1. Academic Validation
  2. The TNFR1 Antagonist Atrosimab Is Therapeutic in Mouse Models of Acute and Chronic Inflammation

The TNFR1 Antagonist Atrosimab Is Therapeutic in Mouse Models of Acute and Chronic Inflammation

  • Front Immunol. 2021 Jul 7:12:705485. doi: 10.3389/fimmu.2021.705485.
Fabian Richter 1 2 Sarah K Williams 3 4 Katharina John 5 Carina Huber 1 Camille Vaslin 1 Henri Zanker 3 4 Richard Fairless 3 4 Kira Pichi 3 4 Silke Marhenke 5 Arndt Vogel 5 Marie-Ann Dhaen 6 Stefanie Herrmann 6 Andreas Herrmann 6 Klaus Pfizenmaier 1 2 Heike Bantel 5 Ricarda Diem 3 4 Roland E Kontermann 1 2 Roman Fischer 1 2
Affiliations

Affiliations

  • 1 Institute of Cell Biology and Immunology, University of Stuttgart, Stuttgart, Germany.
  • 2 Stuttgart Research Center Systems Biology, University of Stuttgart, Stuttgart, Germany.
  • 3 Department of Neurology, University Clinic Heidelberg, Heidelberg, Germany.
  • 4 Clinical Cooperation Unit (CCU) Neurooncology, German Cancer Consortium Deutsches Konsortium für Translationale Krebsforschung (DKTK), German Cancer Research Center Deutsche Krebsforschungszentrum (DFKZ), Heidelberg, Germany.
  • 5 Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, Germany.
  • 6 Baliopharm, Basel, Switzerland.
Abstract

Therapeutics that block tumor necrosis factor (TNF), and thus activation of TNF Receptor 1 (TNFR1) and TNFR2, are clinically used to treat inflammatory diseases such as rheumatoid arthritis, inflammatory bowel disease and psoriasis. However, TNFR1 and TNFR2 work antithetically to balance immune responses involved in inflammatory diseases. In particular, TNFR1 promotes inflammation and tissue degeneration, whereas TNFR2 contributes to immune modulation and tissue regeneration. We, therefore, have developed the monovalent antagonistic anti-TNFR1 antibody derivative Atrosimab to selectively block TNFR1 signaling, while leaving TNFR2 signaling unaffected. Here, we describe that Atrosimab is highly stable at different storage temperatures and demonstrate its therapeutic efficacy in mouse models of acute and chronic inflammation, including experimental arthritis, non-alcoholic steatohepatitis (NASH) and experimental autoimmune encephalomyelitis (EAE). Our data support the hypothesis that it is sufficient to block TNFR1 signaling, while leaving immune modulatory and regenerative responses via TNFR2 intact, to induce therapeutic effects. Collectively, we demonstrate the therapeutic potential of the human TNFR1 antagonist Atrosimab for treatment of chronic inflammatory diseases.

Keywords

EAE; TNF; TNFR1; arthritis; inflammatory diseases; multiple sclerosis.

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