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US20210008113A1 - Methods of making and using guidance and navigation control proteins - Google Patents

Methods of making and using guidance and navigation control proteins Download PDF

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Publication number
US20210008113A1
US20210008113A1 US17/040,519 US201917040519A US2021008113A1 US 20210008113 A1 US20210008113 A1 US 20210008113A1 US 201917040519 A US201917040519 A US 201917040519A US 2021008113 A1 US2021008113 A1 US 2021008113A1
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United States
Prior art keywords
cell
cells
cytotoxic
therapeutic
gnc
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US17/040,519
Inventor
Yi Zhu
Ole Olsen
Jahan Khalili
Dong Xia
David JELLYMAN
Katrina BYKOVA
Anne-Marie ROUSSEAU
Camilla WANG
Zeren Gao
Hui Huang
Steven K. LUNDY
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Systimmune Inc
Original Assignee
Sichuan Baili Pharmaceutical Co Ltd
Systimmune Inc
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Application filed by Sichuan Baili Pharmaceutical Co Ltd, Systimmune Inc filed Critical Sichuan Baili Pharmaceutical Co Ltd
Assigned to SYSTIMMUNE, INC., SICHUAN BAILI PHARMACEUTICAL CO., LTD. reassignment SYSTIMMUNE, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BYKOVA, Katrina, GAO, ZEREN, HUANG, HUI, JELLYMAN, David, KHALILI, JAHAN, LUNDY, Steven K., OLSEN, OLE, ROUSSEAU, ANNE-MARIE, WANG, Camilla, XIA, DONG, ZHU, YI
Publication of US20210008113A1 publication Critical patent/US20210008113A1/en
Assigned to SYSTIMMUNE INC., Baili-Bio (Chengdu) Pharmaceutical Co., Ltd. reassignment SYSTIMMUNE INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SYSTIMMUNE, INC., SICHUAN BAILI PHARMACEUTICAL CO. LTD.
Assigned to SYSTIMMUNE, INC., Baili-Bio (Chengdu) Pharmaceutical Co., Ltd. reassignment SYSTIMMUNE, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., SYSTIMMUNE INC.
Assigned to SYSTIMMUNE, INC. reassignment SYSTIMMUNE, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., SYSTIMMUNE, INC.
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Definitions

  • the present application generally relates to the technical field of Guidance and Navigation Control (GNC) proteins with multi-specific binding activities against surface molecules on both immune cells and tumor cells, and more particularly relates to making and using GNC proteins.
  • GNC Guidance and Navigation Control
  • Cancer cells develop various strategies to evade the immune system.
  • One of the underlying mechanisms for the immune escape is the reduced recognition of cancer cells by the immune system. Defective presentation of cancer specific antigens or lack of thereof results in immune tolerance and cancer progression. In the presence of effective immune recognition tumors use other mechanisms to avoid elimination by the immune system.
  • Immunocompetent tumors create suppressive microenvironments to downregulate the immune response. Multiple players are involved in shaping the suppressive tumor microenvironment, including tumor cells, regulatory T cells, Myeloid-Derived Suppressor cells, stromal cells, and other cell types.
  • the suppression of immune response can be executed in a cell contact-dependent format as well as in a contact-independent manner, via secretion of immunosuppressive cytokines or elimination of essential survival factors from the local environment.
  • Cell contact-dependent suppression relies on molecules expressed on the cell surface, e.g. Programmed Death Ligand 1 (PD-L1), T-lymphocyte-associated protein 4 (CTLA-4) and others (Dunn, Old et al. 2004, Adachi and Tamada 2015).
  • Yervoy binds to cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) expressed on activated T cells and blocks the interaction of CTLA-4 with CD80/86 on antigen-presenting cells thereby blocking the negative or inhibitory signal delivered into the T cell through CTLA-4 resulting in re-activation of the antigen-specific T cell leading to, in many patients, eradication of the tumor.
  • CTLA-4 cytotoxic T-lymphocyte-associated protein 4
  • bi-specific antibody where the binding domain of an antibody which is specific for a tumor associated antigen, e.g., CD19, is linked to an antibody binding domain specific for CD3 on T cells thus creating a bi-specific T cell engager or BiTe molecule.
  • the FDA approved a bi-specific antibody called Blinatumumab for the treatment of Precursor B-Cell Acute Lymphoblastic Leukemia.
  • Blinatumumab links the single-chain variable fragment (scFv) specific for CD19 expressed on leukemic cells with the scFv specific for CD3 expressed on T cells (Benjamin and Stein 2016).
  • scFv single-chain variable fragment
  • T cells T cells
  • CAR-T chimeric antigen receptor T cells
  • the clinical success of CAR-T therapy has revealed durable complete remissions and prolonged survival of patients with CD19-positive treatment-refractory B cell malignancies (Gill and June 2015).
  • CRS Cytokine release syndrome
  • cytokine storm is considered as the major adverse effect after the infusion of engineered CAR-T cells (Bonifant, Jackson et al. 2016).
  • the onset and severity of CRS seems to be personally specific to the patient.
  • Current options of mitigating CRS are mainly focused on rapid response and management care because the option of controlling CRS prior to T cell infusion is limited.
  • the application provides, among others, methods for generating therapeutic compositions containing a guidance and navigation (GNC) proteins, methods for treating cancer conditions using a guidance and navigation control (GNC) proteins, and therapeutic compositions containing GNC proteins or therapeutic cells having cytotoxic cells coated (or bound) with GNC proteins.
  • GNC guidance and navigation
  • GNC guidance and navigation control
  • the application provides therapeutic compositions.
  • the therapeutic composition comprises a cytotoxic cell, a GNC protein, and a therapeutic cell.
  • the therapeutic cell comprises the GNC protein bound to the cytotoxic cell through the binding interaction with the cytotoxic cell receptor, and the therapeutic cell composition is substantially free exogenous of viral and non-viral DNA and RNA.
  • the therapeutic composition may further comprise a second GNC protein, a second therapeutic cell, or a combination thereof, wherein the second therapeutic cell comprises the cytotoxic cells with the second GNC protein bound thereupon or with both the first and the second GNC proteins bound thereupon.
  • GNC protein includes a cytotoxic binding moiety and a cancer targeting moiety.
  • the cytotoxic binding moiety has a binding specificity to a cytotoxic cell receptor and is configured to activate the cytotoxic cell through the binding with the cytotoxic cell receptor.
  • the cancer targeting moiety has a binding specificity to a cancer cell receptor.
  • the GNC protein includes a binding domain for T-cell receptors.
  • T-cell receptor include without limitation CD3, CD28, PDL1, PD1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, CD30, NKp30, CD28H, CD27, CD226, CD96, CD112R, A2AR, CD160, CD244, CECAM1, CD200R, TNFRSF25 (DR3), or a combination thereof.
  • the GNC protein is capable of activating a T-cell by binding the T-cell binding moiety to a T-cell receptor on the T-cell.
  • the GNC protein is capable of activating a T-cell by binding multiple T-cell binding moieties on the T-cell.
  • the GNC protein includes a binding domain for a NK cell receptor.
  • NK cell receptor include, without limitation, receptors for activation of NK cell such as CD16, NKG2D, KIR2DS1, KIR2DS2, KIR2DS4, KIR3DS1, NKG2C, NKG2E, NKG2H; agonist receptors such as NKp30a, NKp30b, NKp46, NKp80, DNAM-1, CD96, CD160, 4-1BB, GITR, CD27, OX-40, CRTAM; and antagonist receptors such as KIR2DL1, KIR2DL2, KIR2DL3, KIR3DL1, KIR3DL2, KIR3DL3, NKG2A, NKp30c, TIGIT, SIGLEC7, SIGLEC9, LILR, LAIR-1, KLRG1, PD-1, CTLA-4, CD161.
  • the GNC protein includes a binding domain for a macrophage receptor.
  • macrophage receptor include, without limitation, agonist receptor on macrophage such as TLR2, TLR4, CD16, CD64, CD40, CD80, CD86, TREM-1, TREM-2, ILT-1, ILT-6a, ILT-7, ILT-8, EMR2, Dectin-1, CD69; antagonist receptors such as CD32b, SIRPa, LAIR-1, VISTA, TIM-3, CD200R, CD300a, CD300f, SIGLEC1, SIGLEC3, SIGLEC5, SIGLEC7, SIGLEC9, ILT-2, ILT-3, ILT-4, ILT-5, LILRB3, LILRB4, DCIR; and other surface receptors such as CSF-1R, LOX-1, CCR2, FRP, CD163, CR3, DC-SIGN, CD206, SR-A, CD36, MARCO.
  • the GNC protein includes a binding domain for a dendritic cell receptor.
  • dendritic cell receptor include, without limitation, agonist receptors on dendritic cell such as TLR, CD16, CD64, CD40, CD80, CD86, HVEM, CD70; antagonist receptors such as VISTA, TIM-3, LAG-3, BTLA; and other surface receptors such as CSF-1R, LOX-1, CCR7, DC-SIGN, GM-CSF-R, IL-4R, IL-10R, CD36, CD206, DCIR, RIG-1, CLEC9A, CXCR4.
  • the GNC protein may include a T-cell binding moiety and a cancer-targeting moiety.
  • the T-cell binding moiety has a binding specificity to a T-cell receptor comprising CD3, CD28, PDL1, PDL2, PD1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, CD30, CD27, or a combination thereof.
  • the cancer targeting moiety has a binding specificity to a cancer cell receptor.
  • the cancer cell receptor may include BCMA, CD19, CD20, CD33, CD123, CD22, CD30, ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, as yet to be discovered tumor associated antigens or a combination thereof.
  • the GNC protein may have multi-specific antigen binding activities to the surface molecules of a T cell and a tumour cell.
  • the guidance and navigation control (GNC) protein comprises a binding domain for a T cell activating receptor, a binding domain for a tumor associated antigen, a bind domain for an immune checkpoint receptor, and a binding domain for a T cell co-stimulating receptor.
  • the binding domain for the tumor associated antigen is not adjacent to the binding domain for the T cell co-stimulating receptor.
  • the binding domain for the T cell activating receptor is adjacent to the binding domain for the tumor associated antigen (TAA).
  • TAA tumor associated antigen
  • the T cell activating receptor may include without limitation CD3.
  • the T cell co-stimulating receptor may include without limitation 4-1BB, CD28, OX40, GITR, CD40L, ICOS, Light, CD27, CD30, or a combination thereof.
  • the immune checkpoint receptor may include without limitation PD-L1, PD-1, TIGIT, TIM-3, LAG-3, CTLA4, BTLA, VISTA, PDL2, or a combination thereof.
  • the tumor associated antigen may include without limitation ROR1, CD19, EGFRVIII, BCMA, CD20, CD33, CD123, CD22, CD30, CEA, HER2, EGFR, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, or a combination thereof.
  • the tumor associated antigen may be ROR1.
  • the tumor associated antigen may be CD19.
  • the tumor associated antigen may be EGFRVIII.
  • the guidance and navigation control (GNC) protein may be an antibody or an antibody monomer or a fragment thereof.
  • the GNC protein may be a tri-specific antibody.
  • the GNC protein may be a tetra-specific antibody.
  • the GNC protein includes Fc domain or a fragment thereof. Any Fc domain from an antibody may be used.
  • Example Fc domains may include Fc domains from IgG, IgA, IgD, IgM, IgE, or a fragment or a combination thereof.
  • Fc domain may be natural or engineered.
  • the Fc domain may contain an antigen binding site.
  • the GNC protein comprises a bi-specific antibody, a tri-specific antibody, a tetra-specific antibody, or a combination thereof yielding up to eight binding motifs on the GNC protein.
  • GNC proteins may include an immunoglobulin G (IgG) moiety with two heavy chains and two light chains, and at least two scFv moieties being covalently connected to either C or N terminals of the heavy or light chains.
  • the IgG moiety may provide stability to the scFv moiety, and a tri-specific GNC protein may have two moieties for binding the surface molecules on T cells.
  • the guidance and navigation control (GNC) protein may be an antibody.
  • the tumor associated antigen comprises ROR1, CD19, or EGRFVIII.
  • the T cell activating receptor comprises CD3 and the binding domain for CD3 may be linked to the binding domain for the tumor associated (TAA) antigen through a linker to form a CD3-TAA pair.
  • the IgG Fc domain may intermediate the CD3-TAA pair and the binding domain for the immune checkpoint receptor.
  • the immune checkpoint receptor may be PD-L1.
  • the linker may be a covalent bond or a peptide linker.
  • the peptide linker may have from about 2 to about 100 amino acid residues.
  • the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for CD3, the binding domain for EGFRVI, IgG Fc domain, the bind domain for PD-L1, and the binding domain for 41-BB.
  • the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for 4-1BB, the binding domain for PD-L1, IgG Fc domain, the bind domain for ROR1, and the binding domain for CD3.
  • the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for CD3, the binding domain for CD19, IgG Fc domain, the bind domain for PD-L1, and the binding domain for 4-1BB.
  • the GNC protein comprises an amino acid having a percentage homology to SEQ ID NO. 50, 52, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, and 110.
  • the percentage homology is not less than 70%. 80%, 90%, 95%, 98% or 99%.
  • the application provides nucleic acid sequences encoding the GNC protein or its fragments disclosed thereof.
  • the nucleic acid has a percentage homology to SEQ ID NO. 49, 51, 79, 81, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107, and 109.
  • the percentage homology is not less than 70%. 80%, 90%, 95%, 98% or 99%.
  • the application provides methods for generating a therapeutic composition.
  • the method may include the steps of providing a cell material comprising a cytotoxic cell, incubating the cell material with a first GNC protein to provide an activated cell composition, and formulating the activated cell composition to provide a therapeutic composition.
  • the activated cell composition contains a first therapeutic cell.
  • the first therapeutic cell comprises the first GNC protein bound to the cytotoxic cell through the binding interaction with the first cytotoxic cell receptor.
  • the therapeutic composition is substantially free of exogenous viral and non-viral DNA or RNA.
  • the cell material may include or be derived from PBMC.
  • the first GNC protein may include a first cytotoxic binding moiety and a first cancer targeting moiety.
  • the first cytotoxic binding moiety has a specificity to a first cytotoxic cell receptor and is configured to activate the first cytotoxic cell through the binding with the first cytotoxic cell receptor.
  • the first cancer targeting moiety has a specificity to a first cancer cell receptor.
  • the method may repeat the incubating step by incubating a second GNC protein with the activated cell composition.
  • the second GNC protein comprising a second cytotoxic binding moiety and a second cancer targeting moiety, the second cytotoxic binding moiety has a specificity to a second cytotoxic cell receptor, and the second cancer targeting moiety has a specificity to a second cancer cell receptor.
  • the activated cell composition comprises a second therapeutic cell, and the second therapeutic cell comprises the second GNC protein bound to the cytotoxic cell or the first therapeutic cell through the binding interaction with the second cytotoxic cell receptor.
  • the first and the second cancer-targeting moiety independently has a specificity for CD19, PDL1, or a combination thereof. In one embodiment, the first and the second cytotoxic binding moiety independently has a specificity for CD3, PDL1, 41BB, or a combination thereof.
  • the method may further include the repeated incubating steps by incubating additional GNC proteins with the activated composition.
  • the additional GNC proteins may be a third GNC protein, a fourth GNC protein, etc. to provide addition therapeutic cells, each having the additional protein bound to the cytotoxic cell.
  • the first, second, and the additional GNC protein may be the same or may be different.
  • the therapeutic cells may have one GNC protein, multiple same GNC proteins, or multiple different GNC proteins bound thereupon. In one embodiment, the therapeutic cell may have the first GNC protein bound thereupon. In one embodiment, the therapeutic cell may have both the first and the second GNC proteins bound thereupon. In one embodiment, the therapeutic cell may have the first, the second and the additional GNC proteins bound thereupon.
  • the therapeutic cell comprises the cytotoxic cell having at least one bound GNC protein. In one embodiment, the therapeutic cell comprises the cytotoxic cell having at least 10, 20, 50, 100, 200, 300, 400 bound GNC proteins.
  • the therapeutic composition may include the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof.
  • the therapeutic composition may include the second therapeutic cell, the second GNC protein, comprises the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof.
  • the therapeutic composition may include additional GNC proteins and additional therapeutic cells.
  • the incubating step may serve to expand the therapeutic cells.
  • expanding the therapeutic cell may include incubating the therapeutic cells with an additional amount of the GNC protein to provide an expanded cell population.
  • the expanded cell population comprises at least 10 2 , at least 103, at least 10 4 , at least 10 5 , at least 10 6 , at least 10 7 , at least 10 8 , at least 10 9 , at least 10 10 cells per ml.
  • the expanded cell population comprises the GNC bound cell, the GNC protein, the cytotoxic cell, or a combination thereof.
  • a GNC protein in order to deplete PD-1+ T cells, a GNC protein may be added to the expansion culture that redirects killing to PD-1+ T cells therefore resulting in reduction in PD-1+ exhausted T cells.
  • a GNC protein in order to preferentially support PD-1+ T cells, a GNC protein may be added to the expansion culture that relieves checkpoint signaling through PD-1 on T cells therefore resulting in functional improvement of PD-1+ T cells.
  • a GNC protein in order to isolate 4-1BB mediated co-stimulation through 3 rd gen CAR-T, a GNC protein may be added to the expansion culture that redirects killing to 4-1BB+ T cells or resulting in therapeutic composition with controlling level of 4-1BB stimulation in the therapeutic cells, such as CAR-T cells.
  • the cancer targeting moiety has the specificity against B cell, and the therapeutic composition is substantially free of B cell. Therefore, the methods disclosed herein couple the activation and purification functions for the therapeutic cells, which allows the methods to produce B cell free therapeutic composition without the need to introduce any foreign materials (such as beads) nor any foreign genetic materials (such as viral and non-viral DNA or RNA vectors).
  • the ratio of the GNC protein and the cytotoxic cell is at least 30 to 1 when incubating the cell material with the GNC protein.
  • the therapeutic composition may include at least 10 7 cells per ml.
  • the application provides methods for using guidance and navigation control (GNC) proteins for cancer treatment.
  • the method of treating a subject having a cancer comprises providing a cytotoxic cell, combining a GNC protein with the cytotoxic cell to provide a therapeutic cell, optionally expanding the therapeutic cell to provide an expanded cell population, and administering the therapeutic cell or the expanded cell population to the subject.
  • GNC guidance and navigation control
  • the method include the step of providing a cell material comprising a cytotoxic cell, incubating the cell material with a first GNC protein to provide an activated cell composition, wherein the activated cell composition comprises a first therapeutic cell, formulating the activated cell composition to provide a therapeutic composition, wherein the therapeutic composition is substantially free exogenous of viral and non-viral DNA or RNA, and administering the therapeutic composition to the subject.
  • the method may further include the steps of incubating a second GNC protein with the activated cell composition to provide the activated cell composition further comprising a second therapeutic cell. In one embodiment, the method may further include the step of incubating additional GNC proteins with the activated cell composition to provide the activated cell composition further comprising additional therapeutic cells.
  • the method may further comprise isolating the cytotoxic cell from peripheral blood mononuclear cells (PBMC) before providing the cytotoxic cell.
  • the method may further comprise isolating the peripheral blood mononuclear cells (PBMC) from a blood.
  • the blood is from the subject.
  • the blood is not from the subject.
  • the cytotoxic cells may be from the patient that is under treatment or a different individual, such as a universal donor.
  • the cytotoxic cell may be an autologous T cell, an alloreactive T cell, or a universal donor T cell.
  • a GNC protein may be added to the expansion culture that redirects killing to tumor antigens, example tumor antigen may include CD19 for B cell malignancies, Epcam for Breast carcinoma, MCP1 for melanoma.
  • the method includes steps of providing a blood from the subject, isolating peripheral blood mononuclear cells (PBMC) from the blood, isolating a cytotoxic cell from the PBMC, combining a GNC protein with the cytotoxic cell to provide a therapeutic cell, optionally expanding the therapeutic cell to provide an expanded cell population, and administering the therapeutic cell or the expanded cell population to the subject.
  • PBMC peripheral blood mononuclear cells
  • the method further comprises administering additional GNC protein to the subject after administering the therapeutic composition to the subject.
  • the cytotoxic cell may include CD3+ T cell, NK cell, or a combination thereof.
  • the isolating of the cytotoxic cell comprises isolating at least one subpopulation of cytotoxic cells to provide the therapeutic T cells.
  • the subpopulation of cytotoxic cells comprises CD4+ cells, CD8+ cells, CD56+ cells, CD69+ cells, CD107a+ cells, CD45RA+ cells, CD45RO+ cells, CD2+ cells, CD178+ cells, Granzyme+ cells, or a combination thereof.
  • the combining of a GNC protein with the cytotoxic cell comprises incubating the GNC protein with the cytotoxic cell for a period of time from about 2 hours to about 14 days, from about 1 day to about 7 days, from about 8 hours to about 24 hours, from about 4 days to about 7 days, or from about 10 days to about 14 days.
  • the incubating period may be more than 14 days. In one embodiment, the incubating period may be less than 2 hours.
  • the ratio between the GNC protein and the cytotoxic cell is at least 600 to 1, 500 to 1, 400 to 1, 300 to 1, 200 to 1, 100 to 1, or 1 to 1. In one embodiment, the ratio between the GNC protein and the cytotoxic cell is from about 1 to 1, 10 to 1, 100 to 1, or to about 1000 to 1 ratio.
  • the method may further comprise evaluating therapeutic efficacy after the administering step.
  • the evaluating therapeutic efficacy includes checking one or more biomarkers of the cancer, monitoring the life span of the therapeutic cells, or a combination thereof.
  • evaluating therapeutic efficacy comprises checking one or more biomarkers of the cancer, monitoring the life span of the therapeutic cells, or a combination thereof.
  • the biomarker comprises a tumor antigen, release of cytokines e.g., gamma interferon, IL-2, IL-8, and/or chemokines, and/or CD markers on the surface of various cell types e.g., CD69, PD-1, TIGIT, and/or mutated nucleic acid released into the bloodstream by tumors upon death, circulating tumor cells and their associated nucleic acid, or exosome associated nucleic acid, host inflammatory mediators, or tumor derived analytes, or a combination thereof.
  • cytokines e.g., gamma interferon, IL-2, IL-8, and/or chemokines
  • CD markers on the surface of various cell types e.g., CD69, PD-1, TIGIT, and/or mutated nucleic acid released into the bloodstream by tumors upon death, circulating tumor cells and their associated nucleic acid, or exosome associated nucleic acid, host inflammatory mediators, or tumor
  • the biomarker comprises a tumor antigen, tumor-associated apoptotic bodies, small molecule metabolites, release of cytokines, lymphocyte surface marker expression, phosphorylated/dephosphorylated signaling molecules, transcription factors, or a combination thereof.
  • the method disclosed herein is free of the step of transfecting the cytotoxic cell with a DNA vector or a viral vector.
  • the therapeutic cell or the expanded cell population is substantially free of a DNA vector or a viral vector.
  • the method may be used to treat a human subject suffering from cancer.
  • the cancer comprises cells expressing ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA, CD20, CD33, CD123, CD22, CD30, CD19, as yet to be identified tumor associated antigens, or a combination thereof.
  • the method may be used to treat mammals.
  • Example cancers includes without limitation breast cancer, colorectal cancer, anal cancer, pancreatic cancer, gallbladder cancer, bile duct cancer, head and neck cancer, nasopharyngeal cancer, skin cancer, melanoma, ovarian cancer, prostate cancer, urethral cancer, lung cancer, non-small lung cell cancer, small cell lung cancer, brain tumor, glioma, neuroblastoma, esophageal cancer, gastric cancer, liver cancer, kidney cancer, bladder cancer, cervical cancer, endometrial cancer, thyroid cancer, eye cancer, sarcoma, bone cancer, leukemia, myeloma or lymphoma.
  • the method may further include administering an effective amount of a therapeutic agent after the administering the therapeutic cell or the expanded cell population to the subject.
  • the therapeutic agent comprises a monoclonal antibody, a chemotherapy agent, an enzyme, a protein, a co-stimulator, or a combination thereof.
  • the co-stimulator is configured to increase the amount of cytotoxic T cells in the subject.
  • the application further provides a solution comprising an effective concentration of the GNC protein.
  • the solution is blood plasma in the subject under treatment.
  • the solution includes the GNC protein bound cells.
  • the solution includes a GNC cluster including a GNC protein, a T-cell bound to the T-cell binding moiety of the GNC protein, and a cancer cell is bound to the caner-targeting moiety of the GNC protein.
  • FIG. 1 shows a GNC protein comprising four antigen-specific binding domains in an antibody structure with targeting specificity to CD19 positive cells;
  • FIG. 2 illustrates that a tetra-specific GNC antibody mediates multi-specific binding between a T cell and a tumor cell
  • FIG. 3 is a flowchart comparing manufacturing processes for GNC-T cell therapy (left) and CAR-T cell therapy (right);
  • FIG. 4 is a diagram showing sources of cell material for preparing GNC-activated therapeutic cell composition
  • FIG. 5 is a diagram showing sources of selected T cells for preparing GNC-activated therapeutic composition
  • FIG. 6 is a diagram showing the preparation of GNC-activated therapeutic T cell composition
  • FIG. 7 is a diagram showing the incubating and formulating steps for preparing the first GNC-activated T cells for GNC-T cell therapy
  • FIG. 8 shows that GNC proteins (SI-35E class) induce IL-2 secretion from PBMC;
  • FIG. 9 shows that GNC proteins (SI-35E class) induce granzyme B secretion from PBMC;
  • FIG. 10 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD4+ T cells;
  • FIG. 11 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD8+ T cells;
  • FIG. 12 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD56+NK cells;
  • FIG. 13 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD4+ T cells;
  • FIG. 14 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD8+ T cells;
  • FIG. 15 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD56+NK cells;
  • FIG. 16 shows that GNC proteins (SI-35E class) activate CD3+ T cells to proliferate
  • FIG. 17 shows that GNC proteins (SI-35E class) activate CD3+ T cells to secrete gamma interferon;
  • FIG. 18 shows that GNC proteins (SI-35E class) activate na ⁇ ve CD8+/CD45RA+ T cells to proliferate;
  • FIG. 19 shows that GNC proteins (SI-35E class) activate na ⁇ ve CD8+/CD45RA+ T cells to secrete gamma interferon;
  • FIG. 20 shows Images of GNC activated cell growth in 6-well G-Rex plates over time
  • FIG. 21 shows the example process of making the therapeutic composition as disclosed thereof (A), and cell viability of PBMC, GET, and GNC-T cells after thawing (B);
  • FIG. 22 shows the result of flow cytometry analyses of PBMC-derived, the first GNC (SI-38E17)-activated therapeutic cell composition (Product A) ( 22 A), the second GNC (SI-38E17)-coated therapeutic cell composition (Product B) ( 22 B), and input PBMC cell material (22C).
  • FIG. 23 shows GNC-T therapeutic cell composition of GET cells and formulated GNC-T cells from G-Rex 100M bioreactor after thawing;
  • FIG. 24 shows the result of RTCC of CHO-ROR1 cells by using GNC (SI-35E class)-coated PBMC cells;
  • FIG. 25 shows kinetics of PBMC-derived, SI-38E17 GNC-activated therapeutic cells on killing precursor B cell leukemia Kasumi over time
  • FIG. 26 shows efficacy of killing Nalm-6, MEC-1, Daudi, and Jurkat cells by using PMBC-derived, SI-38E17 GNC-activated therapeutic cells.
  • FIG. 27 shows the killing of Nalm-6, MEC-1, Daudi, and Jurkat leukemic cells by using PBMC-derived, SI-38E17 GNC-activated therapeutic cells in a spike-in model.
  • the guidance navigation control (GNC) proteins are characterized by their composition of multiple antigen-specific binding domains (AgBDs) and by their ability of directing T cells (or other effector cells) to cancer cells (or other target cells such as bystander suppressor cells) through the binding of multiple surface molecules on a T cell and a tumor cell.
  • GNC proteins are composed of Moiety 1 for binding at least one surface molecule on a T cell and Moiety 2 for binding at least one surface antigen on a cancer cell as shown in TABLE 1.
  • FIG. 1 shows the structure of an example tetra-specific GNC antibody comprising AgBDs for binding to both a T cell expressing CD3, PD-L1, and/or 4-1BB and a target B cell expressing CD19, as illustrated in FIG. 2 .
  • the cytotoxic T cells are regulated by T cell receptor complex proteins, as well as co-stimulation signaling proteins via either agonist receptors or antagonist receptors on their surface.
  • T cell receptor complex proteins such as T cell receptors or antagonist receptors on their surface.
  • multiple AgBDs may compose Moiety 1 and Moiety 2, respectively. Examples of molecules that can be targeted by agonistic or antagonistic binding domains in Moiety 1 and 2 are shown in TABLE 1.
  • the GNC proteins may have at least one linker to link Moiety 1 and Moiety 2.
  • any linker molecule can be used to link two or more AgBDs together either in vitro or in vivo by using complementary linkers of DNA/RNA or protein-protein interactions, including but not limited to, that of biotin-avidin, leucine-zipper, and any two-hybrid positive protein.
  • the linkers may be an antibody backbone structure or antibody fragments, so that GNC protein and GNC antibody may have the same meaning, e.g. the structure of the example tetra-specific GNC antibody in FIG. 1 .
  • GNC proteins or antibodies are capable of directing a T cell to a cancer cell, in vivo or ex vivo, through the binding function of multiple AgBDs ( FIG. 2 ).
  • the T cells may be derived from the same patient or different individuals, and the cancer cell may exist in vivo, in vitro, or ex vivo.
  • the examples provided in the present application enable GNC proteins as a prime agent in a T cell therapy, i.e. GNC-T cell therapy, for activating and controlling cytotoxic T cells ex vivo, prior to adoptive transfer.
  • the present application relates to methods of making GNC-activated therapeutic cell composition.
  • Multiple AgBDs can be divided into Moiety 1 and Moiety 2 due to their interface with a T cell and a cancer cell, respectively (TABLE 1).
  • a GNC protein with two AgBDs may simultaneously bind to a surface molecule, such as CD3 on a T cell, and a tumor antigen, such as ROR1 on a tumor cell, for re-directing the T cell to the tumor cell.
  • a third AgBD for example, one that specifically binds to 41BB
  • a fourth AgBD to a GNC protein for example, one that specifically binds to PD-L1 on a tumor cell, may block the inhibitory pathway of PD-L1 on tumor cells or that is mediated through its binding to PD-1 on the T cells.
  • GNC proteins are constructed to acquire multiple AgBDs specifically for binding unequal numbers of T cell antagonists and agonists, not only to re-direct activated T cells to tumor cells but also to control their activity in vivo (TABLE 2). Therefore, in some embodiments, GNC proteins may be bi-specific, tri-specific, tetra-specific, penta-specific, hexa-specific, hepta-specific, or octa-specific proteins.
  • the application relates to a GNC-T cell therapy where GNC proteins are used to expand the T cells ex vivo prior to adoptive transfer ( FIG. 3 ).
  • the ex vivo priming of autonomous T cells provides the cytotoxic T cells guidance and navigation control.
  • PBMC peripheral blood mononuclear cells
  • specific types of cell populations within PBMC e.g., CD8+, CD45RO+ memory T cells may be isolated and primed ex vivo by GNC proteins.
  • PBMC peripheral blood mononuclear cells
  • CD8+, CD45RO+ memory T cells may be isolated and primed ex vivo by GNC proteins.
  • These expanded cytotoxic T cells can be formulated and infused back to the patient through adoptive transfer. While attacking the cancer in vivo, additional GNC proteins may be infused into the patient for managing the efficacy and lifespan of cytotoxicity.
  • GNC-T cell therapy is different from GNC protein-based immunotherapy, where GNC proteins are directly administered into patients.
  • GNC-T cell therapy does not rule out the direct administration of GNC proteins for managing the efficacy of infused cytotoxic T cells in vivo in a controlled manner.
  • Additional GNC protein can both promote cytolytic activity and encourage T cell proliferation dependent of the configuration of AgBDs.
  • the application relates to the production of therapeutic GNC-T cells.
  • CAR-T therapy cell material, for example patient leukocytes, are collected by apheresis, and a subset of CD3+ T cells is selected and activated to facilitate gene transfer to the cellular material, which is then expanded in number by the introduction of foreign material scaffold for support to the T cell populations, for example, by using anti-CD3/anti-CD28 antibody coated beads.
  • GNC-T cell material does not require the introduction of scaffold impurities for T cell expansion from patient leukocytes.
  • the CAR-T therapy cellular material must undergo the gene transfer that involves the preparation and transfection of CAR-T vector DNA, which results in genetically modifying the genome of the T cells. Furthermore, these genetically modified T cells may undergo another round of T cell expansion before being transferred back into the patient.
  • the random integration of CAR-T vector DNA carries a risk of transformation of the T cells leading to primary leukemogenesis or introduction of the CAR-T vector to leukemia cells increasing the risk of relapse by mechanism of internal sequestration of the CAR target antigen (Zhang, Liu et al. 2017).
  • GNC-T cell therapy has the advantages of not involving the transfection of any vector DNA, therefore there is no risk of genetic modification prior to adoptive transfer, which provides one of the significant advantages and technical improvements over the existing CAR-T therapy.
  • the efficacy of GNC-T cell therapy may be improved when PBMC or different T cell subsets are being primed and activated ex vivo as shown in FIGS. 5 & 6 .
  • Similar approaches have been explored in the use of CAR-T therapy, where selected specific ratios of some subsets of T cells may be transferred back to the patient (Turtle, Hanafi et al. 2016, Turtle, Hanafi et al. 2016).
  • the PBMC of a patient with circulating leukemic cells may profoundly alter the cellular composition and thus affect the suitability of the final therapeutic cellular products.
  • a high level of circulating leukemic blast cells greater that 10% of WBC
  • the percentage of leukemic cells in the PBMC derived from a patient may be reduced by using cell fractionation methods.
  • These methods may include steps involving density gradient separation, or immunofluorescent cell separation or fluorescent activated cells sorting, immunomagnetic cell separation, or microfluidic flow chambers methods. These methods may be preceded by or follow centrifugation, cell washing, incubation, or temperature modulation. These methods may utilize non-cellular substrates (magnetic beads, Plastic, polymers), modification of non-cellular substrates (protein, antibodies, charge state), antibody treatment, multiple antibody treatments, multi-specific antigen binding proteins and cell surface antigen-based cell coupling. These methods may use enzymatic digestion or, ionic chelation, or mechanical agitation or cell vessel rotation. The method for reduction of leukemic blasts may utilize antibody drug conjugates, or leukemia sensitizing agents. The method may consist of a combination of these approaches.
  • a tetra-specific antibody is produced and used as the GNC protein.
  • the tetra-specific antibody/GNC protein comprises 4 different binding domains linked by antibody fragments as its backbone.
  • a second binding domain is specific for a tumor associated antigen, including but not limited to ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA, CD19, CD20, CD33, CD123, CD22, CD30, and a third and fourth binding domains are specific for two distinct immune checkpoint modulators such as PD-L1, PD-L2, PD-1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, etc.
  • a tumor associated antigen including but not limited to ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA
  • GNC protein-mediated GNC-T cell therapy over conventional CAR-T therapies include, but are not limited to, first, that inclusion of an IgG Fc domain may confer the characteristic of a longer half-life in serum compared to a bi-specific BiTe molecule; second, that inclusion of two binding domains specific for immune checkpoint modulators may inhibit the suppressive pathways and engage the co-stimulatory pathways at the same time; third, that cross-linking CD3 on T cells with tumor associated antigens re-directs and guides T cells to kill the tumor cells without the need of removing T cells from the patient and genetically modifying them to be specific for the tumor cells before re-introducing them back into the patient, also known as chimeric antigen receptor T cells (CAR-T) therapy; and fourth, that GNC protein-mediated antibody therapy or T cell therapy does not involve genetic modification of T cells, the latter of which may carry the risk of transforming modified T cells to clonal expansion, i.e. T cell leukemia.
  • CAR-T chimeric antigen
  • the examples of GNC proteins are classes of tetra-specific GNC antibodies, of which 4 AgBDs are covalently linked using an IgG antibody as its backbone ( FIG. 1 ). From the N-terminal of this protein, the first scFv is linked to the Fab domain of the constant domains C H 1, 2, and 3 of IgG antibody which is then linked to another scFv at the C-terminal. Because each of the scFv domains display independent binding specificity, linking of these AgBDs does not need to be done using the constant domains of an IgG antibody.
  • a GNC protein can directly bind to tumor-associated antigen (TAA) and engage the host endogenous T cells to kill tumor cells independent of tumor antigen presentation by MHC to the antigen specific T cell receptors ( FIG. 2 ).
  • TAA tumor-associated antigen
  • CD19 is a TAA targeting CD19 positive B cells and tumor cells.
  • PD-L1 is an example of the immune checkpoint modulating component for tetra-specific GNC antibodies that may overcome the immunosuppressive tumor microenvironment and fully activate the exhausted T cells within the tumor microenvironment.
  • the SI-35E class comprises targets an anti-human CD3 binding domain (SEQ IDs 1-4), an anti-human PD-L1 (SEQ IDs 5-12), an anti-human 4-1BB (SEQ IDs 13-24), and targets a human ROR1 (SEQ IDs 25-32), i.e. a TAA.
  • the classes of SI-38E and SI-39E target CD19 (SEQ IDs 47-50) and EGFR (SEQ ID 51-54), respectively.
  • AgBDs were converted to scFv and VLVH for placement at the N-terminal Domain 1 (D1) or scFv and VHVL for placement at the C-terminal Domains 3 (D3) and 4 (D4) of the GNC protein.
  • All scFv molecules described herein contain a 20 amino acid flexible gly-gly-gly-gly-ser (G4S) X4 linker that operably links the VH and VL, regardless of the V-region orientation (LH or HL).
  • the remaining position in the tetra-specific GNC antibody, Domain 2 (D2), consists of an IgG1 heavy chain, VH-CH1-Hinge-CH2-CH3, and its corresponding light chain, VL-CL, which can be either a kappa or lambda chain.
  • D1 and D2 are genetically linked through a 10 amino acid (G4S) ⁇ 2 linkers, as are D2, D3 and D4 resulting in a contiguous ⁇ 150 kDa heavy chain monomer peptide.
  • G4S 10 amino acid
  • the final symmetric tetra-specific GNC peptide can be purified through the IgG1 Fc (Protein A/Protein G) and assayed to assess functional activity.
  • Heavy and light chain gene “cassettes” were previously constructed such that V-regions could be easily cloned using either restriction enzyme sites (HindIII/NhelI for the heavy chain and HindIII/BsiWI for the light chain) or “restriction-free cloning” such as Gibson Assembly (SGI-DNA, La Jolla, Calif.), Infusion (Takara Bio USA) or NEBuilder (NEB, Ipswich, Mass.), the latter of which was used here.
  • restriction enzyme sites HindIII/NhelI for the heavy chain and HindIII/BsiWI for the light chain
  • “restriction-free cloning” such as Gibson Assembly (SGI-DNA, La Jolla, Calif.), Infusion (Takara Bio USA) or NEBuilder (NEB, Ipswich, Mass.), the latter of which was used here.
  • the tetra-specific GNC antibodies can be produced through a process that involves design of the intact molecule, synthesis and cloning of the nucleotide sequences for each domain, expression in mammalian cells and purification of the final product.
  • nucleotide sequences were assembled using the Geneious 10.2.3 software package (Biomatters, Auckland, NZ) and broken up into their component domains for gene synthesis (Genewiz, South Plainsfield, N.J.).
  • SI-35E18 (SEQ ID 65 and 67) was split into its component domains where the anti-41BB scFv, VL-VH, occupies D1, anti-human PD-L1 clone PL230C6 occupies D2 (Fab position), anti-human ROR1 Ig domain-specific clone 323H7 VHVL scFv occupies D3, and anti-human CD3 scFv, VHVL, occupies the C-terminal D4.
  • nucleotides were appended to each of the domains depending on their position in the larger protein so that each domain overlaps its flanking domains by 20-30 nucleotides which direct site-specific recombination, thus genetically fusing each domain in a single gene assembly step. Due to the high number of homologous regions in the tetra-specific nucleotide sequence, the N-terminal domains 1 and 2 are assembled separately from the C-terminal D3 and D4. The N- and C-terminal fragments were then assembled together in a second NEBuilder reaction. A small aliquot was transformed into E.
  • coli DH10b (Invitrogen, Carlsbad, Calif.) and plated on TB+carbenicillin 100 ug/ml plates (Teknova, Hollister, Calif.) and incubated at 37° C. overnight. Resultant colonies were selected and 2 mL overnight cultures inoculated in TB+carbenicillin. DNA was prepared (Thermo-Fisher, Carlsbad, Calif.) from overnight cultures and subsequently sequenced (Genewiz, South Plainsfield, N.J.) using sequencing primers (Sigma, St. Louis, Mo.) flanking each domain. All DNA sequences were assembled and analyzed in Geneious.
  • SI-38E17 targeting human CD19 (SEQ IDs 47-50)
  • multiple AgBDs carry an anti-human 4-1BB (scFv 466F6, SEQ IDs 17-20) as well as an anti-human PD-L1 (scFv PL221G5 SEQ IDs 9-13), and an anti-human CD3 binding domain (SEQ IDs 1-4).
  • the methods and procedures for producing this tetra-specific antibody were the same.
  • GNC proteins are composed of Moiety 1 for binding at least one surface molecule on a T cell and Moiety 2 for binding at least one surface antigen on a cancer cell (TABLE 1A).
  • the tetra-specific GNC antibodies can be used to directly engage the body's endogenous T cells to kill tumor cells independent of tumor antigen presentation by MHC to the antigen specific T cell receptors. This is in contrast to therapies based solely on immune checkpoint blockade, which have been limited by antigen recognition.
  • the immune checkpoint modulating component may be constructed as a part of tetra-specific GNC antibodies, which may provide benefits similar to that in a standard checkpoint blockade therapy.
  • TABLE 1B shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with NK cell binding domains.
  • TABLE 1C shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with macrophage binding domains.
  • TABLE 1D shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with dendritic cell binding domains.
  • GNC proteins are constructed to acquire multiple AgBDs specifically for binding unequal numbers of T cell antagonists and agonists. In this way, GNC proteins may re-direct activated T cells to tumor cells with certain levels of control of their activity in vivo (TABLE 2). Therefore, GNC proteins may be bi-specific, tri-specific, tetra-specific, penta-specific, hexa-specific, hepta-specific, or even octa-specific proteins.
  • three classes of tetra-specific GNC antibodies i.e. SI-39E, SI-35E, and SI-38E, were created to enable GNC-T cell therapy, of which antibody domains and its specificity is listed in TABLE 3.
  • the structures of tetra-specific GNC antibodies targeting EGFRvIII (SI-39E), ROR1 (SI-35E), and CD19 (SI-38E) are listed in TABLE 4.
  • the SI-35 class listed in Table 4 were tested for their ability to activate and induce proliferation of different cell types, such as CD4+ and/or CD8+ T cells and/or CD56+ natural killer cells (NK) within PBMC.
  • the tetra-specific GNC antibodies were prepared at 2 ⁇ final concentration and titrated in 1:10 serial dilutions across 6 wells of a 96 well plate in 200 ul of RPMI+10% FBS.
  • Human PBMC were purified by standard Ficoll density gradient from a “leukopak” which is an enriched leukapheresis product collected from normal human peripheral blood.
  • the PBMC and serially titrated GNC proteins were combined by adding 100 ⁇ L of PBMC (100,000), and 100 ⁇ L of each antibody dilution to each well of the assay.
  • the assay plate was incubated at 37° C. for approximately 72 hours and then the contents of each assay well were harvested and analyzed by FACS for the number of CD4+ T cells, CD8+ T cells, and CD56+NK cells.
  • Cells were harvested from each well and transferred to a new 96 well V-bottom plate then centrifuged at 400 ⁇ g for 3 minutes. Supernatant was transferred to a 96 well plate for analysis of IL-2 and Granzyme B.
  • Cells were re-suspended in 200 ⁇ L of 2% FBS/PBS of FACS antibodies and incubated on ice for 30 minutes. The plate was centrifuged at 400 ⁇ g for 3 minutes and the supernatant was aspirated. This wash step was repeated once more and then the cells were re-suspended in 100 ⁇ L 2% FBS/PBS and analyzed on a BD LSR FORTESSA.
  • cytotoxic degranulation marker CD107a (LAMP-1) was induced by all GNC proteins tested except those lacking binding at positions 2 and 4 on CD4+( FIG. 13 ), CD8+( FIG. 14 ), but less consistently on CD56+( FIG. 15 ) in the culture.
  • 3 of the GNC proteins (SI-35E42, SI-35E43, and SI-35E46) induced expression of CD69 on CD4+ T cells, CD8+ T cells, and CD56+NK cells, which correlated well with the level of IL-2 and granzyme B secretion ( FIGS. 8 and 9 ) induced by these GNC.
  • Proliferation and production of gamma interferon was measured from cultures of CD3+ or na ⁇ ve CD8+ T cells (70,000 cells/well) stimulated for 5 days with a panel of SI-35 class antibodies.
  • Human CD3+ or CD8+CD45RA+na ⁇ ve T cells were enriched from peripheral blood mononuclear cells from a normal donor using the EasySepTM Human CD3+ or Na ⁇ ve CD8+ T Cell Isolation Kits (StemCell Technologies) as per the manufacturer protocols. The final cell populations were determined to be >98% CD3+ or CD8+CD45RA+ T cells by flow cytometry. Proliferation in the culture was measured after stain with Alamar blue (ThermoFisher Cat. No.
  • FIG. 18 Proliferation of na ⁇ ve CD8+CD45RA+ T cells was more sensitive to the presence or absence of 4-1BB binding domain compared to total CD3+ T cells as shown by addition of soluble anti-4-1BB monoclonal antibody to the culture in which 4-1BB binding on the GNC was absent. A similar pattern was found for secretion of gamma interferon from the na ⁇ ve CD8+ T cells ( FIG. 19 ).
  • GNC-activated and -coated T cells at clinically significant dosage of 10E9 was achieved after 7 days culture.
  • Human PBMC were isolated from LRS cone leukocytes by standard Ficoll density gradient from leukopaks which are enriched leukapheresis product collected from normal human peripheral blood. After collection the cells were frozen at ⁇ 80° C. and then later thawed before putting in culture. Using the G-Rex plate and bioreactor culture systems, the growth of SI-38E17 GNC-stimulated PBMC cultures was monitored for up to 14 days.
  • the culture medium consisted of RPMI 1640, 10% fetal calf serum, 1% non-essential amino acids, 1% GlutaMax, 0.6% glutamine-alanine supplement, 15 ng/mL human IL-2, and 1 nM GNC protein.
  • the 6-well G-Rex cultures tolerated seeding densities of 25-100 million PBMC/well for six days, which greatly exceeded recommended amounts, but was tolerated by the cells in the system with a single 50% medium change on day 7. Clustering of cells was indicative of their activation in the culture ( FIG. 20 ). At least 250 million cells from one leukapheresis donor were seeded into two G-Rex 100M bioreactors and cultured in 1 liter of culture medium for seven days. The larger volume of medium allowed the culture to continue without needing to exchange the culture medium. Cell yield in each of the 100M bioreactors was between 1.2-1.4 billion cells with greater than 88% viability.
  • the cells from the bioreactor were harvested as the first GNC-activated therapeutic cell composition, which were optionally concentrated using LOVO Automated Cell Processing System (Fresenius Kabi).
  • One sample (Product B) was exposed to 1 nM SI-38E17, which is identical to the first GNC in this case for preparing a second GNC-activated therapeutic cell composition, potential for being used to target treat patients harboring CD19 positive malignancies ( FIG. 21A ).
  • the second GNC-activated therapeutic cells were washed twice before eluting to a final volume of 54 mL in a sterile processing bag.
  • the other sample (Product A) was only exposed to the first GNC protein during the culture phase and not re-exposed during processing in the LOVO system ( FIG. 21A ).
  • Cells were removed from bags, mixed 1:1 with CryoStor CS10 reagent, and frozen to ⁇ 80° C. The processed cells were thawed and compared to the thawed unstimulated PBMC from the same donor before culture.
  • GNC-expanded T cell (GET) culture was >75% and was not affected by exposure to additional GNC reagent (GNC-T, Product B) during processing ( FIG. 21B ).
  • the mean diameter of the cells increased during culture, indicative of cell activation.
  • Flow cytometry was performed on the input PBMC cell material and the two formulations after thawing using a multi-color panel of antibodies to stain for: live/dead (e780), CD45, TCR ⁇ / ⁇ , CD56, CD4, CD8, CD14, TCR ⁇ / ⁇ , and CD20.
  • FIG. 22C summaries the total number and percentage of each subpopulation of cells. Compared to the input PBMC cell material, while the total number of leukocytes increased from 250 to 1000 millions or four-fold, the total number of each subpopulation of T cells was vastly increased by 55-fold for ⁇ / ⁇ T cells, 45-fold for CD4+ T cells, and 78-fold for CD8+ T cells.
  • This example illustrates a number of advantages of GNC-T cells in comparison to CAR-T cell preparations.
  • the cell composition of the starting material was fresh PBMC from the donor and did not need to be pre-selected for particular subsets of cells or require addition of feeder cells or synthetic beads.
  • the GNC protein was 100% non-nucleotide biological material, and did not require the transfer of RNA or DNA into the cells, or transfection with a viral vector.
  • the GNC-induced expansion yielded a therapeutic dose in 9 days, compared to the average of 40 days for CAR-T cell expansion.
  • the resulting cells were devoid of B cells and highly enriched for activated CD4+ and CD8+ T cells that had potent killing potential against their specific targets.
  • the GNC therapeutic composition was viable and bioactive upon thaw from ⁇ 80° C. Together these advantages are expected to significantly lower waiting times, costs and issues related to infrastructure and training related to CAR-T cell therapy. Improvements in the purity, safety and quantity of the end product will be of significant benefit to the patient.
  • GNC SI-35 class proteins Six of the GNC SI-35 class proteins listed in Table 4 were tested for the ability to activate PBMC for redirected T cell cytotoxicity (RTCC) activity against a human ROR1-transduced CHO cell line ( FIG. 24 ).
  • GNC proteins were prepared at 2 ⁇ final concentration and titrated 1:3 across 10 wells of a 96 well plate in 200 ul of RPMI+10% FBS.
  • the PBMC and serially titrated antibodies were combined by adding 100 ⁇ L of PBMC (200,000), and 100 ⁇ L of each antibody dilution to each well of the assay. The assay plate was incubated at 37° C.
  • CHO-ROR1 target cells 5 ⁇ 10e6, were labeled with CFSE (Invitrogen, #C34554) at 0.5 ⁇ M in 10 mL of culture media for 20 minutes at 37° C.
  • the CHO-ROR1 cells were washed 3 times with 50 mL of culture media before resuspending in 10 mL, counted again and then 5,000 CFSE-labeled CHO-ROR1 cells were added to each well of GNC-activated PBMC. Cells were incubated for another 72 hours and then the contents of each assay well were harvested and analyzed for the number of CFSE-labeled target cells remaining.
  • all of the GNC proteins tested directed RTCC activity with SI-35E42, SI-35E43, and SI-35E46 being the most potent in reducing the number of CHO-ROR1 cells in the well.
  • PBMC from a healthy donor were labeled with GNC protein SI-38E17 at 10-fold serial doses ranging from 0.01 to 100 nM for 30 minutes at 37° C. and then washed prior to culture.
  • the GNC SI-38E17 targets the CD19 antigen expressed on B cell surfaces, and therefore, the Kasumi-2 precursor B cell leukemia line was chosen as a target cell.
  • the Kasumi-2 cell used was transduced to express green fluorescence protein (GFP) and therefore the presence of tumor cells was tracked by measuring the average green fluorescence in 4 images/well collected 9 times over a six-day period.
  • the effector:target (E:T) ratios were escalated by adding GNC-labeled PBMC in a serial 2-fold dilution of 5,000 (1:1) to 160,000 (32:1) cells to duplicate wells. As shown in FIG. 25 , Kasumi-2 cells increased in number in the wells that had from 1:1 to 8:1 E:T ratios of unlabeled PBMC.
  • Daudi-Red cells were serially diluted 10-fold in a range from 200,000 to 20 cells and then mixed 1:1 with 1 million PBMC to create samples of 10%, 1.0%, 0.1%, 0.01% and 0.001% tumor cells, which were then analyzed by flow cytometry ( FIG. 27 ).
  • tumor cells were harvested from a 15 day 6-well G-Rex culture of 1 nM GNC-expanded T cells that had been spiked with 10%, 1% or 0.1% of NALM-6, MEC-1, Daudi, or Jurkat (all NucRed-transduced) tumor cells at time 0 and analyzed using the same flow cytometry settings as above. Tumor cells were reduced to less than 0.001% in all conditions with the exception of the culture in which the MEC-1 tumor line was spiked in at 10% were 44 cells were detected. In this condition the MEC-1 cells were reduced to ⁇ 0.01% in the culture.
  • TABLE 1A Composition of example GNC proteins with T cell binding domains.
  • Bi-specific CD3 ROR1 Tri-specific CD3 ROR1 PD1 Tetra-specific CD3 ROR1 PD1 41BB Penta-specific CD3 ROR1 PD1 41BB LAG3 Hexa-specific CD3 ROR1 PD1 41BB LAG3 TIM3 Hepta-specific CD3 ROR1 PD1 41BB LAG3 TIM3 TIGIT Octa-specific CD3 ROR1 PD1 41BB LAG3 TIM3 TIGIT CD28

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Abstract

The application provides methods for generating a therapeutic composition. The method includes the steps of providing a cell material comprising a cytotoxic cell, incubating the cell material with a first GNC protein to provide an activated cell composition, wherein the activated cell composition comprises a first therapeutic cell, and formulating the activated cell composition to provide a therapeutic composition, wherein the therapeutic composition is substantially free of exogenous viral and non-viral DNA or RNA. The first GNC protein comprises a first cytotoxic binding moiety and a first cancer targeting moiety, wherein the first cytotoxic binding moiety has a specificity to a first cytotoxic cell receptor and is configured to activate the first cytotoxic cell, and wherein the first cancer targeting moiety has a specificity to a first cancer cell receptor. The first therapeutic cell comprises the first GNC protein bound to the cytotoxic cell through the first cytotoxic cell receptor.

Description

    CROSS REFERENCE TO RELATED APPLICATIONS
  • This application claims the benefit of filing date of U.S. Provisional Patent Application No. 62/648,888 filed Mar. 27, 2018, and U.S. Provisional Patent Application No. 62/648,880 filed Mar. 27, 2018, the entire disclosures of which are expressly incorporated by reference herein.
  • TECHNICAL FIELD
  • The present application generally relates to the technical field of Guidance and Navigation Control (GNC) proteins with multi-specific binding activities against surface molecules on both immune cells and tumor cells, and more particularly relates to making and using GNC proteins.
  • BACKGROUND
  • Cancer cells develop various strategies to evade the immune system. One of the underlying mechanisms for the immune escape is the reduced recognition of cancer cells by the immune system. Defective presentation of cancer specific antigens or lack of thereof results in immune tolerance and cancer progression. In the presence of effective immune recognition tumors use other mechanisms to avoid elimination by the immune system. Immunocompetent tumors create suppressive microenvironments to downregulate the immune response. Multiple players are involved in shaping the suppressive tumor microenvironment, including tumor cells, regulatory T cells, Myeloid-Derived Suppressor cells, stromal cells, and other cell types. The suppression of immune response can be executed in a cell contact-dependent format as well as in a contact-independent manner, via secretion of immunosuppressive cytokines or elimination of essential survival factors from the local environment. Cell contact-dependent suppression relies on molecules expressed on the cell surface, e.g. Programmed Death Ligand 1 (PD-L1), T-lymphocyte-associated protein 4 (CTLA-4) and others (Dunn, Old et al. 2004, Adachi and Tamada 2015).
  • As the mechanisms by which tumors evade recognition by the immune system continue to be better understood, new treatment modalities that target these mechanisms have recently emerged. On Mar. 25, 2011, the U. S. Food and Drug Administration (FDA) approved ipilimumab injection (Yervoy, Bristol-Myers Squibb) for the treatment of unresectable or metastatic melanoma. Yervoy binds to cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) expressed on activated T cells and blocks the interaction of CTLA-4 with CD80/86 on antigen-presenting cells thereby blocking the negative or inhibitory signal delivered into the T cell through CTLA-4 resulting in re-activation of the antigen-specific T cell leading to, in many patients, eradication of the tumor. A few years later in 2014 the FDA approved Keytruda (Pembrolizumab, Merck) and Opdivo (Nivolumab, Bristol-Myers Squibb) for treatment of advanced melanoma. These monoclonal antibodies bind to PD-1 which is expressed on activated and/or exhausted T cells and block the interaction of PD-1 with PD-L1 expressed on tumors thereby eliminating the inhibitory signal through PD-1 into the T cell resulting in re-activation of the antigen-specific T cell leading to again, in many patients, eradication of the tumor. Since then additional clinical trials have been performed comparing the single monoclonal antibody Yervoy to the combination of the monoclonal antibodies Yervoy and Opdivo in the treatment of advanced melanoma which showed improvement in overall survival and progression-free survival in the patients treated with the combination of antibodies. (Hodi, Chesney et al. 2016, Hellmann, Callahan et al. 2018). However, as many clinical trials have shown a great benefit of treating cancer patients with monoclonal antibodies that are specific for one or more immune checkpoint molecules data has emerged that only those patients with a high mutational burden that generates a novel T cell epitope(s) which is recognized by antigen-specific T cells show a clinical response (Snyder, Makarov et al. 2014). Those patients that have a low tumor mutational load mostly do not show an objective clinical response (Snyder, Makarov et al. 2014, Hellmann, Callahan et al. 2018).
  • In recent years other groups have developed an alternate approach that does not require the presence of neoepitope presentation by antigen-presenting cells to activate T cells. One example is the development of a bi-specific antibody where the binding domain of an antibody which is specific for a tumor associated antigen, e.g., CD19, is linked to an antibody binding domain specific for CD3 on T cells thus creating a bi-specific T cell engager or BiTe molecule. In 2014, the FDA approved a bi-specific antibody called Blinatumumab for the treatment of Precursor B-Cell Acute Lymphoblastic Leukemia. Blinatumumab links the single-chain variable fragment (scFv) specific for CD19 expressed on leukemic cells with the scFv specific for CD3 expressed on T cells (Benjamin and Stein 2016). However, despite an initial response rate of >50% in patients with relapsed or refractory ALL many patients are resistant to Blinatumumab therapy or relapse after successful treatment with Blinatumumab. Evidence is emerging that the resistance to Blinatumumab or relapse after Blinatumumab treatment is attributable to the expression of immune checkpoint inhibitory molecules expressed on tumor cells, such as PD-L1 that drives an inhibitory signal through PD-1 expressed on activated T cells (Feucht, Kayser et al. 2016). In a case study of a patient who was resistant to therapy with Blinatumumab, a second round of Blinatumumab therapy was performed but with the addition of a monoclonal antibody, pembrolizumab (Keytruda, Merck). Pembrolizumab specifically binds to PD-1 and blocks the interaction of T cell-expressed PD-1 with tumor cell expressed PD-L1, which resulted in a dramatic response and reduction of tumor cells in the bone marrow from 45% to less than 5% in this one patient (Feucht, Kayser et al. 2016). These results show that combining a bi-specific BiTe molecule with one or more monoclonal antibodies can significantly increase clinical activity compared to either agent alone. Despite the promising outcome, the cost leading to the combined therapy must be high due to multiple clinical trials and the difficulty in recruiting representative populations.
  • Adoptive cell therapy with chimeric antigen receptor T cells (CAR-T) is another promising immunotherapy for treating cancer. The clinical success of CAR-T therapy has revealed durable complete remissions and prolonged survival of patients with CD19-positive treatment-refractory B cell malignancies (Gill and June 2015). However, the cost and complexity associated with the manufacture of a personalized and genetically modified CAR-T immunotherapy has restricted their production and use to specialized centers for treating relatively small numbers of patients. Cytokine release syndrome (CRS), also known as cytokine storm, is considered as the major adverse effect after the infusion of engineered CAR-T cells (Bonifant, Jackson et al. 2016). In many cases, the onset and severity of CRS seems to be personally specific to the patient. Current options of mitigating CRS are mainly focused on rapid response and management care because the option of controlling CRS prior to T cell infusion is limited.
  • While the efficacy of CAR-T therapy specific for a CD19-positive B cell malignancy is now clearly established, the efficacy of CAR-T therapy against solid tumors has not been unequivocally demonstrated to date. Currently, many clinical trials are in progress to explore a variety of solid tumor-associated antigens (TAA) for CAR-T therapy. Inefficient T cell trafficking into the tumors, an immunosuppressive tumor micro-environment, suboptimal antigen recognition specificity, and lack of control over treatment-related adverse events are currently considered as the main obstacles in solid tumor CAR-T therapy (Li, Li et al. 2018). The option of managing the therapeutic effect, as well as any adverse effect before and after the CAR-T cell infusion, is limited.
  • SUMMARY
  • The application provides, among others, methods for generating therapeutic compositions containing a guidance and navigation (GNC) proteins, methods for treating cancer conditions using a guidance and navigation control (GNC) proteins, and therapeutic compositions containing GNC proteins or therapeutic cells having cytotoxic cells coated (or bound) with GNC proteins.
  • In one aspect, the application provides therapeutic compositions. In one embodiment, the therapeutic composition comprises a cytotoxic cell, a GNC protein, and a therapeutic cell. The therapeutic cell comprises the GNC protein bound to the cytotoxic cell through the binding interaction with the cytotoxic cell receptor, and the therapeutic cell composition is substantially free exogenous of viral and non-viral DNA and RNA.
  • In one embodiment, the therapeutic composition may further comprise a second GNC protein, a second therapeutic cell, or a combination thereof, wherein the second therapeutic cell comprises the cytotoxic cells with the second GNC protein bound thereupon or with both the first and the second GNC proteins bound thereupon.
  • GNC protein includes a cytotoxic binding moiety and a cancer targeting moiety. The cytotoxic binding moiety has a binding specificity to a cytotoxic cell receptor and is configured to activate the cytotoxic cell through the binding with the cytotoxic cell receptor. The cancer targeting moiety has a binding specificity to a cancer cell receptor.
  • In one embodiment, the GNC protein includes a binding domain for T-cell receptors. Examples T-cell receptor include without limitation CD3, CD28, PDL1, PD1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, CD30, NKp30, CD28H, CD27, CD226, CD96, CD112R, A2AR, CD160, CD244, CECAM1, CD200R, TNFRSF25 (DR3), or a combination thereof. In one embodiment, the GNC protein is capable of activating a T-cell by binding the T-cell binding moiety to a T-cell receptor on the T-cell. In one embodiment, the GNC protein is capable of activating a T-cell by binding multiple T-cell binding moieties on the T-cell.
  • In one embodiment, the GNC protein includes a binding domain for a NK cell receptor. Examples NK cell receptor include, without limitation, receptors for activation of NK cell such as CD16, NKG2D, KIR2DS1, KIR2DS2, KIR2DS4, KIR3DS1, NKG2C, NKG2E, NKG2H; agonist receptors such as NKp30a, NKp30b, NKp46, NKp80, DNAM-1, CD96, CD160, 4-1BB, GITR, CD27, OX-40, CRTAM; and antagonist receptors such as KIR2DL1, KIR2DL2, KIR2DL3, KIR3DL1, KIR3DL2, KIR3DL3, NKG2A, NKp30c, TIGIT, SIGLEC7, SIGLEC9, LILR, LAIR-1, KLRG1, PD-1, CTLA-4, CD161.
  • In one embodiment, the GNC protein includes a binding domain for a macrophage receptor. Examples macrophage receptor include, without limitation, agonist receptor on macrophage such as TLR2, TLR4, CD16, CD64, CD40, CD80, CD86, TREM-1, TREM-2, ILT-1, ILT-6a, ILT-7, ILT-8, EMR2, Dectin-1, CD69; antagonist receptors such as CD32b, SIRPa, LAIR-1, VISTA, TIM-3, CD200R, CD300a, CD300f, SIGLEC1, SIGLEC3, SIGLEC5, SIGLEC7, SIGLEC9, ILT-2, ILT-3, ILT-4, ILT-5, LILRB3, LILRB4, DCIR; and other surface receptors such as CSF-1R, LOX-1, CCR2, FRP, CD163, CR3, DC-SIGN, CD206, SR-A, CD36, MARCO.
  • In one embodiment, the GNC protein includes a binding domain for a dendritic cell receptor. Examples dendritic cell receptor include, without limitation, agonist receptors on dendritic cell such as TLR, CD16, CD64, CD40, CD80, CD86, HVEM, CD70; antagonist receptors such as VISTA, TIM-3, LAG-3, BTLA; and other surface receptors such as CSF-1R, LOX-1, CCR7, DC-SIGN, GM-CSF-R, IL-4R, IL-10R, CD36, CD206, DCIR, RIG-1, CLEC9A, CXCR4.
  • In one embodiment, the GNC protein may include a T-cell binding moiety and a cancer-targeting moiety. In one embodiment, the T-cell binding moiety has a binding specificity to a T-cell receptor comprising CD3, CD28, PDL1, PDL2, PD1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, CD30, CD27, or a combination thereof. In one embodiment, the cancer targeting moiety has a binding specificity to a cancer cell receptor. In one embodiment, the cancer cell receptor may include BCMA, CD19, CD20, CD33, CD123, CD22, CD30, ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, as yet to be discovered tumor associated antigens or a combination thereof.
  • In one embodiment, the GNC protein may have multi-specific antigen binding activities to the surface molecules of a T cell and a tumour cell. In one embodiment, the guidance and navigation control (GNC) protein comprises a binding domain for a T cell activating receptor, a binding domain for a tumor associated antigen, a bind domain for an immune checkpoint receptor, and a binding domain for a T cell co-stimulating receptor.
  • In one embodiment, the binding domain for the tumor associated antigen is not adjacent to the binding domain for the T cell co-stimulating receptor. In one embodiment, the binding domain for the T cell activating receptor is adjacent to the binding domain for the tumor associated antigen (TAA). The T cell activating receptor may include without limitation CD3. The T cell co-stimulating receptor may include without limitation 4-1BB, CD28, OX40, GITR, CD40L, ICOS, Light, CD27, CD30, or a combination thereof. The immune checkpoint receptor may include without limitation PD-L1, PD-1, TIGIT, TIM-3, LAG-3, CTLA4, BTLA, VISTA, PDL2, or a combination thereof.
  • The tumor associated antigen (TAA) may include without limitation ROR1, CD19, EGFRVIII, BCMA, CD20, CD33, CD123, CD22, CD30, CEA, HER2, EGFR, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, or a combination thereof. In one embodiment, the tumor associated antigen may be ROR1. In one embodiment, the tumor associated antigen may be CD19. In one embodiment, the tumor associated antigen may be EGFRVIII.
  • In one embodiment, the guidance and navigation control (GNC) protein may be an antibody or an antibody monomer or a fragment thereof. In one embodiment, the GNC protein may be a tri-specific antibody. In one embodiment, the GNC protein may be a tetra-specific antibody. In one embodiment, the GNC protein includes Fc domain or a fragment thereof. Any Fc domain from an antibody may be used. Example Fc domains may include Fc domains from IgG, IgA, IgD, IgM, IgE, or a fragment or a combination thereof. Fc domain may be natural or engineered. In one embodiment, the Fc domain may contain an antigen binding site.
  • In one embodiment, the GNC protein comprises a bi-specific antibody, a tri-specific antibody, a tetra-specific antibody, or a combination thereof yielding up to eight binding motifs on the GNC protein. Examples of antibodies, antibody monomers, antigen-binding fragment thereof are disclosed herein. In one embodiment, GNC proteins may include an immunoglobulin G (IgG) moiety with two heavy chains and two light chains, and at least two scFv moieties being covalently connected to either C or N terminals of the heavy or light chains. The IgG moiety may provide stability to the scFv moiety, and a tri-specific GNC protein may have two moieties for binding the surface molecules on T cells.
  • In one embodiment, the guidance and navigation control (GNC) protein may be an antibody. In one embodiment, the tumor associated antigen comprises ROR1, CD19, or EGRFVIII. In on embodiment, the T cell activating receptor comprises CD3 and the binding domain for CD3 may be linked to the binding domain for the tumor associated (TAA) antigen through a linker to form a CD3-TAA pair. In one embodiment, the IgG Fc domain may intermediate the CD3-TAA pair and the binding domain for the immune checkpoint receptor. In one embodiment, the immune checkpoint receptor may be PD-L1.
  • The linker may be a covalent bond or a peptide linker. In one embodiment, the peptide linker may have from about 2 to about 100 amino acid residues.
  • In on embodiment, the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for CD3, the binding domain for EGFRVI, IgG Fc domain, the bind domain for PD-L1, and the binding domain for 41-BB. In one embodiment, the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for 4-1BB, the binding domain for PD-L1, IgG Fc domain, the bind domain for ROR1, and the binding domain for CD3. In one embodiment, the guidance and navigation control (GNC) protein has a N-terminal and a C-terminal, comprising in tandem from the N-terminal to the C-terminal, the binding domain for CD3, the binding domain for CD19, IgG Fc domain, the bind domain for PD-L1, and the binding domain for 4-1BB.
  • In one embodiment, the GNC protein comprises an amino acid having a percentage homology to SEQ ID NO. 50, 52, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, and 110. The percentage homology is not less than 70%. 80%, 90%, 95%, 98% or 99%.
  • In another aspect, the application provides nucleic acid sequences encoding the GNC protein or its fragments disclosed thereof. In one embodiment, the nucleic acid has a percentage homology to SEQ ID NO. 49, 51, 79, 81, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107, and 109. The percentage homology is not less than 70%. 80%, 90%, 95%, 98% or 99%.
  • In another aspect, the application provides methods for generating a therapeutic composition. In one embodiment, the method may include the steps of providing a cell material comprising a cytotoxic cell, incubating the cell material with a first GNC protein to provide an activated cell composition, and formulating the activated cell composition to provide a therapeutic composition. The activated cell composition contains a first therapeutic cell. The first therapeutic cell comprises the first GNC protein bound to the cytotoxic cell through the binding interaction with the first cytotoxic cell receptor. The therapeutic composition is substantially free of exogenous viral and non-viral DNA or RNA.
  • In one embodiment, the cell material may include or be derived from PBMC.
  • The first GNC protein may include a first cytotoxic binding moiety and a first cancer targeting moiety. The first cytotoxic binding moiety has a specificity to a first cytotoxic cell receptor and is configured to activate the first cytotoxic cell through the binding with the first cytotoxic cell receptor. The first cancer targeting moiety has a specificity to a first cancer cell receptor.
  • In one embodiment, the method may repeat the incubating step by incubating a second GNC protein with the activated cell composition. The second GNC protein comprising a second cytotoxic binding moiety and a second cancer targeting moiety, the second cytotoxic binding moiety has a specificity to a second cytotoxic cell receptor, and the second cancer targeting moiety has a specificity to a second cancer cell receptor. The activated cell composition comprises a second therapeutic cell, and the second therapeutic cell comprises the second GNC protein bound to the cytotoxic cell or the first therapeutic cell through the binding interaction with the second cytotoxic cell receptor.
  • In one embodiment, the first and the second cancer-targeting moiety independently has a specificity for CD19, PDL1, or a combination thereof. In one embodiment, the first and the second cytotoxic binding moiety independently has a specificity for CD3, PDL1, 41BB, or a combination thereof.
  • The method may further include the repeated incubating steps by incubating additional GNC proteins with the activated composition. The additional GNC proteins may be a third GNC protein, a fourth GNC protein, etc. to provide addition therapeutic cells, each having the additional protein bound to the cytotoxic cell.
  • The first, second, and the additional GNC protein may be the same or may be different. The therapeutic cells may have one GNC protein, multiple same GNC proteins, or multiple different GNC proteins bound thereupon. In one embodiment, the therapeutic cell may have the first GNC protein bound thereupon. In one embodiment, the therapeutic cell may have both the first and the second GNC proteins bound thereupon. In one embodiment, the therapeutic cell may have the first, the second and the additional GNC proteins bound thereupon.
  • In one embodiment, the therapeutic cell comprises the cytotoxic cell having at least one bound GNC protein. In one embodiment, the therapeutic cell comprises the cytotoxic cell having at least 10, 20, 50, 100, 200, 300, 400 bound GNC proteins.
  • The therapeutic composition may include the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof. In one embodiment, the therapeutic composition may include the second therapeutic cell, the second GNC protein, comprises the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof. In one embodiment, the therapeutic composition may include additional GNC proteins and additional therapeutic cells.
  • In one embodiment, the incubating step may serve to expand the therapeutic cells. In one embodiment, expanding the therapeutic cell may include incubating the therapeutic cells with an additional amount of the GNC protein to provide an expanded cell population. In one embodiment, the expanded cell population comprises at least 102, at least 103, at least 104, at least 105, at least 106, at least 107, at least 108, at least 109, at least 1010 cells per ml. In one embodiment, the expanded cell population comprises the GNC bound cell, the GNC protein, the cytotoxic cell, or a combination thereof. In one embodiment, in order to deplete PD-1+ T cells, a GNC protein may be added to the expansion culture that redirects killing to PD-1+ T cells therefore resulting in reduction in PD-1+ exhausted T cells. In one embodiment, in order to preferentially support PD-1+ T cells, a GNC protein may be added to the expansion culture that relieves checkpoint signaling through PD-1 on T cells therefore resulting in functional improvement of PD-1+ T cells. In one embodiment, in order to isolate 4-1BB mediated co-stimulation through 3rd gen CAR-T, a GNC protein may be added to the expansion culture that redirects killing to 4-1BB+ T cells or resulting in therapeutic composition with controlling level of 4-1BB stimulation in the therapeutic cells, such as CAR-T cells.
  • In one embodiment, the cancer targeting moiety has the specificity against B cell, and the therapeutic composition is substantially free of B cell. Therefore, the methods disclosed herein couple the activation and purification functions for the therapeutic cells, which allows the methods to produce B cell free therapeutic composition without the need to introduce any foreign materials (such as beads) nor any foreign genetic materials (such as viral and non-viral DNA or RNA vectors).
  • In one embodiment, the ratio of the GNC protein and the cytotoxic cell is at least 30 to 1 when incubating the cell material with the GNC protein.
  • In one embodiment, the therapeutic composition may include at least 107 cells per ml.
  • In a further aspect, the application provides methods for using guidance and navigation control (GNC) proteins for cancer treatment. In one embodiment, the method of treating a subject having a cancer, comprises providing a cytotoxic cell, combining a GNC protein with the cytotoxic cell to provide a therapeutic cell, optionally expanding the therapeutic cell to provide an expanded cell population, and administering the therapeutic cell or the expanded cell population to the subject.
  • In one embodiment, the method include the step of providing a cell material comprising a cytotoxic cell, incubating the cell material with a first GNC protein to provide an activated cell composition, wherein the activated cell composition comprises a first therapeutic cell, formulating the activated cell composition to provide a therapeutic composition, wherein the therapeutic composition is substantially free exogenous of viral and non-viral DNA or RNA, and administering the therapeutic composition to the subject.
  • In one embodiment, the method may further include the steps of incubating a second GNC protein with the activated cell composition to provide the activated cell composition further comprising a second therapeutic cell. In one embodiment, the method may further include the step of incubating additional GNC proteins with the activated cell composition to provide the activated cell composition further comprising additional therapeutic cells.
  • In one embodiment, the method may further comprise isolating the cytotoxic cell from peripheral blood mononuclear cells (PBMC) before providing the cytotoxic cell. In one embodiment, the method may further comprise isolating the peripheral blood mononuclear cells (PBMC) from a blood. In one embodiment, the blood is from the subject. In one embodiment, the blood is not from the subject. In one embodiment, the cytotoxic cells may be from the patient that is under treatment or a different individual, such as a universal donor.
  • In one embodiment, the cytotoxic cell may be an autologous T cell, an alloreactive T cell, or a universal donor T cell. In one embodiment, when autologous donor T cells are used, in order to prevent infusion of contaminating cancer cells, a GNC protein may be added to the expansion culture that redirects killing to tumor antigens, example tumor antigen may include CD19 for B cell malignancies, Epcam for Breast carcinoma, MCP1 for melanoma.
  • In one embodiment, the method includes steps of providing a blood from the subject, isolating peripheral blood mononuclear cells (PBMC) from the blood, isolating a cytotoxic cell from the PBMC, combining a GNC protein with the cytotoxic cell to provide a therapeutic cell, optionally expanding the therapeutic cell to provide an expanded cell population, and administering the therapeutic cell or the expanded cell population to the subject.
  • In one embodiment, the method further comprises administering additional GNC protein to the subject after administering the therapeutic composition to the subject. In one embodiment, the cytotoxic cell may include CD3+ T cell, NK cell, or a combination thereof.
  • In one embodiment, the isolating of the cytotoxic cell comprises isolating at least one subpopulation of cytotoxic cells to provide the therapeutic T cells. In one embodiment, the subpopulation of cytotoxic cells comprises CD4+ cells, CD8+ cells, CD56+ cells, CD69+ cells, CD107a+ cells, CD45RA+ cells, CD45RO+ cells, CD2+ cells, CD178+ cells, Granzyme+ cells, or a combination thereof.
  • In one embodiment, the combining of a GNC protein with the cytotoxic cell comprises incubating the GNC protein with the cytotoxic cell for a period of time from about 2 hours to about 14 days, from about 1 day to about 7 days, from about 8 hours to about 24 hours, from about 4 days to about 7 days, or from about 10 days to about 14 days. In one embodiment, the incubating period may be more than 14 days. In one embodiment, the incubating period may be less than 2 hours.
  • In one embodiment, the ratio between the GNC protein and the cytotoxic cell is at least 600 to 1, 500 to 1, 400 to 1, 300 to 1, 200 to 1, 100 to 1, or 1 to 1. In one embodiment, the ratio between the GNC protein and the cytotoxic cell is from about 1 to 1, 10 to 1, 100 to 1, or to about 1000 to 1 ratio.
  • In one embodiment, the method may further comprise evaluating therapeutic efficacy after the administering step. In one embodiment, the evaluating therapeutic efficacy includes checking one or more biomarkers of the cancer, monitoring the life span of the therapeutic cells, or a combination thereof. In one embodiment, evaluating therapeutic efficacy comprises checking one or more biomarkers of the cancer, monitoring the life span of the therapeutic cells, or a combination thereof. In one embodiment, the biomarker comprises a tumor antigen, release of cytokines e.g., gamma interferon, IL-2, IL-8, and/or chemokines, and/or CD markers on the surface of various cell types e.g., CD69, PD-1, TIGIT, and/or mutated nucleic acid released into the bloodstream by tumors upon death, circulating tumor cells and their associated nucleic acid, or exosome associated nucleic acid, host inflammatory mediators, or tumor derived analytes, or a combination thereof. In one embodiment, the biomarker comprises a tumor antigen, tumor-associated apoptotic bodies, small molecule metabolites, release of cytokines, lymphocyte surface marker expression, phosphorylated/dephosphorylated signaling molecules, transcription factors, or a combination thereof.
  • The method disclosed herein is free of the step of transfecting the cytotoxic cell with a DNA vector or a viral vector. In one embodiment, the therapeutic cell or the expanded cell population is substantially free of a DNA vector or a viral vector.
  • The method may be used to treat a human subject suffering from cancer. In one embodiment, the cancer comprises cells expressing ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA, CD20, CD33, CD123, CD22, CD30, CD19, as yet to be identified tumor associated antigens, or a combination thereof. In one embodiment, the method may be used to treat mammals.
  • Varieties of cancer may be treated using the methods disclosed herein. Example cancers includes without limitation breast cancer, colorectal cancer, anal cancer, pancreatic cancer, gallbladder cancer, bile duct cancer, head and neck cancer, nasopharyngeal cancer, skin cancer, melanoma, ovarian cancer, prostate cancer, urethral cancer, lung cancer, non-small lung cell cancer, small cell lung cancer, brain tumor, glioma, neuroblastoma, esophageal cancer, gastric cancer, liver cancer, kidney cancer, bladder cancer, cervical cancer, endometrial cancer, thyroid cancer, eye cancer, sarcoma, bone cancer, leukemia, myeloma or lymphoma.
  • In one embodiment, the method may further include administering an effective amount of a therapeutic agent after the administering the therapeutic cell or the expanded cell population to the subject. In one embodiment, the therapeutic agent comprises a monoclonal antibody, a chemotherapy agent, an enzyme, a protein, a co-stimulator, or a combination thereof. In one embodiment, the co-stimulator is configured to increase the amount of cytotoxic T cells in the subject.
  • The application further provides a solution comprising an effective concentration of the GNC protein. In one embodiment, the solution is blood plasma in the subject under treatment. In one embodiment, the solution includes the GNC protein bound cells. In one embodiment, the solution includes a GNC cluster including a GNC protein, a T-cell bound to the T-cell binding moiety of the GNC protein, and a cancer cell is bound to the caner-targeting moiety of the GNC protein.
  • The objectives and advantages of the present application will become apparent from the following detailed description of preferred embodiments thereof in connection with the accompanying drawings.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The foregoing and other features of this disclosure will become more fully apparent from the following description and appended claims, taken in conjunction with the accompanying drawings.
  • Understanding that these drawings depict only several embodiments arranged in accordance with the disclosure and are, therefore, not to be considered limiting of its scope, the disclosure will be described with additional specificity and detail through use of the accompanying drawings, in which:
  • FIG. 1 shows a GNC protein comprising four antigen-specific binding domains in an antibody structure with targeting specificity to CD19 positive cells;
  • FIG. 2 illustrates that a tetra-specific GNC antibody mediates multi-specific binding between a T cell and a tumor cell;
  • FIG. 3 is a flowchart comparing manufacturing processes for GNC-T cell therapy (left) and CAR-T cell therapy (right);
  • FIG. 4 is a diagram showing sources of cell material for preparing GNC-activated therapeutic cell composition;
  • FIG. 5 is a diagram showing sources of selected T cells for preparing GNC-activated therapeutic composition;
  • FIG. 6 is a diagram showing the preparation of GNC-activated therapeutic T cell composition;
  • FIG. 7 is a diagram showing the incubating and formulating steps for preparing the first GNC-activated T cells for GNC-T cell therapy;
  • FIG. 8 shows that GNC proteins (SI-35E class) induce IL-2 secretion from PBMC;
  • FIG. 9 shows that GNC proteins (SI-35E class) induce granzyme B secretion from PBMC;
  • FIG. 10 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD4+ T cells;
  • FIG. 11 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD8+ T cells;
  • FIG. 12 shows that GNC proteins (SI-35E class) induce expression of the activation marker CD69 on CD56+NK cells;
  • FIG. 13 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD4+ T cells;
  • FIG. 14 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD8+ T cells;
  • FIG. 15 shows that GNC proteins (SI-35E class) induce expression of the marker of cytotoxic degranulation CD107a on CD56+NK cells;
  • FIG. 16 shows that GNC proteins (SI-35E class) activate CD3+ T cells to proliferate;
  • FIG. 17 shows that GNC proteins (SI-35E class) activate CD3+ T cells to secrete gamma interferon;
  • FIG. 18 shows that GNC proteins (SI-35E class) activate naïve CD8+/CD45RA+ T cells to proliferate;
  • FIG. 19 shows that GNC proteins (SI-35E class) activate naïve CD8+/CD45RA+ T cells to secrete gamma interferon;
  • FIG. 20 shows Images of GNC activated cell growth in 6-well G-Rex plates over time;
  • FIG. 21 shows the example process of making the therapeutic composition as disclosed thereof (A), and cell viability of PBMC, GET, and GNC-T cells after thawing (B);
  • FIG. 22 shows the result of flow cytometry analyses of PBMC-derived, the first GNC (SI-38E17)-activated therapeutic cell composition (Product A) (22A), the second GNC (SI-38E17)-coated therapeutic cell composition (Product B) (22B), and input PBMC cell material (22C).
  • FIG. 23 shows GNC-T therapeutic cell composition of GET cells and formulated GNC-T cells from G-Rex 100M bioreactor after thawing;
  • FIG. 24 shows the result of RTCC of CHO-ROR1 cells by using GNC (SI-35E class)-coated PBMC cells;
  • FIG. 25 shows kinetics of PBMC-derived, SI-38E17 GNC-activated therapeutic cells on killing precursor B cell leukemia Kasumi over time;
  • FIG. 26 shows efficacy of killing Nalm-6, MEC-1, Daudi, and Jurkat cells by using PMBC-derived, SI-38E17 GNC-activated therapeutic cells; and
  • FIG. 27 shows the killing of Nalm-6, MEC-1, Daudi, and Jurkat leukemic cells by using PBMC-derived, SI-38E17 GNC-activated therapeutic cells in a spike-in model.
  • DETAILED DESCRIPTION
  • In the following detailed description, reference is made to the accompanying drawings, which form a part hereof. In the drawings, similar symbols typically identify similar components, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims are not meant to be limiting. Other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the subject matter presented herein. It will be readily understood that the aspects of the present disclosure, as generally described herein, and illustrated in the Figures, can be arranged, substituted, combined, separated, and designed in a wide variety of different configurations, all of which are explicitly contemplated herein.
  • In one embodiment, the guidance navigation control (GNC) proteins are characterized by their composition of multiple antigen-specific binding domains (AgBDs) and by their ability of directing T cells (or other effector cells) to cancer cells (or other target cells such as bystander suppressor cells) through the binding of multiple surface molecules on a T cell and a tumor cell. In one embodiment, GNC proteins are composed of Moiety 1 for binding at least one surface molecule on a T cell and Moiety 2 for binding at least one surface antigen on a cancer cell as shown in TABLE 1. FIG. 1 shows the structure of an example tetra-specific GNC antibody comprising AgBDs for binding to both a T cell expressing CD3, PD-L1, and/or 4-1BB and a target B cell expressing CD19, as illustrated in FIG. 2.
  • In a T cell therapy, the cytotoxic T cells are regulated by T cell receptor complex proteins, as well as co-stimulation signaling proteins via either agonist receptors or antagonist receptors on their surface. To regulate this signaling, as well as the interaction between a T cell and a cancer cell, multiple AgBDs may compose Moiety 1 and Moiety 2, respectively. Examples of molecules that can be targeted by agonistic or antagonistic binding domains in Moiety 1 and 2 are shown in TABLE 1. In one embodiment, the GNC proteins may have at least one linker to link Moiety 1 and Moiety 2. In one example GNC protein, any linker molecule can be used to link two or more AgBDs together either in vitro or in vivo by using complementary linkers of DNA/RNA or protein-protein interactions, including but not limited to, that of biotin-avidin, leucine-zipper, and any two-hybrid positive protein. In some embodiments, the linkers may be an antibody backbone structure or antibody fragments, so that GNC protein and GNC antibody may have the same meaning, e.g. the structure of the example tetra-specific GNC antibody in FIG. 1.
  • GNC proteins or antibodies are capable of directing a T cell to a cancer cell, in vivo or ex vivo, through the binding function of multiple AgBDs (FIG. 2). The T cells may be derived from the same patient or different individuals, and the cancer cell may exist in vivo, in vitro, or ex vivo. The examples provided in the present application enable GNC proteins as a prime agent in a T cell therapy, i.e. GNC-T cell therapy, for activating and controlling cytotoxic T cells ex vivo, prior to adoptive transfer.
  • The present application relates to methods of making GNC-activated therapeutic cell composition. Multiple AgBDs can be divided into Moiety 1 and Moiety 2 due to their interface with a T cell and a cancer cell, respectively (TABLE 1). A GNC protein with two AgBDs may simultaneously bind to a surface molecule, such as CD3 on a T cell, and a tumor antigen, such as ROR1 on a tumor cell, for re-directing the T cell to the tumor cell.
  • The addition of a third AgBD, for example, one that specifically binds to 41BB, may help enhance anti-CD3-induced T cell activation because 41BB is a co-stimulation factor and the binding stimulates its agonist activity to activated T cells. The addition of a fourth AgBD to a GNC protein, for example, one that specifically binds to PD-L1 on a tumor cell, may block the inhibitory pathway of PD-L1 on tumor cells or that is mediated through its binding to PD-1 on the T cells.
  • In some embodiments, with these basic principles, GNC proteins are constructed to acquire multiple AgBDs specifically for binding unequal numbers of T cell antagonists and agonists, not only to re-direct activated T cells to tumor cells but also to control their activity in vivo (TABLE 2). Therefore, in some embodiments, GNC proteins may be bi-specific, tri-specific, tetra-specific, penta-specific, hexa-specific, hepta-specific, or octa-specific proteins.
  • In one embodiment, the application relates to a GNC-T cell therapy where GNC proteins are used to expand the T cells ex vivo prior to adoptive transfer (FIG. 3). The ex vivo priming of autonomous T cells provides the cytotoxic T cells guidance and navigation control. For example, peripheral blood mononuclear cells (PBMC) or specific types of cell populations within PBMC e.g., CD8+, CD45RO+ memory T cells may be isolated and primed ex vivo by GNC proteins. These expanded cytotoxic T cells can be formulated and infused back to the patient through adoptive transfer. While attacking the cancer in vivo, additional GNC proteins may be infused into the patient for managing the efficacy and lifespan of cytotoxicity. Thus, GNC-T cell therapy is different from GNC protein-based immunotherapy, where GNC proteins are directly administered into patients. However, GNC-T cell therapy does not rule out the direct administration of GNC proteins for managing the efficacy of infused cytotoxic T cells in vivo in a controlled manner. Additional GNC protein can both promote cytolytic activity and encourage T cell proliferation dependent of the configuration of AgBDs.
  • In one aspect, the application relates to the production of therapeutic GNC-T cells. In comparison with and to distinguish from the production of therapeutic CAR-T cells, their general processes are shown in FIG. 3, for comparison purpose. In CAR-T therapy, cell material, for example patient leukocytes, are collected by apheresis, and a subset of CD3+ T cells is selected and activated to facilitate gene transfer to the cellular material, which is then expanded in number by the introduction of foreign material scaffold for support to the T cell populations, for example, by using anti-CD3/anti-CD28 antibody coated beads. Advantageously, GNC-T cell material does not require the introduction of scaffold impurities for T cell expansion from patient leukocytes.
  • The CAR-T therapy cellular material must undergo the gene transfer that involves the preparation and transfection of CAR-T vector DNA, which results in genetically modifying the genome of the T cells. Furthermore, these genetically modified T cells may undergo another round of T cell expansion before being transferred back into the patient. The random integration of CAR-T vector DNA carries a risk of transformation of the T cells leading to primary leukemogenesis or introduction of the CAR-T vector to leukemia cells increasing the risk of relapse by mechanism of internal sequestration of the CAR target antigen (Zhang, Liu et al. 2017).
  • In contrast, GNC-T cell therapy has the advantages of not involving the transfection of any vector DNA, therefore there is no risk of genetic modification prior to adoptive transfer, which provides one of the significant advantages and technical improvements over the existing CAR-T therapy. Besides the advantage of GNC-T cell therapy being free of exogenous generic material contamination and cancer risk, the efficacy of GNC-T cell therapy may be improved when PBMC or different T cell subsets are being primed and activated ex vivo as shown in FIGS. 5 & 6. Similar approaches have been explored in the use of CAR-T therapy, where selected specific ratios of some subsets of T cells may be transferred back to the patient (Turtle, Hanafi et al. 2016, Turtle, Hanafi et al. 2016).
  • In some embodiments, it may be beneficial to remove leukemia or other cancer cells from the cellular material prior to cell expansion (FIG. 7). The PBMC of a patient with circulating leukemic cells, in particular from B cell malignancy, may profoundly alter the cellular composition and thus affect the suitability of the final therapeutic cellular products. For example, a high level of circulating leukemic blast cells (greater that 10% of WBC) may require a depletion of leukemic cells prior to GNC mediated cell expansion. The percentage of leukemic cells in the PBMC derived from a patient may be reduced by using cell fractionation methods. These methods may include steps involving density gradient separation, or immunofluorescent cell separation or fluorescent activated cells sorting, immunomagnetic cell separation, or microfluidic flow chambers methods. These methods may be preceded by or follow centrifugation, cell washing, incubation, or temperature modulation. These methods may utilize non-cellular substrates (magnetic beads, Plastic, polymers), modification of non-cellular substrates (protein, antibodies, charge state), antibody treatment, multiple antibody treatments, multi-specific antigen binding proteins and cell surface antigen-based cell coupling. These methods may use enzymatic digestion or, ionic chelation, or mechanical agitation or cell vessel rotation. The method for reduction of leukemic blasts may utilize antibody drug conjugates, or leukemia sensitizing agents. The method may consist of a combination of these approaches.
  • In one embodiment, to enable the production of therapeutic T cells primed (or coated or bound) with GNC proteins, a tetra-specific antibody is produced and used as the GNC protein. In one embodiment, the tetra-specific antibody/GNC protein comprises 4 different binding domains linked by antibody fragments as its backbone. One binding domain is specific for CD3 on T cells, a second binding domain is specific for a tumor associated antigen, including but not limited to ROR1, CEA, HER2, EGFR, EGFRvIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA, CD19, CD20, CD33, CD123, CD22, CD30, and a third and fourth binding domains are specific for two distinct immune checkpoint modulators such as PD-L1, PD-L2, PD-1, OX40, 4-1BB, GITR, TIGIT, TIM-3, LAG-3, CTLA4, CD40L, VISTA, ICOS, BTLA, Light, etc.
  • Without being bound by theory, the advantages of GNC protein-mediated GNC-T cell therapy over conventional CAR-T therapies include, but are not limited to, first, that inclusion of an IgG Fc domain may confer the characteristic of a longer half-life in serum compared to a bi-specific BiTe molecule; second, that inclusion of two binding domains specific for immune checkpoint modulators may inhibit the suppressive pathways and engage the co-stimulatory pathways at the same time; third, that cross-linking CD3 on T cells with tumor associated antigens re-directs and guides T cells to kill the tumor cells without the need of removing T cells from the patient and genetically modifying them to be specific for the tumor cells before re-introducing them back into the patient, also known as chimeric antigen receptor T cells (CAR-T) therapy; and fourth, that GNC protein-mediated antibody therapy or T cell therapy does not involve genetic modification of T cells, the latter of which may carry the risk of transforming modified T cells to clonal expansion, i.e. T cell leukemia.
  • The present disclosure may be understood more readily by reference to the following detailed description of specific embodiments and examples included herein. Although the present disclosure has been described with reference to specific details of certain embodiments thereof, it is not intended that such details should be regarded as limitations upon the scope of the disclosure.
  • EXAMPLES
  • While the following examples are provided by way of illustration only and not by way of limitation. Those of skill in the art will readily recognize a variety of non-critical parameters that could be changed or modified to yield essentially the same or similar results.
  • Example 1. GNC Proteins and Tetra-Specific GNC Antibodies
  • In the present application, the examples of GNC proteins are classes of tetra-specific GNC antibodies, of which 4 AgBDs are covalently linked using an IgG antibody as its backbone (FIG. 1). From the N-terminal of this protein, the first scFv is linked to the Fab domain of the constant domains C H1, 2, and 3 of IgG antibody which is then linked to another scFv at the C-terminal. Because each of the scFv domains display independent binding specificity, linking of these AgBDs does not need to be done using the constant domains of an IgG antibody. Structured as a tetra-specific GNC antibody, a GNC protein can directly bind to tumor-associated antigen (TAA) and engage the host endogenous T cells to kill tumor cells independent of tumor antigen presentation by MHC to the antigen specific T cell receptors (FIG. 2). As shown in FIG. 1, CD19 is a TAA targeting CD19 positive B cells and tumor cells. In addition, PD-L1 is an example of the immune checkpoint modulating component for tetra-specific GNC antibodies that may overcome the immunosuppressive tumor microenvironment and fully activate the exhausted T cells within the tumor microenvironment.
  • Of tetra-specific GNC antibodies, the SI-35E class comprises targets an anti-human CD3 binding domain (SEQ IDs 1-4), an anti-human PD-L1 (SEQ IDs 5-12), an anti-human 4-1BB (SEQ IDs 13-24), and targets a human ROR1 (SEQ IDs 25-32), i.e. a TAA. In this context, the classes of SI-38E and SI-39E target CD19 (SEQ IDs 47-50) and EGFR (SEQ ID 51-54), respectively.
  • To construct tetra-specific GNC antibodies, AgBDs were converted to scFv and VLVH for placement at the N-terminal Domain 1 (D1) or scFv and VHVL for placement at the C-terminal Domains 3 (D3) and 4 (D4) of the GNC protein. All scFv molecules described herein contain a 20 amino acid flexible gly-gly-gly-gly-ser (G4S) X4 linker that operably links the VH and VL, regardless of the V-region orientation (LH or HL). The remaining position in the tetra-specific GNC antibody, Domain 2 (D2), consists of an IgG1 heavy chain, VH-CH1-Hinge-CH2-CH3, and its corresponding light chain, VL-CL, which can be either a kappa or lambda chain. D1 and D2 are genetically linked through a 10 amino acid (G4S)×2 linkers, as are D2, D3 and D4 resulting in a contiguous ˜150 kDa heavy chain monomer peptide. When co-transfected with the appropriate light chain, the final symmetric tetra-specific GNC peptide can be purified through the IgG1 Fc (Protein A/Protein G) and assayed to assess functional activity. Heavy and light chain gene “cassettes” were previously constructed such that V-regions could be easily cloned using either restriction enzyme sites (HindIII/NhelI for the heavy chain and HindIII/BsiWI for the light chain) or “restriction-free cloning” such as Gibson Assembly (SGI-DNA, La Jolla, Calif.), Infusion (Takara Bio USA) or NEBuilder (NEB, Ipswich, Mass.), the latter of which was used here.
  • The tetra-specific GNC antibodies can be produced through a process that involves design of the intact molecule, synthesis and cloning of the nucleotide sequences for each domain, expression in mammalian cells and purification of the final product. Herein, nucleotide sequences were assembled using the Geneious 10.2.3 software package (Biomatters, Auckland, NZ) and broken up into their component domains for gene synthesis (Genewiz, South Plainsfield, N.J.). In this example, SI-35E18 (SEQ ID 65 and 67) was split into its component domains where the anti-41BB scFv, VL-VH, occupies D1, anti-human PD-L1 clone PL230C6 occupies D2 (Fab position), anti-human ROR1 Ig domain-specific clone 323H7 VHVL scFv occupies D3, and anti-human CD3 scFv, VHVL, occupies the C-terminal D4. Using NEBuilder web-based tools, 5′ and 3′ nucleotides were appended to each of the domains depending on their position in the larger protein so that each domain overlaps its flanking domains by 20-30 nucleotides which direct site-specific recombination, thus genetically fusing each domain in a single gene assembly step. Due to the high number of homologous regions in the tetra-specific nucleotide sequence, the N- terminal domains 1 and 2 are assembled separately from the C-terminal D3 and D4. The N- and C-terminal fragments were then assembled together in a second NEBuilder reaction. A small aliquot was transformed into E. coli DH10b (Invitrogen, Carlsbad, Calif.) and plated on TB+carbenicillin 100 ug/ml plates (Teknova, Hollister, Calif.) and incubated at 37° C. overnight. Resultant colonies were selected and 2 mL overnight cultures inoculated in TB+carbenicillin. DNA was prepared (Thermo-Fisher, Carlsbad, Calif.) from overnight cultures and subsequently sequenced (Genewiz, South Plainsfield, N.J.) using sequencing primers (Sigma, St. Louis, Mo.) flanking each domain. All DNA sequences were assembled and analyzed in Geneious.
  • In another tetra-specific GNC protein, SI-38E17 targeting human CD19 (SEQ IDs 47-50), multiple AgBDs carry an anti-human 4-1BB (scFv 466F6, SEQ IDs 17-20) as well as an anti-human PD-L1 (scFv PL221G5 SEQ IDs 9-13), and an anti-human CD3 binding domain (SEQ IDs 1-4). The methods and procedures for producing this tetra-specific antibody were the same.
  • GNC proteins are composed of Moiety 1 for binding at least one surface molecule on a T cell and Moiety 2 for binding at least one surface antigen on a cancer cell (TABLE 1A). The tetra-specific GNC antibodies can be used to directly engage the body's endogenous T cells to kill tumor cells independent of tumor antigen presentation by MHC to the antigen specific T cell receptors. This is in contrast to therapies based solely on immune checkpoint blockade, which have been limited by antigen recognition. In context, the immune checkpoint modulating component may be constructed as a part of tetra-specific GNC antibodies, which may provide benefits similar to that in a standard checkpoint blockade therapy.
  • In addition to T cells, other cytotoxic cells may also be targeted by GNC proteins for cancer killing or preventing purposes. TABLE 1B shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with NK cell binding domains. TABLE 1C shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with macrophage binding domains. TABLE 1D shows the example compositions of functional moieties (Moiety 1 and Moiety 2) and antigen binding domain in GNC proteins with dendritic cell binding domains.
  • GNC proteins are constructed to acquire multiple AgBDs specifically for binding unequal numbers of T cell antagonists and agonists. In this way, GNC proteins may re-direct activated T cells to tumor cells with certain levels of control of their activity in vivo (TABLE 2). Therefore, GNC proteins may be bi-specific, tri-specific, tetra-specific, penta-specific, hexa-specific, hepta-specific, or even octa-specific proteins. In the present invention, three classes of tetra-specific GNC antibodies, i.e. SI-39E, SI-35E, and SI-38E, were created to enable GNC-T cell therapy, of which antibody domains and its specificity is listed in TABLE 3. The structures of tetra-specific GNC antibodies targeting EGFRvIII (SI-39E), ROR1 (SI-35E), and CD19 (SI-38E) are listed in TABLE 4.
  • Example 2: GNC-Activated, PBMS-Derived Cell Composition
  • The SI-35 class listed in Table 4 were tested for their ability to activate and induce proliferation of different cell types, such as CD4+ and/or CD8+ T cells and/or CD56+ natural killer cells (NK) within PBMC. The tetra-specific GNC antibodies were prepared at 2× final concentration and titrated in 1:10 serial dilutions across 6 wells of a 96 well plate in 200 ul of RPMI+10% FBS. Human PBMC were purified by standard Ficoll density gradient from a “leukopak” which is an enriched leukapheresis product collected from normal human peripheral blood. In the final destination 96 well plate, the PBMC and serially titrated GNC proteins were combined by adding 100 μL of PBMC (100,000), and 100 μL of each antibody dilution to each well of the assay. The assay plate was incubated at 37° C. for approximately 72 hours and then the contents of each assay well were harvested and analyzed by FACS for the number of CD4+ T cells, CD8+ T cells, and CD56+NK cells. Cells were harvested from each well and transferred to a new 96 well V-bottom plate then centrifuged at 400×g for 3 minutes. Supernatant was transferred to a 96 well plate for analysis of IL-2 and Granzyme B. Cells were re-suspended in 200 μL of 2% FBS/PBS of FACS antibodies and incubated on ice for 30 minutes. The plate was centrifuged at 400×g for 3 minutes and the supernatant was aspirated. This wash step was repeated once more and then the cells were re-suspended in 100 μL 2% FBS/PBS and analyzed on a BD LSR FORTESSA.
  • As shown in FIG. 8, all SI-35E tetra-specific GNC antibodies, with the exception of those that had the scFv binding domain replaced with FITC at positions 2 (SI-35E37) and 4 (SI-35E39), induced production of IL-2 from PBMC. These two proteins lacked the binding domains for PD-L1 or CD3 respectively. The secretion of Granzyme B into the culture supernatant followed a similar pattern as that for IL-2 production as shown in FIG. 9. Both SI-35E37 and SI-35E3 were also much less potent at inducing cell-surface expression of the activation marker CD69 on CD4+(FIG. 10), CD8+(FIG. 11), and CD56+(FIG. 12) cells in the PBMC culture. Surface expression of the cytotoxic degranulation marker CD107a (LAMP-1) was induced by all GNC proteins tested except those lacking binding at positions 2 and 4 on CD4+(FIG. 13), CD8+(FIG. 14), but less consistently on CD56+(FIG. 15) in the culture. At lower concentrations, 3 of the GNC proteins (SI-35E42, SI-35E43, and SI-35E46) induced expression of CD69 on CD4+ T cells, CD8+ T cells, and CD56+NK cells, which correlated well with the level of IL-2 and granzyme B secretion (FIGS. 8 and 9) induced by these GNC.
  • Proliferation and production of gamma interferon was measured from cultures of CD3+ or naïve CD8+ T cells (70,000 cells/well) stimulated for 5 days with a panel of SI-35 class antibodies. Human CD3+ or CD8+CD45RA+naïve T cells were enriched from peripheral blood mononuclear cells from a normal donor using the EasySep™ Human CD3+ or Naïve CD8+ T Cell Isolation Kits (StemCell Technologies) as per the manufacturer protocols. The final cell populations were determined to be >98% CD3+ or CD8+CD45RA+ T cells by flow cytometry. Proliferation in the culture was measured after stain with Alamar blue (ThermoFisher Cat. No. DAL1100) for 1 hour at 37° C., and then read on a Spectramax plus 384 well reader (Molecular Devices). Proliferation of GNC-expanded CD3+ T cells was expressed as a fold increase in cell number over background of CD3+ T cells in cell culture without GNC (FIG. 16). Proliferation was induced by all constructs tested except the one lacking CD3 binding domain. Culture supernatants were also collected from these cultures and analyzed for the presence of gamma interferon by ELISA. Secretion of gamma interferon (FIG. 17) was high unless CD3 or ROR1 binding domains were changed to FITC in the GNC constructs. Proliferation of naïve CD8+CD45RA+ T cells (FIG. 18) was more sensitive to the presence or absence of 4-1BB binding domain compared to total CD3+ T cells as shown by addition of soluble anti-4-1BB monoclonal antibody to the culture in which 4-1BB binding on the GNC was absent. A similar pattern was found for secretion of gamma interferon from the naïve CD8+ T cells (FIG. 19).
  • Example 3. Scale Up and Formulation of a First GNC-Activated Therapeutic Cell Composition
  • The manufacture of GNC-activated and -coated T cells at clinically significant dosage of 10E9 was achieved after 7 days culture. Human PBMC were isolated from LRS cone leukocytes by standard Ficoll density gradient from leukopaks which are enriched leukapheresis product collected from normal human peripheral blood. After collection the cells were frozen at −80° C. and then later thawed before putting in culture. Using the G-Rex plate and bioreactor culture systems, the growth of SI-38E17 GNC-stimulated PBMC cultures was monitored for up to 14 days. The culture medium consisted of RPMI 1640, 10% fetal calf serum, 1% non-essential amino acids, 1% GlutaMax, 0.6% glutamine-alanine supplement, 15 ng/mL human IL-2, and 1 nM GNC protein. The 6-well G-Rex cultures tolerated seeding densities of 25-100 million PBMC/well for six days, which greatly exceeded recommended amounts, but was tolerated by the cells in the system with a single 50% medium change on day 7. Clustering of cells was indicative of their activation in the culture (FIG. 20). At least 250 million cells from one leukapheresis donor were seeded into two G-Rex 100M bioreactors and cultured in 1 liter of culture medium for seven days. The larger volume of medium allowed the culture to continue without needing to exchange the culture medium. Cell yield in each of the 100M bioreactors was between 1.2-1.4 billion cells with greater than 88% viability.
  • Example 4. A Second GNC-Activated Therapeutic Cell Composition
  • The cells from the bioreactor were harvested as the first GNC-activated therapeutic cell composition, which were optionally concentrated using LOVO Automated Cell Processing System (Fresenius Kabi). One sample (Product B) was exposed to 1 nM SI-38E17, which is identical to the first GNC in this case for preparing a second GNC-activated therapeutic cell composition, potential for being used to target treat patients harboring CD19 positive malignancies (FIG. 21A).
  • After the second concentration step (100 mL volume) during the processing in the LOVO system, the second GNC-activated therapeutic cells were washed twice before eluting to a final volume of 54 mL in a sterile processing bag. The other sample (Product A) was only exposed to the first GNC protein during the culture phase and not re-exposed during processing in the LOVO system (FIG. 21A). Cells were removed from bags, mixed 1:1 with CryoStor CS10 reagent, and frozen to −80° C. The processed cells were thawed and compared to the thawed unstimulated PBMC from the same donor before culture.
  • Cell viability from the GNC-expanded T cell (GET) culture was >75% and was not affected by exposure to additional GNC reagent (GNC-T, Product B) during processing (FIG. 21B). The mean diameter of the cells increased during culture, indicative of cell activation. Flow cytometry was performed on the input PBMC cell material and the two formulations after thawing using a multi-color panel of antibodies to stain for: live/dead (e780), CD45, TCRα/β, CD56, CD4, CD8, CD14, TCRγ/δ, and CD20. Gating for quantification of the different cell subsets is shown on the GNC-activated T cells (Product A) and the additional GNC-coated GNC-T cells (Product B) (FIGS. 22A and 22B). The percentages of each subpopulation of cells were similar between Product A and Product B, but very different from those of input PBMC (FIG. 22C). FIG. 23 summaries the total number and percentage of each subpopulation of cells. Compared to the input PBMC cell material, while the total number of leukocytes increased from 250 to 1000 millions or four-fold, the total number of each subpopulation of T cells was vastly increased by 55-fold for α/β T cells, 45-fold for CD4+ T cells, and 78-fold for CD8+ T cells. In this context, the increase of γ/δ T cells was modest at 5-fold, and TCRα/β−/lo, γ/δ+, CD8+ T cells seemed to the most abundant. Finally, the characteristic feature of both Product A and Product B cell compositions is the fact that there were no detectable B cells.
  • This example illustrates a number of advantages of GNC-T cells in comparison to CAR-T cell preparations. First, the cell composition of the starting material was fresh PBMC from the donor and did not need to be pre-selected for particular subsets of cells or require addition of feeder cells or synthetic beads. The GNC protein was 100% non-nucleotide biological material, and did not require the transfer of RNA or DNA into the cells, or transfection with a viral vector. The GNC-induced expansion yielded a therapeutic dose in 9 days, compared to the average of 40 days for CAR-T cell expansion. The resulting cells were devoid of B cells and highly enriched for activated CD4+ and CD8+ T cells that had potent killing potential against their specific targets. The GNC therapeutic composition was viable and bioactive upon thaw from −80° C. Together these advantages are expected to significantly lower waiting times, costs and issues related to infrastructure and training related to CAR-T cell therapy. Improvements in the purity, safety and quantity of the end product will be of significant benefit to the patient.
  • Example 5. PBMC Pre-Activated with GNC Proteins are Redirected to Potently Kill Tumor Cells
  • Six of the GNC SI-35 class proteins listed in Table 4 were tested for the ability to activate PBMC for redirected T cell cytotoxicity (RTCC) activity against a human ROR1-transduced CHO cell line (FIG. 24). GNC proteins were prepared at 2× final concentration and titrated 1:3 across 10 wells of a 96 well plate in 200 ul of RPMI+10% FBS. In the final destination 96 well plate, the PBMC and serially titrated antibodies were combined by adding 100 μL of PBMC (200,000), and 100 μL of each antibody dilution to each well of the assay. The assay plate was incubated at 37° C. for approximately 72 hours before the addition of CFSE-labeled CHO-ROR1 cells. CHO-ROR1 target cells, 5×10e6, were labeled with CFSE (Invitrogen, #C34554) at 0.5 μM in 10 mL of culture media for 20 minutes at 37° C. The CHO-ROR1 cells were washed 3 times with 50 mL of culture media before resuspending in 10 mL, counted again and then 5,000 CFSE-labeled CHO-ROR1 cells were added to each well of GNC-activated PBMC. Cells were incubated for another 72 hours and then the contents of each assay well were harvested and analyzed for the number of CFSE-labeled target cells remaining. As shown on FIG. 24, all of the GNC proteins tested directed RTCC activity with SI-35E42, SI-35E43, and SI-35E46 being the most potent in reducing the number of CHO-ROR1 cells in the well.
  • To further demonstrate the killing effects of GNC-labeled PBMC against human tumor cells, a GNC-dose and effector:target ratio escalation experiment was performed using an IncuCyte S3 Live Cell Analysis System (Sartorius/Essen Biosciences) to monitor the cells over time. PBMC from a healthy donor were labeled with GNC protein SI-38E17 at 10-fold serial doses ranging from 0.01 to 100 nM for 30 minutes at 37° C. and then washed prior to culture. The GNC SI-38E17 targets the CD19 antigen expressed on B cell surfaces, and therefore, the Kasumi-2 precursor B cell leukemia line was chosen as a target cell. The Kasumi-2 cell used was transduced to express green fluorescence protein (GFP) and therefore the presence of tumor cells was tracked by measuring the average green fluorescence in 4 images/well collected 9 times over a six-day period. The effector:target (E:T) ratios were escalated by adding GNC-labeled PBMC in a serial 2-fold dilution of 5,000 (1:1) to 160,000 (32:1) cells to duplicate wells. As shown in FIG. 25, Kasumi-2 cells increased in number in the wells that had from 1:1 to 8:1 E:T ratios of unlabeled PBMC. Exposure to as little as 0.1 nM GNC led to decreased growth of Kasumi-2 in the 1:1 culture with suppression increasing at each 2-fold increase in the E:T ratio. Coating of PBMC with 1 nM or greater concentrations of GNC led to nearly complete elimination of Kasumi-2 cells after 42 hours of culture at all E:T ratios.
  • As a follow up experiment, three other transformed B cell lines: NALM-6, MEC-1, and Daudi and the acute T cell leukemia line, Jurkat, were used as target cells. These target cells were previously transduced by lentivirus to constitutively express the NucRed 647 molecule. In this assay, PBMC were exposed to 10-fold doses of GNC protein SI-38E17 for 30 minutes at 37° C. and then washed as before. PBMC were plated at 1.2×106 cells/well and 50,000 target tumor cells were added. Cells were placed in IncuCyte S3 set to collect red fluorescence images (4 images/well) collected at 10 time points over a 5.5-day period (FIG. 26). Growth curves were established for all four tumor cell lines in the absence of PBMC (null). Labeling of PBMC with 1 nM or more of GNC protein SI-38E17 led to arrested growth of all three B cell lines but not Jurkat T cell leukemia. The B cell lines varied in their susceptibility to PBMC cells pre-exposed to 0.1 nM of GNC protein.
  • As a different method of quantifying the outcome of cultures of GNC-T cells with tumor cells, we established a limit of quantification (LOQ) curve for detection by flow cytometry. Daudi-Red cells were serially diluted 10-fold in a range from 200,000 to 20 cells and then mixed 1:1 with 1 million PBMC to create samples of 10%, 1.0%, 0.1%, 0.01% and 0.001% tumor cells, which were then analyzed by flow cytometry (FIG. 27). Next, cells were harvested from a 15 day 6-well G-Rex culture of 1 nM GNC-expanded T cells that had been spiked with 10%, 1% or 0.1% of NALM-6, MEC-1, Daudi, or Jurkat (all NucRed-transduced) tumor cells at time 0 and analyzed using the same flow cytometry settings as above. Tumor cells were reduced to less than 0.001% in all conditions with the exception of the culture in which the MEC-1 tumor line was spiked in at 10% were 44 cells were detected. In this condition the MEC-1 cells were reduced to <0.01% in the culture.
  • While the present disclosure has been described with reference to particular embodiments or examples, it may be understood that the embodiments are illustrative and that the disclosure scope is not so limited. Alternative embodiments of the present disclosure may become apparent to those having ordinary skill in the art to which the present disclosure pertains. Such alternate embodiments are considered to be encompassed within the scope of the present disclosure. Accordingly, the scope of the present disclosure is defined by the appended claims and is supported by the foregoing description. All references cited or referred to in this disclosure are hereby incorporated by reference in their entireties.
  • Tables
  • TABLE 1A
    Composition of example GNC proteins with T cell binding domains.
    Moiety 1
    Activation Agonist Moiety 2
    of T cells receptor Antagonist receptor Tumor Antigen
    CD3 CD28, 41BB, PDL1, PD1, TIGIT, BCMA, CD19, CD20,
    OX40, GITR, TIM-3, LAG-3, CD33, CD123, CD22,
    CD40L, ICOS, CTLA4, BTLA, CD30, ROR1, CEA,
    Light, CD27, VISTA, PDL2 HER2, EGFR,
    CD30 EGFRvIII,
    LMP1, LMP2A,
    Mesothelin, PSMA,
    EpCAM, glypican-3,
    gpA33, GD2,
    TROP2
  • TABLE 2
    Examples of possible combinations of T cell activation, T cell agonist, T cell antagonist,
    and tumor antigen binding domains in a single GNC protein.
    T cell Tumor T cell T cell T cell T cell T cell T cell
    GNC protein activation antigen antagonist agonist antagonist antagonist antagonist agonist
    Bi-specific CD3 ROR1
    Tri-specific CD3 ROR1 PD1
    Tetra-specific CD3 ROR1 PD1 41BB
    Penta-specific CD3 ROR1 PD1 41BB LAG3
    Hexa-specific CD3 ROR1 PD1 41BB LAG3 TIM3
    Hepta-specific CD3 ROR1 PD1 41BB LAG3 TIM3 TIGIT
    Octa-specific CD3 ROR1 PD1 41BB LAG3 TIM3 TIGIT CD28
  • TABLE 3
    Specificity of antibody binding domains used in GNC proteins.
    AgBD Specificity Antibody Name
    CD3ε 284A10
    480C8
    4-1BB 460C3
    420H5
    466F6
    FITC 4420
    PD-L1 PL230C6
    CD19 21D4
    ROR1 323H7
    IgD Domain 330F11
    Kringle Domain 338H4
    Frizzled Domain 324C6
    EGFRvIII 806
  • TABLE 4
    Classes of tetra-specific GNC antibodies targeting EGFRvIII (SI-39E), ROR1 (SI-35E), and
    CD19 (SI-38E).
    GNC AgBD 1 Humanized AgBD 2 Humanized IgG1 AgBD 3 Humanized AgBD 4 Humanized
    ID (LH-scFv) Variant (Fab) Variant Fc (HL-scFv) Variant (HL-ScFv) Variant
    SI-39E18 284A10 L1H1 806 n2 PL221G5 H1L1 420H5 H3L3
    SI-39E29 806 284A10 H1L1 n2 PL221G5 H1L1 420H5 H3L3
    SI-35E20 466F6 L5H2 PL230C6 H3L2 n2 323H7 H4L1 284A10 H1L1
    SI-35E58 284A10 L1H1 PL230C6 H3L2 n2 323H7 H4L1 466F6 H2L5
    SI-35E88 284A10 L1H1 323H7 H4L1 n2 PL230C6 H3L2 466F6 H2L5
    SI-35E99 284A10 L1H1 323H7 H4L1 n2 PL221G5 H1L1 466F6 H2L5
    SI-35E18 460C3 L1H1 PL230C6 H3L2 n2 323H7 H4L1 284A10 H1L1
    SI-35E19 420H5 L3H3 PL230C6 H3L2 n2 323H7 H4L1 284A10 H1L1
    SI-35E36 4420 PL230C6 H3L2 n2 338H4 H3L4 284A10 H1L1
    SI-35E37 460C3 L1H1 4420 n2 338H4 H3L4 284A10 H1L1
    SI-35E38 460C3 L1H1 PL230C6 H3L2 n2 4420 284A10 H1L1
    SI-35E39 460C3 L1H1 PL230C6 H3L2 n2 338H4 H3L4 4420
    SI-38E17 284A10 H1L1 21D4 n2 PL221G5 H1L1 466F6 H2L5
    SI-38E33 21D4 284A10 H1L1 n2 PL221G5 H1L1 466F6 H2L5
  • SEQ ID Description
    1 anti-CD3 284A10 VHv1 nt
    2 anti-CD3 284A10 VHv1 aa
    3 anti-CD3 284A10 VLv1 nt
    4 anti-CD3 284A10 VLv1 aa
    5 anti-PD-L1 PL23006 VHv3 nt
    6 anti-PD-L1 PL23006 VHv3 aa
    7 anti-PD-L1 PL23006 VLv2 nt
    8 anti-PD-L1 PL23006 VLv2 aa
    9 anti-PD-L1 PL221G5 VHv1 nt
    10 anti-PD-L1 PL221G5 VHv1 aa
    11 anti-PD-L1 PL221G5 VLv1 nt
    12 anti-PD-L1 PL221G5 VLv1 aa
    13 anti-4-1BB 420H5 VHv3 nt
    14 anti-4-1BB 420H5 VHv3 aa
    15 anti-4-1BB 420H5 VLv3 nt
    16 anti-4-1BB 420H5 VHLv3 aa
    17 anti-4-1BB 466F6 VHv2 nt
    18 anti-4-1BB 466F6 VHv2 aa
    19 anti-4-1BB 466F6 VLv5 nt
    20 anti-4-1BB 466F6 VLv5 aa
    21 anti-4-1BB 460C3 VHv1 nt
    22 anti-4-1BB 460C3 VHv1 aa
    23 anti-4-1BB 460C3 VLv1 nt
    24 anti-4-1BB 460C3 VLv1 aa
    25 anti-ROR1 323H7 VHv4 nt
    26 anti-ROR1 323H7 VHv4 aa
    27 anti-ROR1 323H7 VLv1 nt
    28 anti-ROR1 323H7 VLv1 aa
    29 anti-ROR1 338H4 VHv3 nt
    30 anti-ROR1 338H4 VHv3 aa
    31 anti-ROR1 338H4 VLv4 nt
    32 anti-ROR1 338H4 VLv4 aa
    33 anti-FITC 4-4-20 VH nt
    34 anti-FITC 4-4-20 VH aa
    35 anti-FITC 4-4-20 VL nt
    36 anti-FITC 4-4-20 VL aa
    37 human IgG1 null2 (G1m-fa with ADCC/CDC null
    mutations) nt
    38 human IgG1 null2 (G1m-fa with ADCC/CDC null
    mutations) aa
    39 human Ig Kappa nt
    40 human Ig Kappa aa
    41 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) heavy chain nt
    42 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) heavy chain aa
    43 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) light chain nt
    44 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) light chain aa
    45 anti-CD3 284A10 VHv1b nt
    46 anti-CD3 284A10 VHv1b aa
    47 anti-huCD19 21D4 VH nt
    48 anti-huCD19 21D4 VH aa
    49 anti-huCD19 21D4 VL nt
    50 anti-huCD19 21D4 VL aa
    51 anti-huEGFRvIII 806 VH nt
    52 anti-huEGFRvIII 806 VH aa
    53 anti-huEGFRvIII 806 VL nt
    54 anti-huEGFRvIII 806 VL aa
    55 GGGGSGGGGSG linker nt
    56 GGGGSGGGGSG linker aa
    57 GGGSGGGGS linker 01 nt
    58 GGGSGGGGS linker 01 aa
    59 GGGSGGGGS linker 02 nt
    60 GGGSGGGGS linker 02 aa
    61 GGGSGGGGSGGGSGGGGS linker nt
    62 GGGSGGGGSGGGSGGGGS linker aa
    63 SI-39E18 (284A10-L1H1-scFv × 806-Fab ×
    PL221G5-H1L1-sc Fv × 420H5-H3L3-scFv) heavy chain nt
    64 SI-39E18 (284A10-L1H1-scFv × 806-Fab ×
    PL221G5-H1L1-sc Fv × 420H5-H3L3-scFv) heavy chain aa
    65 SI-39E18 (284A10-L1H1-scFv × 806-Fab ×
    PL221G5-H1L1-sc Fv × 420H5-H3L3-scFv) light chain nt
    66 SI-39E18 (284A10-L1H1-scFv × 806-Fab ×
    PL221G5-H1L1-sc Fv × 420H5-H3L3-scFv) light chain aa
    67 SI-39E29 (806-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-scFv × 420H5-H3L3-scFv) heavy chain nt
    68 SI-39E29 (806-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-scFv × 420H5-H3L3-scFv) heavy chain aa
    69 SI-39E29 (806-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-scFv × 420H5-H3L3-scFv) light chain nt
    70 SI-39E29 (806-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-scFv × 420H5-H3L3-scFv) light chain aa
    71 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab × 3
    23H7-H4L1-scFv × 284A10-H1L1-scFv) heavy chain nt
    72 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) heavy chain aa
    73 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) light chain nt
    74 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab ×
    323H7-H4L1-scFv × 284A10-H1L1-scFv) light chain aa
    75 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-sc Fv × 466F6-H2L5-scFv) heavy chain nt
    76 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-sc Fv × 466F6-H2L5-scFv) heavy chain aa
    77 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-sc Fv × 466F6-H2L5-scFv) light chain nt
    78 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab ×
    323H7-H4L1-sc Fv × 466F6-H2L5-scFv) light chain aa
    79 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab ×
    PL230C6-H3L2-sc Fv × 466F6-H2L5-scFv) heavy chain nt
    80 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab ×
    PL230C6-H3L2-sc Fv × 466F6-H2L5-scFv) heavy chain aa
    81 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab ×
    PL230C6-H3L2-sc Fv × 466F6-H2L5-scFv) light chain nt
    82 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab ×
    PL230C6-H3L2-sc Fv × 466F6-H2L5-scFv) light chain aa
    83 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) heavy chain nt
    84 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) heavy chain aa
    85 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) light chain nt
    86 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) light chain aa
    87 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab ×
    PL221G5-H1L1-scFv × 466F6-H2L5-scFv) heavy chain nt
    88 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab ×
    PL221G5-H1L1-scFv × 466F6-H2L5-scFv) heavy chain aa
    89 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab ×
    PL221G5-H1L1-scFv × 466F6-H2L5-scFv) light chain nt
    90 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab ×
    PL221G5-H1L1-scFv × 466F6-H2L5-scFv) light chain aa
    91 SI-38E33 (21D4-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) heavy chain nt
    92 SI-38E33 (21D4-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) heavy chain aa
    93 SI-38E33 (21D4-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) light chain nt
    94 SI-38E33 (21D4-LH-scFv × 284A10-Fab ×
    PL221G5-H1L1-sc Fv × 466F6-H2L5-scFv) light chain aa
  • GNC-T Sequence Listing of Tetra-Specific GNC Antibodies
  • >SEQ ID 01 anti-CD3 284A10 VHv1 nt
    GAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGG
    ATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTA
    CTGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACG
    CTGTATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGCGCGACGGTGGATCATCTGC
    TATTACTAGTAACAACATTTGGGGCCAAGGAACTCTGGTCACCGTTTCTTCA
    >SEQ ID 02 anti-CD3 284A10 VHv1 aa
    EVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASWAKGRFTISRDNSKNT
    LYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSS
    >SEQ ID 03 anti-CD3 284A10 VLv1 nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCAATTGCCAAGCCAG
    TGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGAAGCAT
    CCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAGTTCACTCTCACCATCAGCAGC
    CTGCAGCCTGATGATTTTGCAACTTATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTT
    CGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 04 anti-CD3 284A10 VLv1 aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSGSGSGTEFTLTISS
    LQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIK
    >SEQ ID 05 anti-PD-L1 PL230C6 VHv3 nt
    CAGTCGGTGGAGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACAGCCTCTGGAAT
    CGACCTTAATACCTACGACATGATCTGGGTCCGCCAGGCTCCAGGCAAGGGGCTAGAGTGGGTTGGAATCATTACTT
    ATAGTGGTAGTAGATACTACGCGAACTGGGCGAAAGGCCGATTCACCATCTCCAAAGACAATACCAAGAACACGGTG
    TATCTGCAAATGAACAGCCTGAGAGCTGAGGACACGGCTGTGTATTACTGTGCCAGAGATTATATGAGTGGTTCCCA
    CTTGTGGGGCCAGGGAACCCTGGTCACCGTCTCTAGT
    >SEQ ID 06 anti-PD-L1 PL230C6 VHv3 aa
    QSVEESGGGLVQPGGSLRLSCTASGIDLNTYDMIWVRQAPGKGLEWVGIITYSGSRYYANWAKGRFTISKDNTKNTV
    YLQMNSLRAEDTAVYYCARDYMSGSHLWGQGTLVTVSS
    >SEQ ID 07 anti-PD-L1 PL230C6 VLv2 nt
    GCCTATGATATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCAAGTGTCAGGCCAG
    TGAGGACATTTATAGCTTCTTGGCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCCATTCTGCAT
    CCTCTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGC
    CTGCAGCCTGAAGATTTTGCAACTTACTATTGTCAACAGGGTTATGGTAAAAATAATGTTGATAATGCTTTCGGCGG
    AGGGACCAAGGTGGAGATCAAA
    >SEQ ID 08 anti-PD-L1 PL230C6 VLv2 aa
    AYDMTQSPSSVSASVGDRVTIKCQASEDIYSFLAWYQQKPGKAPKLLIHSASSLASGVPSRFSGSGSGTDFTLTISS
    LQPEDFATYYCQQGYGKNNVDNAFGGGTKVEIK
    >SEQ ID 09 anti-PD-L1 PL221G5 VHv1 nt
    GAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGG
    ATTCTCCTTCAGTAGCGGGTACGACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGCA
    TTGCTGCTGGTAGTGCTGGTATCACTTACGACGCGAACTGGGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCC
    AAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGATCGGCGTT
    TTCGTTCGACTACGCCATGGACCTCTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGC
    >SEQ ID 10 anti-PD-L1 PL221G5 VHv1 aa
    EVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKGLEWIACIAAGSAGITYDANWAKGRFTISRDNS
    KNTLYLQMNSLRAEDTAVYYCARSAFSFDYAMDLWGQGTLVTVSS
    >SEQ ID 11 anti-PD-L1 PL221G5 VLv1 nt
    GACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGGCCAG
    TCAGAGCATTAGTTCCCACTTAAACTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATAAGGCAT
    CCACTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGC
    CTGCAGCCTGATGATTTTGCAACTTATTACTGCCAACAGGGTTATAGTTGGGGTAATGTTGATAATGTTTTCGGCGG
    AGGGACCAAGGTGGAGATCAAA
    >SEQ ID 12 anti-PD-L1 PL221G5 VLv1 aa
    DIQMTQSPSTLSASVGDRVTITCQASQSISSHLNWYQQKPGKAPKLLIYKASTLASGVPSRFSGSGSGTEFTLTISS
    LQPDDFATYYCQQGYSWGNVDNVFGGGTKVEIK
    >SEQ ID 13 anti-4-1BB 420H5 VHv3 nt
    CAGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATT
    CTCCTTCAGTAGCAACTACTGGATATGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGCATTT
    ATGTTGGTAGTAGTGGTGACACTTACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAG
    AACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGAGATAGTAGTAG
    TTATTATATGTTTAACTTGTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGC
    >SEQ ID 14 anti-4-1BB 420H5 VHv3 aa
    QSLVESGGGLVQPGGSLRLSCAASGFSFSSNYWICWVRQAPGKGLEWIACIYVGSSGDTYYASSAKGRFTISRDNSK
    NTLYLQMNSLRAEDTAVYYCARDSSSYYMFNLWGQGTLVTVSS
    >SEQ ID 15 anti-4-1BB 420H5 VLv3 nt
    GCCCTTGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCAATTGCCAGGCCAG
    TGAGGACATTGATACCTATTTAGCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTTTTATGCAT
    CCGATCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTCACTCTCACCATCAGCAGC
    CTGCAGCCTGATGATTTTGCAACTTATTACTGCCAAGGCGGTTACTATACTAGTAGTGCTGATACGAGGGGTGCTTT
    CGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 16 anti-4-1BB 420H5 VLv3 aa
    ALVMTQSPSTLSASVGDRVTINCQASEDIDTYLAWYQQKPGKAPKLLIFYASDLASGVPSRFSGSGSGTEFTLTISS
    LQPDDFATYYCQGGYYTSSADTRGAFGGGTKVEIK
    >SEQ ID 17 anti-4-1BB 466F6 VHv2 nt
    CGGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACAGCCTCTGGATT
    CACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTACATCGGAACCATTAGTA
    GTGGTGGTAATGTATACTACGCGAGCTCCGCGAGAGGCAGATTCACCATCTCCAGACCCTCGTCCAAGAACACGGTG
    GATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGATCC
    TATGTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGC
    >SEQ ID 18 anti-4-1BB 466F6 VHv2 aa
    RSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAPGKGLEYIGTISSGGNVYYASSARGRFTISRPSSKNTV
    DLQMNSLRAEDTAVYYCARDSGYSDPMWGQGTLVTVSS
    >SEQ ID 19 anti-4-1BB 466F6 VLv5 nt
    GACGTTGTGATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCACCTGTCAGGCCAG
    TCAGAACATTAGGACTTACTTATCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAG
    CCAATCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCGAC
    CTGGAGCCTGGCGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACTGATTATGTTGGCGGTGCTTTCGG
    CGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 20 anti-4-1BB 466F6 VLv5 aa
    DVVMTQSPSSVSASVGDRVTITCQASQNIRTYLSWYQQKPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISD
    LEPGDAATYYCQSTYLGTDYVGGAFGGGTKVEIK
    >SEQ ID 21 anti-4-1BB 460C3 VHv1 nt
    GAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGG
    AATCGACTTCAGTAGGAGATACTACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGCA
    TATATACTGGTAGCCGCGATACTCCTCACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCC
    AAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGAGAAGGTAG
    CCTGTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGC
    >SEQ ID 22 anti-4-1BB 460C3 VHv1 aa
    EVQLLESGGGLVQPGGSLRLSCAASGIDFSRRYYMCWVRQAPGKGLEWIACIYTGSRDTPHYASSAKGRFTISRDNS
    KNTLYLQMNSLRAEDTAVYYCAREGSLWGQGTLVTVSS
    >SEQ ID 23 anti-4-1BB 460C3 VLv1 nt
    GACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGTCCAG
    TCAGAGTGTTTATAGTAACTGGTTCTCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATTCTG
    CATCCACTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTCACTCTCACCATCAGC
    AGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCGCAGGCGGTTACAATACTGTTATTGATACTTTTGCTTTCGG
    CGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 24 anti-4-1BB 460C3 VLv1 aa
    DIQMTQSPSTLSASVGDRVTITCQSSQSVYSNWFSWYQQKPGKAPKLLIYSASTLASGVPSRFSGSGSGTEFTLTIS
    SLQPDDFATYYCAGGYNTVIDTFAFGGGTKVEIK
    >SEQ ID 25 anti-ROR1 323H7 VHv4 nt
    GAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGG
    ATTCACCATCAGTCGCTACCACATGACTTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATTT
    ATGTTAATAATGATGACACAGACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAAC
    ACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCACCTATTTCTGTGCGAGATTGGATGTTGGTGG
    TGGTGGTGCTTATATTGGGGACATCTGGGGCCAGGGAACTCTGGTTACCGTCTCTTCA
    >SEQ ID 26 anti-ROR1 323H7 VHv4 aa
    EVQLLESGGGLVQPGGSLRLSCAASGETISRYHMTWVRQAPGKGLEWIGHIYVNNDDTDYASSAKGRFTISRDNSKN
    TLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQGTLVTVSS
    >SEQ ID 27 anti-ROR1 323H7 VLv1 nt
    GACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGTCCAG
    TCAGAGTGTTTATAACAACAACGACTTAGCCTGGTATCAGCAGAAACCAGGGAAAGTTCCTAAGCTCCTGATCTATT
    ATGCTTCCACTCTGGCATCTGGGGTCCCATCTCGGTTCAGTGGCAGTGGATCTGGGACAGATTTCACTCTCACCATC
    AGCAGCCTGCAGCCTGAAGATGTTGCAACTTATTACTGTGCAGGCGGTTATGATACGGATGGTCTTGATACGTTTGC
    TTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 28 anti-ROR1 323H7 VLv1 aa
    DIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAWYQQKPGKVPKLLIYYASTLASGVPSRFSGSGSGTDFTLTI
    SSLQPEDVATYYCAGGYDTDGLDTFAFGGGTKVEIK
    >SEQ ID 29 anti-ROR1 338H4 VHv3 nt
    GAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACTGCCTCTGG
    ATTCTCCCTCAGTAGCTATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAGGGGGCTGGAGTGGATCGGAATCATTT
    ATGCTAGTGGTAGCACATACTACGCGAGCTCGGCGAAAGGCAGATTCACCATCTCCAAAGACAATACCAAGAACACG
    GTGGATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAATTTATGACGGCATGGA
    CCTCTGGGGCCAGGGAACTCTGGTTACCGTCTCTTCA
    >SEQ ID 30 anti-ROR1 338H4 VHv3 aa
    EVQLVESGGGLVQPGGSLRLSCTASGFSLSSYAMSWVRQAPGRGLEWIGIIYASGSTYYASSAKGRFTISKDNTKNT
    VDLQMNSLRAEDTAVYYCARIYDGMDLWGQGTLVTVSS
    >SEQ ID 31 anti-ROR1 338H4 VLv4 nt
    GACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCAATTGCCAGGCCAG
    TCAGAACATTTACAGCTACTTATCCTGGTATCAGCAGAAACCAGGGAAAGTTCCTAAGCGCCTGATCTATCTGGCAT
    CTACTCTGGCATCTGGGGTCCCATCTCGGTTCAGTGGCAGTGGATCTGGGACAGATTACACTCTCACCATCAGCAGC
    CTGCAGCCTGAAGATGTTGCAACTTATTACTGTCAAAGCAATTATAACGGTAATTATGGTTTCGGCGGAGGGACCAA
    GGTGGAGATCAAA
    >SEQ ID 32 anti-ROR1 338H4 VLv4 aa
    DIQMTQSPSSLSASVGDRVTINCQASQNIYSYLSWYQQKPGKVPKRLIYLASTLASGVPSRFSGSGSGTDYTLTISS
    LQPEDVATYYCQSNYNGNYGFGGGTKVEIK
    >SEQ ID 33 anti-FITC 4420 VH nt
    GAGGTGAAGCTGGATGAGACTGGAGGAGGCTTGGTGCAACCTGGGAGGCCCATGAAACTCTCCTGTGTTGCCTCTGG
    ATTCACTTTTAGTGACTACTGGATGAACTGGGTCCGCCAGTCTCCAGAGAAAGGACTGGAGTGGGTAGCACAAATTA
    GAAACAAACCTTATAATTATGAAACATATTATTCAGATTCTGTGAAAGGCAGATTCACCATCTCAAGAGATGATTCC
    AAAAGTAGTGTCTACCTGCAAATGAACAACTTAAGAGTTGAAGACATGGGTATCTATTACTGTACGGGTTCTTACTA
    TGGTATGGACTACTGGGGTCAAGGAACCTCAGTCACCGTCTCCTCA
    >SEQ ID 34 anti-FITC 4420 VH aa
    EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDSVKGRFTISRDDS
    KSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSS
    >SEQ ID 35 anti-FITC 4420 VL nt
    GATGTCGTGATGACCCAAACTCCACTCTCCCTGCCTGTCAGTCTTGGAGATCAAGCCTCCATCTCTTGCAGATCTAG
    TCAGAGCCTTGTACACAGTAATGGAAACACCTATTTACGTTGGTACCTGCAGAAGCCAGGCCAGTCTCCAAAGGTCC
    TGATCTACAAAGTTTCCAACCGATTTTCTGGGGTCCCAGACAGGTTCAGTGGCAGTGGATCAGGGACAGATTTCACA
    CTCAAGATCAGCAGAGTGGAGGCTGAGGATCTGGGAGTTTATTTCTGCTCTCAAAGTACACATGTTCCGTGGACGTT
    CGGTGGAGGCACCAAGCTGGAAATCAAA
    >SEQ ID 36 anti-FITC 4420 VL aa
    DVVMTQTPLSLPVSLGDQASISCRSSQSLVHSNGNTYLRWYLQKPGQSPKVLIYKVSNRFSGVPDRFSGSGSGTDFT
    LKISRVEAEDLGVYFCSQSTHVPWTFGGGTKLEIK
    >SEQ ID 37 human IgG1 null (G1m-fa with ADCC/CDC null mutations) nt
    GCTAGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGG
    CTGCCTGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACA
    CCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGC
    ACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTG
    TGACAAAACTCACACATGCCCACCGTGCCCAGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAA
    AACCCAAGGACACCCTCATGATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCT
    GAGGTCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGAGCAGTACAA
    CAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGG
    TCTCCAACAAAGCCCTCCCAGCCCCCATCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTG
    TACACCCTGCCCCCATCCCGGGATGAGCTGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCC
    CAGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACT
    CCGACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGTCTTCTCATGC
    TCCGTGATGCATGAGGCTCTGCACAACCACTACACGCAGAAGAGCCTCTCCCTGTCTCCGGGT
    >SEQ ID 38 human IgG1 null (G1m-fa with ADCC/CDC null mutations) aa
    ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLG
    TQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLEPPKPKDTLMISRTPEVTCVVVDVSHEDP
    EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQV
    YTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSC
    SVMHEALHNHYTQKSLSLSPG
    >SEQ ID 39 human Ig Kappa nt
    CGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTGAAATCTGGAACTGCCTCTGTTGT
    GTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTACAGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACT
    CCCAGGAGAGTGTCACAGAGCAGGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCA
    GACTACGAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCTTCAA
    CAGGGGAGAGTGT
    >SEQ ID 40 human Ig Kappa aa
    RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKA
    DYEKHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 41 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) heavy chain nt
    GACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGTCCAG
    TCAGAGTGTTTATAGTAACTGGTTCTCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATTCTG
    CATCCACTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTCACTCTCACCATCAGC
    AGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCGCAGGCGGTTACAATACTGTTATTGATACTTTTGCTTTCGG
    CGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTG
    GAGGATCAGAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCA
    GCCTCTGGAATCGACTTCAGTAGGAGATACTACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGAT
    CGCATGCATATATACTGGTAGCCGCGATACTCCTCACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAG
    ACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGA
    GAAGGTAGCCTGTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGCGGTGGAGGGTCCGGCGGTGGTGGATCCCA
    GTCGGTGGAGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACAGCCTCTGGAATCG
    ACCTTAATACCTACGACATGATCTGGGTCCGCCAGGCTCCAGGCAAGGGGCTAGAGTGGGTTGGAATCATTACTTAT
    AGTGGTAGTAGATACTACGCGAACTGGGCGAAAGGCCGATTCACCATCTCCAAAGACAATACCAAGAACACGGTGTA
    TCTGCAAATGAACAGCCTGAGAGCTGAGGACACGGCTGTGTATTACTGTGCCAGAGATTATATGAGTGGTTCCCACT
    TGTGGGGCCAGGGAACCCTGGTCACCGTCTCTAGTGCTAGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCCTCC
    TCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTC
    GTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCA
    GCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAAC
    ACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCACACATGCCCACCGTGCCCAGCACCTGAAGC
    CGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTCATGATCTCCCGGACCCCTGAGGTCA
    CATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGGTCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCAT
    AATGCCAAGACAAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTGCACCA
    GGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCCCCATCGAGAAAACCATCT
    CCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTATACCCTGCCCCCATCCCGGGATGAGCTGACCAAGAACCAG
    GTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGA
    GAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACA
    AGAGCAGGTGGCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACGCAGAAG
    AGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAGCTGTTGGAGTCTGGGGG
    AGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTCGCTACCACATGA
    CTTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATTTATGTTAATAATGATGACACAGACTAC
    GCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCT
    GAGAGCCGAGGACACGGCCACCTATTTCTGTGCGAGATTGGATGTTGGTGGTGGTGGTGCTTATATTGGGGACATCT
    GGGGCCAGGGAACTCTGGTTACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCC
    GGCGGTGGAGGATCAGACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCAT
    CACTTGCCAGTCCAGTCAGAGTGTTTATAACAACAACGACTTAGCCTGGTATCAGCAGAAACCAGGGAAAGTTCCTA
    AGCTCCTGATCTATTATGCTTCCACTCTGGCATCTGGGGTCCCATCTCGGTTCAGTGGCAGTGGATCTGGGACAGAT
    TTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATGTTGCAACTTATTACTGTGCAGGCGGTTATGATACGGATGG
    TCTTGATACGTTTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGATCCG
    AGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGA
    TTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTAC
    TGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGC
    TGTATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGCGCGACGGTGGATCATCTGCT
    ATTACTAGTAACAACATTTGGGGCCAAGGAACTCTGGTCACCGTTTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGG
    TTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTG
    TAGGAGACAGAGTCACCATCAATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCA
    GGGAAAGCCCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGG
    ATCTGGGACAGAGTTCACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCCAAGGCTATT
    TTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 42 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) heavy chain aa
    DIQMTQSPSTLSASVGDRVTITCQSSQSVYSNWFSWYQQKPGKAPKLLIYSASTLASGVPSRFSGSGSGTEFTLTIS
    SLQPDDFATYYCAGGYNTVIDTFAFGGGTKVEIKGGGGSGGGGSGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCA
    ASGIDFSRRYYMCWVRQAPGKGLEWIACIYTGSRDTPHYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAR
    EGSLWGQGTLVTVSSGGGGSGGGGSQSVEESGGGLVQPGGSLRLSCTASGIDLNTYDMIWVRQAPGKGLEWVGIITY
    SGSRYYANWAKGRFTISKDNTKNTVYLQMNSLRAEDTAVYYCARDYMSGSHLWGQGTLVTVSSASTKGPSVFPLAPS
    SKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSN
    TKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVH
    NAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQ
    VSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQK
    SLSLSPGGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGETISRYHMTWVRQAPGKGLEWIGHIYVNNDDTDY
    ASSAKGRFTISRDNSKNTLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQGTLVTVSSGGGGSGGGGSGGGGS
    GGGGSDIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAWYQQKPGKVPKLLIYYASTLASGVPSRFSGSGSGTD
    FTLTISSLQPEDVATYYCAGGYDTDGLDTFAFGGGTKVEIKGGGGSGGGGSEVQLVESGGGLVQPGGSLRLSCAASG
    FTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSA
    ITSNNIWGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKP
    GKAPKLLIYEASKLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIK
    >SEQ ID 43 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) light chain nt
    GCCTATGATATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCAAGTGTCAGGCCAG
    TGAGGACATTTATAGCTTCTTGGCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCCATTCTGCAT
    CCTCTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGC
    CTGCAGCCTGAAGATTTTGCAACTTACTATTGTCAACAGGGTTATGGTAAAAATAATGTTGATAATGCTTTCGGCGG
    AGGGACCAAGGTGGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTGA
    AATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTACAGTGGAAGGTGGAT
    AACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACAGCAAGGACAGCACCTACAGCCTCAGCAG
    CACCCTGACGCTGAGCAAAGCAGACTACGAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCT
    CGCCCGTCACAAAGAGCTTCAACAGGGGAGAGTGT
    >SEQ ID 44 SI-35E18 (460C3-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) light chain aa
    AYDMTQSPSSVSASVGDRVTIKCQASEDIYSFLAWYQQKPGKAPKLLIHSASSLASGVPSRFSGSGSGTDFTLTISS
    LQPEDFATYYCQQGYGKNNVDNAFGGGTKVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNEYPREAKVQWKVD
    NALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 45 anti-CD3 284A10 VHv1b nt
    GAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGG
    ATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTA
    CTGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACG
    CTGTATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACGGTGGTTCTTCTGC
    TATTACTAGTAACAACATTTGGGGCCAGGGAACCCTGGTCACCGTGTCGACA
    >SEQ ID 46 anti-CD3 284A10 VHv1b aa
    EVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASWAKGRFTISRDNSKNT
    LYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVST
    >SEQ ID 47 anti-huCD19 21D4 VH nt
    GAGGTGCAGCTGGTGCAGTCTGGAGCAGAGGTGAAGAAACCAGGAGAGTCTCTGAAGATCTCCTGTAAGGGTTCTGG
    ATACAGCTTTAGCAGTTCATGGATCGGCTGGGTGCGCCAGGCACCTGGGAAAGGCCTGGAATGGATGGGGATCATCT
    ATCCTGATGACTCTGATACCAGATACAGTCCATCCTTCCAAGGCCAGGTCACCATCTCAGCCGACAAGTCCATCAGG
    ACTGCCTACCTGCAGTGGAGTAGCCTGAAGGCCTCGGACACCGCTATGTATTACTGTGCGAGACATGTTACTATGAT
    TTGGGGAGTTATTATTGACTTCTGGGGCCAGGGAACCCTGGTCACCGTCTCCTCA
    >SEQ ID 48 anti-huCD19 21D4 VH aa
    EVQLVQSGAEVKKPGESLKISCKGSGYSFSSSWIGWVRQAPGKGLEWMGIIYPDDSDTRYSPSFQGQVTISADKSIR
    TAYLQWSSLKASDTAMYYCARHVTMIWGVIIDFWGQGTLVTVSS
    >SEQ ID 49 anti-huCD19 21D4 VL nt
    GCCATCCAGTTGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCGGGCAAG
    TCAGGGCATTAGCAGTGCTTTAGCCTGGTATCAGCAGAAACCAGGGAAAGCTCCTAAGCTCCTGATCTATGATGCCT
    CCAGTTTGGAAAGTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGC
    CTGCAGCCTGAAGATTTTGCAACTTATTACTGTCAACAGTTTAATAGTTACCCATTCACTTTCGGCCCTGGGACCAA
    AGTGGATATCAAA
    >SEQ ID 50 anti-huCD19 21D4 VL aa
    AIQLTQSPSSLSASVGDRVTITCRASQGISSALAWYQQKPGKAPKLLIYDASSLESGVPSRFSGSGSGTDFTLTISS
    LQPEDFATYYCQQFNSYPFTFGPGTKVDIK
    >SEQ ID 51 anti-huEGFRvIII 806 VH nt
    GATGTGCAGCTTCAGGAGTCGGGACCTAGCCTGGTGAAACCTTCTCAGTCTCTGTCCCTCACCTGCACTGTCACTGG
    CTACTCAATCACCAGTGATTTTGCCTGGAACTGGATTCGGCAGTTTCCAGGAAACAAGCTGGAGTGGATGGGCTACA
    TAAGTTATAGTGGTAACACTAGGTACAACCCATCTCTCAAAAGTCGAATCTCTATCACTCGCGACACATCCAAGAAC
    CAATTCTTCCTGCAGTTGAACTCTGTGACTATTGAGGACACAGCCACATATTACTGTGTAACGGCGGGACGCGGGTT
    TCCTTATTGGGGCCAAGGGACTCTGGTCACTGTCTCTGCA
    >SEQ ID 52 anti-huEGFRvIII 806 VH aa
    DVQLQESGPSLVKPSQSLSLTCTVTGYSITSDFAWNWIRQFPGNKLEWMGYISYSGNTRYNPSLKSRISITRDTSKN
    QFFLQLNSVTIEDTATYYCVTAGRGFPYWGQGTLVTVSA
    >SEQ ID 53 anti-huEGFRvIII 806 VL nt
    GACATCCTGATGACCCAATCTCCATCCTCCATGTCTGTATCTCTGGGAGACACAGTCAGCATCACTTGCCATTCAAG
    TCAGGACATTAACAGTAATATAGGGTGGTTGCAGCAGAGACCAGGGAAATCATTTAAGGGCCTGATCTATCATGGAA
    CCAACTTGGACGATGAAGTTCCATCAAGGTTCAGTGGCAGTGGATCTGGAGCCGATTATTCTCTCACCATCAGCAGC
    CTGGAATCTGAAGATTTTGCAGACTATTACTGTGTACAGTATGCTCAGTTTCCGTGGACGTTCGGTGGAGGCACCAA
    GCTGGAAATCAAA
    >SEQ ID 54 anti-huEGFRvIII 806 VL aa
    DILMTQSPSSMSVSLGDTVSITCHSSQDINSNIGWLQQRPGKSFKGLIYHGTNLDDEVPSRFSGSGSGADYSLTISS
    LESEDFADYYCVQYAQFPWTFGGGTKLEIK
    >SEQ ID 55 GGGGSGGGGSG linker nt
    GGCGGTGGAGGGTCCGGCGGTGGTGGCTCCGGA
    >SEQ ID 56 GGGGSGGGGSG linker aa
    GGGGSGGGGSG
    >SEQ ID 57 GGGGSGGGGS linker 01 nt
    GGCGGTGGAGGGTCCGGCGGTGGTGGATCA
    >SEQ ID 58 GGGGSGGGGS linker 01 aa
    GGGGSGGGGS
    >SEQ ID 59 GGGGSGGGGS linker 02 nt
    GGCGGTGGAGGGTCCGGCGGTGGTGGATCC
    >SEQ ID 60 GGGGSGGGGS linker 02 aa
    GGGGSGGGGS
    >SEQ ID 61 GGGGSGGGGSGGGGSGGGGS linker nt
    GGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCA
    >SEQ ID 62 GGGGSGGGGSGGGGSGGGGS linker aa
    GGGGSGGGGSGGGGSGGGGS
    >SEQ ID 63 SI-39E18 (284A10-L1H1-scFv × 806-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) heavy chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCAATTGCCAAGCCAG
    TGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGAAGCAT
    CCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAGTTCACTCTCACCATCAGCAGC
    CTGCAGCCTGATGATTTTGCAACTTATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTT
    CGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCG
    GTGGAGGATCAGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGT
    GCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGAT
    CGGAGTCATTACTGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATT
    CCAAGAACACGCTGTATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGCGCGACGGT
    GGATCATCTGCTATTACTAGTAACAACATTTGGGGCCAAGGAACTCTGGTCACCGTTTCTTCAGGCGGTGGAGGGTC
    CGGCGGTGGTGGATCCGATGTGCAGCTTCAGGAGTCGGGACCTAGCCTGGTGAAACCTTCTCAGTCTCTGTCCCTCA
    CCTGCACTGTCACTGGCTACTCAATCACCAGTGATTTTGCCTGGAACTGGATTCGGCAGTTTCCAGGAAACAAGCTG
    GAGTGGATGGGCTACATAAGTTATAGTGGTAACACTAGGTACAACCCATCTCTCAAAAGTCGAATCTCTATCACTCG
    CGACACATCCAAGAACCAATTCTTCCTGCAGTTGAACTCTGTGACTATTGAGGACACAGCCACATATTACTGTGTAA
    CGGCGGGACGCGGGTTTCCTTATTGGGGCCAAGGGACTCTGGTCACTGTCTCTGCAGCTAGCACCAAGGGCCCATCG
    GTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCTGGTCAAGGACTACTT
    CCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGTCCTACAGT
    CCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAAC
    GTGAATCACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCACACATGCCC
    ACCGTGCCCAGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTCATGA
    TCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGGTCAAGTTCAACTGGTAC
    GTGGACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCGTGTGGTCAG
    CGTCCTCACCGTCCTGCACCAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAG
    CCCCCATCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTACACCCTGCCCCCATCCCGG
    GATGAGCTGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTG
    GGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCTTCTTCCTCT
    ATAGCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCATGAGGCTCTG
    CACAACCACTACACGCAGAAGAGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGT
    GCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCT
    CCTTCAGTAGCGGGTACGACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGCATTGCT
    GCTGGTAGTGCTGGTATCACTTACGACGCGAACTGGGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAA
    CACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGATCGGCGTTTTCGT
    TCGACTACGCCATGGACCTCTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGCGGTGGCGGTAGTGGGGGAGGC
    GGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATC
    TGTAGGAGACAGAGTCACCATCACTTGCCAGGCCAGTCAGAGCATTAGTTCCCACTTAAACTGGTATCAGCAGAAAC
    CAGGGAAAGCCCCTAAGCTCCTGATCTATAAGGCATCCACTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGT
    GGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCCAACAGGG
    TTATAGTTGGGGTAATGTTGATAATGTTTTCGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCG
    GTGGTGGATCCCAGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCA
    GCCTCTGGATTCTCCTTCAGTAGCAACTACTGGATATGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGAT
    CGCATGTATTTATGTTGGTAGTAGTGGTGACACTTACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAG
    ACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGA
    GATAGTAGTAGTTATTATATGTTTAACTTGTGGGGCCAGGGAACCCTGGTCACCGTCTCTTCAGGCGGTGGCGGTAG
    TGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGCCCTTGTGATGACCCAGTCTCCTTCCACCC
    TGTCTGCATCTGTAGGAGACAGAGTCACCATCAATTGCCAGGCCAGTGAGGACATTGATACCTATTTAGCCTGGTAT
    CAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTTTTACGCATCCGATCTGGCATCTGGGGTCCCATCAAGGTT
    CAGCGGCAGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTTATTACT
    GCCAAGGCGGTTACTATACTAGTAGTGCTGATACGAGGGGTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 64 SI-39E18 (284A10-L1H1-scFv × 806-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) heavy chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSGSGSGTEFTLTISS
    LQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKGGGGSGGGGSGGGGSGGGGSEVQLVESGGGLVQPGGSLRLSC
    AASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDG
    GSSAITSNNIWGQGTLVTVSSGGGGSGGGGSDVQLQESGPSLVKPSQSLSLTCTVTGYSITSDFAWNWIRQFPGNKL
    EWMGYISYSGNTRYNPSLKSRISITRDTSKNQFFLQLNSVTIEDTATYYCVTAGRGFPYWGQGTLVTVSAASTKGPS
    VFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICN
    VNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWY
    VDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSR
    DELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL
    HNHYTQKSLSLSPGGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKGLEWIACIA
    AGSAGITYDANWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARSAFSFDYAMDLWGQGTLVTVSSGGGGSGGG
    GSGGGGSGGGGSDIQMTQSPSTLSASVGDRVTITCQASQSISSHLNWYQQKPGKAPKLLIYKASTLASGVPSRFSGS
    GSGTEFTLTISSLQPDDFATYYCQQGYSWGNVDNVFGGGTKVEIKGGGGSGGGGSQSLVESGGGLVQPGGSLRLSCA
    ASGFSFSSNYWICWVRQAPGKGLEWIACIYVGSSGDTYYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAR
    DSSSYYMFNLWGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSALVMTQSPSTLSASVGDRVTINCQASEDIDTYLAWY
    QQKPGKAPKLLIFYASDLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQGGYYTSSADTRGAFGGGTKVEIK
    >SEQ ID 65 SI-39E18 (284A10-L1H1-scFv × 806-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) light chain nt
    GACATCCTGATGACCCAATCTCCATCCTCCATGTCTGTATCTCTGGGAGACACAGTCAGCATCACTTGCCATTCAAG
    TCAGGACATTAACAGTAATATAGGGTGGTTGCAGCAGAGACCAGGGAAATCATTTAAGGGCCTGATCTATCATGGAA
    CCAACTTGGACGATGAAGTTCCATCAAGGTTCAGTGGCAGTGGATCTGGAGCCGATTATTCTCTCACCATCAGCAGC
    CTGGAATCTGAAGATTTTGCAGACTATTACTGTGTACAGTATGCTCAGTTTCCGTGGACGTTCGGTGGAGGCACCAA
    GCTGGAAATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTGAAATCTGGAA
    CTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTACAGTGGAAGGTGGATAACGCCCTC
    CAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGAC
    GCTGAGCAAAGCAGACTACGAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCA
    CAAAGAGCTTCAACAGGGGAGAGTGT
    >SEQ ID 66 SI-39E18 (284A10-L1H1-scFv × 806-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) light chain aa
    DILMTQSPSSMSVSLGDTVSITCHSSQDINSNIGWLQQRPGKSFKGLIYHGTNLDDEVPSRFSGSGSGADYSLTISS
    LESEDFADYYCVQYAQFPWTFGGGTKLEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNAL
    QSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 67 SI-39E29 (806-LH-scFv × 284A10-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) heavy chain nt
    GACATCCTGATGACCCAATCTCCATCCTCCATGTCTGTATCTCTGGGAGACACAGTCAGCATCA
    CTTGCCATTCAAGTCAGGACATTAACAGTAATATAGGGTGGTTGCAGCAGAGACCAGGGAAATC
    ATTTAAGGGCCTGATCTATCATGGAACCAACTTGGACGATGAAGTTCCATCAAGGTTCAGTGGC
    AGTGGATCTGGAGCCGATTATTCTCTCACCATCAGCAGCCTGGAATCTGAAGATTTTGCAGACT
    ATTACTGTGTACAGTATGCTCAGTTTCCGTGGACGTTCGGTGGAGGCACCAAGCTGGAAATCAA
    AGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGAT
    GTGCAGCTTCAGGAGTCGGGACCTAGCCTGGTGAAACCTTCTCAGTCTCTGTCCCTCACCTGCA
    CTGTCACTGGCTACTCAATCACCAGTGATTTTGCCTGGAACTGGATTCGGCAGTTTCCAGGAAA
    CAAGCTGGAGTGGATGGGCTACATAAGTTATAGTGGTAACACTAGGTACAACCCATCTCTCAAA
    AGTCGAATCTCTATCACTCGCGACACATCCAAGAACCAATTCTTCCTGCAGTTGAACTCTGTGA
    CTATTGAGGACACAGCCACATATTACTGTGTAACGGCGGGACGCGGGTTTCCTTATTGGGGCCA
    AGGGACTCTGGTCACTGTCTCTGCAGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAG
    CTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCT
    CTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGA
    GTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTC
    ACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAATGAACAGCCTGAGAGCCGAGG
    ACACGGCTGTGTATTACTGTGCGCGCGACGGTGGATCATCTGCTATTACTAGTAACAACATTTG
    GGGCCAAGGAACTCTGGTCACCGTTTCTTCAGCTAGCACCAAGGGCCCATCGGTCTTCCCCCTG
    GCACCCTCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCTGGTCAAGGACTACT
    TCCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACACCTTCCC
    GGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGC
    TTGGGCACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAACACCAAGGTGGACAAGA
    GAGTTGAGCCCAAATCTTGTGACAAAACTCACACATGCCCACCGTGCCCAGCACCTGAAGCCGC
    GGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTCATGATCTCCCGGACC
    CCTGAGGTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGGTCAAGTTCAACTGGT
    ACGTGGACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGAGCAGTACAACAGCAC
    GTACCGTGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAATGGCAAGGAGTACAAG
    TGCGCGGTCTCCAACAAAGCCCTCCCAGCCCCCATCGAGAAAACCATCTCCAAAGCCAAAGGGC
    AGCCCCGAGAACCACAGGTGTACACCCTGCCCCCATCCCGGGATGAGCTGACCAAGAACCAGGT
    CAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAGAGCAAT
    GGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCTTCTTCC
    TCTATAGCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGTCTTCTCATGCTCCGT
    GATGCATGAGGCTCTGCACAACCACTACACGCAGAAGAGCCTCTCCCTGTCTCCGGGTGGCGGT
    GGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGC
    CTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCTCCTTCAGTAGCGGGTACGACAT
    GTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGCATTGCTGCTGGTAGT
    GCTGGTATCACTTACGACGCGAACTGGGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCA
    AGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCGTATATTACTGTGC
    GAGATCGGCGTTTTCGTTCGACTACGCCATGGACCTCTGGGGCCAGGGAACCCTGGTCACCGTC
    TCGAGCGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGAT
    CAGACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCAT
    CACTTGCCAGGCCAGTCAGAGCATTAGTTCCCACTTAAACTGGTATCAGCAGAAACCAGGGAAA
    GCCCCTAAGCTCCTGATCTATAAGGCATCCACTCTGGCATCTGGGGTCCCATCAAGGTTCAGCG
    GCAGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAAC
    TTATTACTGCCAACAGGGTTATAGTTGGGGTAATGTTGATAATGTTTTCGGCGGAGGGACCAAG
    GTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGATCCCAGTCGCTGGTGGAGTCTGGGG
    GAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCTCCTTCAG
    TAGCAACTACTGGATATGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGT
    ATTTATGTTGGTAGTAGTGGTGACACTTACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCT
    CCAGAGACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGC
    CGTATATTACTGTGCGAGAGATAGTAGTAGTTATTATATGTTTAACTTGTGGGGCCAGGGAACC
    CTGGTCACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCG
    GCGGTGGAGGATCAGCCCTTGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGA
    CAGAGTCACCATCAATTGCCAGGCCAGTGAGGACATTGATACCTATTTAGCCTGGTATCAGCAG
    AAACCAGGGAAAGCCCCTAAGCTCCTGATCTTTTACGCATCCGATCTGGCATCTGGGGTCCCAT
    CAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGA
    TGATTTTGCAACTTATTACTGCCAAGGCGGTTACTATACTAGTAGTGCTGATACGAGGGGTGCT
    TTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 68 SI-39E29 (806-LH-scFv × 284A10-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) heavy chain aa
    DILMTQSPSSMSVSLGDTVSITCHSSQDINSNIGWLQQRPGKSFKGLIYHGTNLDDEVPSRFSG
    SGSGADYSLTISSLESEDFADYYCVQYAQFPWTFGGGTKLEIKGGGGSGGGGSGGGGSGGGGSD
    VQLQESGPSLVKPSQSLSLTCTVTGYSITSDFAWNWIRQFPGNKLEWMGYISYSGNTRYNPSLK
    SRISITRDTSKNQFFLQLNSVTIEDTATYYCVTAGRGFPYWGQGTLVTVSAGGGGSGGGGSEVQ
    LVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASWAKGRF
    IISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSSASTKGPSVFPL
    APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSS
    LGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTLMISRT
    PEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYK
    CAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESN
    GQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGGG
    GGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKGLEWIACIAAGS
    AGITYDANWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARSAFSFDYAMDLWGQGTLVTV
    SSGGGGSGGGGSGGGGSGGGGSDIQMTQSPSTLSASVGDRVTITCQASQSISSHLNWYQQKPGK
    APKLLIYKASTLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQQGYSWGNVDNVFGGGTK
    VEIKGGGGSGGGGSQSLVESGGGLVQPGGSLRLSCAASGFSFSSNYWICWVRQAPGKGLEWIAC
    IYVGSSGDTYYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDSSSYYMFNLWGQGT
    LVTVSSGGGGSGGGGSGGGGSGGGGSALVMTQSPSTLSASVGDRVTINCQASEDIDTYLAWYQQ
    KPGKAPKLLIFYASDLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQGGYYTSSADTRGA
    FGGGTKVEIK
    >SEQ ID 69 SI-39E29 (806-LH-scFv × 284A10-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) light chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAATTCACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAG
    CAGTTGAAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCA
    AAGTACAGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCA
    GGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTACGAG
    AAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCT
    TCAACAGGGGAGAGTGT
    >SEQ ID 70 SI-39E29 (806-LH-scFv × 284A10-Fab × PL221G5-H1L1-scFv × 420H5-
    H3L3-scFv) light chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKRTVAAPSVFIFPPSDE
    QLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYE
    KHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 71 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) heavy chain nt
    GACGTTGTGATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    CCTGTCAGGCCAGTCAGAACATTAGGACTTACTTATCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGCTGCAGCCAATCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGATTTCACTCTCACCATCAGCGACCTGGAGCCTGGCGATGCTGCAACTT
    ACTATTGTCAGTCTACCTATCTTGGTACTGATTATGTTGGCGGTGCTTTCGGCGGAGGGACCAA
    GGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGT
    GGAGGATCACGGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGAC
    TCTCCTGTACAGCCTCTGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCC
    AGGGAAGGGGCTGGAGTACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCGAGCTCC
    GCGAGAGGCAGATTCACCATCTCCAGACCCTCGTCCAAGAACACGGTGGATCTTCAAATGAACA
    GCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGATCCTAT
    GTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGCGGTGGAGGGTCCGGCGGTGGTGGATCC
    CAGTCGGTGGAGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTA
    CAGCCTCTGGAATCGACCTTAATACCTACGACATGATCTGGGTCCGCCAGGCTCCAGGCAAGGG
    GCTAGAGTGGGTTGGAATCATTACTTATAGTGGTAGTAGATACTACGCGAACTGGGCGAAAGGC
    CGATTCACCATCTCCAAAGACAATACCAAGAACACGGTGTATCTGCAAATGAACAGCCTGAGAG
    CTGAGGACACGGCTGTGTATTACTGTGCCAGAGATTATATGAGTGGTTCCCACTTGTGGGGCCA
    GGGAACCCTGGTCACCGTCTCTAGTGCTAGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCC
    TCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCG
    AACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGT
    CCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGC
    ACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTG
    AGCCCAAATCTTGTGACAAAACTCACACATGCCCACCGTGCCCAGCACCTGAAGCCGCGGGGGC
    ACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTCATGATCTCCCGGACCCCTGAG
    GTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGGTCAAGTTCAACTGGTACGTGG
    ACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCG
    TGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCG
    GTCTCCAACAAAGCCCTCCCAGCCCCCATCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCC
    GAGAACCACAGGTGTATACCCTGCCCCCATCCCGGGATGAGCTGACCAAGAACCAGGTCAGCCT
    GACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAG
    CCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCTTCTTCCTCTATA
    GCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCA
    TGAGGCTCTGCACAACCACTACACGCAGAAGAGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGG
    TCCGGCGGTGGTGGATCCGAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGG
    GGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTCGCTACCACATGACTTGGGT
    CCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATTTATGTTAATAATGATGACACA
    GACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGT
    ATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCACCTATTTCTGTGCGAGATTGGATGT
    TGGTGGTGGTGGTGCTTATATTGGGGACATCTGGGGCCAGGGAACTCTGGTTACCGTCTCTTCA
    GGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGACA
    TCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTG
    CCAGTCCAGTCAGAGTGTTTATAACAACAACGACTTAGCCTGGTATCAGCAGAAACCAGGGAAA
    GTTCCTAAGCTCCTGATCTATTATGCTTCCACTCTGGCATCTGGGGTCCCATCTCGGTTCAGTG
    GCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATGTTGCAAC
    TTATTACTGTGCAGGCGGTTATGATACGGATGGTCTTGATACGTTTGCTTTCGGCGGAGGGACC
    AAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAGCTGGTGGAGT
    CTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCAC
    CATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGA
    GTCATTACTGGTCGTGATATCACATACTACGCGAGCTGGGCGAAAGGCAGATTCACCATCTCCA
    GAGACAATTCCAAGAACACGCTGTATCTTCAAATGAACAGCCTGAGAGCCGAGGACACGGCTGT
    GTATTACTGTGCGCGCGACGGTGGATCATCTGCTATTACTAGTAACAACATTTGGGGCCAAGGA
    ACTCTGGTCACCGTTTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGT
    CCGGCGGTGGAGGATCAGACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGG
    AGACAGAGTCACCATCAATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAG
    CAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCC
    CATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAGTTCACTCTCACCATCAGCAGCCTGCAGCC
    TGATGATTTTGCAACTTATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAAT
    TCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 72 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) heavy chain aa
    DVVMTQSPSSVSASVGDRVTITCQASQNIRTYLSWYQQKPGKAPKLLIYAAANLASGVPSRFSG
    SGSGTDFTLTISDLEPGDAATYYCQSTYLGTDYVGGAFGGGTKVEIKGGGGSGGGGSGGGGSGG
    GGSRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAPGKGLEYIGTISSGGNVYYASS
    ARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSDPMWGQGTLVTVSSGGGGSGGGGS
    QSVEESGGGLVQPGGSLRLSCTASGIDLNTYDMIWVRQAPGKGLEWVGIITYSGSRYYANWAKG
    RFTISKDNTKNTVYLQMNSLRAEDTAVYYCARDYMSGSHLWGQGTLVTVSSASTKGPSVFPLAP
    SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLG
    TQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTLMISRTPE
    VTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCA
    VSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQ
    PENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGGGGG
    SGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFTISRYHMTWVRQAPGKGLEWIGHIYVNNDDT
    DYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQGTLVTVSS
    GGGGSGGGGSGGGGSGGGGSDIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAWYQQKPGK
    VPKLLIYYASTLASGVPSRFSGSGSGTDFTLTISSLQPEDVATYYCAGGYDTDGLDTFAFGGGT
    KVEIKGGGGSGGGGSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIG
    VITGRDITYYASWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQG
    TLVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQ
    QKPGKAPKLLIYEASKLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVN
    SFGGGTKVEIK
    >SEQ ID 73 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) light chain nt
    GCCTATGATATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    AGTGTCAGGCCAGTGAGGACATTTATAGCTTCTTGGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCCATTCTGCATCCTCTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATTTTGCAACTT
    ACTATTGTCAACAGGGTTATGGTAAAAATAATGTTGATAATGCTTTCGGCGGAGGGACCAAGGT
    GGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTG
    AAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTAC
    AGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACAG
    CAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTACGAGAAACAC
    AAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCTTCAACA
    GGGGAGAGTGT
    >SEQ ID 74 SI-35E20 (466F6-L5H2-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    284A10-H1L1-scFv) light chain aa
    AYDMTQSPSSVSASVGDRVTIKCQASEDIYSFLAWYQQKPGKAPKLLIHSASSLASGVPSRFSG
    SGSGTDFTLTISSLQPEDFATYYCQQGYGKNNVDNAFGGGTKVEIKRTVAAPSVFIFPPSDEQL
    KSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKH
    KVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 75 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    466F6-H2L5-scFv) heavy chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGC
    GGTGGAGGATCAGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCC
    TGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCA
    GGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCG
    AGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAA
    TGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACGGTGGTTCTTCTGC
    TATTACTAGTAACAACATTTGGGGCCAGGGAACCCTGGTCACCGTGTCGACAGGCGGTGGAGGG
    TCCGGCGGTGGTGGATCCCAGTCGGTGGAGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGT
    CCCTGAGACTCTCCTGTACCGCCTCTGGAATCGACCTTAATACCTACGACATGATCTGGGTCCG
    CCAGGCTCCAGGCAAGGGGCTAGAGTGGGTTGGAATCATTACTTATAGTGGTAGTAGATACTAC
    GCGAACTGGGCGAAAGGCCGATTCACCATCTCCAAAGACAATACCAAGAACACGGTGTATCTGC
    AAATGAACAGCCTGAGAGCTGAGGACACGGCTGTGTATTACTGTGCGAGAGATTATATGAGTGG
    TTCCCACTTGTGGGGCCAGGGAACCCTGGTCACCGTCTCTTCAGCTAGCACCAAGGGCCCATCG
    GTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCTGG
    TCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGT
    GCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTG
    CCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAACACCA
    AGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCACACATGCCCACCGTGCCCAGC
    ACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTCATG
    ATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGGTCA
    AGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGAGCA
    GTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAATGGC
    AAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCCCCArCGAGAAAACCATCTCCA
    AAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTATACCCTGCCCCCATCCCGGGATGAGCTGAC
    CAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAG
    TGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACG
    GCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGTCTT
    CTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACGCAGAAGAGCCTCTCCCTGTCT
    CCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGGTCCGGAGAGGTGCAGCTGTTGGAGTCTGGGG
    GAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAG
    TCGCTACCACATGACTTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATT
    TATGTTAATAATGATGACACAGACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAG
    ACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCACCTA
    TTTCTGTGCGAGATTGGATGTTGGTGGTGGTGGTGCTTATATTGGGGACATCTGGGGCCAGGGA
    ACTCTGGTTACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGT
    CCGGCGGTGGAGGATCAGACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGG
    AGACAGAGTCACCATCACTTGCCAGTCCAGTCAGAGTGTTTATAACAACAACGACTTAGCCTGG
    TATCAGCAGAAACCAGGGAAAGTTCCTAAGCTCCTGATCTATTATGCTTCCACTCTGGCATCTG
    GGGTCCCATCTCGGTTCAGTGGCAGTGGATCTGGGACAGATTTCACrCTCACCATCAGCAGCCT
    GCAGCCTGAAGATGTTGCAACTTATTACTGTGCAGGCGGTTATGATACGGATGGTCTTGATACG
    TTTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGGT
    CCGGACGGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTC
    CTGTACTGCCTCTGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCCAGGG
    AAGGGGCTGGAGTACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCAAGCTCCGCTA
    GAGGCAGATTCACCATCTCCAGACCCTCGTCCAAGAACACGGTGGArCTTCAAATGAACAGCCT
    GAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACTCTGGTrATAGTGATCCTATGTGG
    GGCCAGGGAACCCTGGTCACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCG
    GCGGAGGGTCCGGCGGTGGAGGATCAGACGTTGTGATGACCCAGTCTCCATCTTCCGTGTCTGC
    ATCTGTAGGAGACAGAGTCACCATCACCTGTCAGGCCAGTCAGAACATTAGGACTTACTTATCC
    TGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAGCCAATCTGGCAT
    CTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCGA
    CCTGGAGCCTGGCGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACTGATTATGTT
    GGCGGTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 76 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    466F6-H2L5-scFv) heavy chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKGGGGSGGGGSGGGGSG
    GGGSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYA
    SWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSTGGGG
    SGGGGSQSVEESGGGLVQPGGSLRLSCTASGIDLNTYDMIWVRQAPGKGLEWVGsIITYSGSRYY+EE 
    ANWAKGRFTISKDNTKNTVYLQMNSLRAEDTAVYYCARDYMSGSHLWGQGTLVTVSSASTKGPS
    VFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTV
    PSSSLGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTLM
    ISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNG
    KEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVE
    WESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLS
    PGGGGGSGGGGSGEVQLLESGGGLVQPGGSLRLSCAASGFTISRYHMTWVRQAPGKGLEWIGHI
    YVNNDDTDYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQG
    TLVTVSSGGGGSGGGGSGGGGSGGGGSDIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAW
    YQQKPGKVPKLLIYYASTLASGVPSRFSGSGSGTDFTLTISSLQPEDVATYYCAGGYDTDGLDT
    FAFGGGTKVEIKGGGGSGGGGSGRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAPG
    KGLEYIGTISSGGNVYYASSARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSDPMW
    GQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSSVSASVGDRVTITCQASQNIRTYLS
    WYQQKPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISDLEPGDAATYYCQSTYLGTDYV
    GGAFGGGTKVEIK
    >SEQ ID 77 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    466F6-H2L5-scFv) light chain nt
    GCCTATGATATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    AGTGTCAGGCCAGTGAGGACATTTATAGCTTCTTGGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCCATTCTGCATCCTCTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATTTTGCAACTT
    ACTATTGTCAACAGGGTTATGGTAAAAATAATGTTGATAATGCTTTCGGCGGAGGGACCAAGGT
    GGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTG
    AAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTAC
    AGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACAG
    CAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTACGAGAAACAC
    AAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCTTCAACA
    GGGGAGAGTGT
    >SEQ ID 78 SI-35E58 (284A10-L1H1-scFv × PL230C6-Fab × 323H7-H4L1-scFv ×
    466F6-H2L5-scFv) light chain aa
    AYDMTQSPSSVSASVGDRVTIKCQASEDIYSFLAWYQQKPGKAPKLLIHSASSLASGVPSRFSG
    SGSGTDFTLTISSLQPEDFATYYCQQGYGKNNVDNAFGGGTKVEIKRTVAAPSVFIFPPSDEQL
    KSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKH
    KVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 79 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab × PL230C6-
    H3L2-scFv × 466F6-H2L5-scFv) heavy chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGC
    GGTGGAGGATCAGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCC
    TGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCA
    GGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCG
    AGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAA
    TGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACGGTGGTTCTTCTGC
    TATTACTAGTAACAACATTTGGGGCCAGGGAACCCTGGTCACCGTGTCGACAGGCGGTGGAGGG
    TCCGGCGGTGGTGGATCCGAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGG
    GGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTCGCTACCACATGACTTGGGT
    CCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATTTATGTTAATAATGATGACACA
    GACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGT
    ATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCACCTATTTCTGTGCGAGATTGGATGT
    TGGTGGTGGTGGTGCTTATATTGGGGACATCTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGC
    GCTAGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCA
    CAGCGGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTC
    AGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCC
    CTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGA
    ATCACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCA
    CACATGCCCACCGTGCCCAGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCA
    AAACCCAAGGACACCCTCATGATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGA
    GCCACGAAGACCCTGAGGTCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAA
    GACAAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTG
    CACCAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCC
    CCATCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTATACCCTGCC
    CCCATCCCGGGATGAGCTGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTAT
    CCCAGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGC
    CTCCCGTGCTGGACTCCGACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAG
    GTGGCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACG
    CAGAAGAGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCCAGTCGG
    TGGAGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACCGCCTC
    TGGAATCGACCTTAATACCTACGACATGATCTGGGTCCGCCAGGCTCCAGGCAAGGGGCTAGAG
    TGGGTTGGAATCATTACTTATAGTGGTAGTAGATACTACGCGAACTGGGCGAAAGGCCGATTCA
    CCATCTCCAAAGACAATACCAAGAACACGGTGTATCTGCAAATGAACAGCCTGAGAGCTGAGGA
    CACGGCTGTGTATTACTGTGCGAGAGATTATATGAGTGGTTCCCACTTGTGGGGCCAGGGAACC
    CTGGTCACCGTCTCTTCCGGTGGAGGCGGTTCAGGCGGAGGTGGAAGTGGTGGTGGCGGCTCTG
    GAGGCGGCGGATCTGCCTATGATATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGA
    CAGAGTCACCATCAAGTGTCAGGCCAGTGAGGACATTTATAGCTTCTTGGCCTGGTATCAGCAG
    AAACCAGGGAAAGCCCCTAAGCTCCTGATCCATTCTGCATCCTCTCTGGCATCTGGGGTCCCAT
    CAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGA
    AGATTTTGCAACTTACTATTGTCAACAGGGTTATGGTAAAAATAATGTTGATAATGCTTTCGGC
    GGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGGTCCGGACGGTCGC
    TGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACTGCCTC
    TGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAG
    TACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCAAGCTCCGCTAGAGGCAGATTCA
    CCATCTCCAGACCCTCGTCCAAGAACACGGTGGATCTTCAAATGAACAGCCTGAGAGCCGAGGA
    CACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGATCCTATGTGGGGCCAGGGAACC
    CTGGTCACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCG
    GCGGTGGAGGATCAGACGTTGTGATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGA
    CAGAGTCACCATCACCTGTCAGGCCAGTCAGAACATTAGGACTTACTTATCCTGGTATCAGCAG
    AAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAGCCAATCTGGCATCTGGGGTCCCAT
    CAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCGACCTGGAGCCTGG
    CGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACTGATTATGTTGGCGGTGCTTTC
    GGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 80 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab × PL230C6-
    H3L2-scFv × 466F6-H2L5-scFv) heavy chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKGGGGSGGGGSGGGGSG
    GGGSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYA
    SWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSTGGGG
    SGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFTISRYHMTWVRQAPGKGLEWIGHIYVNNDDT
    DYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQGTLVTVSS
    ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYS
    LSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPP
    KPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVL
    HQDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFY
    PSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYT
    QKSLSLSPGGGGGSGGGGSQSVEESGGGLVQPGGSLRLSCTASGIDLNTYDMIWVRQAPGKGLE
    WVGIITYSGSRYYANWAKGRFTISKDNTKNTVYLQMNSLRAEDTAVYYCARDYMSGSHLWGQGT
    LVTVSSGGGGSGGGGSGGGGSGGGGSAYDMTQSPSSVSASVGDRVTIKCQASEDIYSFLAWYQQ
    KPGKAPKLLIHSASSLASGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCQQGYGKNNVDNAFG
    GGTKVEIKGGGGSGGGGSGRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAPGKGLE
    YIGTISSGGNVYYASSARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSDPMWGQGT
    LVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSSVSASVGDRVTITCQASQNIRTYLSWYQQ
    KPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISDLEPGDAATYYCQSTYLGTDYVGGAF
    GGGTKVEIK
    >SEQ ID 81 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab × PL230C6-
    H3L2-scFv × 466F6-H2L5-scFv) light chain nt
    GACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    CTTGCCAGTCCAGTCAGAGTGTTTATAACAACAACGACTTAGCCTGGTATCAGCAGAAACCAGG
    GAAAGTTCCTAAGCTCCTGATCTATTATGCATCCACTCTGGCATCTGGGGTCCCATCTCGGTTC
    AGTGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATGTTG
    CAACTTATTACTGTGCAGGCGGTTATGATACGGATGGTCTTGATACGTTTGCTTTCGGCGGAGG
    GACCAAGGTGGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGAT
    GAGCAGTTGAAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGG
    CCAAAGTACAGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGA
    GCAGGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTAC
    GAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGA
    GCTTCAACAGGGGAGAGTGT
    >SEQ ID 82 SI-35E88 (284A10-L1H1-scFv × 323H7-Fab × PL230C6-
    H3L2-scFv × 466F6-H2L5-scFv) light chain aa
    DIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAWYQQKPGKVPKLLIYYASTLASGVPSRF
    SGSGSGTDFTLTISSLQPEDVATYYCAGGYDTDGLDTFAFGGGTKVEIKRTVAAPSVFIFPPSD
    EQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVIEQDSKDSTYSLSSTLTLSKADY
    EKHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 83 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab × PL221G5-
    H1L1-scFv × 466F6-H2L5-scFv) heavy chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGC
    GGTGGAGGATCAGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCC
    TGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCA
    GGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCG
    AGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAA
    TGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACGGTGGTTCTTCTGC
    TATTACTAGTAACAACATTTGGGGCCAGGGAACCCTGGTCACCGTGTCGACAGGCGGTGGAGGG
    TCCGGCGGTGGTGGATCAGAGGTGCAGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGG
    GGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTCGCTACCACATGACTTGGGT
    CCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGGACATATTTATGTTAATAATGATGACACA
    GACTACGCGAGCTCCGCGAAAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGT
    ATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGCCACCTATTTCTGTGCGAGATTGGATGT
    TGGTGGTGGTGGTGCTTATATTGGGGACATCTGGGGCCAGGGAACTCTGGTTACCGTCTCTTCA
    GCTAGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCA
    CAGCGGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTC
    AGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCC
    CTCAGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGA
    ATCACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCA
    CACATGCCCACCGTGCCCAGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCA
    AAACCCAAGGACACCCTCATGATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGA
    GCCACGAAGACCCTGAGGTCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAA
    GACAAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTG
    CACCAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCC
    CCATCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTACACCCTGCC
    CCCATCCCGGGATGAGCTGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTAT
    CCCAGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGC
    CTCCCGTGCTGGACTCCGACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAG
    GTGGCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACG
    CAGAAGAGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGC
    AGCTGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGC
    CTCTGGATTCTCCTTCAGTAGCGGGTACGACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGG
    CTGGAGTGGATCGCATGCATTGCTGCTGGTAGTGCTGGTATCACTTACGACGCGAACTGGGCGA
    AAGGCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCT
    GAGAGCCGAGGACACGGCCGTATATTACTGTGCGAGATCGGCGTTTTCGTTCGACTACGCCATG
    GACCTCTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGTGGAGGCGGATCTGGCGGAGGTG
    GTTCCGGCGGTGGCGGCTCCGGTGGAGGCGGCTCTGACATCCAGATGACCCAGTCTCCTTCCAC
    CCTGTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGGCCAGTCAGAGCATTAGTTCC
    CACTTAAACTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATAAGGCATCCA
    CTCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTTACTCTCAC
    CATCAGCAGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCCAACAGGGTTATAGTTGGGGT
    AATGTTGATAATGTTTTCGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCG
    GTGGTGGCTCCGGACGGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCT
    GAGACTCTCCTGTACTGCCTCTGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAG
    GCTCCAGGGAAGGGGCTGGAGTACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCAA
    GCTCCGCTAGAGGCAGATTCACCATCTCCAGACCCTCGTCCAAGAACACGGTGGATCTTCAAAT
    GAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGAT
    CCTATGTGGGGCCAGGGAACCCTGGTCACCGTCTCTTCAGGCGGTGGCGGTAGTGGGGGAGGCG
    GTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGACGTTGTGATGACCCAGTCTCCATCTTC
    CGTGTCTGCATCTGTAGGAGACAGAGTCACCATCACCTGTCAGGCCAGTCAGAACATTAGGACT
    TACTTATCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAGCCA
    ATCTGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCAC
    CATCAGCGACCTGGAGCCTGGCGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACT
    GATTATGTTGGCGGTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 84 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab × PL221G5-
    H1L1-scFv × 466F6-H2L5-scFv) heavy chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKGGGGSGGGGSGGGGSG
    GGGSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYA
    SWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSTGGGG
    SGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFTISRYHMTWVRQAPGKGLEWIGHIYVNNDDT
    DYASSAKGRFTISRDNSKNTLYLQMNSLRAEDTATYFCARLDVGGGGAYIGDIWGQGTLVTVSS
    ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYS
    LSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPP
    KPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVL
    HQDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFY
    PSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYT
    QKSLSLSPGGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKG
    LEWIACIAAGSAGITYDANWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARSAFSFDYAM
    DLWGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDIQMTQSPSTLSASVGDRVTITCQASQSISS
    HLNWYQQKPGKAPKLLIYKASTLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQQGYSWG
    NVDNVFGGGTKVEIKGGGGSGGGGSGRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQ
    APGKGLEYIGTISSGGNVYYASSARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSD
    PMWGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSSVSASVGDRVTITCQASQNIRT
    YLSWYQQKPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISDLEPGDAATYYCQSTYLGT
    DYVGGAFGGGTKVEIK
    >SEQ ID 85 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab × PL221G5-
    H1L1-scFv × 466F6-H2L5-scFv) light chain nt
    GACATCCAGATGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    CTTGCCAGTCCAGTCAGAGTGTTTATAACAACAACGACTTAGCCTGGTATCAGCAGAAACCAGG
    GAAAGTTCCTAAGCTCCTGATCTATTATGCATCCACTCTGGCATCTGGGGTCCCATCTCGGTTC
    AGTGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATGTTG
    CAACTTATTACTGTGCAGGCGGTTATGATACGGATGGTCTTGATACGTTTGCTTTCGGCGGAGG
    GACCAAGGTGGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGAT
    GAGCAGTTGAAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGG
    CCAAAGTACAGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGA
    GCAGGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTAC
    GAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGA
    GCTTCAACAGGGGAGAGTGT
    >SEQ ID 86 SI-35E99 (284A10-L1H1-scFv × 323H7-Fab × PL221G5-
    H1L1-scFv × 466F6-H2L5-scFv) light chain aa
    DIQMTQSPSSLSASVGDRVTITCQSSQSVYNNNDLAWYQQKPGKVPKLLIYYASTLASGVPSRF
    SGSGSGTDFTLTISSLQPEDVATYYCAGGYDTDGLDTFAFGGGTKVEIKRTVAAPSVFIFPPSD
    EQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVIEQDSKDSTYSLSSTLTLSKADY
    EKHKVYACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 87 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) heavy chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAGTTCACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAAGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGC
    GGTGGAGGATCAGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCC
    TGAGACTCTCCTGTGCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCA
    GGCTCCAGGGAAGGGGCTGGAGTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCG
    AGCTGGGCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAA
    TGAACAGCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGCGCGACGGTGGATCATCTGC
    TATTACTAGTAACAACATTTGGGGCCAAGGAACTCTGGTCACCGTTTCTTCAGGCGGTGGAGGG
    TCCGGCGGTGGTGGATCCGAGGTGCAGCTGGTGCAGTCTGGAGCAGAGGTGAAGAAACCAGGAG
    AGTCTCTGAAGATCTCCTGTAAGGGTTCTGGATACAGCTTTAGCAGTTCATGGATCGGCTGGGT
    GCGCCAGGCACCTGGGAAAGGCCTGGAATGGATGGGGATCATCTATCCTGATGACTCTGATACC
    AGATACAGTCCATCCTTCCAAGGCCAGGTCACCATCTCAGCCGACAAGTCCATCAGGACTGCCT
    ACCTGCAGTGGAGTAGCCTGAAGGCCTCGGACACCGCTATGTATTACTGTGCGAGACATGTTAC
    TATGATTTGGGGAGTTATTATTGACTTCTGGGGCCAGGGAACCCTGGTCACCGTCTCCTCAGCT
    AGCACCAAGGGCCCATCGGTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCACAG
    CGGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTCAGG
    CGCCCTGACCAGCGGCGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTC
    AGCAGCGTGGTGACCGTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGAATC
    ACAAGCCCAGCAACACCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCACAC
    ATGCCCACCGTGCCCAGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAA
    CCCAAGGACACCCTCATGATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGAGCC
    ACGAAGACCCTGAGGTCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAAGAC
    AAAGCCGCGGGAGGAGCAGTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTGCAC
    CAGGACTGGCTGAATGGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCCCCA
    TCGAGAAAACCATCTCCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTATACCCTGCCCCC
    ATCCCGGGATGAGCTGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCC
    AGCGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTC
    CCGTGCTGGACTCCGACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAGGTG
    GCAGCAGGGGAACGTCTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACGCAG
    AAGAGCCTCTCCCTGTCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAGC
    TGTTGGAGTCTGGGGGAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTC
    TGGATTCTCCTTCAGTAGCGGGTACGACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTG
    GAGTGGATCGCATGCATTGCTGCTGGTAGTGCTGGTATCACTTACGACGCGAACTGGGCGAAAG
    GCCGGTTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAG
    AGCCGAGGACACGGCCGTATATTACTGTGCGAGATCGGCGTTTTCGTTCGACTACGCCATGGAC
    CTCTGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGTGGAGGCGGATCTGGCGGAGGTGGTT
    CCGGCGGTGGCGGCTCCGGTGGAGGCGGCTCTGACATCCAGATGACCCAGTCTCCTTCCACCCT
    GTCTGCATCTGTAGGAGACAGAGTCACCATCACTTGCCAGGCCAGTCAGAGCATTAGTTCCCAC
    TTAAACTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATAAGGCATCCACTC
    TGGCATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTTACTCTCACCAT
    CAGCAGCCTGCAGCCTGATGATTTTGCAACTTATTACTGCCAACAGGGTTATAGTTGGGGTAAT
    GTTGATAATGTTTTCGGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTG
    GTGGATCCCGGTCGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACT
    CTCCTGTACAGCCTCTGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCCA
    GGGAAGGGGCTGGAGTACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCGAGCTCCG
    CGAGAGGCAGATTCACCATCTCCAGACCCTCGTCCAAGAACACGGTGGATCTTCAAATGAACAG
    CCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGATCCTATG
    TGGGGCCAGGGAACCCTGGTCACCGTCTCGAGCGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTG
    GCGGCGGAGGGTCCGGCGGTGGAGGATCAGACGTTGTGATGACCCAGTCTCCATCTTCCGTGTC
    TGCATCTGTAGGAGACAGAGTCACCATCACCTGTCAGGCCAGTCAGAACATTAGGACTTACTTA
    TCCTGGTATCAGCAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAGCCAATCTGG
    CATCTGGGGTCCCATCAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAG
    CGACCTGGAGCCTGGCGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACTGATTAT
    GTTGGCGGTGCTTTCGGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 88 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) heavy chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKGGGGSGGGGSGGGGSG
    GGGSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYA
    SWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSSGGGG
    SGGGGSEVQLVQSGAEVKKPGESLKISCKGSGYSFSSSWIGWVRQAPGKGLEWMGIIYPDDSDT
    RYSPSFQGQVTISADKSIRTAYLQWSSLKASDTAMYYCARHVTMIWGVIIDFWGQGTLVTVSSA
    STKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSL
    SSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPK
    PKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLH
    QDWLNGKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYP
    SDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQ
    KSLSLSPGGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKGL
    EWIACIAAGSAGITYDANWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARSAFSFDYAMD
    LWGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDIQMTQSPSTLSASVGDRVTITCQASQSISSH
    LNWYQQKPGKAPKLLIYKASTLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQQGYSWGN
    VDNVFGGGTKVEIKGGGGSGGGGSRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAP
    GKGLEYIGTISSGGNVYYASSARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSDPM
    WGQGTLVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSSVSASVGDRVTITCQASQNIRTYL
    SWYQQKPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISDLEPGDAATYYCQSTYLGTDY
    VGGAFGGGTKVEIK
    >SEQ ID 89 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) light chain nt
    GCCATCCAGTTGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    CTTGCCGGGCAAGTCAGGGCATTAGCAGTGCTTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    TCCTAAGCTCCTGATCTATGATGCCTCCAGTTTGGAAAGTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATTTTGCAACTT
    ATTACTGTCAACAGTTTAATAGTTACCCATTCACTTTCGGCCCTGGGACCAAAGTGGATATCAA
    ACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTGAAATCTGGA
    ACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTACAGTGGAAGG
    TGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACAGCAAGGACAG
    CACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTACGAGAAACACAAAGTCTAC
    GCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCTTCAACAGGGGAGAGT
    GT
    >SEQ ID 90 SI-38E17 (284A10-L1H1-scFv × 21D4-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) light chain aa
    AIQLTQSPSSLSASVGDRVTITCRASQGISSALAWYQQKPGKAPKLLIYDASSLESGVPSRFSG
    SGSGTDFTLTISSLQPEDFATYYCQQFNSYPFTFGPGTKVDIKRTVAAPSVFIFPPSDEQLKSG
    TASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVY
    ACEVTHQGLSSPVTKSFNRGEC
    >SEQ ID 91 SI-38E33 (21D4-LH-scFv × 284A10-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) heavy chain nt
    GCCATCCAGTTGACCCAGTCTCCATCCTCCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    CTTGCCGGGCAAGTCAGGGCATTAGCAGTGCTTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    TCCTAAGCTCCTGATCTATGATGCCTCCAGTTTGGAAAGTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGATTTCACTCTCACCATCAGCAGCCTGCAGCCTGAAGATTTTGCAACTT
    ATTACTGTCAACAGTTTAATAGTTACCCATTCACTTTCGGCCCTGGGACCAAAGTGGATATCAA
    AGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCGGCGGTGGAGGATCAGAG
    GTGCAGCTGGTGCAGTCTGGAGCAGAGGTGAAGAAACCAGGAGAGTCTCTGAAGATCTCCTGTA
    AGGGTTCTGGATACAGCTTTAGCAGTTCATGGATCGGCTGGGTGCGCCAGGCACCTGGGAAAGG
    CCTGGAATGGATGGGGATCATCTATCCTGATGACTCTGATACCAGATACAGTCCATCCTTCCAA
    GGCCAGGTCACCATCTCAGCCGACAAGTCCATCAGGACTGCCTACCTGCAGTGGAGTAGCCTGA
    AGGCCTCGGACACCGCTATGTATTACTGTGCGAGACATGTTACTATGATTTGGGGAGTTATTAT
    TGACTTCTGGGGCCAGGGAACCCTGGTCACCGTCTCCTCAGGCGGTGGAGGGTCCGGCGGTGGT
    GGATCCGAGGTGCAGCTGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGAC
    TCTCCTGTGCAGCCTCTGGATTCACCATCAGTACCAATGCAATGAGCTGGGTCCGCCAGGCTCC
    AGGGAAGGGGCTGGAGTGGATCGGAGTCATTACTGGTCGTGATATCACATACTACGCGAGCTGG
    GCGAAAGGCAGATTCACCATCTCCAGAGACAATTCCAAGAACACGCTGTATCTTCAAATGAACA
    GCCTGAGAGCCGAGGACACGGCTGTGTATTACTGTGCGCGCGACGGTGGATCATCTGCTATTAC
    TAGTAACAACATTTGGGGCCAAGGAACTCTGGTCACCGTTTCTTCAGCTAGCACCAAGGGCCCA
    TCGGTCTTCCCCCTGGCACCCTCCTCCAAGAGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCC
    TGGTCAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGG
    CGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACC
    GTGCCCTCCAGCAGCTTGGGCACCCAGACCTACATCTGCAACGTGAATCACAAGCCCAGCAACA
    CCAAGGTGGACAAGAGAGTTGAGCCCAAATCTTGTGACAAAACTCACACATGCCCACCGTGCCC
    AGCACCTGAAGCCGCGGGGGCACCGTCAGTCTTCCTCTTCCCCCCAAAACCCAAGGACACCCTC
    ATGATCTCCCGGACCCCTGAGGTCACATGCGTGGTGGTGGACGTGAGCCACGAAGACCCTGAGG
    TCAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCATAATGCCAAGACAAAGCCGCGGGAGGA
    GCAGTACAACAGCACGTACCGTGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAAT
    GGCAAGGAGTACAAGTGCGCGGTCTCCAACAAAGCCCTCCCAGCCCCCATCGAGAAAACCATCT
    CCAAAGCCAAAGGGCAGCCCCGAGAACCACAGGTGTATACCCTGCCCCCATCCCGGGATGAGCT
    GACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTG
    GAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCG
    ACGGCTCCTTCTTCCTCTATAGCAAGCTCACCGTGGACAAGAGCAGGTGGCAGCAGGGGAACGT
    CTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACGCAGAAGAGCCTCTCCCTG
    TCTCCGGGTGGCGGTGGAGGGTCCGGCGGTGGTGGATCCGAGGTGCAGCTGTTGGAGTCTGGGG
    GAGGCTTGGTACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCTCCTTCAG
    TAGCGGGTACGACATGTGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAGTGGATCGCATGC
    ATTGCTGCTGGTAGTGCTGGTATCACTTACGACGCGAACTGGGCGAAAGGCCGGTTCACCATCT
    CCAGAGACAATTCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCCGAGGACACGGC
    CGTATATTACTGTGCGAGATCGGCGTTTTCGTTCGACTACGCCATGGACCTCTGGGGCCAGGGA
    ACCCTGGTCACCGTCTCGAGCGGTGGAGGCGGATCTGGCGGAGGTGGTTCCGGCGGTGGCGGCT
    CCGGTGGAGGCGGCTCTGACATCCAGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGG
    AGACAGAGTCACCATCACTTGCCAGGCCAGTCAGAGCATTAGTTCCCACTTAAACTGGTATCAG
    CAGAAACCAGGGAAAGCCCCTAAGCTCCTGATCTATAAGGCATCCACTCTGGCATCTGGGGTCC
    CATCAAGGTTCAGCGGCAGTGGATCTGGGACAGAATTTACTCTCACCATCAGCAGCCTGCAGCC
    TGATGATTTTGCAACTTATTACTGCCAACAGGGTTATAGTTGGGGTAATGTTGATAATGTTTTC
    GGCGGAGGGACCAAGGTGGAGATCAAAGGCGGTGGAGGGTCCGGCGGTGGTGGATCCCGGTCGC
    TGGTGGAGTCTGGGGGAGGCTTGGTCCAGCCTGGGGGGTCCCTGAGACTCTCCTGTACAGCCTC
    TGGATTCACCATCAGTAGCTACCACATGCAGTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAG
    TACATCGGAACCATTAGTAGTGGTGGTAATGTATACTACGCGAGCTCCGCGAGAGGCAGATTCA
    CCATCTCCAGACCCTCGTCCAAGAACACGGTGGATCTTCAAATGAACAGCCTGAGAGCCGAGGA
    CACGGCTGTGTATTACTGTGCGAGAGACTCTGGTTATAGTGATCCTATGTGGGGCCAGGGAACC
    CTGGTCACCGTCTCGAGCGGCGGTGGCGGTAGTGGGGGAGGCGGTTCTGGCGGCGGAGGGTCCG
    GCGGTGGAGGATCAGACGTTGTGATGACCCAGTCTCCATCTTCCGTGTCTGCATCTGTAGGAGA
    CAGAGTCACCATCACCTGTCAGGCCAGTCAGAACATTAGGACTTACTTATCCTGGTATCAGCAG
    AAACCAGGGAAAGCCCCTAAGCTCCTGATCTATGCTGCAGCCAATCTGGCATCTGGGGTCCCAT
    CAAGGTTCAGCGGCAGTGGATCTGGGACAGATTTCACTCTCACCATCAGCGACCTGGAGCCTGG
    CGATGCTGCAACTTACTATTGTCAGTCTACCTATCTTGGTACTGATTATGTTGGCGGTGCTTTC
    GGCGGAGGGACCAAGGTGGAGATCAAA
    >SEQ ID 92 SI-38E33 (21D4-LH-scFv × 284A10-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) heavy chain aa
    AIQLTQSPSSLSASVGDRVTITCRASQGISSALAWYQQKPGKAPKLLIYDASSLESGVPSRFSG
    SGSGTDFTLTISSLQPEDFATYYCQQFNSYPFTFGPGTKVDIKGGGGSGGGGSGGGGSGGGGSE
    VQLVQSGAEVKKPGESLKISCKGSGYSFSSSWIGWVRQAPGKGLEWMGIIYPDDSDTRYSPSFQ
    GQVTISADKSIRTAYLQWSSLKASDTAMYYCARHVTMIWGVIIDFWGQGTLVTVSSGGGGSGGG
    GSEVQLVESGGGLVQPGGSLRLSCAASGFTISTNAMSWVRQAPGKGLEWIGVITGRDITYYASW
    AKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDGGSSAITSNNIWGQGTLVTVSSASTKGP
    SVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVT
    VPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPEAAGAPSVFLFPPKPKDTL
    MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLN
    GKEYKCAVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAV
    EWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSL
    SPGGGGGSGGGGSEVQLLESGGGLVQPGGSLRLSCAASGFSFSSGYDMCWVRQAPGKGLEWIAC
    IAAGSAGITYDANWAKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARSAFSFDYAMDLWGQG
    TLVTVSSGGGGSGGGGSGGGGSGGGGSDIQMTQSPSTLSASVGDRVTITCQASQSISSHLNWYQ
    QKPGKAPKLLIYKASTLASGVPSRFSGSGSGTEFTLTISSLQPDDFATYYCQQGYSWGNVDNVF
    GGGTKVEIKGGGGSGGGGSRSLVESGGGLVQPGGSLRLSCTASGFTISSYHMQWVRQAPGKGLE
    YIGTISSGGNVYYASSARGRFTISRPSSKNTVDLQMNSLRAEDTAVYYCARDSGYSDPMWGQGT
    LVTVSSGGGGSGGGGSGGGGSGGGGSDVVMTQSPSSVSASVGDRVTITCQASQNIRTYLSWYQQ
    KPGKAPKLLIYAAANLASGVPSRFSGSGSGTDFTLTISDLEPGDAATYYCQSTYLGTDYVGGAF
    GGGTKVEIK
    SEQ ID 93 SI-38E33 (21D4-LH-scFv × 284A10-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) light chain nt
    GACGTCGTGATGACCCAGTCTCCTTCCACCCTGTCTGCATCTGTAGGAGACAGAGTCACCATCA
    ATTGCCAAGCCAGTGAGAGCATTAGCAGTTGGTTAGCCTGGTATCAGCAGAAACCAGGGAAAGC
    CCCTAAGCTCCTGATCTATGAAGCATCCAAACTGGCATCTGGGGTCCCATCAAGGTTCAGCGGC
    AGTGGATCTGGGACAGAATTCACTCTCACCATCAGCAGCCTGCAGCCTGATGATTTTGCAACTT
    ATTACTGCCAAGGCTATTTTTATTTTATTAGTCGTACTTATGTAAATTCTTTCGGCGGAGGGAC
    CAAGGTGGAGATCAAACGTACGGTGGCTGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAG
    CAGTTGAAATCTGGAACTGCCTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCA
    AAGTACAGTGGAAGGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCA
    GGACAGCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTACGAG
    AAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGTCACAAAGAGCT
    TCAACAGGGGAGAGTGT
    SEQ ID 94 SI-38E33 (21D4-LH-scFv × 284A10-Fab × PL221G5-H1L1-
    scFv × 466F6-H2L5-scFv) light chain aa
    DVVMTQSPSTLSASVGDRVTINCQASESISSWLAWYQQKPGKAPKLLIYEASKLASGVPSRFSG
    SGSGTEFTLTISSLQPDDFATYYCQGYFYFISRTYVNSFGGGTKVEIKRTVAAPSVFIFPPSDE
    QLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYE
    KHKVYACEVTHQGLSSPVTKSFNRGEC

Claims (34)

What we claim is:
1. A method for generating a therapeutic composition, comprising
providing a cell material comprising a cytotoxic cell,
incubating the cell material with a first GNC protein to provide an activated cell composition, wherein the activated cell composition comprises a first therapeutic cell,
wherein the first GNC protein comprising a first cytotoxic binding moiety and a first cancer targeting moiety, wherein the first cytotoxic binding moiety has a specificity to a first cytotoxic cell receptor and is configured to activate the first cytotoxic cell through the binding with the first cytotoxic cell receptor, and wherein the first cancer targeting moiety has a specificity to a first cancer cell receptor, and
wherein the first therapeutic cell comprises the first GNC protein bound to the cytotoxic cell through the binding interaction with the first cytotoxic cell receptor, and
formulating the activated cell composition to provide a therapeutic composition, wherein the therapeutic composition is substantially free of exogenous viral and non-viral DNA or RNA.
2. The method of claim 1, wherein the incubating step is repeated by incubating a second GNC protein with the activated cell composition,
wherein the second GNC protein comprising a second cytotoxic binding moiety and a second cancer targeting moiety, wherein the second cytotoxic binding moiety has a specificity to a second cytotoxic cell receptor, and wherein the second cancer targeting moiety has a specificity to a second cancer cell receptor,
wherein the activated cell composition further comprises a second therapeutic cell, and
wherein the second therapeutic cell comprises the second GNC protein bound to the cytotoxic cell or the first therapeutic cell through the binding interaction with the second cytotoxic cell receptor.
3. The method of claim 2, wherein the second GNC protein is the same as the first GNC protein.
4. The method of claim 2, wherein the second GNC protein is different from the first GNC protein.
5. The method of claim 1, wherein the first or the second cancer targeting moiety has the specificity against B cell, and wherein the therapeutic composition is substantially free of B cell.
6. The method of claim 1, wherein the cytotoxic cell receptor comprises a T-cell receptor, a NK cell receptor, a macrophage receptor, a dendritic cell receptor, or a combination thereof.
7. The method of claim 1, wherein the molar to cell ratio between the first GNC protein and the cytotoxic cell is at least 30 to 1 when incubating the cell material with the first GNC protein.
8. The method of claim 1, wherein the therapeutic composition comprises at least 106 cells per ml.
9. The method of claim 1, wherein the therapeutic composition comprises the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof.
10. The method of claim 2, wherein the therapeutic composition comprises the second therapeutic cell, the second GNC protein, comprises the first therapeutic cell, the first GNC protein, the cytotoxic cell, or a combination thereof.
11. The method of claim 1, wherein the cell material comprises PBMC.
12. The method of claim 1, wherein the first and the second cancer-targeting moiety independently has a specificity for CD19, PDL1, or a combination thereof.
13. The method of claim 1, wherein the first and the second cytotoxic binding moiety independently has a specificity for CD3, PDL1, 41BB, or a combination thereof.
14. A method of treating a subject having a cancer, comprising
providing a cell material comprising a cytotoxic cell,
incubating the cell material with a first GNC protein to provide an activated cell composition, wherein the activated cell composition comprises a first therapeutic cell,
wherein the first GNC protein comprising a first cytotoxic binding moiety and a first cancer targeting moiety, wherein the first cytotoxic binding moiety has a specificity to a first cytotoxic cell receptor and is configured to activate the first cytotoxic cell through the binding with the first cytotoxic cell receptor, and wherein the first cancer targeting moiety has a specificity to a first cancer cell receptor, and
wherein the first therapeutic cell comprises the first GNC protein bound to the cytotoxic cell through the binding interaction with the first cytotoxic cell receptor, and
formulating the activated cell composition to provide a therapeutic composition, wherein the therapeutic composition is substantially free of exogenous viral and non-viral DNA or RNA, and
administering the therapeutic composition to the subject.
15. The method of claim 14, wherein the incubating step is repeated by incubating a second GNC protein with the activated cell composition,
wherein the second GNC protein comprising a second cytotoxic binding moiety and a second cancer targeting moiety, wherein the second cytotoxic binding moiety has a specificity to a second cytotoxic cell receptor, and wherein the second cancer targeting moiety has a specificity to a second cancer cell receptor,
wherein the activated cell composition further comprises a second therapeutic cell, and
wherein the second therapeutic cell comprises the second GNC protein bound to the cytotoxic cell or the first therapeutic cell through the binding interaction with the second cytotoxic cell receptor.
16. The method of claim 14, wherein the second GNC protein is the same as the first GNC protein.
17. The method of claim 14, wherein the second GNC protein is different from the first GNC protein.
18. The method of claim 14, wherein the first or the second cancer targeting moiety has the specificity against B cell, and wherein the therapeutic composition is substantially free of B cell.
19. The method of claim 14, further comprising isolating the cytotoxic cell from peripheral blood mononuclear cells (PBMC) before providing the cell material.
20. The method of claim 19, further comprising isolating the peripheral blood mononuclear cells (PBMC) from a blood.
21-22. (canceled)
23. The method of claim 14, further comprising administering an additional GNC protein to the subject after the administering the therapeutic composition to the subject.
24. The method of claim 14, wherein the cytotoxic cell comprises T cell, NK cell, or a combination thereof.
25. The method of claim 19, wherein the isolating the cytotoxic cell comprising isolating at least one subpopulation of cytotoxic cell to provide therapeutic T cells, wherein the subpopulation of cytotoxic cell comprises CD3+ cells, CD4+ cells, CD8+ cells, CD56+ cells, CD28+ cells, CD69+ cells, CD107a+ cells, CD45RA+ cells, CD45RO+ cells, γδ TCR+ cells, αβ TCR+ cells, CD25+ cells, CD127lo/− cells, CCR7+ cells, PD-1+ cells or a combination thereof.
26. (canceled)
27. The method of claim 14, further comprising evaluating therapeutic efficacy after the administering step, wherein the evaluating therapeutic efficacy comprises checking one or more biomarkers of the cancer, monitoring the life span of the therapeutic cells, or a combination thereof.
28-29. (canceled)
30. The method of claim 14, wherein the subject is a human.
31. The method of claim 14, wherein the cancer comprises cells expressing ROR1, CEA, HER2, EGFR, EGFR VIII, LMP1, LMP2A, Mesothelin, PSMA, EpCAM, glypican-3, gpA33, GD2, TROP2, BCMA, CD19, CD20, CD33, CD123, CD22, CD30, or a combination thereof.
32. (canceled)
33. The method of claim 14, wherein the cancer is CD19 positive.
34. The method of claim 14, further comprising administering an effective amount of a therapeutic agent after the administering the therapeutic composition to the subject.
35. The method of claim 34, wherein the therapeutic agent comprises a monoclonal antibody, a multi-specific antibody, a chemotherapy agent, an enzyme, a protein, a co-stimulator, an apoptosis sensitizer, a tumor vascular disruptor, or a combination thereof, wherein the co-stimulator is configured to increase the amount of cytotoxic T cells in the subject.
36-39. (canceled)
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