Department of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands.
Department of Experimental Immunohematology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
Int J Cancer. 2019 Jan 15;144(2):345-354. doi: 10.1002/ijc.31899. Epub 2018 Nov 12.
Immunomodulatory antibodies blocking interactions of coinhibitory receptors to their ligands such as CTLA-4, PD1 and PD-L1 on immune cells have shown impressive therapeutic efficacy in clinical studies. The therapeutic effect of these antibodies is mainly mediated by reactivating antitumor T cell immune responses. Detailed analysis of anti-CTLA4 antibody therapy revealed that an optimal therapeutic efficacy also requires binding to Fc receptors for IgG, FcγR, mediating depletion of intratumoral regulatory T cells. Here, we investigated the role of Fc binding in anti-PD-L1 antibody therapy in the MC38 C57BL/6 and CT26 BALB/c colon adenocarcinoma tumor models. In the MC38 tumor model, all IgG subclasses anti-PD-L1 showed similar therapeutic efficacy when compared to each other in either wild-type mice or in mice deficient for all FcγR. In contrast, in the CT26 tumor model, anti-PD-L1 mIgG2a, the IgG subclass with the highest affinity for activating FcγR, showed stronger therapeutic efficacy than other IgG subclasses. This was associated with a reduction of a myeloid cell subset with high expression of PD-L1 in the tumor microenvironment. This subclass preference for mIgG2a was lost in C57BL/6 × BALB/c F1 mice, indicating that the genetic background of the host may determine the additional clinical benefit of the high affinity antibody subclasses. Based on these data, we conclude that FcγR are not crucial for anti-PD-L1 antibody therapy but might play a role in some tumor models.
免疫调节抗体阻断抑制性受体与其配体的相互作用,如免疫细胞上的 CTLA-4、PD1 和 PD-L1,在临床研究中显示出令人印象深刻的治疗效果。这些抗体的治疗效果主要是通过激活抗肿瘤 T 细胞免疫反应来介导的。对抗 CTLA-4 抗体治疗的详细分析表明,最佳的治疗效果还需要与 IgG 的 Fc 受体、FcγR 结合,介导肿瘤内调节性 T 细胞的耗竭。在这里,我们研究了 Fc 结合在抗 PD-L1 抗体治疗中的作用,在 MC38 C57BL/6 和 CT26 BALB/c 结肠腺癌肿瘤模型中。在 MC38 肿瘤模型中,与野生型小鼠或所有 FcγR 缺陷型小鼠相比,所有 IgG 亚类的抗 PD-L1 抗体在彼此之间表现出相似的治疗效果。相比之下,在 CT26 肿瘤模型中,抗 PD-L1 mIgG2a,即与激活 FcγR 亲和力最高的 IgG 亚类,比其他 IgG 亚类具有更强的治疗效果。这与肿瘤微环境中 PD-L1 高表达的髓样细胞亚群减少有关。这种 mIgG2a 的亚类偏好性在 C57BL/6×BALB/c F1 小鼠中丢失,表明宿主的遗传背景可能决定了高亲和力抗体亚类的额外临床益处。基于这些数据,我们得出结论,FcγR 对抗 PD-L1 抗体治疗不是至关重要的,但在某些肿瘤模型中可能发挥作用。