Project ID CM-HD2026_28

ThemeCM-HD

Co Supervisor 1A Dr Thomas Tull Faculty of Life Sciences & Medicine, School of Basic & Medical Biosciences, Department of Medical & Molecular GeneticsEmail

Co Supervisor 1B Prof Sophia Karagiannis Faculty of Life Sciences & Medicine, School of Basic & Medical Biosciences, Department of Medical & Molecular GeneticsEmail

Bioengineering a novel anti-CD20 antibody to treat autoimmune disease

Background:
B cells play an important role in a number of autoimmune diseases through the production of antibodies that bind to tissues and cause end organ damage. Rituximab is a highly effective treatment for antibody driven autoimmune disease and targets CD20 that is expressed on the surface of B cells. Rituximab causes death of B cells by a number of mechanisms, including complement activation and cell mediated death. Administration of rituximab results in potent B cell depletion in the blood but it does not result in the clearance of tissue resident B cells. This is likely to be the reason why it fails to cure autoimmune disease, as pathogenic B cells can ‘hide’ in tissues such as skin. The reasons for incomplete tissue clearance remain unknown and may relate to reduced complement or cell mediated B cell apoptosis in the tissue microenvironment.

We have recently developed a 3D skin model which allows the study of anti-CD20 antibodies in the skin microenvironment. We have also engineered antibodies that target proteins found on cancer cells that have modifications that enhance cell mediated cytotoxicity.

Project aims:
This project will aim to bioengineer a next generation anti-CD20 antibody with significantly greater cytotoxicity than rituximab. The key project aims are:

1. Bioengineer a range of fully human anti-CD20 antibodies with modifications to the Fc region that increase cell mediated cytotoxicity. Plasmids would be created and human embryonic kidney (HEK293/Expi293F) cells transfected to clone antibodies (Year 1)
2. Assess CD20 binding by the bioengineered antibody using flow cytometry and antibody dependent cytotoxicity and phagocytosis assays (Years 2)
3. Investigate the ex vivo activity of rituximab using a 3D skin model. This will involve populating the skin model with B cells and assessing the cytotoxicity of bio-engineered anti-CD20 antibodies versus rituximab in the presence or absence of complement and other immune cells (Years 2-4).

The outcome of this project could therefore lead to the generation of a novel anti-CD20 therapeutic antibody that could treat a wide range of autoimmune diseases.

Techniques and skills
Antibody engineering and cloning, cell culture, cytotoxicity assays, flow cytometry, ELISA.

3-month project outline?
Human embryonic kidney cells will be transfected with commercially manufactured plasmids encoding preliminary antibody sequences. A small range of cloned antibodies would then be tested for CD20 binding by flow cytometry and their cell mediated killing will be assessed initially using antibody dependent cytotoxicity and phagocytosis assays.

Representative Publications

1. Tull TJ, Benton EC, Semkova K, Watson NA, Mee JB, Lopez B, Setterfield J, Carey B, Ahmad S, Robbie SJ, Groves RW, Sanna G, D’Cruz DP. Combined rituximab and belimumab to treat recalcitrant epidermolysis bullosa aquisita associated with systemic lupus erythematosus. Br J Dermatol. 191(1):138-140, 2024.
2. Tull TJ, Pitcher MJ, Guesdon W, Siu JHY, Lebrero-Fernández C, Zhao Y, Petrov N, Heck S, Ellis R, Dhami P, Kadolsky UD, Kleeman M, Kamra Y, Fear DJ, John S, Jassem W, Groves RW, Sanderson JD, Robson MD, D’Cruz DP, Bemark M, Spencer J. Human marginal zone B cell development from early T2 progenitors. J Exp Med. 2021 218(4):e20202001.
3. Siu JHY, Pitcher MJ, Tull TJ, Velounias RL, Guesdon W, Montorsi L, Mahbubani KT, Ellis R, Dhami P, Todd K, Kadolsky UD, Kleeman M, D’Cruz DP, Saeb-Parsy K, Bemark M, Pettigrew GJ, Spencer J. Two subsets of human marginal zone B cells resolved by global analysis of lymphoid tissues and blood. Sci Immunol. 2022 Mar 18;7(69).

1. Osborn G, López-Abente J, Adams R, Laddach R, Grandits M, Bax HJ, Chauhan J, Pellizzari G, Nakamura M, Stavraka C, Chenoweth A, Palhares LCGF, Evan T, Lim JHC, Gross A, Moise L, Jatiani S, Figini M, Bianchini R, Jensen-Jarolim E, Ghosh S, Montes A, Sayasneh A, Kristeleit R, Tsoka S, Spicer J, Josephs DH, Karagiannis SN*. Hyperinflammatory repolarisation of ovarian cancer patient macrophages by anti-tumour IgE antibody, MOv18, restricts an immunosuppressive macrophage:Treg cell interaction. Nat Commun. 2025 16(1):2903. doi: 10.1038/s41467-025-57870-y.
2. Pellizzari G, Hoskin C, Crescioli S, Mele S, Gotovina J, Chiaruttini G, Bianchini R, Ilieva K, Bax HJ, Papa S, Lacy KE, Jensen-Jarolim E, Tsoka S, Josephs DH, Spicer JF, Karagiannis SN*. IgE re-programs alternatively-activated human macrophages towards pro-inflammatory anti-tumoural states. EBioMedicine. 2019 43:67-81. doi: 10.1016/j.ebiom.2019.03.080.
3. Chauhan J, Grandits M, Palhares LCGF, Mele S, Nakamura M, López-Abente J, Crescioli S, Laddach R, Romero-Clavijo P, Cheung A, Stavraka C, Chenoweth AM, Sow HS, Chiaruttini G, Gilbert AE, Dodev T, Koers A, Pellizzari G, Ilieva KM, Man F, Ali N, Hobbs C, Lombardi S, Lionarons DA, Gould HJ, Beavil AJ, Geh JLC, MacKenzie Ross AD, Healy C, Calonje E, Downward J, Nestle FO, Tsoka S, Josephs DH, Blower PJ, Karagiannis P, Lacy KE, Spicer J, Karagiannis SN*, Bax HJ. Anti-cancer pro-inflammatory effects of an IgE antibody targeting the melanoma-associated antigen chondroitin sulfate proteoglycan 4. Nat Commun. 2023 14(1):2192; doi: 10.1038/s41467-023-37811-3.