通过 Fc 工程化抗 CTLA-4 抗体对肿瘤免疫中的人 Treg 和效应 T 细胞进行差异化控制。

Differential control of human Treg and effector T cells in tumor immunity by Fc-engineered anti-CTLA-4 antibody.

机构信息

Experimental Immunology, Immunology Frontier Research Center, Osaka University, 565-0871 Osaka, Japan.

Laboratory of Experimental Immunology, Department of Regeneration Science and Engineering, Institute for Frontier Life and Medical Sciences, Kyoto University, 606-8507 Kyoto, Japan.

出版信息

Proc Natl Acad Sci U S A. 2019 Jan 8;116(2):609-618. doi: 10.1073/pnas.1812186116. Epub 2018 Dec 26.

Abstract

Anti-CTLA-4 mAb is efficacious in enhancing tumor immunity in humans. CTLA-4 is expressed by conventional T cells upon activation and by naturally occurring FOXP3CD4 Treg cells constitutively, raising a question of how anti-CTLA-4 mAb can differentially control these functionally opposing T cell populations in tumor immunity. Here we show that FOXP3 potently suppressive effector Treg cells were abundant in melanoma tissues, expressing CTLA-4 at higher levels than tumor-infiltrating CD8 T cells. Upon in vitro tumor-antigen stimulation of peripheral blood mononuclear cells from healthy individuals or melanoma patients, Fc-region-modified anti-CTLA-4 mAb with high antibody-dependent cell-mediated cytotoxicity (ADCC) and cellular phagocytosis (ADCP) activity selectively depleted CTLA-4FOXP3 Treg cells and consequently expanded tumor-antigen-specific CD8T cells. Importantly, the expansion occurred only when antigen stimulation was delayed several days from the antibody treatment to spare CTLA-4 activated effector CD8T cells from mAb-mediated killing. Similarly, in tumor-bearing mice, high-ADCC/ADCP anti-CTLA-4 mAb treatment with delayed tumor-antigen vaccination significantly prolonged their survival and markedly elevated cytokine production by tumor-infiltrating CD8 T cells, whereas antibody treatment concurrent with vaccination did not. Anti-CTLA-4 mAb modified to exhibit a lesser or no Fc-binding activity failed to show such timing-dependent in vitro and in vivo immune enhancement. Thus, high ADCC anti-CTLA-4 mAb is able to selectively deplete effector Treg cells and evoke tumor immunity depending on the CTLA-4-expressing status of effector CD8 T cells. These findings are instrumental in designing cancer immunotherapy with mAbs targeting the molecules commonly expressed by FOXP3 Treg cells and tumor-reactive effector T cells.

摘要

抗 CTLA-4 mAb 在增强人类肿瘤免疫方面具有疗效。CTLA-4 在活化的常规 T 细胞上表达,并且在天然存在的 FOXP3+CD4+Treg 细胞上持续表达,这引发了一个问题,即抗 CTLA-4 mAb 如何在肿瘤免疫中差异控制这些功能上相对的 T 细胞群体。在这里,我们表明,FOXP3+ 强效抑制性效应 Treg 细胞在黑色素瘤组织中丰富,其 CTLA-4 表达水平高于肿瘤浸润性 CD8+T 细胞。在体外肿瘤抗原刺激来自健康个体或黑色素瘤患者的外周血单核细胞后,具有高抗体依赖性细胞介导的细胞毒性(ADCC)和细胞吞噬作用(ADCP)活性的 Fc 区修饰的抗 CTLA-4 mAb 选择性耗尽 CTLA-4+FOXP3+Treg 细胞,进而扩增肿瘤抗原特异性 CD8+T 细胞。重要的是,仅当在抗体治疗后几天延迟抗原刺激以避免 mAb 介导的杀伤时,才会发生扩增。同样,在荷瘤小鼠中,具有高 ADCC/ADCP 的抗 CTLA-4 mAb 治疗与延迟的肿瘤抗原疫苗接种显著延长了它们的存活时间,并显著提高了肿瘤浸润性 CD8+T 细胞的细胞因子产生,而抗体治疗与疫苗接种同时进行则没有。修饰为表现出较低或没有 Fc 结合活性的抗 CTLA-4 mAb 未能显示出这种体外和体内的时间依赖性免疫增强作用。因此,高 ADCC 抗 CTLA-4 mAb 能够根据效应性 CD8+T 细胞表达 CTLA-4 的状态选择性地耗尽效应 Treg 细胞并引发肿瘤免疫。这些发现对于设计针对 FOXP3+Treg 细胞和肿瘤反应性效应 T 细胞共同表达的分子的癌症免疫疗法具有重要意义。

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