Anti-IL1RAP Antibodies for Selective AML Stem Cell Elimination
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Solution Overview
Problem
Current treatments for acute myeloid leukemia (AML) are ineffective in eliminating leukemia stem cells (LSCs) while sparing normal hematopoietic stem cells, limiting their success.
Innovation Solution
Development of anti-interleukin-1 receptor accessory protein (IL1RAP) antibodies with specific CDR sequences, including heavy and light chain variable domains, to selectively target and destroy LSCs.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If chemotherapy and molecular targeting therapeutics are used to treat AML, then some leukemia cells are killed, but leukemia stem cells (LSCs) are not eliminated and normal hematopoietic stem cells are damaged
Solution Approach 1:
The patent applies local quality by designing antibodies with specific CDR sequences that recognize unique epitopes on IL1RAP expressed by LSCs. This localized specificity ensures that only LSCs expressing the target antigen are eliminated, while normal hematopoietic stem cells lacking this specific antigen expression pattern are spared from damage.
Solution Approach 2:
The patent employs parameter changes by developing multiple antibody variants with different CDR H1, CDR H2, CDR H3, CDR L1, CDR L2, and CDR L3 sequences. These sequence variations create antibodies with different binding affinities and specificities for IL1RAP, allowing optimization of the therapeutic window to maximize LSC elimination while minimizing off-target effects on normal cells.
2Reliability
If immunotherapy is used to target LSCs, then selective destruction may be achieved, but the antibody must be highly specific to avoid off-target effects
Solution Approach 1:
The patent applies segmentation by dividing the antibody structure into distinct functional regions: variable domains (VH and VL) containing six separate CDR regions (H1-H3 and L1-L3), and constant regions. Each CDR segment can be independently optimized for specific binding to IL1RAP epitopes, allowing high selectivity through combinatorial CDR pairing while maintaining a relatively simple overall antibody framework structure.
3Ease of operation
If current chemotherapy regimens are used, then treatment can be administered, but the ability to eliminate LSCs is insufficient leading to treatment failure
Solution Approach 1:
The patent employs the intermediary principle by using monoclonal antibodies as mediator molecules that bridge the immune system and LSCs. The antibodies bind specifically to IL1RAP on LSC surfaces, serving as intermediaries that recruit immune effector cells (such as NK cells and macrophages) to selectively eliminate LSCs through antibody-dependent cellular cytotoxicity (ADCC) and other immune mechanisms, thereby enhancing LSC elimination capability while maintaining ease of administration.
Data Source
AI summary
Provided herein are, inter alia, Interleukin-1 receptor accessory protein (IL1RAP) antibodies and fragments thereof which may form part of chimeric antigen receptors or bispsecific antibodies and are useful for treating IL1RAP-expressing cancers.


