PMID- 29545330 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20200930 IS - 1538-8514 (Electronic) IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 17 IP - 5 DP - 2018 May TI - Potent Immune Modulation by MEDI6383, an Engineered Human OX40 Ligand IgG4P Fc Fusion Protein. PG - 1024-1038 LID - 10.1158/1535-7163.MCT-17-0200 [doi] AB - Ligation of OX40 (CD134, TNFRSF4) on activated T cells by its natural ligand (OX40L, CD252, TNFSF4) enhances cellular survival, proliferation, and effector functions such as cytokine release and cellular cytotoxicity. We engineered a recombinant human OX40L IgG4P Fc fusion protein termed MEDI6383 that assembles into a hexameric structure and exerts potent agonist activity following engagement of OX40. MEDI6383 displayed solution-phase agonist activity that was enhanced when the fusion protein was clustered by Fc gamma receptors (FcgammaRs) on the surface of adjacent cells. The resulting costimulation of OX40 on T cells induced NFkappaB promoter activity in OX40-expressing T cells and induced Th1-type cytokine production, proliferation, and resistance to regulatory T cell (Treg)-mediated suppression. MEDI6383 enhanced the cytolytic activity of tumor-reactive T cells and reduced tumor growth in the context of an alloreactive human T cell:tumor cell admix model in immunocompromised mice. Consistent with the role of OX40 costimulation in the expansion of memory T cells, MEDI6383 administered to healthy nonhuman primates elicited peripheral blood CD4 and CD8 central and effector memory T-cell proliferation as well as B-cell proliferation. Together, these results suggest that OX40 agonism has the potential to enhance antitumor immunity in human malignancies. Mol Cancer Ther; 17(5); 1024-38. (c)2018 AACR. CI - (c)2018 American Association for Cancer Research. FAU - Oberst, Michael D AU - Oberst MD AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Auge, Catherine AU - Auge C AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Morris, Chad AU - Morris C AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Kentner, Stacy AU - Kentner S AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Mulgrew, Kathy AU - Mulgrew K AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - McGlinchey, Kelly AU - McGlinchey K AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Hair, James AU - Hair J AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Hanabuchi, Shino AU - Hanabuchi S AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. FAU - Du, Qun AU - Du Q AD - Department of Antibody Development and Protein Engineering, MedImmune, Gaithersburg, Maryland. FAU - Damschroder, Melissa AU - Damschroder M AD - Department of Antibody Development and Protein Engineering, MedImmune, Gaithersburg, Maryland. FAU - Feng, Hui AU - Feng H AD - Department of Antibody Development and Protein Engineering, MedImmune, Gaithersburg, Maryland. FAU - Eck, Steven AU - Eck S AD - Translational Science, MedImmune, Gaithersburg, Maryland. FAU - Buss, Nicholas AU - Buss N AD - Department of Toxicology, MedImmune, Gaithersburg, Maryland. FAU - de Haan, Lolke AU - de Haan L AD - Department of Toxicology, MedImmune, Gaithersburg, Maryland. FAU - Pierce, Andrew J AU - Pierce AJ AD - Innovative Medicines, Oncology, AstraZeneca, Cambridge, United Kingdom. FAU - Park, Haesun AU - Park H AD - Vaccine and Gene Therapy Institute, Departments of Molecular Microbiology and Pathology, and the Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon. FAU - Sylwester, Andrew AU - Sylwester A AD - Vaccine and Gene Therapy Institute, Departments of Molecular Microbiology and Pathology, and the Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon. FAU - Axthelm, Michael K AU - Axthelm MK AD - Vaccine and Gene Therapy Institute, Departments of Molecular Microbiology and Pathology, and the Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon. FAU - Picker, Louis AU - Picker L AD - Vaccine and Gene Therapy Institute, Departments of Molecular Microbiology and Pathology, and the Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon. FAU - Morris, Nicholas P AU - Morris NP AD - Earle A. Chiles Research Institute, Providence Cancer Center, Portland, Oregon. AD - AgonOx, Portland, Oregon. FAU - Weinberg, Andrew AU - Weinberg A AD - Earle A. Chiles Research Institute, Providence Cancer Center, Portland, Oregon. AD - AgonOx, Portland, Oregon. FAU - Hammond, Scott A AU - Hammond SA AD - Department of Oncology Research, MedImmune, Gaithersburg, Maryland. hammonds@medimmune.com. LA - eng GR - P51 OD011092/OD/NIH HHS/United States GR - U42 OD010426/OD/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20180315 PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Cytokines) RN - 0 (Immunoglobulin Fc Fragments) RN - 0 (Immunoglobulin G) RN - 0 (OX40 Ligand) RN - 0 (Receptors, OX40) RN - 0 (Recombinant Fusion Proteins) SB - IM MH - Animals MH - Cell Line, Tumor MH - Cytokines/immunology/metabolism MH - Cytotoxicity, Immunologic/drug effects/immunology MH - Female MH - HEK293 Cells MH - Humans MH - Immunoglobulin Fc Fragments/genetics/*immunology/metabolism MH - Immunoglobulin G/genetics/*immunology/metabolism MH - Lymphocyte Activation/drug effects/immunology MH - Macaca mulatta MH - OX40 Ligand/genetics/*immunology/metabolism MH - Protein Multimerization/immunology MH - Receptors, OX40/agonists/immunology/metabolism MH - Recombinant Fusion Proteins/chemistry/*immunology/pharmacology MH - T-Lymphocytes/immunology/metabolism MH - T-Lymphocytes, Regulatory/immunology/metabolism PMC - PMC5932227 MID - NIHMS944700 COIS- Conflicts of interest/Financial Disclosure: Michael Oberst, Catherine Auge, Chad Morris, Stacy Kentner, Kathy Mulgrew, Kelly McGlinchey, James Hair, Shino Hanabuchi, Qun Du, Melissa Damschroder, Hui Feng, Steven Eck, Nicholas Buss, Lolke de Haan, Andrew Pierce, and Scott Hammond are/were employees of AstraZeneca/MedImmune. Nicholas Morris and Andrew Weinberg are employees of AgonOx. Haesun Park, Andrew Sylwester, Michael Axthelm, and Louis Picker have no conflicts of interest. EDAT- 2018/03/17 06:00 MHDA- 2019/07/10 06:00 PMCR- 2019/05/01 CRDT- 2018/03/17 06:00 PHST- 2017/03/06 00:00 [received] PHST- 2017/08/11 00:00 [revised] PHST- 2018/02/12 00:00 [accepted] PHST- 2018/03/17 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2018/03/17 06:00 [entrez] PHST- 2019/05/01 00:00 [pmc-release] AID - 1535-7163.MCT-17-0200 [pii] AID - 10.1158/1535-7163.MCT-17-0200 [doi] PST - ppublish SO - Mol Cancer Ther. 2018 May;17(5):1024-1038. doi: 10.1158/1535-7163.MCT-17-0200. Epub 2018 Mar 15.