Improvement of daratumumab- or elotuzumab-mediated NK cell activity by the bi-specific 4-1BB agonist, DARPin α-FAPx4–1BB: A preclinical study in multiple myeloma - 16/06/24
Abstract |
Multiple myeloma (MM) progression is closely dependent on cells in the bone marrow (BM) microenvironment, including fibroblasts (FBs) and immune cells. In their BM niche, MM cells adhere to FBs sustaining immune evasion, drug resistance and the undetectable endurance of tumor cells known as minimal residual disease (MRD). Here, we describe the novel bi-specific designed ankyrin repeat protein (DARPin) α-FAPx4–1BB (MP0310) with FAP-dependent 4–1BB agonistic activity. The α-FAPx4–1BB DARPin simultaneously binds to FAP and 4–1BB overexpressed by activated FBs and immune cells, respectively. Although flow cytometry analysis showed that T and NK cells from MM patients were not activated and did not express 4–1BB, stimulation with daratumumab or elotuzumab, monoclonal antibodies (mAbs) currently used for the treatment of MM, significantly upregulated 4–1BB both in vitro and in MM patients following mAb-based therapy. The mAb-induced 4–1BB overexpression allowed the engagement of α-FAPx4–1BB that acted as a bridge between FAP+FBs and 4–1BB+NK cells. Therefore, α-FAPx4–1BB enhanced both the adhesion of daratumumab-treated NK cells on FBs as well as their activation by improving release of CD107a and perforin, hence MM cell killing via antibody-mediated cell cytotoxicity (ADCC). Interestingly, α-FAPx4–1BB significantly potentiated daratumumab-mediated ADCC in the presence of FBs, suggesting that it may overcome the BM FBs’ immunosuppressive effect. Overall, we speculate that treatment with α-FAPx4–1BB may represent a valuable strategy to improve mAb-induced NK cell activity fostering MRD negativity in MM patients through the eradication of latent MRD cells.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | NK cells from multiple myeloma patients are not activated. |
• | Daratumumab and elotuzumab activate NK cells, inducing 4–1BB expression. |
• | The DARPin α-FAPx4–1BB is a FAP-dependent 4–1BB agonist with tumor localized activity. |
• | α-FAPx4–1BB binds FAP and 4–1BB acting as a bridge between fibroblasts and NK cells. |
• | α-FAPx4–1BB improves mAb-induced NK cell activation and MM cell killing. |
Keywords : Bi-specific DARPin molecule, Fibroblasts, Minimal residual disease, Multiple myeloma, NK cells
Plan
Vol 176
Article 116877- juillet 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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