Rationale:
Endoglin, also known as CD105, is a homo-dimeric
membrane glycoprotein required for angiogenesis and serves as a marker for
cancer vasculature. In this study, we constructed a bispecific T-cell engager (
BiTE) antibody that targets human
endoglin and CD3 (hEND-CD3/
BiTE). We examined
BiTE binding to
endoglin-expressing cells and its effects on the cytolytic activity of T cells and
cancer development. Methods: The in vitro effects of hEND-CD3/
BiTE, including binding to target cells, T-cell activation, proliferation, and cytotoxicity, were examined in
endoglin-expressing 293T cells, human umbilical vascular endothelial cells,
tumor-derived endothelial cells, and CD3+ T cells. An in vivo xenograft
tumor model was established using A549 human
lung cancer cells. The therapeutic efficacy of hEND-CD3/
BiTE was assessed by monitoring
tumor growth, angiogenesis, and mouse survival. Results: hEND-CD3/
BiTE specifically bound to
endoglin-expressing cells and CD3+ T cells in vitro and stimulated T-cell activation, proliferation, and Th1
cytokine secretion, and promoted T-cell-mediated cytolysis of
endoglin-expressing cells. The hEND-CD3/
BiTE in vivo caused minimal toxicity to major organs, reduced
tumor neoangiogenesis, inhibited
tumor growth, and significantly improved mouse survival. Conclusions: Our study demonstrated the therapeutic potential of hEND-CD3/
BiTE and provided a novel approach to clinical
cancer treatment.