Dual T/NK Cell Engagement via B7-H6-Targeted Bispecific Antibodies and IL-15 Eradicates Chemo-Resistant Solid Tumors

Xuqian Ma^1,2Huixia He¹Yuankui Zhu²Dianbao Zuo^2,3Fanglin Wang^1,2Mingqian Feng^1,2Kangkang Ji^1,4*Xin Chen^1,5*

• ¹College of Life Science and Technology, Huazhong Agricultural University, Wuhan, China
• ²College of Biomedicine and Health, Huazhong Agricultural University, Wuhan, China
• ³Xiangyang No.1 People's Hospital, Xiangyang, China
• ⁴Binhai County People's Hospital, Yancheng, China
• ⁵Hubei University of Technology, Wuhan, China

B7-H6, a tumor-specific immune checkpoint molecule within the B7 family, represents a promising therapeutic target due to its selective overexpression in malignancies and negligible expression in normal tissues. Here, we developed bispecific antibodies (BsAbs) targeting B7-H6 to redirect T and NK cells against solid tumors. Through phage display, 15 high-affinity B7-H6 monoclonal antibodies were generated. Two optimized BsAbs, B7-H6M4-OKT3 (T cell-engaging) and B7-H6M4-LC21 (NK cell-engaging), were constructed in an scFv-hFc-scFv format. Both demonstrated nanomolar affinity (EC50: 0.04-1.22 nM) and selective cytotoxicity against B7-H6 + cells (H446, Huh-7, HepG2), while showing minimal cytotoxicity against B7-H6-negative cells (A431). B7-H6M4-LC21 exhibited enhanced tumor-killing efficacy (IC50: 5 ng/mL) compared to B7-H6M4-OKT3 (IC50: 1 ng/mL) when combined with an IL-15/IL-15Rα sushi fusion protein, which augmented NK cell proliferation and cytotoxicity. In H446 xenograft models, both BsAbs suppressed tumor growth in a dose-dependent manner (0.1-20 mg/kg) without significant toxicity.Combination therapy with B7-H6M4-LC21 (10 mg/kg) and B7-H6M18/IL-15/IL-15Rα sushi (0.03 mg/kg) achieved synergistic tumor inhibition (p<0.05), surpassing the efficacy of T cell-based combinations. These findings establish B7-H6-targeted BsAbs combined with cytokine engineering as a viable strategy for treating refractory solid tumors.