti-CD3 conjugated nanoparticles-based bispecific T cell engager loaded with R848 (TLR7/TLR8) agonists.







                                                                                                                                   Researchers’/Presenters’ Names
                                                                                                Ramesh Duwa , Ram Hari Pokharel , Jae-Hoon Chang , Simmyung Yook                                                                                                                                                                                                                                 1*
                                                                                                                                                          1
                                                                                                                                                                                                                                                                                                                       2*
                                                                                                                                                                                                                                            2


                                                                                                                                                      Institution/Organization/Company

                                                                                                                       1  College of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea






                                                                                           2 College of Pharmacy, Yeungnam University, Gyeongsan, Gyeongbuk 38541, Republic of Korea
















                                                            Introduction                                                                                                                                                                                                                                             Results










            Bispecific nanoparticles (NPs) are a modular platform for cancer                                                                                                                                                                   Physico-chemical characterization of PLGA-NPs and Bis-R848-PLGA-NPs



            immunotherapeutic strategies that have the specificity to recognize                                                                                                           A)                                                      B)                                                      C)                                                     D)                                                     E)




            two different epitopes. They can redirect the T cell to lyse tumor cells                                                                                                         200                       Particles sizes      0.4            -15                                                                                                                                                                                Loading capacity (%)
                                                                                                                                                                                                                       PDI
                                                                                                                                                                                                                                                                                                                                                                                                                                              Encapsulation efficiency (%)

            by blocking two different signaling pathways simultaneously and                                                                                                                  150                                            0.3    Poly-dispersity index (PDI)  Zeta potential (mV)  -20                                                                                                                          10                                      60
                                                                                                                                                                                                                                                                                                                                                                                                                                   8
                                                                                                                                                                                                                                            0.2
                                                                                                                                                                                             100
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          40
            enhance the binding specificity by interacting with the T cell and tumor                                                                                                        Particles size (nm)  50                         0.1            -25                                                                                                                                                                  Loading capacity (%)  6                   20    Encapsulation efficiency(%)
                                                                                                                                                                                                                                                                                                                                                                                                                                   4


            cell surface. NPs-based bispecific T cells engager can be an                                                                                                                       0                                            0.0            -30                                                                                                                                                                     2    L    L    L    L    L    L  0
                                                                                                                                                                                                                    Bis-R848-PLGA-NPs
                                                                                                                                                                                               R848-PLGA-NPs
                                                                                                                                                                                            Anti-PD-L1-R848-PLGA-NPs
                                                                                                                                                                                                                                                             R848-PLGA-NPs
                                                                                                                                                                                                                                                                                 Bis-R848-PLGA-NPs
                                                                                                                                                                                                                                                          Anti-PD-L1-R848-PLGA-NPs
                                                                                                                                                                                                                                                                                                                                                                                                                                   0
                                                                                                                                                                                                                                                                                                                                                                                                                                                50
                                                                                                                                                                                                                                                                                                                                                                                                                                                     100
                                                                                                                                                                                                                                                                                                                                                                                                                                                           200
            alternative                   treatment                   option              of        surgery                 and           platinum-based                               Free PLGA-NPs  Anti-CD3-R848-PLGA-NPs                         Free PLGA-NPs  Anti-CD3-R848-PLGA-NPs                                                                                                                                          10    20 Concentration of R848  500
            chemotherapy to improve the therapeutic outcomes in cancer.
                                                                                                                                                                                         F)                                                        G)                                                        H)

            In this study, R848-loaded bispecific poly(lactic-co-glycolic acid) NPs                                                                                                            100                                                       300                                                                                                                           Figure 1. Characterization of PLGA-NPs. (A) Hydrodynamic particle size


                                                                                                                                                                                                                                                                                                                                                                                       and Poly-dispersity index of free PLGA-NPs, anti-PD-L1-PLGA-NPs, anti-
            decorated with anti-CD3 and anti-PD-L1 (bis-R848-PLGA-NPs) were                                                                                                                     80                                                       250                                                                                                                           CD3-PLGA-NPs, and Bis-PLGA-NPs. (B) Zeta potential of free PLGA-NPs,
                                                                                                                                                                                                                                                         200
                                                                                                                                                                                                60
                                                                                                                                                                                                                                                                                                                                                                                                                        anti-CD3-PLGA-NPs,
                                                                                                                                                                                                                                                                                                                                                                                       anti-PD-L1-PLGA-NPs,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     (C)
                                                                                                                                                                                                                                                                                                                                                                                                                                                      and
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bis-PLGA-NPs.
            developed to block PD-1/PD-L1 pathway with anti-PD-L1 and CD3                                                                                                                     Cummulative release %  40         Acidic pH (5.4)      Mass of conjugated Abs  on PLGA-NPs (g/mg)  150                                                                                  Transmission electron microscopy (TEM) images of PLGA-NPs. (D)
                                                                                                                                                                                                                                                         100
            receptor of T cell with anti-CD3 antibodies. Blocking the PD-1/PD-L1                                                                                                                20                              Basic pH (7.4)            50                                                                                                                           Scanning       electron      microscopy        (SEM)      images       of   PLGA-NPs.         (E)
                                                                                                                                                                                                                                                           0
                                                                                                                                                                                                                                                                                                                                                                                       Determination of Loading capacity (LC) and encapsulation efficiency (EE)
                                                                                                                                                                                                 0
                                                                                                                                                                                                  0   24 48 72 96 120 144 168 192 216                          100     200     250     300    500                                                                                      of R848 in PLGA-NPs. (F) Release profile of R848 from PLGA-NPs in
                                                                                                                                                                                                                                                                  Concentration of Abs (g/mL)
            pathway with anti-PD-L1antibody of Bis-R848-PLGA-NPs restores                                                                                                                                        Time(hrs)                                  Free PLGA-NPs             Anti-PD-L1-PLGA-NPs                                                                              acidic pH(5.4) and basic pH (7.4). (G) Anti-PD-L1 and anti-CD3 antibody


                                                                                                                                                                                                                                                            Anti-CD3-PLGA-NPs         Bis-PLGA-NPs
            multiple effector functions of antigen-specific T cells that enhance                                                                                                                                                                                                                                                                                                       conjugation efficiency on free PLGA-NPs, anti-PD-L1-PLGA-NPs, anti-
                                                                                                                                                                                                                                                                                                                                                                                       CD3-PLGA-NPs, and Bis-PLGA-NPs(H) FT-IR spectra of PLGA-NPs and


            immunologic response in destroying the cancer cells. Furthermore,                                                                                                                                                                                                                                                                                                          anti-PD-L1, anti-CD3, and Bis-PLGA-NPs.



            the binding of the CD3 receptor of T cell by anti-CD3 of Bis-R848-                                                                                                                  Immunoreactivity of Bis-R848-PLGA-NPs                                                                                                                  Cellular uptake of Bis-R848-PLGA-NPs




            PLGA-NPs helps to activate the T cell response for immunogenic cell                                                                                                             A)                  SK-OV3                          B)                     B16F10                                        A)                                                        B)                                                  Figure      3.    Confocal       laser     scanning



                                                                                                                                                                                                                                                                                                                                                                                                                                   microscopy and flow cytometry analysis
            death. Ultimately, these interactions allow to bring T cells in close                                                                                                                                                                                                                                                                                                                                                  for the qualitative (A) and quantitative (B)

                                                                                                                                                                                                                                                                                                                       SK-OV3                                                   SK-OV3                                             determination of intracellular uptake of

            proximity to the tumor cells. Lastly, the release of R848 from PLGA-                                                                                                                                                                                                                                                                                                                                                   free PLGA-NPs, Cou-6-PLGA-NPs, anti-




            NPs activates the dendritic cells through toll-like receptor-8 that                                                                                                                                                                                                                                                                                                                                                    CD3-Cou-6-PLGA-NPs, anti-PD-L1-Cou-6-
                                                                                                                                                                                                                                                                                                                                                                                                                                   PLGA-NPs, and Bis-Cou-6-PLGA-NPs, (1

            enhanced the activation of T cells.                                                                                                                                             C)                                                                                                                                                                                                                                     µl/mL equivalent cou-6 concentration) on



                                                                                                                                                                                                              CD8 T cell                                Figure       2     Flow       cytometry                                                                                                                                    SK-OV3 and B16F10 cell lines at 6 h time
                                                                                                                                                                                                                  +

                                                                                                                                                                                                                                                        histogram plot illustrating the                                                                                         B16F10                                             point      respectively.       The     cells     were
                                                                                                                                                                                                                                                                                                                                                                                                                                   incubated with Cou-6-loaded NPs (green)
                                                                                                                                                                                                                                                        immunoreactivity of Bis-PLGA-                                   B16F10
                                                                                                                                                                                                                                                                                                                                                                                                                                   to     visualize      the     uptake       of    NPs.
                                                                                                                                                                                                                                                        NPs     (250     µm/mL        equivalent
                                                                                                                                                                                                                                                                                                                                                                                                                                   Counterstaining of cell nucleus (blue)
                                                                                                                                                                                                                                                        antibody) (A) SK-OV3 cell (B)
                                                                                                                                                                                                                                                                                                                                                                                                                                   color was carried out using DAPI dye;
                                                                                                                                                                                                                                                        B16F10 cell and (C) CD8 T cell.
                                                                                                                                                                                                                                                                                        +
                                                                                                                                                                                                                                                                                                                                                                                                                                   scale bar (20 μm).






                                                                                                                                                                                           In vitro effect of CD8 T cells on cancer cells                                                                                             In vivo biodistribution study of Bis-Cy5.5-PLGA-NPs
                                                                                                                                                                                                                                              +




                                                                                                                                                                                                120                                                                                                                                                                                                                                                   Max
                                                                                                                                                                                                                                                      Figure 4. In vitro analysis of cell
                                                                                                                                                                                                100                                       ***         cytotoxity effect of CD8            +  T cells on
                                                                                                                                                                                               Cell viability %  60

                                                                                                                                                                                                                                           &
                                                                                                                                                            Cell                                 80                                                cancer (B16F10 cell line. (*** P<0.001 vs                                                                                                                                                               Figure      5.   In    vivo
                                                                                                                                                          death                                  40                                        $          control group.         ᴨᴨᴨ P< 0.001 vs R848-                                                                                                                                                            biodistribution study
                                                                                                                                                                                                                                                                                                                                                                                                                                                                             the
                                                                                                                                                                                                                                                                                                                                                                                                                                                              showing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    high
                           nanoBiTE (Bis-R848-PLGA-NPs                                                                                                                                           20                                                   PLGA-NPs,         & P<    0.01     anti-CD3-R848-                                                                                                                                                       penetration            and
                                                                                                                                                                                                                                                                                      $
                                                                                                                                                                                                   0                                                  PLGA-NPs group, and P< 0.01 vs anti-                                                                                                                                                                    accumulation of bis-
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cy5.5-PLGA-NPs
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        in
                            Resiquimod (R848)                                                                                                                                                      Control  Free PLGA-NPs                             PD-L1-R848-PLGA-NPs group).                                                                                                                                                                             tumor tissue.
                                                                                                                                                                                                               R848-PLGA-NPs
                                                                                                                                                                                                                   Anti-PD-L1-R848-PLGA-NPs


             Scheme 1. Systematic illustration of Bis-R848-PLGA-NPs targeting PD-L1 on tumor cell and CD3 on T cell by anti-PD-L1                                                             B16F10 + Tcell+ DC cell Anti-CD3-R848-PLGA-NPs Bis-R848-PLGA-NPs

             and anti-CD3 of Bis-R848-PLGA-NPs, respectively.                                                                                                                                                                                                                                                                                                                                                                                         Min


                                                                               Aims                                                                                                      In vivo antitumor study of Bis-R848-PLGA-NPs                                                                                                                            In vivo analysis of cytokines






                                                                                                                                                                                           A)                   PBS                                      B)                                                           A)                                                                             B)
                                                                                                                                                                                                                Free PLGA-NPs                                   16
            1. To bring T cells in close proximity to the tumor cells by Bis-R848-                                                                                                                  8000        R848-PLGA-NPs                                   14
                                                                                                                                                                                                                Anti-CD3-R848-PLGA-NPs
                                                                                                                                                                                                                                                                12
                                                                                                                                                                                                                Anti-PD-L1-R848-PLGA-NPs                        10                                ###
                                                                                                                                                                                                                Bis-R848-PLGA-NPs
                                                                                                                                                                                                    6000
                                                                                                                                                                                                                                                                                                  $$$
            PLGA-NPs                                                                                                                                                                               Tumor volume (mm 3 )  4000                                  Tumor weight (g)  8                ***
                                                                                                                                                                                                                                                                 6
                                                                                                                                                                                                                                                                 4
                                                                                                                                                                                                                                                                 2
            2. To investigate the in vivo efficacy of engineered NPs-based                                                                                                                          2000                                                         0  PBS Free  PLGA
                                                                                                                                                                                                                                                                        R848-PLGA-NPs
                                                                                                                                                                                                                                                                            Anti-PD-L1-R848-PLGA-NPs


            bispecific T cells engager for cancer immunotherapy against PD-L1                                                                                                                          0 0  2  Times after frist treatment (days)  18  20              Anti-CD3-R848-PLGA-NPs Bis-R848-PLGA-NPs
                                                                                                                                                                                                                               12
                                                                                                                                                                                                                                   14
                                                                                                                                                                                                                                       16
                                                                                                                                                                                                                           10
                                                                                                                                                                                                                4
                                                                                                                                                                                                                    6
                                                                                                                                                                                                                        8
            overexpressing cancers.                                                                                                                                                         Figure 6 In vivo anti-tumor effect: (A) Tumor volume (B) Tumor weights of each                                            B)                                                                               D)
                                                                                                                                                                                            group after the administration of free PLGA-NPs, R848-PLGA-NPs, anti-CD3-R848-

                                                                      Methods                                                                                                               PLGA-NPs, anti-PD-L1-R848-PLGA-NPs, and Bis-R848-PLGA-NPs. (*** P<0.001 vs

                                                                                                                                                                                                                                                                                      P< 0.001 vs anti-
                                                                                                                                                                                                               P< 0.001 vs anti-CD3-R848-PLGA-NPs group, and
                                                                                                                                                                                            PBS group,
                                                                                                                                                                                                            ###
                                                                                                                                                                                                                                                                                  $$$
                                                                                                                                                                                            PD-L1-R848-PLGA-NPs group).
           1. Synthesis of Bis-R848-PLGA-NPs                                                                                                                                                                       In vivo activation of T cell




           R848 loaded PLGA-NPs (R848-PLGA-NPs) were prepared using the                                                                                                                   A)                                                    B)


                                                                                                                                                                                                                                                                                                                       E)                                                                              F)
           emulsion solvent evaporation method.                                                                                                                                                                                                   16                       ###   12

                                                                                                                                                                                                                                                                          ***
                                                                                                                                                                                                                                                  14                       $$$   10 8                     ###
                                                                                                                                                                                                                                                                                                          $$$
                                                                                                                                                                                                                                                                                                         ***
                                                                                                                                                                                                                                                  12
                                                                                                                                                                                                                                                 CD4 + T cell (%)  10 8 6       CD8 +  T cell (%)  6 4

                                                                                                                                                                                                                                                   2 4                            2
                                                                                                                                                                                                                                                   0  PBS                         0
                                                                                                                                                                                                                                                        Anti-CD3-R848-PLGA-NPs
                                                                                                                                                                                                                                                        R848-PLGA-NPs
                                                                                                                                                                                                                                                                   Bis-R848-PLGA-NPs
                                                                                                                                                                                                                                                    Free PLGA-NPs Anti-PD-L1-R848-PLGA-NPs  Free PLGA-NPs Anti-PD-L1-R848-PLGA-NPs
                                                                                                                                                                                                                                                                                                   Bis-R848-PLGA-NPs
                                                                                                                                                                                                                                                                                    PBS
                                                                                                                                                                                                                                                                                       R848-PLGA-NPs
                                                                                                                                                                                                                                                                                       Anti-CD3-R848-PLGA-NPs



                                                                                                                                                                                           Figure 7 Flow cytometric analysis CD4 and CD8 expression at TILs of tumor-bearing
                                                                                                                                                                                                                                                                                                                            Figure 8. Flow cytometric analysis different cytokine expression at TILs of tumor-bearing C57BL/6 mice after the
                                                                                                                                                                                           C57BL/6 mice after the administration of free PLGA-NPs, R848-PLGA-NPs, anti-CD3-
                                                                                                                                                                                                                                                                                                                            administration of free PLGA-NPs, R848-PLGA-NPs, anti-CD3-R848-PLGA-NPs, anti-PD-L1-R848-PLGA-NPs, and Bis-
                                                                                                                                                                                           R848-PLGA-NPs, anti-PD-L1-R848-PLGA-NPs, and Bis-R848-PLGA-NPs, (A) and (B)
                                                                                                                                                                                                                                                                                                                            R848-PLGA-NPs, (A) granzyme (GZB) and (B) perforin, (C) interferon-gamma (IFN-γ), (D) interferon beta (IFN-β), (E)
                                                                                                                                                                                           Qualitative analysis of CD4 T cell% and CD8 T cell% in mice tumor. (*** P<0.001 vs
                                                                                                                                                                                                                                +
                                                                                                                                                                                                                                                        +
              2. Synthesis of Bis-R848-PLGA-NPs                                                                                                                                            PBS group,       ### P< 0.001 vs anti-CD3-R848-PLGA-NPs group, and                      $$$  P< 0.001 vs anti-                   interleukin 17A (IL-17A) , and interleukin 10 (IL-10A).


                                                                                                                                                                                           PD-L1-R848-PLGA-NPs group).
              Anti-PD-L1 and anti-CD3 antibody was covalently coupled by its                                                                                                                                                                                                                              Conclusion




              amino group to the carboxylic acid group of PLGA-NPs in the                                                                                                                                                                                                                                                                                          .



              presence                    of         1-ethyl-3-(3-dimethyl                                 aminopropyl)                         carbodiimide                           Thus, Bis-R848-PLGA NPs can be a potential targeted immunotherapeutic agent to improve the therapeutic outcomes in PD-L1



                                                                                                                                                                                       overexpressing cancer.
              hydrochloride (EDC)/N-hydroxysulfosuccinimide (NHS).

                                                                                                                                                                                                                                                                                       Acknowledgement









                                                                                                                                                                                         This research was supported by the BK21 fourth program through the National Research Foundation (NRF) funded by the




                                                                                                                                                                                         Ministry of Education of Korea.
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