Research The Bayer Scientific Magazin, Edition 28



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3

 

T-cells

 use their TCRs to identify the tumor 

antigens on the surface of the 



cancer cells

But the tumor activates another T-cell receptor. 



This triggers an inhibitory signal for the T-cells: 

their reaction is blocked and they no longer 

attack the tumor. This is where immunotherapy 

intervenes. 



Specific antibodies

 are injected 

into the patient in order to block receptor acti-

vation – and thus halt the negative signals to 

the T-cells. They can now successfully combat 

the tumor.



1

 In tissue close to the 



melanoma



dendritic cells

 pick up tumor antigens 

and present them on their surface. These 

cells migrate via the lymph vessels to the 

lymph nodes

.

2

 In the 

lymph nodes

, the 


dendritic cells 

present the tumor antigen to naive 



T-cells

These dock with their T-cell receptors 



(TCRs) to the tumor structure and are acti-

vated. They travel via the lymph vessels to 

the 

melanoma

.

Lymph nodes



Melanoma

Dendritic 

cells

Immunotherapy with 

specific antibodies

Checkpoint blockade: raising the barrier to 

unleash the immune response

Tumors such as melanomas can send inhibitory signals that suppress the response of the immune system. This is where the new 

therapeutic approach of the checkpoint blockade comes in: specific antibodies cancel the command and allow the immune system 

to resume its attack on the tumor.

TCR


TCR

naive T-cell

Tumor cell

activated T-cell

Cover story

  MEDICINE

Bayer research 28    July 2015

15



One of the work areas in the collaboration is focused on brain 

tumors. “Our group has already developed a first targeted immu-

nization approach against a common feature of gliomas, which is 

now being tested in a clinical study,” explains Professor Michael 

Platten of the DFKZ. As leader of the Neuro- and Brain Tumor 

Immunology Group, he is confident that the general approach of 

immunotherapies will deliver numerous opportunities. “I expect 

immunotherapy to become firmly established in cancer treat-

ment.” Unlike chemotherapy and radiation therapy, which are 

concluded after a given treatment cycle, immunotherapy can 

have a long-term effect: during treatment, the immune system 

learns how to fight off the cancerous cells under its own power 

in the long term. T-lymphocytes have the potential to repress 

the tumor, and memory cells can also be formed. “After success-

ful treatment, a patient is protected, at least against recurrent 

malignancies: if cancer cells that have lain hidden in the body 

should resurface, the trained immune system can now hunt 

down and destroy them,” Aswad explains. 

Another advantage is that the tumors are less likely to de-

velop resistance to the treatment, in contrast to chemotherapy 

drugs. “What’s more, cytostatic drugs do not distinguish between 

healthy and foreign tissue. These chemicals attack all cells that 

divide and multiply at a particularly rapid pace,” Kreft says. That 

includes tumor cells, but also hair follicles, the mucous mem-

branes and the nail beds of the fingers and toes. This causes 

the familiar side effects: patients lose their hair, their sense of 

taste changes, their nails fall off. “In contrast, checkpoint inhibi-

tors are much more targeted, but still act throughout the entire 

body,” Kreft continues. As a result, patients are often less affected 

by nausea, for example,  and do not feel as exhausted as they 

do after radiation treatment. “The checkpoint blockade is not a 

wonder drug, however,” Aswad warns. Like virtually all medical 

treatments, it also poses certain risks. “The stimulated immune 

system can sometimes also turn on healthy tissue. Autoimmune 

responses of this kind can cause severe inflammation in the in-

testines, liver or skin. Patients must therefore be monitored very 

closely and frequently,” Aswad says.

Nevertheless, the Bayer researchers are convinced that there 

is a high chance that the benefits and the treatment potential 

of checkpoint inhibition will outweigh its risks. First therapies 



What is the goal of your collaboration with Bayer? 

Our goal is the development of antibody-based therapeutics for 

cancer immunotherapy based on two novel immune checkpoint 

regulators that we discovered at Compugen. These novel pro-

teins are involved in immune regulation, and are expressed in the 

tumor microenvironment in various cancers on both tumor and 

infiltrating immune cells. Targeting these proteins with antibody 

therapeutics could overcome their suppressive effect within the tu-

mor microenvironment and result in a robust anti-tumor immune 

response.



How do both Bayer and Compugen profit from the collaboration? 

In this collaboration Bayer and Compugen are working together 

as a unified team on the development of therapeutics, through its 

broadly applicable predictive discovery capabilities. Both groups 

contribute their specific scientific knowledge in the field of im-

mune checkpoint blockade and each company shares expertise and 

knowledge with the other. In the crowded field of immuno-oncolo-

gy, many in the industry are focused on known immune checkpoint 

“ We target novel immune 

checkpoints”



Zurit 

Levine

targets. We, however, develop drugs targeting novel immune 

checkpoints to generate first-in-class therapeutics, which could 

increase response rates or extend the range of cancer indications 

treated, and provide a source for effective drug combinations.

How do you think immunotherapy in general and checkpoint 

blockade specifically will influence cancer therapy?

The blockade of immune checkpoints unleashes the potential of 

the anti-tumor immune response in a fashion that is transforming 

cancer therapeutics. Checkpoint-blocking antibodies have lately 

demonstrated impressive clinical benefits and long-term survival, 

even for end-stage patients, raising hopes that this novel ap-

proach might lead to effective therapeutic strategies and valuable 

additions in the fight against cancer. However, current therapies 

appear to address only a small percentage of patients. Therefore, 

the availability of monoclonal antibody drugs addressing addi-

tional novel checkpoint targets could significantly broaden the 

applicability of this breakthrough approach – specifically in cancer 

indications where current immunotherapies are not efficacious.

Dr. Zurit Levine is Vice President of Research and Discovery at 

Compugen Ltd. in Israel. research spoke to the scientist about the 

collaboration with Bayer and the future of cancer therapy.



Greater quality of life for cancer patients  

during treatment

MEDICINE 

Cover story

16

Bayer research 28    July 2015




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