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Antibody-mediated depletion of CCR10+EphA3+ cells ameliorates fibrosis in IPF
Miriam S. Hohmann, David M. Habiel, Milena S. Espindola, Guanling Huang, Isabelle Jones, Rohan Narayanan, Ana Lucia Coelho, Justin M. Oldham, Imre Noth, Shwu-Fan Ma, Adrianne Kurkciyan, Jonathan L. McQualter, Gianni Carraro, Barry Stripp, Peter Chen, Dianhua Jiang, Paul W. Noble, William Parks, John Woronicz, Geoffrey Yarranton, Lynne A. Murray, Cory M. Hogaboam
Miriam S. Hohmann, David M. Habiel, Milena S. Espindola, Guanling Huang, Isabelle Jones, Rohan Narayanan, Ana Lucia Coelho, Justin M. Oldham, Imre Noth, Shwu-Fan Ma, Adrianne Kurkciyan, Jonathan L. McQualter, Gianni Carraro, Barry Stripp, Peter Chen, Dianhua Jiang, Paul W. Noble, William Parks, John Woronicz, Geoffrey Yarranton, Lynne A. Murray, Cory M. Hogaboam
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Research Article Pulmonology

Antibody-mediated depletion of CCR10+EphA3+ cells ameliorates fibrosis in IPF

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Abstract

Idiopathic pulmonary fibrosis (IPF) is characterized by aberrant repair that diminishes lung function via mechanisms that remain poorly understood. CC chemokine receptor (CCR10) and its ligand CCL28 were both elevated in IPF compared with normal donors. CCR10 was highly expressed by various cells from IPF lungs, most notably stage-specific embryonic antigen-4–positive mesenchymal progenitor cells (MPCs). In vitro, CCL28 promoted the proliferation of CCR10+ MPCs while CRISPR/Cas9–mediated targeting of CCR10 resulted in the death of MPCs. Following the intravenous injection of various cells from IPF lungs into immunodeficient (NOD/SCID-γ, NSG) mice, human CCR10+ cells initiated and maintained fibrosis in NSG mice. Eph receptor A3 (EphA3) was among the highest expressed receptor tyrosine kinases detected on IPF CCR10+ cells. Ifabotuzumab-targeted killing of EphA3+ cells significantly reduced the numbers of CCR10+ cells and ameliorated pulmonary fibrosis in humanized NSG mice. Thus, human CCR10+ cells promote pulmonary fibrosis, and EphA3 mAb–directed elimination of these cells inhibits lung fibrosis.

Authors

Miriam S. Hohmann, David M. Habiel, Milena S. Espindola, Guanling Huang, Isabelle Jones, Rohan Narayanan, Ana Lucia Coelho, Justin M. Oldham, Imre Noth, Shwu-Fan Ma, Adrianne Kurkciyan, Jonathan L. McQualter, Gianni Carraro, Barry Stripp, Peter Chen, Dianhua Jiang, Paul W. Noble, William Parks, John Woronicz, Geoffrey Yarranton, Lynne A. Murray, Cory M. Hogaboam

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Figure 7

Targeting of CCR10+EphA3+ cells prevented the development of fibrosis in humanized mice.

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Targeting of CCR10+EphA3+ cells prevented the development of fibrosis in...
(A) Experimental scheme: on day 0, NSG or NSG-GFP mice received intravenous injection of IPF cells and were treated twice a week with either 5 mg/kg of KB004 (an afucosylated anti-EphA3 mAb) or KB243 (an isotype control) via intraperitoneal injection for 5 weeks. (B) Hydroxyproline in nonhumanized NSG mice and humanized NSG mice that received either KB243 or KB004. Data shown are mean ± SEM; n = 4–5/group; *P ≤ 0.05 compared with control via 2-way ANOVA test with Tukey’s multiple comparisons test. (C) Representative images of Masson’s trichrome–stained lungs from nonhumanized, saline-treated NSG lungs and humanized NSG mice at day 35 after IPF cell injection and treatment with either KB243 or KB004. Shown are images taken at original magnification 50× (top) and 200× (bottom). (D) Depicted are representative images of GFP-stained NSG mouse lung (red indicates the presence of transgenic GFP+ mouse cells) at day 35 after IPF lung-derived cell injection in both the KB243 and KB004 treatment groups. (E–J) Flow cytometric analysis of cells in the lungs of nonhumanized and humanized NSG-GFP mice treated with either KB243 or KB004 antibodies. Representative dot plots depicting GFP– cells staining for (from left to right) human CD45, CCR10, and/or EpCAM (E). Representative flow cytometric histogram (F) and respective average number of GFP–CCR10+EphA3+ cells (G). Average number of GFP–CD45+CCR10+ (H), GFP–EpCAM+CCR10+ (I), and GFP–Lin–CCR10+ cells (J). Fold change in the levels of mouse Il6 mRNA (K). Data shown are mean ± SEM; n = 4–5/group (A–J) and n = 2–4 (K). P value indicated or *P ≤ 0.05 via 1-way ANOVA test with Tukey’s multiple comparisons test.

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