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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Head and Neck Tumors</journal-id><journal-title-group><journal-title xml:lang="en">Head and Neck Tumors</journal-title><trans-title-group xml:lang="ru"><trans-title>Опухоли головы и шеи</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-1468</issn><issn publication-format="electronic">2411-4634</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1131</article-id><article-id pub-id-type="doi">10.17650/2222-1468-2025-15-4-41-51</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ ГОЛОВЫ И ШЕИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Camrelizumab exhibits dual specificity implications for antitumor immunity</article-title><trans-title-group xml:lang="ru"><trans-title>Камрелизумаб – первый поливалентный PD-1-ингибитор в Российской Федерации</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4529-7891</contrib-id><name-alternatives><name xml:lang="en"><surname>Imyanitov</surname><given-names>E. N.</given-names></name><name xml:lang="ru"><surname>Имянитов</surname><given-names>Е. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>buletovda@petrovax.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1444-373X</contrib-id><name-alternatives><name xml:lang="en"><surname>Suladze</surname><given-names>S. A.</given-names></name><name xml:lang="ru"><surname>Суладзе</surname><given-names>С. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>buletovda@petrovax.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3833-3380</contrib-id><name-alternatives><name xml:lang="en"><surname>Peshkova</surname><given-names>I. O.</given-names></name><name xml:lang="ru"><surname>Пешкова</surname><given-names>Ю. О.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>buletovda@petrovax.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4671-0812</contrib-id><name-alternatives><name xml:lang="en"><surname>Tikhonov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Тихонов</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>buletovda@petrovax.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8559-6709</contrib-id><name-alternatives><name xml:lang="en"><surname>Buletov</surname><given-names>D. A.</given-names></name><name xml:lang="ru"><surname>Булетов</surname><given-names>Д. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>buletovda@petrovax.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Петрова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">LLC “NPO Petrovax Farm”</institution></aff><aff><institution xml:lang="ru">ООО «НПО Петровакс Фарм»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2026-03-18" publication-format="electronic"><day>18</day><month>03</month><year>2026</year></pub-date><volume>15</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>41</fpage><lpage>51</lpage><history><date date-type="received" iso-8601-date="2026-02-22"><day>22</day><month>02</month><year>2026</year></date><date date-type="accepted" iso-8601-date="2026-02-22"><day>22</day><month>02</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Imyanitov E.N., Suladze S.A., Peshkova I.O., Tikhonov A.A., Buletov D.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Имянитов Е.Н., Суладзе С.А., Пешкова Ю.О., Тихонов А.А., Булетов Д.А.</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Imyanitov E.N., Suladze S.A., Peshkova I.O., Tikhonov A.A., Buletov D.A.</copyright-holder><copyright-holder xml:lang="ru">Имянитов Е.Н., Суладзе С.А., Пешкова Ю.О., Тихонов А.А., Булетов Д.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ogsh.abvpress.ru/jour/article/view/1131">https://ogsh.abvpress.ru/jour/article/view/1131</self-uri><abstract xml:lang="en"><p><bold>Introduction.</bold> Camrelizumab is a high-affinity monoclonal antibody targeting programmed cell death protein 1 (PD-1) that has demonstrated strong clinical activity across multiple solid tumors. Emerging evidence suggests that camrelizumab can bind not only PD-1 but also the stress-induced ligand ULBP2 which activates natural killer (NK) and CD8<sup>+</sup>-T cells.</p> <p><bold>Aim.</bold> To experimentally verify specific camrelizumab binding to ULBP2 (in contrast to reference anti-PD-1 antibodies pembrolizumab, nivolumab, and prolgolimab), compare anti-PD-1 antibodies binding profiles, and explore the potential immunological implications of camrelizumab dual specificity to PD-1 and ULBP2 in the context of antitumor immune response.</p> <p><bold>Materials and methods.</bold> Binding interactions between ULBP2 and the four anti-PD-1 antibodies (camrelizumab, pembrolizumab, nivolumab, and prolgolimab) were assessed using surface plasmon resonance and flow cytometry.</p> <p><bold>Results.</bold> Among all the tested antibodies, only camrelizumab exhibited specific binding to ULBP2 (<italic>K<sub>D</sub></italic> (equilibrium dissociation constant) = 2.79 × 10<sup>–7</sup> M). This interaction was confirmed by two independent methods.</p> <p><bold>Conclusion.</bold> Camrelizumab displays a unique dual specificity for PD-1 and ULBP2 maintaining activity of effector lymphocytes and potentially decreases the dependence of therapy efficacy of PD-1 ligand (PD-L1) expression level. These findings expand our understanding of the biological features of camrelizumab and support its potential as an immunomodulator with broadened activity.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Введение.</bold> Камрелизумаб – моноклональное антитело против рецептора программируемой клеточной гибели (PD-1), демонстрирующее высокую эффективность при различных солидных опухолях. Результаты исследований показывают, что этот препарат способен связываться не только с PD-1, но и с лигандом ULBP2, участвующим в активации NK- (естественных киллеров) и CD8<sup>+</sup>-Т-клеток.</p> <p><bold>Цель исследования</bold> – экспериментальное подтверждение специфического связывания камрелизумаба с ULBP2 (в отличие от референсных анти-PD-1-антител, таких как пембролизумаб, ниволумаб и пролголимаб), сравнительный анализ профилей их связывания, а также оценка иммунологических эффектов данного биспецифического взаимодействия камрелизумаба с PD-1 и ULBP2 в контексте противоопухолевого иммунного ответа.</p> <p><bold>Материалы и методы.</bold> Способность 4 анти-PD-1-антител (камрелизумаба, пембролизумаба, ниволумаба и пролголимаба) связываться с ULBP2 исследовали методами поверхностного плазмонного резонанса (SPR) и проточной цитофлуориметрии.</p> <p><bold>Результаты.</bold> Из всех протестированных антител только камрелизумаб продемонстрировал специфическое связывание с ULBP2 (<italic>K<sub>D</sub></italic> (равновесная константа диссоциации (или сродства) = 2,79 × 10<sup>–7</sup> М)). Это взаимодействие было подтверждено 2 независимыми методами.</p> <p><bold>Заключение.</bold> Камрелизумаб обладает уникальной двойной специфичностью – к PD-1 и ULBP2, что обеспечивает дополнительный механизм иммуномодуляции, поддерживает активность эффекторных лимфоцитов и потенциально снижает зависимость эффективности терапии от уровня экспрессии лиганда PD-1 (PD-L1). Полученные результаты расширяют понимание биологических свойств камрелизумаба и указывают на его потенциал как иммуномодулятора с расширенным спектром действия.</p></trans-abstract><kwd-group xml:lang="en"><kwd>PD-1 inhibitors</kwd><kwd>ULBP2</kwd><kwd>sULBP2</kwd><kwd>camrelizumab</kwd><kwd>pembrolizumab</kwd><kwd>nivolumab</kwd><kwd>prolgolimab</kwd><kwd>NKG 2D</kwd><kwd>natural killers</kwd><kwd>NK cells</kwd><kwd>T cells</kwd><kwd>antitumor immune response</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>PD-1-ингибиторы</kwd><kwd>ULBP2</kwd><kwd>sULBP2</kwd><kwd>камрелизумаб</kwd><kwd>пембролизумаб</kwd><kwd>ниволумаб</kwd><kwd>пролголимаб</kwd><kwd>NKG2D</kwd><kwd>естественные киллеры</kwd><kwd>NK-клетки</kwd><kwd>T-клетки</kwd><kwd>противоопухолевый иммунный ответ</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Markham A., Keam S.J. Camrelizumab: first global approval. Drugs 2019;79(12):1355–61. 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