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The importance of inducing an adaptive response Stephanie Dougan Michael Dougan Dana-Farber Cancer Institute Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology
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Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

May 23, 2020

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Page 1: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

The importance of inducing an adaptive response

Stephanie DouganMichael Dougan

Dana-Farber Cancer InstituteDepartment of Cancer Immunology and Virology

Harvard Medical SchoolDepartment of Immunology

Page 2: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

VHH Antibodies

Small size (15 kDa) allows deep tissue penetration

Rapidly cleared after injection

Antibody targets: PD-L1, MHC class II, CD11b, CTLA-4, Tim3, CD47, CD8, PD-1, VISTA

Cross-reactive with human, or human-specific versions available

Phase II trial of a humanized VHH showed very little immunogenicity

Collaboration with Hidde Ploegh

Page 3: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Finding VHHs from live camelids by phage display

Page 4: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Sortase handles allow for easy molecular assembly

Ingram, Schmidt, Ploegh. Exploiting Nanobodies’ Singular Traits. Ann Rev Imm 2018

Page 5: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

VHH against murine CD47

Sockolosky JT*, Dougan M* et al. PNAS 2016

Page 6: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

VHH against murine CD47

Sockolosky JT*, Dougan M* et al. PNAS 2016

Mouse CD47 Human CD47

Page 7: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 blocks binding of CD47 to mSIRPα

Sockolosky JT*, Dougan M* et al. PNAS 2016

Page 8: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 outperforms miap301

Sockolosky JT*, Dougan M* et al. PNAS 2016

Page 9: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 augments phagocytosis by the anti-B16 antibody TA99

Bone marrow derived macrophages cultured with CFSE labeled B16 cells for 2 hours

Page 10: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 augments phagocytosis of hEGFR-CT26 cells

Bone marrow derived macrophages cultured with CFSE labeled hEGFR-CT26 cells for 2 hours

Page 11: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 augments phagocytosis of via IFN-inducible PD-L1

Bone marrow derived macrophages cultured with CFSE labeled B16 cells for 2 hours

Page 12: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 augments phagocytosis of Tregs via CTLA-4

Page 13: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 stains CD47 brightly on many hematopoietic tissues

Sockolosky JT*, Dougan M* et al. PNAS 2016

A4

aCD47

Page 14: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 alone does not cause anemia

Page 15: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

CD47-IgG2a “microbody” as a model for anemia irAE

Ingram JR et al. PNAS 2017

Page 16: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

A4 synergizes with PD-1 blockade in B16 melanoma

Ingram JR et al. PNAS 2017

Page 17: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

CT26 model is non-responsive

Ingram JR et al. PNAS 2017

Page 18: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

B16 melanoma

Underwhelming performance of A4

Ingram JR et al. PNAS 2017

Page 19: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Underwhelming performance of A4 – inefficient blockade of CD47?

Ingram JR et al. PNAS 2017

Page 20: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

B16 engineered to secrete A4 locally – blocks its own CD47 in vitro

Ingram JR et al. PNAS 2017

Page 21: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

B16 engineered to secrete A4 locally – blocks its own CD47 in vivo

Ingram JR et al. PNAS 2017

Page 22: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

B16 engineered to secrete A4 locally + anti-tumor Ab leads to near complete survival

Ingram JR et al. PNAS 2017

Page 23: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Vaccination can supply anti-tumor antibodies

Ingram JR et al. PNAS 2017

Page 24: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Possible role for Treg phagocytosis

Ingram JR et al. PNAS 2017

Page 25: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Concluding thoughts part I

Cross-linking of red blood cells can lead to fatal anemia – may be dependent on epitope positioning

Near complete coverage of CD47 is required for efficacy in melanoma – better local delivery is needed

Synergy with multiple antibodies including anti-PDL1 (IFN-inducible), anti-CTLA4 (Tregs), polyclonal Abs from vaccination

Role for engagement of Sirpα on other cell types

Page 26: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Heckler and Dougan, Gastroenterology 2018

Productive immunity is polyfunctional

Page 27: Department of Immunology Harvard Medical School ......Department of Cancer Immunology and Virology Harvard Medical School Department of Immunology VHH Antibodies Small size (15 kDa)

Acknowledgements

Stephanie and Michael Dougan lab: Kevin Roehle, Eleanor Clancy-Thompson, Lestat Ali, Tamara Biary, Stephanie Crowley, Daniel Heid, Katherine Ventre, Max Heckler, Aladdin Bhuiyan, Patrick Lenehan, Gui Zhen Chen, Jana Tegethoff, Patrick Bruck, Jessica Ingram

BRIDGE project

Hidde Ploegh

Chris GarciaJonathan Sockolosky

David Knipe Steve AlmoMichael Walsh