Blood Cell Development and Function Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
FSBSI "Institute of Experimental Medicine," St. Petersburg, Russia.
Cancer Immunol Res. 2019 Oct;7(10):1633-1646. doi: 10.1158/2326-6066.CIR-18-0579. Epub 2019 Aug 20.
Elotuzumab (Elo) is an IgG monoclonal antibody targeting SLAMF7 (CS1, CRACC, and CD319), which is highly expressed on multiple myeloma (MM) cells, natural killer (NK) cells, and subsets of other leukocytes. By engaging with FcγRIIIA (CD16), Elo promotes potent NK cell-mediated antibody-dependent cellular cytotoxicity (ADCC) and macrophage-mediated antibody-dependent cellular phagocytosis (ADCP) toward SLAMF7 MM tumor cells. Relapsed/refractory MM patients treated with the combination of Elo, lenalidomide, and dexamethasone have improved progression-free survival. We previously showed that Elo enhances NK cell activity via a costimulation mechanism, independent of CD16 binding. Here, we further studied the effect of Elo on cytotoxicity of CD16-negative NK-92 cells. Elo, but not other SLAMF7 antibodies, uniquely enhanced cytotoxicity mediated by CD16-negative NK-92 cells toward SLAMF7 target cells. Furthermore, this CD16-independent enhancement of cytotoxicity required expression of SLAMF7 containing the full cytoplasmic domain in the NK cells, implicating costimulatory signaling. The CD16-independent costimulation by Elo was associated with increased expression of NKG2D, ICAM-1, and activated LFA-1 on NK cells, and enhanced cytotoxicity was partially reduced by NKG2D blocking antibodies. In addition, an Fc mutant form of Elo that cannot bind CD16 promoted cytotoxicity of SLAMF7 target cells by NK cells from most healthy donors, especially if previously cultured in IL2. We conclude that in addition to promoting NK cell-mediated ADCC (CD16-dependent) responses, Elo promoted SLAMF7-SLAMF7 interactions in a CD16-independent manner to enhance NK cytotoxicity toward MM cells.
依洛珠单抗(Elo)是一种针对 SLAMF7(CS1、CRACC 和 CD319)的 IgG 单克隆抗体,该分子在多发性骨髓瘤(MM)细胞、自然杀伤(NK)细胞和其他白细胞亚群中高度表达。通过与 FcγRIIIA(CD16)结合,Elo 可促进 NK 细胞介导的抗体依赖性细胞毒性(ADCC)和巨噬细胞介导的抗体依赖性细胞吞噬作用(ADCP),从而杀伤 SLAMF7 MM 肿瘤细胞。接受 Elo、来那度胺和地塞米松联合治疗的复发性/难治性 MM 患者,其无进展生存期得到改善。我们之前的研究表明,Elo 通过一种共刺激机制增强 NK 细胞的活性,该机制不依赖于 CD16 结合。在此,我们进一步研究了 Elo 对 CD16 阴性 NK-92 细胞细胞毒性的影响。Elo(而非其他 SLAMF7 抗体)可特异性增强 CD16 阴性 NK-92 细胞对 SLAMF7 靶细胞的细胞毒性。此外,这种 CD16 非依赖性的细胞毒性增强作用需要 NK 细胞中含有完整胞质结构域的 SLAMF7 的表达,表明存在共刺激信号。Elo 的 CD16 非依赖性共刺激作用与 NK 细胞上 NKG2D、ICAM-1 和活化的 LFA-1 的表达增加有关,并用 NKG2D 阻断抗体部分降低了 NK 细胞的细胞毒性。此外,一种不能与 CD16 结合的 Elo 的 Fc 突变体形式可促进大多数健康供体 NK 细胞对 SLAMF7 靶细胞的细胞毒性,尤其是在之前用 IL2 培养的情况下。我们得出结论,除了促进 NK 细胞介导的 ADCC(CD16 依赖性)反应外,Elo 还以 CD16 非依赖性方式促进 SLAMF7-SLAMF7 相互作用,从而增强 NK 细胞对 MM 细胞的细胞毒性。