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      IMM47, a humanized monoclonal antibody that targets CD24, exhibits exceptional anti-tumor efficacy by blocking the CD24/Siglec-10 interaction and can be used as monotherapy or in combination with anti-PD1 antibodies for cancer immunotherapy

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          Abstract

          This study evaluates the anti-tumor mechanism of IMM47, a humanized anti-CD24 mAb. Biolayer interferometry, ELISA and flow cytometry methods were used to measure the IMM47 binding, affinity, ADCC, ADCP, ADCT and CDC activities. In vivo therapeutical efficacy was measured in transplanted mouse models. IMM47 significantly binds granulocytes but not human erythrocytes and blocks CD24’s ability to bind to Siglec-10. IMM47 has strong ADCC, ADCT and ADCP activity against REH cells. IMM47’s in vivo pharmacodynamics showed that IMM47 has strong anti-tumor effects in human siglec-10 transgenic mouse models with a memory immune response. IMM47 also has powerful synergistic therapeutic efficacy when combined with Tislelizumab, Opdivo and Keytruda, by blocking CD24/Siglec-10 interaction through macrophage antigen presentation with strong ADCC, ADCP, ADCT and CDC activities and with a safe profile. IMM47 binding to CD24 is independent of N-glycosylation modification of the extracellular domain.

          Abstract

          Statement of Significance: Statement of Significance: Novel humanized mAb MM47 has excellent anti-tumor efficacy by blocking CD24/Siglec-10 interaction with strong antibody-dependent cellular cytotoxicity, antibody-dependent cellular phagocytosis , antibody-dependent cellular trogocytosis and complement dependent cytotoxicity activities with a safe profile and has synergetic therapeutic efficacy when combining with programmed death-1 antibodies in cancer immunotherapy. Its binding to CD24 is independent of N-glycosylation modification of the extracellular domain.

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          Most cited references29

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          PD-1 expression by tumor-associated macrophages inhibits phagocytosis and tumor immunity

          Programmed cell death protein 1 (PD-1) is an immune checkpoint receptor that is upregulated on activated T cells to induce immune tolerance. 1,2 Tumor cells frequently overexpress the ligand for PD-1, programmed cell death ligand 1 (PD-L1), facilitating escape from the immune system. 3,4 Monoclonal antibodies blocking PD-1/PD-L1 have shown remarkable clinical efficacy in patients with a variety of cancers, including melanoma, colorectal cancer, non-small cell lung cancer, and Hodgkin’s lymphoma. 5–9 Although it is well-established that PD-1/PD-L1 blockade activates T cells, little is known about the role that this pathway may have on tumor-associated macrophages (TAMs). Here we show that both mouse and human TAMs express PD-1. TAM PD-1 expression increases over time in mouse models, and with increasing disease stage in primary human cancers. TAM PD-1 expression negatively correlates with phagocytic potency against tumor cells, and blockade of PD-1/PD-L1 in vivo increases macrophage phagocytosis, reduces tumor growth, and lengthens survival in mouse models of cancer in a macrophage-dependent fashion. Our results suggest that PD-1/PD-L1 therapies may also function through a direct effect on macrophages, with significant implications for treatment with these agents.
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            CD24 signalling through macrophage Siglec-10 is a new target for cancer immunotherapy

            Summary: Ovarian cancer and triple-negative breast cancer (TNBC) are among the most lethal diseases affecting women, with few targeted therapies and high rates of metastasis. Here we show that CD24 can be the dominant innate immune checkpoint in ovarian cancer and breast cancer, and is a new, promising target for cancer immunotherapy. Cancer cells are capable of evading clearance by macrophages through the overexpression of anti-phagocytic surface proteins, called “don’t eat me” signals, including CD47 1 , programmed cell death ligand 1 (PD-L1) 2 , and the beta-2 microglobulin subunit of the major histocompatibility class I complex (B2M) 3 . Monoclonal antibodies which antagonize the interaction of “don’t eat me” signals with their macrophage-expressed receptors have demonstrated therapeutic potential in several cancers 4–5 . However, variability in the magnitude and durability of the response to these agents has suggested the presence of additional, as yet unknown, “don’t eat me” signals. Here we demonstrate a novel role for tumor-expressed CD24 in promoting immune evasion through its interaction with the inhibitory receptor, Sialic Acid Binding Ig Like Lectin 10 (Siglec-10), expressed by tumor-associated macrophages (TAMs). We observe that many tumors overexpress CD24 and that TAMs express high levels of Siglec-10. Both genetic ablation of CD24 or Siglec-10, and monoclonal antibody blockade of the CD24–Siglec-10 interaction, robustly augment the phagocytosis of all CD24-expressing human tumors tested. Genetic ablation as well as therapeutic blockade of CD24 resulted in a macrophage-dependent reduction of tumor growth and extension of survival, in vivo. These data highlight CD24 as a highly-expressed, anti-phagocytic signal in several cancers and demonstrate the therapeutic potential for CD24-blockade as cancer immunotherapy.
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              Siglecs and their roles in the immune system.

              Cell surfaces in the immune system are richly equipped with a complex mixture of glycans, which can be recognized by diverse glycan-binding proteins. The Siglecs are a family of sialic-acid-binding immunoglobulin-like lectins that are thought to promote cell-cell interactions and regulate the functions of cells in the innate and adaptive immune systems through glycan recognition. In this Review, we describe recent studies on signalling mechanisms and discuss the potential role of Siglecs in triggering endocytosis and in pathogen recognition. Finally, we discuss the postulated functions of the recently discovered CD33-related Siglecs and consider the factors that seem to be driving their rapid evolution.
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                Author and article information

                Contributors
                Journal
                Antib Ther
                Antib Ther
                anther
                Antibody Therapeutics
                Oxford University Press
                2516-4236
                October 2023
                09 September 2023
                09 September 2023
                : 6
                : 4
                : 240-252
                Affiliations
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                Department of Hematology, First Affiliated Hospital of Zhengzhou University , Zhengzhou 450051, China
                Department of Hematology, First Affiliated Hospital of Zhengzhou University , Zhengzhou 450051, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                Department of Hematology, First Affiliated Hospital of Zhengzhou University , Zhengzhou 450051, China
                Henan International Joint Laboratory of Nuclear Protein Gene Regulation, Henan University College of Medicine , Kaifeng 475004 Henan, China
                ImmuneOnco Biopharmaceuticals (Shanghai) Inc. , Shanghai 201203, China
                Author notes
                To whom correspondence should be addressed. Jifeng Yu or Wenzhi Tian. Email: Yujifengzzu@ 123456163.com or wenzhi.tian@ 123456immuneonco.com .

                Song Li and Dianze Chen contributed equally to this work.

                Author information
                https://orcid.org/0000-0003-1217-4385
                Article
                tbad020
                10.1093/abt/tbad020
                10576855
                37846296
                6beecabc-ec00-4e90-afaa-78359d1f825e
                © The Author(s) 2023. Published by Oxford University Press on behalf of Antibody Therapeutics.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 June 2023
                : 24 August 2023
                : 5 September 2023
                : 27 September 2023
                Page count
                Pages: 13
                Funding
                Funded by: ImmuneOnco Biopharmaceuticals;
                Categories
                Research Article
                AntibodyPlus: Conjugate antibodies with other therapeutic modalities
                AcademicSubjects/SCI01030
                AcademicSubjects/SCI00100

                cd24,humanized monoclonal antibody imm47,cd24/siglec-10 interaction,cytokine secretion,cancer immunotherapy

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