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Published on: November 28, 2019
Soluble CTLA-4 attenuates T cell activation and modulates anti-tumor immunity
Paul T Kennedy1, Emma L Saulters1, Andrew D Duckworth2
1Department of Pharmacology and Therapeutics, University of Liverpool, L69 3GE Liverpool, UK.
Abstract:
CTLA-4 is a crucial immune checkpoint receptor involved in the maintenance of immune homeostasis, tolerance, and tumor control. Antibodies targeting CTLA-4 have been promising treatments for numerous cancers, but the mechanistic basis of their anti-tumoral immune-boosting effects is poorly understood. Although the ctla4 gene also encodes an alternatively spliced soluble variant (sCTLA-4), preclinical/clinical evaluation of anti-CTLA-4-based immunotherapies have not considered the contribution of this isoform. Here, we explore the functional properties of sCTLA-4 and evaluate the efficacy of isoform-specific anti-sCTLA-4 antibody targeting in a murine cancer model. We show that expression of sCTLA-4 by tumor cells suppresses CD8+ T cells in vitro and accelerates growth and experimental metastasis of murine tumors in vivo. These effects were accompanied by modification of the immune infiltrate, notably restraining CD8+ T cells in a non-cytotoxic state. sCTLA-4 blockade with isoform-specific antibody reversed this restraint, enhancing intratumoral CD8+ T cell activation and cytolytic potential, correlating with therapeutic efficacy and tumor control. This previously unappreciated role of sCTLA-4 suggests that the biology and function of multi-gene products of immune checkpoint receptors need to be fully elucidated for improved mechanistic understanding of cancer immunotherapies.
Insights
Soluble CTLA-4 (sCTLA-4) expressed by tumors suppresses CD8+ T cells. Targeting sCTLA-4 with specific antibodies enhances T cell activity and controls tumor growth, revealing a new immunotherapy target.
Area of Science:
- Immunology
- Cancer Biology
- Molecular Biology
Background:
- Cytotoxic T-Lymphocyte-Associated protein 4 (CTLA-4) is a key immune checkpoint receptor regulating immune responses.
- Antibodies targeting CTLA-4 are used in cancer immunotherapy, but their precise mechanisms remain unclear.
- The role of the soluble variant, sCTLA-4, in cancer immunity has not been investigated.
Purpose of the Study:
- To investigate the functional role of sCTLA-4 in cancer.
- To evaluate the therapeutic potential of targeting sCTLA-4 with isoform-specific antibodies.
Main Methods:
- In vitro assays to assess sCTLA-4 effects on CD8+ T cells.
- In vivo murine cancer models to evaluate tumor growth and metastasis.
- Isoform-specific antibody treatment against sCTLA-4.
Main Results:
- Tumor-expressed sCTLA-4 suppresses CD8+ T cell activity in vitro.
- sCTLA-4 accelerates tumor growth and metastasis in vivo by impairing CD8+ T cell cytotoxic function.
- Treatment with anti-sCTLA-4 antibodies reversed T cell suppression, enhanced anti-tumor immunity, and improved tumor control.
Conclusions:
- Tumor-derived sCTLA-4 plays a significant role in immune evasion and tumor progression.
- Targeting sCTLA-4 represents a promising strategy for enhancing cancer immunotherapy.
- Further elucidation of immune checkpoint receptor isoforms is crucial for optimizing cancer treatments.
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