Robust antitumor effects of combined anti–CD4-depleting antibody and anti–PD-1/PD-L1 immune checkpoint antibody treatment in mice

S Ueha, S Yokochi, Y Ishiwata, H Ogiwara… - Cancer immunology …, 2015 - aacrjournals.org
S Ueha, S Yokochi, Y Ishiwata, H Ogiwara, K Chand, T Nakajima, K Hachiga, S Shichino…
Cancer immunology research, 2015aacrjournals.org
Depletion of CD4+ cells in tumor-bearing mice has strong antitumor effects. However, the
mechanisms underlying these effects and the therapeutic benefits of CD4+ cell depletion
relative to other immunotherapies have not been fully evaluated. Here, we investigated the
antitumor effects of an anti–CD4-depleting mAb as a monotherapy or in combination with
immune checkpoint mAbs. In B16F10, Colon 26, or Lewis lung carcinoma subcutaneous
tumor models, administration of the anti-CD4 mAb alone had strong antitumor effects that …
Abstract
Depletion of CD4+ cells in tumor-bearing mice has strong antitumor effects. However, the mechanisms underlying these effects and the therapeutic benefits of CD4+ cell depletion relative to other immunotherapies have not been fully evaluated. Here, we investigated the antitumor effects of an anti–CD4-depleting mAb as a monotherapy or in combination with immune checkpoint mAbs. In B16F10, Colon 26, or Lewis lung carcinoma subcutaneous tumor models, administration of the anti-CD4 mAb alone had strong antitumor effects that were superior to those elicited by CD25+ Treg depletion or other immune checkpoint mAbs, and which were completely reversed by CD8+ cell depletion. CD4+ cell depletion led to the proliferation of tumor-specific CD8+ T cells in the draining lymph node and increased infiltration of PD-1+CD8+ T cells into the tumor, with a shift toward type I immunity within the tumor. Combination treatment with the anti-CD4 mAb and immune checkpoint mAbs, particularly anti–PD-1 or anti–PD-L1 mAbs, synergistically suppressed tumor growth and greatly prolonged survival. To our knowledge, this work represents the first report of robust synergy between anti-CD4 and anti–PD-1 or anti–PD-L1 mAb therapies. Cancer Immunol Res; 3(6); 631–40. ©2015 AACR.
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