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Fc Effector Function Contributes to the Activity of Human Anti-CTLA-4 Antibodies.

Published version
Peer-reviewed

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Authors

Arce Vargas, Frederick 
Furness, Andrew JS 
Joshi, Kroopa 
Rosenthal, Rachel 

Abstract

With the use of a mouse model expressing human Fc-gamma receptors (FcγRs), we demonstrated that antibodies with isotypes equivalent to ipilimumab and tremelimumab mediate intra-tumoral regulatory T (Treg) cell depletion in vivo, increasing the CD8+ to Treg cell ratio and promoting tumor rejection. Antibodies with improved FcγR binding profiles drove superior anti-tumor responses and survival. In patients with advanced melanoma, response to ipilimumab was associated with the CD16a-V158F high affinity polymorphism. Such activity only appeared relevant in the context of inflamed tumors, explaining the modest response rates observed in the clinical setting. Our data suggest that the activity of anti-CTLA-4 in inflamed tumors may be improved through enhancement of FcγR binding, whereas poorly infiltrated tumors will likely require combination approaches.

Description

Keywords

CTLA-4, Fc-gamma receptors, IgG subclass, antibody-dependent cell-mediated cytotoxicity, immune checkpoints, immune regulatory antibodies, ipilimumab, regulatory T cell depletion, tremelimumab, tumor immunotherapy, Animals, Antibodies, Monoclonal, Antibodies, Monoclonal, Humanized, Antineoplastic Agents, Immunological, CTLA-4 Antigen, Cell Line, Tumor, Female, Humans, Ipilimumab, Melanoma, Mice, Polymorphism, Single Nucleotide, Receptors, IgG, T-Lymphocytes, Regulatory, Treatment Outcome, Xenograft Model Antitumor Assays

Journal Title

Cancer Cell

Conference Name

Journal ISSN

1535-6108
1878-3686

Volume Title

33

Publisher

Elsevier BV