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Published on: April 22, 2010
PD-1 blockade in rhesus macaques: impact on chronic infection and prophylactic vaccination
Adam C Finnefrock1, Aimin Tang, Fengsheng Li
1Vaccine Basic Research, Merck Research Laboratories, West Point, PA 19486, USA. adam_finnefrock@merck.com
Abstract:
Programmed Cell Death 1 (PD-1) plays a crucial role in immunomodulation. Binding of PD-1 to its ligand receptors down-regulates immune responses, and published reports suggest that this immune modulation is exploited in cases of tumor progression or chronic viral infection to evade immune surveillance. Thus, blockade of this signal could restore or enhance host immune functions. To test this hypothesis, we generated a panel of mAbs specific to human PD-1 that block PD ligand 1 and tested them for in vitro binding, blocking, and functional T cell responses, and evaluated a lead candidate in two in vivo rhesus macaque (Macaca mulatta) models. In the first therapeutic model, chronically SIV-infected macaques were treated with a single infusion of anti-PD-1 mAb; viral loads increased transiently before returning to, or falling below, pretreatment baselines. In the second prophylactic model, naive macaques were immunized with an SIV-gag adenovirus vector vaccine. Induced PD-1 blockade caused a statistically significant (p<0.05) increase in the peak percentage of T cells specific for the CM9 Gag epitope. These new results on PD-1 blockade in nonhuman primates point to a broader role for PD-1 immunomodulation and to potential applications in humans.
Insights
Blockading Programmed Cell Death 1 (PD-1) enhances immune responses against viral infections and vaccines. This immune modulation strategy shows promise for therapeutic and prophylactic applications in humans.
Area of Science:
- Immunology
- Virology
- Oncology
Background:
- Programmed Cell Death 1 (PD-1) is a key immune checkpoint receptor.
- PD-1 signaling down-regulates immune responses, facilitating immune evasion by tumors and chronic viruses.
- Blocking PD-1 may restore or enhance host immune functions.
Purpose of the Study:
- To investigate the therapeutic and prophylactic potential of blocking the PD-1 pathway.
- To evaluate anti-PD-1 monoclonal antibodies (mAbs) in nonhuman primate models.
Main Methods:
- Generated mAbs targeting human PD-1 and assessed their in vitro binding and blocking capabilities.
- Tested functional T cell responses in vitro.
- Evaluated a lead anti-PD-1 mAb candidate in two in vivo rhesus macaque models: therapeutic (SIV infection) and prophylactic (SIV-gag vaccination).
Main Results:
- In SIV-infected macaques, anti-PD-1 mAb treatment led to transient viral load increases followed by a return to baseline or lower levels.
- In naive macaques vaccinated with an SIV-gag adenovirus vector, PD-1 blockade significantly increased the peak percentage of Gag epitope-specific T cells.
- Results demonstrate PD-1 blockade's efficacy in modulating immune responses in vivo.
Conclusions:
- PD-1 blockade can enhance immune responses in both therapeutic and prophylactic settings.
- Nonhuman primate studies support a broader role for PD-1 in immune modulation.
- Findings suggest potential applications of PD-1 blockade in human immunotherapy.
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