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UCSF engineers ALPPL2-targeted bispecific TCE aiming for solid cancers

UCSF engineers ALPPL2-targeted bispecific TCE aiming for solid cancers

University of California, San Francisco has received a USD 1.64 million National Cancer Institute R01 award to develop a bispecific T cell engager (TCE) targeting ALPPL2, a cell surface antigen reported to have highly restricted expression in normal adult tissues while being expressed across multiple solid tumor types.

The scientific rationale centers on ALPPL2's near-exclusive expression in cancers including mesothelioma, ovarian, lung, gastric, pancreatic, and testicular malignancies. Unlike tumor-associated antigens, which are typically overexpressed in cancer but retain baseline expression in normal tissue, ALPPL2 has been reported to exhibit highly restricted expression in normal adult tissues, making it an attractive candidate for improving the therapeutic index of TCEs. The research team, led by principal investigator Bin Liu, will engineer a bispecific T cell engager (BiTE) with one arm targeting ALPPL2 and a second engaging CD3 on T cells. Critically, the CD3-binding arm will be engineered at reduced affinity to separate the thresholds for tumor cell killing and cytokine release — a strategy intended to widen the therapeutic window and limit cytokine release syndrome, a dose-limiting complication with existing BiTE therapies.

The program also addresses molecular architecture as a variable affecting both manufacturability and clinical performance, applying what the investigators describe as a systems engineering approach to identify an optimized lead molecule for clinical translation.

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Bispecific T cell engagers represent a validated but still-evolving modality. Blinatumomab, targeting CD19/CD3, demonstrated proof of concept in hematologic malignancies, but extending the platform to solid tumors has proved more difficult, largely due to the scarcity of antigens with sufficient tumor specificity and the challenge of managing cytokine toxicity. One potential differentiator is the choice of target antigen, since most solid tumor BiTE programs rely on targets such as mesothelin, PSMA, or HER2, which carry varying degrees of normal tissue expression. The NCI's decision to fund this work through its Translational Immuno-oncology Study Section reflects continued institutional interest in advancing mechanistically distinct immuno-oncology candidates toward clinical evaluation.


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