双特异性抗MUC16×抗DR5抗体IMV-M™通过MUC16引导的DR5（TNFRSF10B）聚集实现肿瘤选择性消退

Background IMV-M, a bispecific anti-MUC16×anti-DR5 antibody, previously showed potent MUC16-selective antitumor activity in vitro and in xenograft models without requiring secondary crosslinking. In a pilot non-human-primate study, repeated 10 and 20 mg/kg dosing produced no detectable toxicity. Here, we demonstrate that IMV-M induces clustering of death receptor 5 (DR5; TNFRSF10B) through a novel MUC16-dependent mechanism: assembly of multiple IMV-M molecules on a single MUC16 molecule. IMV-M also lacked cytotoxicity toward hepatic cell lines. Methods Three bispecific antibodies sharing identical anti-DR5 arms were generated: Sofituzumab (h5A3)×Lexatumumab scFv, 11D10/DR5×Lexatumumab scFv, and (anti-fluorescein)×Lexatumumab scFv. Sofituzumab recognizes multiple tandem repeats within human MUC16, whereas 11D10 binds a single non-repetitive epitope. The anti-fluorescein construct, which does not bind human cells, served as a negative control. Binding to MUC16 was evaluated by (i) ELISA with shed MUC16 and (ii) flow cytometry using MUC16-positive cells. Cytotoxicity was assessed by CellTiter-Glo after 48h exposure. Results IMV-M bound shed MUC16 ≈11-fold and cell-surface MUC16 ≈8-fold more strongly than 11D10/DR5 at saturation, while apparent affinities were similar. Only IMV-M induced cytotoxicity in MUC16-positive PK-59 cells, demonstrating that MUC16-mediated clustering of DR5 is required for apoptosis. In hepatocyte-derived HepG2 and Hep3B cells (MUC16⁻/DR5⁺), IMV-M showed no cytotoxicity, whereas MUC16⁺/DR5⁺ OVCAR-3 cells were highly sensitive across all concentrations. Secondary crosslinking did not elicit killing in MUC16-negative cells. These findings indicate a low risk of off-target hepatic toxicity, consistent with the benign safety profile of earlier anti-DR5 antibodies. Conclusions Effective DR5 agonism by bispecific antibodies requires high-order receptor clustering. IMV-M achieves this through MUC16-mediated assembly of multiple antibody molecules on a single MUC16 molecule, enabling potent, tumor-selective apoptosis without hepatotoxicity.