Antibody targeting tumor-derived soluble NKG2D ligand sMIC reprograms NK cell homeostatic survival and function and

Fahmin Basher1,2, Payal Dhar3,4, Xin Wang5

  • 1Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA.

Abstract

Insights

Targeting soluble human MHC I chain-related molecule (sMIC) alongside PD1/PDL1 blockade improves melanoma survival in preclinical models. This combination therapy enhances natural killer (NK) cell function, offering a new strategy for metastatic melanoma patients.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Therapy

Background:

  • Soluble NKG2D ligands, particularly soluble human MHC I chain-related molecule (sMIC), are associated with poor survival in melanoma patients undergoing PD1/PDL1 blockade.
  • Elevated sMIC levels in melanoma patients correlate with reduced response to PD1/PDL1 blockade therapy.

Purpose of the Study:

  • To investigate if co-targeting tumor-released sMIC enhances the therapeutic efficacy of PD1/PDL1 blockade in melanoma.
  • To evaluate the underlying effector mechanisms and prevalence of sMIC in metastatic melanoma.

Main Methods:

  • Utilized sMIC-expressing B16F10 melanoma tumors in a syngeneic host model.
  • Assessed the therapeutic efficacy of combination anti-sMIC and anti-PDL1 antibody therapy versus monotherapies.
  • Analyzed immune cell responses, particularly NK cells, and sMIC/MIC expression in human metastatic melanoma tumors.

Main Results:

  • Combination therapy significantly improved animal survival compared to monotherapies, with a crucial role for NK cells.
  • The combination therapy increased IL-2Rα (CD25) on NK cells, enhancing their sensitivity to IL-2.
  • sMIC was found to negatively impact NK cell survival and proliferation, an effect reversed by anti-sMIC antibody treatment. sMIC/MIC was abundant in metastatic melanoma.

Conclusions:

  • Co-targeting sMIC with PD1/PDL1 blockade represents a promising strategy to improve therapeutic outcomes for metastatic melanoma.
  • This approach offers a new mechanistic understanding for enhancing anti-PD1/PDL1 therapy in MIC/sMIC-positive melanoma patients.

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