Utilizing humanized FcγR mice and Fc glycoengineering or inhibitory FcγRIIB blockage, Cohen Saban et al. demonstrated that increasing the ratio of activating to inhibitory FcγR receptor engagement by the FDA-approved anti-PD-L1 IgG1 antibody avelumab enhanced its antitumor activity. Removal of the fucose subunit from the Fc-attached glycan of avelumab resulted in increased FcγR-mediated efficacy in vivo and modulation of the TME, with decreased frequencies of PD-L1+ myeloid cells, increased infiltration of T cells (particularly, CD4+), and increased frequencies and numbers of proinflammatory neutrophils, which were essential for the enhanced antitumor activity of afucosylated avelumab.

Contributed by Ute Burkhardt

ABSTRACT: FDA-approved anti-PD-L1 monoclonal antibodies (mAbs) bear the IgG1 isotype, whose scaffolds are either wild-type (e.g., avelumab) or Fc-mutated and lacking Fc_ receptor (Fc_R) engagement (e.g., atezolizumab). It is unknown whether variation in the ability of the IgG1 Fc region to engage Fc_Rs renders mAbs with superior therapeutic activity. In this study, we used humanized Fc_R mice to study the contribution of Fc_R signaling to the antitumor activity of human anti-PD-L1 mAbs and to identify an optimal human IgG scaffold for PD-L1 mAbs. We observed similar antitumor efficacy and comparable tumor immune responses in mice treated with anti-PD-L1 mAbs with wild-type and Fc-mutated IgG scaffolds. However, in vivo antitumor activity of the wild-type anti-PD-L1 mAb avelumab was enhanced by combination treatment with an Fc_RIIB-blocking antibody, which was co-administered to overcome the suppressor function of Fc_RIIB in the tumor microenvironment (TME). We performed Fc glycoengineering to remove the fucose subunit from the Fc-attached glycan of avelumab to enhance its binding to the activating Fc_RIIIA. Treatment with the Fc-afucosylated version of avelumab also enhanced antitumor activity and induced stronger antitumor immune responses compared with the parental IgG. The enhanced effect by afucosylated PD-L1 antibody was dependent on neutrophils and associated with decreased frequencies of PD-L1(+) myeloid cells and increased infiltration of T cells in the TME. Our data reveal that the current design of FDA-approved anti-PD-L1 mAbs does not optimally harness Fc_R pathways and suggest two strategies to enhance Fc_R engagement to optimize anti-PD-L1 immunotherapy.

Author Info: (1) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (2) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (3) Depa

Author Info: (1) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (2) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (3) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (4) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (5) University of Michigan Cancer Center, Ann Arbor, MI, USA. (6) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (7) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel. (8) Department of Systems Immunology, Weizmann Institute of Science, Rehovot, Israel.