CD6 is a cell surface glycoprotein belonging to the scavenger receptor cysteine-rich (SRCR) superfamily, predominantly expressed on T cells and subsets of B cells . Antibodies targeting CD6 modulate immune responses by interfering with T cell activation, adhesion, and co-stimulation pathways . These antibodies have emerged as therapeutic candidates for autoimmune disorders and T cell malignancies.
CD6-targeted therapies include monoclonal antibodies (mAbs) and antibody-drug conjugates (ADCs).
CD6-ADC Efficacy: In murine models, CD6-ADC eliminated antigen-specific T cells (e.g., IRBP-responsive cells in uveitis) with 90% reduction at 4 nM .
Selective Cytotoxicity: CD6-ADC spared non-CD6-expressing cells (e.g., Raji B cells) even at high concentrations .
Safety Profile: Itolizumab showed no lymphopenia or severe infections in RA trials .
Cell Type | CD6 Expression | % Killing at 4 nM CD6-ADC | Source |
---|---|---|---|
Activated CD4+ T cells | High | 98% | |
Raji B cells | None | <5% |
Itolizumab in RA: A Phase I trial (n=21) demonstrated sustained ACR20/50/70 responses for 24 weeks post-treatment, with no serious adverse events .
Pharmacokinetics: CD6-targeted ADCs exhibit prolonged half-lives (~41 days) due to recycling antibody engineering .
Target Specificity: CD6 is expressed on regulatory T cells (Tregs), raising concerns about immunosuppression .
Biomarker Development: ACA (anti-centromere antibody) isotypes (IgG/IgM) may predict disease progression in systemic sclerosis but are unrelated to CD6 .
Methodology:
Negative Controls: Use CCR6-knockout cell lines or tissues (e.g., CRISPR-edited models) to confirm absence of signal .
Isotype Controls: Compare staining with non-targeting IgG antibodies of the same host species .
Competition Assays: Pre-incubate antibodies with recombinant CCR6 protein to block binding .
Key Data:
Control Type | Purpose | Outcome Requirement |
---|---|---|
Knockout cells | Specificity | No detectable signal |
Isotype control | Background noise | Signal ≤ 1% of test |
Competition assay | Epitope validation | ≥80% signal reduction |
Protocol:
Troubleshooting:
Criteria:
Method:
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Outcome Metrics:
Application | Critical Controls | Acceptable Threshold |
---|---|---|
Western Blot | Knockout lysate | No band in KO lane |
IHC | Isotype control | ≤5% background staining |
Flow Cytometry | Fc receptor block | MFI ≤ 100 in controls |
Data Contradiction Workflow: