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. 2018 Jul;67(7):1079-1090.
doi: 10.1007/s00262-018-2160-x. Epub 2018 Apr 23.

The binding of an anti-PD-1 antibody to FcγRΙ has a profound impact on its biological functions

Affiliations

The binding of an anti-PD-1 antibody to FcγRΙ has a profound impact on its biological functions

Tong Zhang et al. Cancer Immunol Immunother. 2018 Jul.

Abstract

Antibodies targeting PD-1 have been demonstrated durable anti-cancer activity in certain cancer types. However, the anti-PD-1 antibodies are less or not efficacious in many situations, which might be attributed to co-expression of multiple inhibitory receptors or presence of immunosuppressive cells in the tumor microenvironment. Most of the anti-PD-1 antibodies used in clinical studies are of IgG4 isotype with the S228P mutation (IgG4S228P). The functional impact by the interaction of anti-PD-1 IgG4S228P antibody with Fc gamma receptors (FcγRs) is poorly understood. To assess the effects, we generated a pair of anti-PD-1 antibodies: BGB-A317/IgG4S228P and BGB-A317/IgG4-variant (abbreviated as BGB-A317), with the same variable regions but two different IgG4 Fc-hinge sequences. There was no significant difference between these two antibodies in binding to PD-1. However, BGB-A317/IgG4S228P binds to human FcγRI with high affinity and mediates crosslinking between PD-1 and FcγRI. In contrast, BGB-A317 does neither. Further cell-based assays showed that such crosslinking could reverse the function of an anti-PD-1 antibody from blocking to activating. More importantly, the crosslinking induces FcγRI+ macrophages to phagocytose PD-1+ T cells. In a mouse model transplanted with allogeneic human cancer cells and PBMCs, BGB-A317 showed significant tumor growth inhibition, whereas BGB-A317/IgG4S228P had no such inhibition. Immunohistochemistry study revealed an inverse correlation between FcγRI+ murine macrophage infiltration and the density of CD8+PD-1+ human T cells within tumors in the BGB-A317/IgG4S228P-treated group. These evidences suggested that FcγRI+ binding and crosslinking had negative impact on the anti-PD-1 antibody-mediated anti-cancer activity.

Keywords: Antibody; Cancer therapy; FcγRI; Macrophages; PD-1.

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Conflict of interest statement

All authors have ownership interest in BeiGene. Tong Zhang, Lanlan Xu, Qi Liu., Jing Song and Kang Li are inventors on a patent covering BGB-A317 described in this study.

Figures

Fig. 1
Fig. 1
Comparison of BGB-A317 and BGB-A317/IgG4S228P binding profiles to human PD-1, FcγRI, and FcγRIIIA. a, b Real-time SPR sensorgrams of BGB-A317 and BGB-A317/IgG4S228P binding to human PD-1 assayed using BIAcore. Y-axis, response unit (RU). X-axis, reaction time course, seconds. c Binding of BGB-A317 and BGB-A317/IgG4S228P to HuT78/PD-1 cells assayed by FACS. Mean fluorescence intensity (MFI) was determined by flow cytometry. d Differential binding of BGB-A317 and BGB-A317/IgG4S228P to FcγRI assayed by FACS using HEK293/FcγRI cells. e Both BGB-A317 and BGB-A317/IgG4S228P have low binding activity for FcγRIIIA, determined by ELISA. The anti-PD-1 antibodies were incubated with secondary antibodies to form immune complexes before adding to FcγRIIIA-coated 96-well plates. Bound immune complexes were detected with a chemiluminescence substrate. HuIgG was used as a positive control
Fig. 2
Fig. 2
BGB-A317/IgG4S228P mediates crosslinking between PD-1 and FcγRI receptors determined by biochemical and cell signaling assays. a Overlaid sensorgrams of BGB-A317 and BGB-A317/IgG4S228P binding to PD-1 followed by binding with FcγRI. The PD-1 antibody (either BGB-A317 or BGB-A317/IgG4S228P) was injected onto the surface of human PD-1/His-coated CM5 chip, followed by FcγRI association and dissociation. The arrows indicated the time points when the analytes were injected. b Cartoon interpretation of the SPR assay in (a) showing that BGB-A317/IgG4S228P mediates crosslinking between PD-1 and FcγRI, while BGB-A317 does not. c Comparison of PD-1 antibody functional activities by P3Z assay. In the assays, detection of IL-2 secretion served as a quantitative indicator of PD-1 signaling. The dose–response was assayed either in the “two-cell line” co-cultures (HuT78/P3Z and HEK293/PD-L1) presented by solid symbols or in the “three-cell line” system (HuT78/P3Z, HEK293/PD-L1 and FcγRI+ THP-1 cells) presented by open symbols. Ab conc. Antibody concentration. d Rabbit Anti-CD64 (FcγRIα) polyclonal antibody (pAb) restored the inhibitory effect of BGB-A317/IgG4S228P on PD-1-signaling in the “three-cell” co-culture system. THP-1 cells were pre-treated with the rabbit Anti-CD64 pAb before co-culturing with HuT78/P3Z and HEK293/PD-L1 cells in the presence of BGB-A317/IgG4S228P. The placebo contained antibody buffer solution only
Fig. 3
Fig. 3
BGB-A317/IgG4S228P induces primary M2 macrophages to phagocytose PD-1+ T cells (ADCP) and to express IL-10 gene. a CD64 (FcγRI) and CD32 (FcγRII) expression on the in vitro differentiated M2 macrophages as determined by FACS. b ADCP assay using M2 macrophages. Primary M2 macrophages were co-cultured with CFSE-labeled PD-1+ HuT78/PD-1 cells overnight in the presence of the indicated antibodies. HuIgG was used as negative control. Representative dot plots of three independent experiments are shown. M2 Mac: M2 macrophage. c Bar graphs summarized the results of three independent experiments. The % of ADCP was determined as described in the “Materials and methods”. The mean + SD represents triplicate data points. ##P < 0.01, comparing BGB-A317/IgG4S228P versus huIgG. **P < 0.01, comparing BGB-A317/IgG4S228P versus BGB-A317. d Rabbit anti-CD64 polyclonal antibody neutralizes FcγRI-mediated ADCP. Rabbit IgG and placebo were used as negative controls. e Crosslinking of FcγRI+ M2 macrophages to plate-coated PD-1 by BGB-A317/IgG4S228P induces IL-10 gene expression. M2 macrophages were added to PD-1-coated 96-well plates in the presence of anti-PD-1 Abs and cultured overnight. The IL-10 gene expression was assayed by real-time PCR. IL-10 expression in huIgG-treated M2 macrophages was set as a baseline. The mRNA levels of placebo (antibody buffer solution), BGB-A317 or BGB-A317/IgG4S228P-treated M2 macrophages were normalized against the baseline. The results from three independent experiments are shown as mean + SD of duplicate data points. HuIgG is a mixture of human IgG1, IgG2, IgG3 and IgG4 (Invitrogen)
Fig. 4
Fig. 4
Anti-tumor activities of BGB-A317 and BGB-A317/IgG4S228P in an allogenic xenograft model. a The anti-tumor activity of BGB-A317 at doses of 1 and 10 mg/kg, QW, i.p. was assessed in A431 allogenic xenograft model, in which PBMCs from healthy donors and A431 cancer cells were co-injected subcutaneously into NOD/SCID mice. Each treatment group had ten mice. b The anti-tumor activities of BGB-A317 (n = 11) and BGB-A317/IgG4S228P (n = 13) were compared at the same dose of 10 mg/kg, QW and in the same model as in (a). c PK curves of BGB-A317 (1 and 10 mg/kg, n = 3–4) and BGB-A317/IgG4S228P (10 mg/kg, n = 4) with a single dose treatment in NOD/SCID mice is shown. The PK parameters are summarized in Suppl. Table 2
Fig. 5
Fig. 5
The effect of anti-PD-1 antibody treatment on tumor-infiltrating T cells. a Representative images of hCD8 and hPD-1 immunofluorescence staining of tumor tissues from BGB-A317- or BGB-A317/IgG4S228P-treated mice. b, c Quantified result of tumor-infiltrating hCD8 and hPD-1 positive cell numbers in each indicated group (n = 5). Ten images were taken for each tumor tissue sample by Vectra. The relative numbers of immunofluorescence-positive cells were quantified using inForm software
Fig. 6
Fig. 6
Crosslinking of T cells and FcγRI positive cells in vivo. a Representative low power (40×) images of multiplex immunofluorescence staining of whole mount tumors treated with BGB-A317 or BGB-A317/IgG4S228P. The xenograft tumor model was generated by subcutaneously implanting the allogenic human epidermoid cancer cells (A341 cell line) and PBMCs in NOD/SCID mice. Representative high power images (200×) were shown in (b). The biomarkers are indicated by green (hCD8), red (mCD64) and blue (nucleus), respectively. ce Quantified results of hCD8, mCD64 staining intensity and co-localization of hCD8 and mCD64 in each indicated group (n = 5). Six to ten images in each tumor sample were captured by Vectra, and the staining intensity and co-localization was quantified using inForm software. (Note: CD64 = FcγRIα)

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