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一种新型阻断抗体抑制 LILRB2,该抗体旨在重新编程免疫抑制性巨噬细胞,以在肿瘤中驱动 T 细胞激活。

Inhibition of LILRB2 by a Novel Blocking Antibody Designed to Reprogram Immunosuppressive Macrophages to Drive T-Cell Activation in Tumors.

出版信息

Mol Cancer Ther. 2023 Apr 3;22(4):471-484. doi: 10.1158/1535-7163.MCT-22-0351.


DOI:10.1158/1535-7163.MCT-22-0351
PMID:36780212
Abstract

Tumor-associated macrophages (TAM) play an important role in maintaining the immunosuppressive state of the tumor microenvironment (TME). High levels of CD163+ TAMs specifically are associated with poor prognosis in many solid tumor types. Targeting TAMs may represent a key approach in development of the next generation of cancer immune therapeutics. Members of the leukocyte immunoglobulin-like receptor B (LILRB) family, including LILRB2 (ILT4), are known to transmit inhibitory signals in macrophages and other myeloid cells. Leveraging bulk and single cell RNA-sequencing datasets, as well as extensive immunophenotyping of human tumors, we found that LILRB2 is highly expressed on CD163+ CD11b+ cells in the TME and that LILRB2 expression correlates with CD163 expression across many tumor types. To target LILRB2, we have developed JTX-8064, a highly potent and selective antagonistic mAb. JTX-8064 blocks LILRB2 binding to its cognate ligands, including classical and nonclassical MHC molecules. In vitro, JTX-8064 drives the polarization of human macrophages and dendritic cells toward an immunostimulatory phenotype. As a result, human macrophages treated with a LILRB2 blocker are reprogrammed to increase the activation of autologous T cells in co-culture systems. Furthermore, JTX-8064 significantly potentiates the activity of anti-PD-1 in allogeneic mixed lymphocyte reaction. In a human tumor explant culture, pharmacodynamic activity of JTX-8064 was observed in monotherapy and in combination with anti-PD-1. Collectively, our work provides strong translational and preclinical rationale to target LILRB2 in cancer.

摘要

肿瘤相关巨噬细胞(TAM)在维持肿瘤微环境(TME)的免疫抑制状态中发挥重要作用。在许多实体瘤类型中,高水平的 CD163+TAM 与预后不良密切相关。靶向 TAM 可能是开发下一代癌症免疫治疗药物的关键方法。白细胞免疫球蛋白样受体 B(LILRB)家族的成员,包括 LILRB2(ILT4),已知在巨噬细胞和其他髓系细胞中传递抑制信号。利用批量和单细胞 RNA 测序数据集,以及对人类肿瘤的广泛免疫表型分析,我们发现 LILRB2 在 TME 中的 CD163+CD11b+细胞上高度表达,并且 LILRB2 表达与许多肿瘤类型中的 CD163 表达相关。为了靶向 LILRB2,我们开发了 JTX-8064,一种高效且选择性的拮抗 mAb。JTX-8064 阻断 LILRB2 与其配体(包括经典和非经典 MHC 分子)的结合。在体外,JTX-8064 驱动人类巨噬细胞和树突状细胞向免疫刺激表型极化。结果,用 LILRB2 阻断剂处理的人巨噬细胞被重新编程以增加在共培养系统中自身 T 细胞的激活。此外,JTX-8064 显著增强了同种异体混合淋巴细胞反应中抗 PD-1 的活性。在人肿瘤外植体培养中,观察到 JTX-8064 在单药治疗和与抗 PD-1 联合治疗中的药效学活性。总之,我们的工作为在癌症中靶向 LILRB2 提供了强有力的转化和临床前依据。

相似文献

[1]
Inhibition of LILRB2 by a Novel Blocking Antibody Designed to Reprogram Immunosuppressive Macrophages to Drive T-Cell Activation in Tumors.

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[6]
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[7]
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[8]
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引用本文的文献

[1]
Inhibitory leukocyte immunoglobulin-like receptors, subfamily B (LILRBs) in human diseases: structure, roles, mechanisms, and clinical applications.

Theranostics. 2025-7-25

[2]
Dual roles and therapeutic targeting of tumor-associated macrophages in tumor microenvironments.

Signal Transduct Target Ther. 2025-8-25

[3]
TREM2-mediated regulation of microglial activity: a promising target for the treatment of ischemic stroke.

J Transl Med. 2025-7-11

[4]
SPI1 upregulated LILRB2 to enhance the immunosuppressive phenotype of LPS-tolerant macrophages by inhibiting TLR8-mediated MyD88/NF-κB signaling.

Biol Direct. 2025-6-23

[5]
Leishmania regulates host YY1: Comparative proteomic analysis identifies infection modulated YY1 dependent proteins.

PLoS One. 2025-5-15

[6]
LILRB2 blockade facilitates macrophage repolarization and enhances T cell-mediated antitumor immunity.

J Immunother Cancer. 2025-4-17

[7]
Eph Receptors Activate Myeloid Checkpoint Receptor LILRB5 to Support Tumor Development.

Cancer Immunol Res. 2025-6-4

[8]
Targeting leukocyte immunoglobulin‑like receptor B2 in the tumor microenvironment: A new treatment prospect for solid tumors (Review).

Oncol Lett. 2025-2-12

[9]
The Evolving Applications of Bispecific Antibodies: Reaping the Harvest of Early Sowing and Planting New Seeds.

BioDrugs. 2025-1

[10]
Phase I dose escalation study of IO-108, an anti-LILRB2 antibody, in patients with advanced solid tumors.

J Immunother Cancer. 2024-11-20

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