Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity

The glycoprotein CD2 is expressed on T and NK cells and contributes to cell-cell conjugation, agonistic signaling and actin cytoskeleton rearrangement. CD2 has previously been shown to have an important function in natural NK cell cytotoxicity but to be expendable in antibody-mediated cytotoxicity....

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Main Authors: Christian Binder, Felix Sellberg, Filip Cvetkovski, Stefan Berg, Erik Berglund, David Berglund
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.599526/full
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author Christian Binder
Christian Binder
Felix Sellberg
Felix Sellberg
Filip Cvetkovski
Stefan Berg
Erik Berglund
Erik Berglund
David Berglund
David Berglund
author_facet Christian Binder
Christian Binder
Felix Sellberg
Felix Sellberg
Filip Cvetkovski
Stefan Berg
Erik Berglund
Erik Berglund
David Berglund
David Berglund
author_sort Christian Binder
collection DOAJ
description The glycoprotein CD2 is expressed on T and NK cells and contributes to cell-cell conjugation, agonistic signaling and actin cytoskeleton rearrangement. CD2 has previously been shown to have an important function in natural NK cell cytotoxicity but to be expendable in antibody-mediated cytotoxicity. Siplizumab is a monoclonal anti-CD2 IgG1 antibody that is currently undergoing clinical trials in the field of transplantation. This study investigated the effect of CD2 binding and Fc γ receptor binding by siplizumab (Fc-active) and Fc-silent anti-CD2 monoclonal antibodies in allogeneic mixed lymphocyte reaction and autologous lymphocyte culture. Further, induction of NK cell fratricide and inhibition of natural cytotoxicity as well as antibody-dependent cytotoxicity by these agents were assessed. Blockade of CD2 via monoclonal antibodies in the absence of Fc γ receptor binding inhibited NK cell activation in allogeneic mixed lymphocyte reaction. In contrast, siplizumab increased NK cell activation in both mixed lymphocyte reaction and autologous lymphocyte culture due to FcγRIIIA binding. However, experiments using purified NK cells did not show an inhibitory effect of CD2 blockade on natural cytotoxicity or antibody-dependent cytotoxicity. Lastly, it was shown that siplizumab induces NK cell fratricide. Concluding, siplizumab is a promising biopharmaceutical drug candidate for depletion of T and NK cells with minimal off-target effects.
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spelling doaj.art-b681b0ce2a704f868ecdd8ecade323fd2022-12-21T21:55:53ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-02-011210.3389/fimmu.2021.599526599526Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated CytotoxicityChristian Binder0Christian Binder1Felix Sellberg2Felix Sellberg3Filip Cvetkovski4Stefan Berg5Erik Berglund6Erik Berglund7David Berglund8David Berglund9Department of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Uppsala, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenDepartment of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Uppsala, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenDivision of Transplantation Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and Karolinska University Hospital, Stockholm, SwedenDepartment of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Uppsala, SwedenResearch and Development, ITB-Med AB, Stockholm, SwedenThe glycoprotein CD2 is expressed on T and NK cells and contributes to cell-cell conjugation, agonistic signaling and actin cytoskeleton rearrangement. CD2 has previously been shown to have an important function in natural NK cell cytotoxicity but to be expendable in antibody-mediated cytotoxicity. Siplizumab is a monoclonal anti-CD2 IgG1 antibody that is currently undergoing clinical trials in the field of transplantation. This study investigated the effect of CD2 binding and Fc γ receptor binding by siplizumab (Fc-active) and Fc-silent anti-CD2 monoclonal antibodies in allogeneic mixed lymphocyte reaction and autologous lymphocyte culture. Further, induction of NK cell fratricide and inhibition of natural cytotoxicity as well as antibody-dependent cytotoxicity by these agents were assessed. Blockade of CD2 via monoclonal antibodies in the absence of Fc γ receptor binding inhibited NK cell activation in allogeneic mixed lymphocyte reaction. In contrast, siplizumab increased NK cell activation in both mixed lymphocyte reaction and autologous lymphocyte culture due to FcγRIIIA binding. However, experiments using purified NK cells did not show an inhibitory effect of CD2 blockade on natural cytotoxicity or antibody-dependent cytotoxicity. Lastly, it was shown that siplizumab induces NK cell fratricide. Concluding, siplizumab is a promising biopharmaceutical drug candidate for depletion of T and NK cells with minimal off-target effects.https://www.frontiersin.org/articles/10.3389/fimmu.2021.599526/fullNK cellCD2siplizumabspontaneous cytotoxicityantibody-dependent cell-mediated cytotoxicityNK alloreactivity
spellingShingle Christian Binder
Christian Binder
Felix Sellberg
Felix Sellberg
Filip Cvetkovski
Stefan Berg
Erik Berglund
Erik Berglund
David Berglund
David Berglund
Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
Frontiers in Immunology
NK cell
CD2
siplizumab
spontaneous cytotoxicity
antibody-dependent cell-mediated cytotoxicity
NK alloreactivity
title Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
title_full Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
title_fullStr Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
title_full_unstemmed Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
title_short Siplizumab Induces NK Cell Fratricide Through Antibody-Dependent Cell-Mediated Cytotoxicity
title_sort siplizumab induces nk cell fratricide through antibody dependent cell mediated cytotoxicity
topic NK cell
CD2
siplizumab
spontaneous cytotoxicity
antibody-dependent cell-mediated cytotoxicity
NK alloreactivity
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.599526/full
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