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CD40 增强 CD47 阻断后的 I 型干扰素反应,连接先天免疫和适应性免疫。

CD40 Enhances Type I Interferon Responses Downstream of CD47 Blockade, Bridging Innate and Adaptive Immunity.

机构信息

Shattuck Labs, Inc., Durham, North Carolina.

出版信息

Cancer Immunol Res. 2020 Feb;8(2):230-245. doi: 10.1158/2326-6066.CIR-19-0493. Epub 2019 Dec 18.

Abstract

Disrupting the binding of CD47 to SIRPα has emerged as a promising immunotherapeutic strategy for advanced cancers by potentiating antibody-dependent cellular phagocytosis (ADCP) of targeted antibodies. Preclinically, CD47/SIRPα blockade induces antitumor activity by increasing the phagocytosis of tumor cells by macrophages and enhancing the cross-presentation of tumor antigens to CD8 T cells by dendritic cells; both of these processes are potentiated by CD40 signaling. Here we generated a novel, two-sided fusion protein incorporating the extracellular domains of SIRPα and CD40L, adjoined by a central Fc domain, termed SIRPα-Fc-CD40L. SIRPα-Fc-CD40L bound CD47 and CD40 with high affinity and activated CD40 signaling in the absence of Fc receptor cross-linking. No evidence of hemolysis, hemagglutination, or thrombocytopenia was observed or in cynomolgus macaques. Murine SIRPα-Fc-CD40L outperformed CD47 blocking and CD40 agonist antibodies in murine CT26 tumor models and synergized with immune checkpoint blockade of PD-1 and CTLA4. SIRPα-Fc-CD40L activated a type I interferon response in macrophages and potentiated the activity of ADCP-competent targeted antibodies both and These data illustrated that whereas CD47/SIRPα inhibition could potentiate tumor cell phagocytosis, CD40-mediated activation of a type I interferon response provided a bridge between macrophage- and T-cell-mediated immunity that significantly enhanced durable tumor control and rejection.

摘要

阻断 CD47 与 SIRPα 的结合已成为一种很有前途的免疫治疗策略,可通过增强靶向抗体的抗体依赖性细胞吞噬作用 (ADCP) 来治疗晚期癌症。在临床前研究中,CD47/SIRPα 阻断通过增加巨噬细胞对肿瘤细胞的吞噬作用和增强树突状细胞向 CD8 T 细胞交叉呈递肿瘤抗原,从而诱导抗肿瘤活性;这两个过程都被 CD40 信号增强。在这里,我们生成了一种新型的双面融合蛋白,该蛋白包含 SIRPα 和 CD40L 的细胞外结构域,中间由一个 Fc 结构域连接,称为 SIRPα-Fc-CD40L。SIRPα-Fc-CD40L 与 CD47 和 CD40 具有高亲和力,并在没有 Fc 受体交联的情况下激活 CD40 信号。在食蟹猴中未观察到溶血、红细胞凝集或血小板减少的证据。在小鼠 CT26 肿瘤模型中,鼠 SIRPα-Fc-CD40L 优于 CD47 阻断和 CD40 激动性抗体,并与 PD-1 和 CTLA4 的免疫检查点阻断协同作用。SIRPα-Fc-CD40L 在巨噬细胞中激活 I 型干扰素反应,并增强 ADCP 有效靶向抗体的活性。这些数据表明,虽然 CD47/SIRPα 抑制可增强肿瘤细胞的吞噬作用,但 CD40 介导的 I 型干扰素反应的激活在巨噬细胞和 T 细胞介导的免疫之间架起了一座桥梁,从而显著增强了持久的肿瘤控制和排斥。

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