1. Context-restricted PD-(L)1 checkpoint agonism by CTLA4-Ig therapies inhibits T cell activity.
- Author
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Oxley EP, Kershaw NJ, Louis C, Goodall KJ, Garwood MM, Jee Ho SM, Voo VTF, Park HY, Iaria J, Wong LLL, Lebenbaum AG, Wiranata S, Pang ES, Edwards ESJ, D'Silva DB, Hansen J, van Zelm MC, O'Keeffe M, Hogarth PM, Haynes NM, Huntington ND, Wicks IP, and Dickins RA
- Subjects
- Humans, CTLA-4 Antigen metabolism, Animals, Mice, Antigen-Presenting Cells immunology, Antigen-Presenting Cells metabolism, Antigen-Presenting Cells drug effects, Immunoconjugates pharmacology, Lymphocyte Activation drug effects, Lymphocyte Activation immunology, B7-H1 Antigen metabolism, B7-1 Antigen metabolism, Abatacept pharmacology, T-Lymphocytes immunology, T-Lymphocytes drug effects, T-Lymphocytes metabolism
- Abstract
T cell surface CTLA4 sequesters the costimulatory ligands CD80 and CD86 on antigen-presenting cells (APCs) to prevent autoimmunity. Therapeutic immunosuppression by recombinant CTLA4-immunoglobulin (Ig) fusion proteins, including abatacept, is also attributed to CD80/CD86 blockade. Recent studies show that CTLA4-Ig binding to APC surface cis-CD80:PD-L1 complexes can release the inhibitory ligand PD-L1, but whether this contributes to T cell inhibition remains unclear. Here, we show that PD-L1 liberation by CTLA4-Ig is strictly limited, both in extent and context, relative to PD-L1-competing anti-CD80 antibodies. At APC surface CD80:PD-L1 ratios exceeding 2:1, CTLA4-Ig therapies fail to release PD-L1 regardless of their CD80 affinity. Additionally, introducing flexibility into CTLA4-Ig by modifying its rigid homodimer interface produces biologics that retain bivalent CD80 binding without dissociating cis-bound PD-L1. These findings demonstrate that CTLA4-Ig therapies liberate PD-L1 through a CD80 reorientation mechanism that imposes a strict context dependence to their PD-1 checkpoint agonism and resultant T cell inhibition., Competing Interests: Declaration of interests E.P.O., N.J.K., K.J.G., M.M.G., and R.A.D. are inventors on International Patent Application PCT/AU2022/051296 (filed October 28, 2022) related to this work. E.P.O., N.J.K., and R.A.D. are co-founders of FLEX Immunotherapeutics. N.D.H. is CSO of oNKo-Innate Pty Ltd and declares ownership and funding not related to this work., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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