Kang et al. uncover the complexity of the CD137/CD137L axis by demonstrating in murine models that although CD137 is a stimulating receptor on T cells, CD137L is an inhibitory receptor in myeloid cells, inhibiting differentiation to anti-tumor CD103+ dendritic cells and M1 macrophages. The authors suggest that the negative signaling by CD137L in myeloid cells is another example of adaptive resistance.

CD137 (4-1BB) is a T cell co-stimulatory molecule and agonstic CD137 antibodies are currently being evaluated in clinic as cancer immunotherapy. Recently, it was found that CD137-/- mice or mice injected with agonistic anti-CD137 antibodies exhibit heightened antitumor responses, contrary to expectations based on other knowledge of CD137 function. Here we report findings related to reverse signaling by CD137 ligand (CD137L) in antigen-presenting dendritic cells (DC) in tumors that address these paradoxical results. Specifically, CD137L suppressed intratumoral differentiation of IL-12-producing CD103+ DC and type 1 tumor-associated macrophages (TAM). Differentiation of these cell types is important because they are required to generate IFN-gamma-producing CD8+ cytotoxic T lymphocytes (Tc1). Notably, CD137L blockade increased levels of IL-12 and IFN-gamma which promoted intratumoral differentiation of IFN-gamma-producing Tc1, IL-12-producing CD103+ DC, and type 1 TAM within tumors. Our results offer an explanation for the paradoxical effects of CD137 blockade, based on differential immunomodulatory effects of CD137 signaling and reverse signaling in T cells and DC, respectively. Further, they show how CD137L blockade can seed a forward feedback loop for activation of CD103+ DC/type 1 TAM and Tc1 that can create a self-perpetuating cycle of highly effective immunosurveillance.

Author Info: (1) School of Biological Sciences, University of Ulsan. (2) School of Biological Sciences, University of Ulsan. (3) School of Biological Sciences, University of Ulsan. (4) Biomedic

Author Info: (1) School of Biological Sciences, University of Ulsan. (2) School of Biological Sciences, University of Ulsan. (3) School of Biological Sciences, University of Ulsan. (4) Biomedical Research Center, University of Ulsan. (5) School of Biological Sciences, University of Ulsan. (6) School of Dentistry, Kyung Hee University. (7) Micribiology and Immunology, INJE Univeristy College of Medicine. (8) Immunology, Utilex. (9) Surgery, University of Ulsan. (10) School of Biological Sciences, University of Ulsan bkwon@mail.ulsan.ac.kr.