Nagira et al. investigated the impact of selective reduction of CCR8+ tumor-infiltrating Tregs on antitumor immunity, and identified a high-affinity, humanized, anti-human CCR8 mAb, S-531011 that selectively bound CCR8+ cells, neutralized CCR8 signaling, and exhibited potent ADCC (but not CDC) towards tumor-infiltrating CCR8+ Tregs, but not Tregs from PBMC. In a human CCR8 knock-in mouse tumor model, S-531011 combined with anti-PD-1 selectively depleted tumor-infiltrating Tregs, but not effector T cells, and suppressed tumor growth compared to anti-PD-1 alone, with no observable adverse effects, suggesting translational potential.

Contributed by Katherine Turner

ABSTRACT: While regulatory T cells (Tregs) are inhibitory immune cells that are essential for maintaining immune homeostasis, Tregs that infiltrate tumor tissue promote tumor growth by suppressing anti-tumor immunity. Selective reduction of tumor-infiltrating Tregs is therefore expected to activate anti-tumor immunity without affecting immune homeostasis. We previously reported that selective Treg depletion targeted by a C-C motif chemokine receptor 8 (CCR8) resulted in induction of strong anti-tumor immunity without any obvious autoimmunity in mouse models. Thus, herein, we developed a novel humanized anti-CCR8 monoclonal antibody, S-531011, aimed as a cancer immunotherapy strategy for patients with cancer. S-531011 exclusively recognized human CCR8 among all chemokine receptors and showed potent antibody-dependent cell-mediated cytotoxicity activity toward CCR8+ cells and neutralization activity against CCR8-mediated signaling. We observed that S-531011 reduced tumor-infiltrating CCR8+ Tregs and induced potent anti-tumor activity in a tumor-bearing human-CCR8 knock-in mouse model. Moreover, combination therapy with S-531011 and anti-mouse programmed cell death 1 (PD-1) antibody strongly suppressed tumor growth compared to anti-PD-1 antibody alone with no observable adverse effects. S-531011 also depleted human tumor-infiltrating Tregs, but not Tregs derived from human peripheral blood mononuclear cells. These results suggest that S-531011 is a promising drug for inducing anti-tumor immunity without severe side effects in the clinical setting.

Author Info: (1) Shionogi & Co., Ltd., Osaka, Japan. (2) Shionogi & Co., Ltd, Chiba-shi, Chiba, Japan. (3) Shionogi & Co., Ltd, Japan. (4) Shionogi & Co., Ltd, Japan. (5) Shionogi Pharmaceutica

Author Info: (1) Shionogi & Co., Ltd., Osaka, Japan. (2) Shionogi & Co., Ltd, Chiba-shi, Chiba, Japan. (3) Shionogi & Co., Ltd, Japan. (4) Shionogi & Co., Ltd, Japan. (5) Shionogi Pharmaceutical Research Center, Toyonaka, Osaka, Japan. (6) Osaka University, Graduate School of Medicine, Suita, Osaka, Japan. (7) Osaka University Graduate School of Medicine, Suita, Osaka, Japan. (8) Shionogi & Co., Ltd., Osaka, Japan. (9) Shionogi Pharmaceutical Research Center, Toyonaka, Osaka, Japan. (10) Shionogi & Co., Ltd, Japan. (11) Graduate School of Medicine, Osaka University, Suita city, Japan. (12) Shionogi & Co., Ltd, Japan. (13) Shionogi & Co., Ltd, Japan. (14) Center of Medical Innovation and Translational Research, Graduate School of Medicine, Osaka University, Japan. (15) Graduate School of Medicine, Osaka University, Suita, Osaka, Japan. (16) Shionogi (Japan), Toyonaka, Osaka, Japan.