Maskalenko Nicholas A, Zahroun Sam, Tsygankova Oxana, Anikeeva Nadia, Sykulev Yuri, Campbell Kerry S
Institute for Cancer Research, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Department of Microbiology and Immunology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Cancer Immunol Res. 2025 Mar 4;13(3):417-429. doi: 10.1158/2326-6066.CIR-24-0384.
Many tumor-specific monoclonal antibody therapies stimulate antibody-dependent cellular cytotoxicity (ADCC) by natural killer (NK) cells through FcγRIIIa (CD16). The efficacy of these ADCC-based immunotherapies is potentiated in patients with the common CD16 polymorphic variant F158-V that increases the binding affinity between the receptor and the IgG Fc domain. However, other CD16 variants are less well characterized. Here, we report that CD16 L48-H and L48-R variants both significantly enhance in vitro ADCC responses in primary NK cells and NK-92 cells. During ADCC responses, NK cells expressing CD16 48-H killed and disengaged from target cells faster than those expressing CD16 48-L, resulting in improved serial killing of tumor cells. We found that CD16 48-H also formed an immunologic synapse with a more compact interface, as well as more robust intracellular calcium signaling and quicker polarization of cytolytic vesicles. The ADCC response observed occurs due to increased cytolytic signaling and target cell disengagement, which drives NK cell-mediated serial killing of tumor cells. The L48-H/R polymorphism has potential to benefit patient responses to cancer antibody therapies and may also potentiate antitumor ADCC responses if incorporated into adoptive NK cell therapeutic platforms.
许多肿瘤特异性单克隆抗体疗法通过自然杀伤(NK)细胞借助FcγRIIIa(CD16)刺激抗体依赖性细胞毒性(ADCC)。在携带常见的CD16多态性变体F158-V的患者中,这些基于ADCC的免疫疗法的疗效会增强,该变体增加了受体与IgG Fc结构域之间的结合亲和力。然而,其他CD16变体的特征了解较少。在此,我们报告CD16 L48-H和L48-R变体均显著增强了原代NK细胞和NK-92细胞的体外ADCC反应。在ADCC反应过程中,表达CD16 48-H的NK细胞比表达CD16 48-L的NK细胞更快地杀死靶细胞并与之脱离,从而改善了对肿瘤细胞的连续杀伤。我们发现,CD16 48-H还形成了界面更紧密的免疫突触,以及更强的细胞内钙信号传导和溶细胞囊泡更快的极化。观察到的ADCC反应是由于溶细胞信号增强和靶细胞脱离,这推动了NK细胞介导的对肿瘤细胞的连续杀伤。L48-H/R多态性有可能使患者对癌症抗体疗法产生更好的反应,如果将其纳入过继性NK细胞治疗平台,也可能增强抗肿瘤ADCC反应。