Targeting Immune Checkpoints as Cancer Therapy

In 2018, the Nobel Prize in Physiology and Medicine was awarded to Drs. James Allison and Tasuku Honjo for their discovery of cancer therapy by way of inhibiting negative immune regulation. Their work started in 1996 and focused on receptors on T cells that seemed to act as brakes, preventing T cells from killing cancer cells. They demonstrated that directing antibodies against T cell receptors like cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) and programmed cell death protein-1 (PD-1) in mice unleashed an immune response and rid the mice of tumors1. The receptors that act as brakes are now referred to as inhibitory immune checkpoints and serve as negative regulators, that, in concert with positive regulators, help ensure a controlled T cell-mediated immune response.

 

 

 



Figure 1. Illustration of T cell-mediated immune response upon signaling from an antigen presenting cell.
The T cell-mediated immune response is a powerful machinery that leads to a rapid expansion, differentiation, and effector functions by T lymphocytes (Fig 1). The full activation of T cells results from integration of two signals. Signal 1 results from T cell receptors (TCR) recognizing non-self-antigen-MHC complex on the surface of antigen presenting cells (APCs), such as macrophages (Fig 1). Signal 2 can be co-stimulatory, controlled by the binding of proteins B7-1 (CD80) or B7-2 (CD86) on the surface of APCs to the CD28 receptor on the surface of T cells2, allowing T cells to proliferate and effect functions (Fig 2).

If signal 2 is co-inhibitory, controlled by B7 proteins binding to inhibitory immune checkpoint CTLA-4, then CD28 co-stimulation will be outcompeted and T cell activation will be suppressed (Fig 2). CTLA-4 and PD-1 further act by inhibiting TCR-induced cytokine secretion and proliferation, as well as glucose uptake and metabolism, resulting in T cell exhaustion3. This negative-immune regulation is needed to impede excessive immunity that, if left unchecked, could lead to damage to normal tissue or autoimmunity3.

 

 

 

 

Figure 2. Key ligand-receptor interactions between T cells and APCs. T cell activation follows after TCR recognition of MHC with co-stimulatory signal from B7-1 binding with CD28. T cells are deactivated if MHC-TCR recognition is followed by co-inhibitory signal from B7-1 binding with CTLA-4 or PD-L1 binding with PD-1.

 

However, we now know that cancer cells can express high levels of some immune checkpoint proteins, essentially exploiting T cell suppressive effects and evading the immune response for tumor survival3. As we learned earlier, antibodies can target immune checkpoint proteins and block binding at T cell-tumor cell interfaces (Fig 3), freeing T cells to attack tumor cells. Antibodies now designed to target checkpoint proteins, called immune checkpoint inhibitors (ICIs) (Fig 3), are the subject for numerous drug discovery and development enterprises and considered among the most rapidly emerging immunotherapies4.

 

 

 

Figure 3. Illustration showing checkpoint proteins PD-L1 expressed on tumor cells and PD-1 on T cells. Interaction between PD-L1 and PD-1 prevents T cells from destroying tumor cells (top, Before). Using immune checkpoint inhibitors to either PD-1 or PD-L1 allows the T cells to kill the tumor cells (bottom, After).

 

BioLegend is committed to empowering cancer research and advancements toward novel immunotherapies by providing trusted, expertly-crafted resources. Our portfolio includes Avi-tag biotinylated proteins, which offer consistent labeling, uniform orientation of the protein, equivalent bioactivity to that of non-biotinylated proteins, and lot-to-lot consistency. Learn about biofunctional recombinant proteins and functional antibodies we offer for immune checkpoints being evaluated as immuno-oncology targets.

 

Checkpoint

Significance

Recombinant Protein (non-biotinylated)

Biotinylated Recombinant Protein

Functional antibody

PD-1

T cell receptor; Keeps T cell immune response in check3

Recombinant Human PD-1

Biotinylated Recombinant Human PD-1-Fc (CD279) Chimera

Ultra-LEAF™ Purified anti-human CD279 (PD-1) Antibody

PD-L1

APC ligand to PD-1; Keeps T cell immune response in check3

Recombinant Human PD-L1

Biotinylated Recombinant Human PD-L1

Ultra-LEAF™ Purified anti-human CD274 (B7-H1, PD-L1) Antibody

CTLA-4

T cell receptor; Keeps T cell immune response in check3

Recombinant Human CTLA-4-Fc Chimera

Biotinylated Recombinant Human CTLA-4-Fc Chimera

Ultra-LEAF™ Purified anti-human CD152 (CTLA-4) Antibody

BTLA

IC co-inhibitor expressed on numerous immune cells5

Recombinant Human BTLA-Fc Chimera

Biotinylated Recombinant Human BTLA-Fc Chimera

Ultra-LEAF™ Purified anti-human CD272 (BTLA) Antibody

CD80

(B7-1)

APC protein; binds to CD28 or CTLA-4 to enhance or suppress T cell activation, respectively6

Recombinant Mouse B7.1 (CD80)-Fc Chimera

Biotinylated Recombinant Human CD80-Fc Chimera

Ultra-LEAF™ Purified anti-human CD80 Antibody (Clone W17149G)

CD86

(B7-2)

APC protein; binds to CD28 or CTLA-4 to enhance or suppress T cell activation, respectively6

Recombinant Human B7-2/CD86-Fc Chimera

Biotinylated Recombinant Human B7-2/CD86-Fc Chimera

Ultra-LEAF™ Purified anti-human CD86 Antibody

CD40

Member of TNFRSF; signaling with CD40L activates innate and adaptive immune cells and tumor cell lysis7

Recombinant Human CD40 (TNFRSF5)-Fc Chimera

Biotinylated Recombinant Human CD40 (TNFRSF5)-Fc Chimera

Ultra-LEAF™ Purified anti-human CD40 Antibody

 

LAG-3

Expressed on activated T cells; negatively regulates autoimmunity and anti-cancer immunity with other inhibitory co-receptors10

Recombinant Human CD223 (LAG-3)-Fc Chimera

Biotinylated Recombinant Human CD223 (LAG-3)-Fc Chimera

Ultra-LEAF™ Purified anti-mouse CD223 (LAG-3) Antibody

 

CD47

Negative immune checkpoint to prevent the macrophage-mediated clearance of healthy CD47-expressing cells11

Recombinant Human CD47-Fc Chimera

Biotinylated Recombinant Human CD47-Fc Chimera

Ultra-LEAF™ Purified anti-mouse CD47 Antibody

 

 

Researchers can also test strategies for stimulating anti-cancer immune responses with in vivo and ex vivo models using our bioactive GoInVivo™ antibodies. These antibodies are designed to target immune checkpoint markers, validated by functional assay, and competitively priced for bulk purchase.

 

Finally, the ability to accurately quantify expression levels of checkpoint molecules is critical to ongoing biomedical research with the goal of developing potential immunotherapeutic interventions. Learn about our LEGENDplex™ Human Immune Checkpoint Panel 1, a flow-based multiplex assay that allows for the simultaneous quantification of 12 key immune checkpoint biomarkers (sCD25 (IL-2Ra), 4-1BB, sCD27, B7.2 (CD86), Free Active TGF-β1, CTLA-4, PD-L1, PD-L2, PD-1, Tim-3, LAG-3, and Galectin-9). The panel has been validated for use on cell culture supernatant, serum, and plasma samples (Fig 4).

 

Figure 4. Serum and EDTA plasma samples were obtained from healthy donors and patients with confirmed breast and lung cancer. Serum and plasma samples were run neat and analytes analyzed using LEGENDplex Human Immune Checkpoint Panel 1 (12-plex).

 

The growing field of immunotherapy has revolutionized cancer treatment by boosting the body’s own immune system to target and eliminate malignant tumors8. Along with ICIs, bispecific antibodies and CAR-T cells are considered the most promising immunotherapies9. In this blog, we focused on immune checkpoints; cell surface molecules that regulate T cell functions and activities, but which can also be exploited by tumor cells to evade immune control. That discovery triggered intense research into ICIs that have now transitioned to the clinic and are considered standard treatment for a number of cancers. However, there are still unmet medical needs and our scientists are ready to support R&D that will lead to the next generation of innovative treatments.

 

 

 

References

 

  1. “Nobel Prizes 2018.” NobelPrize.org, www.nobelprize.org/prizes/medicine/2018/advanced-information/. Accessed 1 Feb. 2023.
  2. Kuzume, Ayumi et al. “Immune-Checkpoint Blockade Therapy in Lymphoma.” International journal of molecular sciences vol. 21,15 5456. 30 Jul. 2020, doi:10.3390/ijms21155456. PubMed.
  3. Baldanzi, Gianluca. “Immune Checkpoint Receptors Signaling in T Cells.” International journal of molecular sciences vol. 23,7 3529. 24 Mar. 2022, doi:10.3390/ijms23073529. PubMed.
  4. Djurian A, Makino T, Lim Y, Sengoku S, Kodama K. Dynamic Collaborations for the Development of Immune Checkpoint Blockade Agents. J Pers Med. 2021 May 24;11(6):460. doi: 10.3390/jpm11060460. PMID: 34073680; PMCID: PMC8225058. PubMed.
  5. Qin, Shuang et al. “Novel immune checkpoint targets: moving beyond PD-1 and CTLA-4.” Molecular cancer vol. 18,1 155. 6 Nov. 2019, doi:10.1186/s12943-019-1091-2. PubMed.
  6. Bolandi, Nadia et al. “The Positive and Negative Immunoregulatory Role of B7 Family: Promising Novel Targets in Gastric Cancer Treatment.” International journal of molecular sciences vol. 22,19 10719. 3 Oct. 2021, doi:10.3390/ijms221910719. PubMed.
  7. Tang, TingTing et al. “Molecular basis and therapeutic implications of CD40/CD40L immune checkpoint.” Pharmacology & therapeutics vol. 219 (2021): 107709. doi:10.1016/j.pharmthera.2020.107709. PubMed.
  8. Ribas, Antoni, and Jedd D Wolchok. “Cancer immunotherapy using checkpoint blockade.” Science (New York, N.Y.) vol. 359,6382 (2018): 1350-1355. doi:10.1126/science.aar4060. PubMed.
  9. Mukherjee, Anirban Goutam et al. “Role of Immune Cells and Receptors in Cancer Treatment: An Immunotherapeutic Approach.” Vaccines vol. 10,9 1493. 7 Sep. 2022, doi:10.3390/vaccines10091493. PubMed.
  10. Maruhashi, Takumi et al. “Binding of LAG-3 to stable peptide-MHC class II limits T cell function and suppresses autoimmunity and anti-cancer immunity.” Immunity vol. 55,5 (2022): 912-924.e8. doi:10.1016/j.immuni.2022.03.013. PubMed.
  11. Casey, Stephanie C et al. “MYC regulates the antitumor immune response through CD47 and PD-L1.” Science (New York, N.Y.) vol. 352,6282 (2016): 227-31. doi:10.1126/science.aac9935. PubMed.
  12. Götz, Lisa et al. “The role of carcinoembryonic antigen-related cell adhesion molecule 1 in cancer.” Frontiers in immunology vol. 14 1295232. 24 Nov. 2023, doi:10.3389/fimmu.2023.1295232. PubMed.

 

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