CD16 polymorphisms and NK activation induced by monoclonal antibody-coated target cells

Julie A Bowles1, George J Weiner

  • 15970 JPP, Holden Comprehensive Cancer Center and Department of Internal Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, United States.

Insights

Monoclonal antibody (mAb) therapy efficacy in cancer relies on natural killer (NK) cells. This study reveals how NK cells change when interacting with mAb-coated tumor cells, impacting treatment effectiveness.

Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • Natural killer (NK) cells and CD16 are crucial for monoclonal antibody (mAb) therapy's anti-tumor effects.
  • Limited understanding exists regarding NK cell alterations upon interaction with mAb-coated tumor cells under physiological conditions.

Purpose of the Study:

  • To investigate the impact of mAbs on NK cell phenotype through interaction with mAb-coated tumor cells.
  • To establish a reproducible system for assessing NK cell activation by mAb-coated tumor cells.

Main Methods:

  • Utilized peripheral blood mononuclear cells (PBMCs) co-cultured with transformed B cells or breast cancer cells.
  • Assessed phenotypic changes in NK cells, including CD16 modulation and CD54 upregulation, in response to specific mAbs (Rituximab, apolizumab, trastuzumab).
  • Evaluated the influence of CD16 polymorphisms (high-affinity vs. low-affinity) on NK cell responses to varying mAb concentrations.

Main Results:

  • Rituximab, apolizumab, and trastuzumab induced CD16 modulation and CD54 upregulation on NK cells when appropriate target cells were present.
  • Higher mAb concentrations were required to elicit these changes in individuals with low-affinity CD16 polymorphisms.
  • NK cells from individuals with high-affinity CD16 polymorphisms exhibited greater phenotypic changes, even at saturating mAb concentrations, indicating partial overcoming of polymorphism influence by mAb concentration.

Conclusions:

  • Developed a straightforward in vitro system to measure NK cell activation by mAb-coated tumor cells.
  • NK cell activation is influenced by both mAb concentration and CD16 polymorphisms.
  • This method is valuable for developing future mAbs with tailored Fc receptor affinities for enhanced anti-tumor activity.

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