Publications by authors named "M Gambles"

Multispecific T-cell-engaging scaffolds have emerged as effective anticancer therapies for the treatment of hematological malignancies. Approaches that modulate cancer cell targeting and provide personalized, multispecific immunotherapeutics are needed. Here, we report on a modular, split antibody-like approach consisting of Fab' fragments modified with complementary morpholino oligonucleotides (MORFs).

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Article Synopsis
  • - The study investigates the use of human serum albumin-based Drug-Free Macromolecular Therapeutics (DFMT) as a new treatment strategy for Chronic Lymphocytic Leukemia (CLL) by targeting CD20 and CD38 receptors on B cells without using conventional drugs.
  • - DFMT involves a two-step process to trigger apoptosis in malignant cells, utilizing bispecific engagers made from Fab' fragments of two antibodies and a multivalent effector molecule, showing promise in 56 patient samples.
  • - Results showed dual-targeting (both CD20 and CD38) was more effective than single-target approaches, with higher receptor expressions leading to better treatment outcomes and potential for personalized therapy, although further research is needed.
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Drug-free macromolecular therapeutics (DFMT) utilizes modified monoclonal antibodies (or antibody fragments) to generate antigen-crosslinking-induced apoptosis in target cells. DFMT is a two-component system containing a morpholino oligonucleotide (MORF1) modified antibody (Ab-MORF1) and human serum albumin conjugated with multiple copies of complementary morpholino oligonucleotide (MORF2), (HSA-(MORF2) ). The two components recognize each other via the Watson-Crick base pairing complementation of their respective MORFs.

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The concept of multi-targeted immunotherapeutic systems has propelled the field of cancer immunotherapy into an exciting new era. Multi-effector molecules can be designed to engage with, and alter, the patient's immune system in a plethora of ways. The outcomes can vary from effector cell recruitment and activation upon recognition of a cancer cell, to a multipronged immune checkpoint blockade strategy disallowing evasion of the cancer cells by immune cells, or to direct cancer cell death upon engaging multiple cell surface receptors simultaneously.

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Recently, we designed an inventive paradigm in nanomedicine-drug-free macromolecular therapeutics (DFMT). The ability of DFMT to induce apoptosis is based on biorecognition at cell surface, and crosslinking of receptors without the participation of low molecular weight drugs. The system is composed of two nanoconjugates: a bispecific engager, antibody or Fab' fragment-morpholino oligonucleotide (MORF1) conjugate; the second nanoconjugate is a multivalent effector, human serum albumin (HSA) decorated with multiple copies of complementary MORF2.

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