PMID- 36389667 OWN - NLM STAT- MEDLINE DCOM- 20221121 LR - 20221121 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Dual checkpoint blockade of CD47 and LILRB1 enhances CD20 antibody-dependent phagocytosis of lymphoma cells by macrophages. PG - 929339 LID - 10.3389/fimmu.2022.929339 [doi] LID - 929339 AB - Antibody-dependent cellular phagocytosis (ADCP) by macrophages, an important effector function of tumor targeting antibodies, is hampered by 'Don t Eat Me!' signals such as CD47 expressed by cancer cells. Yet, human leukocyte antigen (HLA) class I expression may also impair ADCP by engaging leukocyte immunoglobulin-like receptor subfamily B (LILRB) member 1 (LILRB1) or LILRB2. Analysis of different lymphoma cell lines revealed that the ratio of CD20 to HLA class I cell surface molecules determined the sensitivity to ADCP by the combination of rituximab and an Fc-silent variant of the CD47 antibody magrolimab (CD47-IgGsigma). To boost ADCP, Fc-silent antibodies against LILRB1 and LILRB2 were generated (LILRB1-IgGsigma and LILRB2-IgGsigma, respectively). While LILRB2-IgGsigma was not effective, LILRB1-IgGsigma significantly enhanced ADCP of lymphoma cell lines when combined with both rituximab and CD47-IgGsigma. LILRB1-IgGsigma promoted serial engulfment of lymphoma cells and potentiated ADCP by non-polarized M0 as well as polarized M1 and M2 macrophages, but required CD47 co-blockade and the presence of the CD20 antibody. Importantly, complementing rituximab and CD47-IgGsigma, LILRB1-IgGsigma increased ADCP of chronic lymphocytic leukemia (CLL) or lymphoma cells isolated from patients. Thus, dual checkpoint blockade of CD47 and LILRB1 may be promising to improve antibody therapy of CLL and lymphomas through enhancing ADCP by macrophages. CI - Copyright (c) 2022 Zeller, Lutz, Munnich, Windisch, Hilger, Herold, Tahiri, Banck, Weigert, Moosmann, von Bergwelt-Baildon, Flamann, Bruns, Wichmann, Baumann, Valerius, Schewe, Peipp, Rosner, Humpe and Kellner. FAU - Zeller, Tobias AU - Zeller T AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Lutz, Sebastian AU - Lutz S AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Munnich, Ira A AU - Munnich IA AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Windisch, Roland AU - Windisch R AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Hilger, Patricia AU - Hilger P AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Herold, Tobias AU - Herold T AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. AD - German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Tahiri, Natyra AU - Tahiri N AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. FAU - Banck, Jan C AU - Banck JC AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. FAU - Weigert, Oliver AU - Weigert O AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. AD - German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Moosmann, Andreas AU - Moosmann A AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. AD - DZIF - German Center for Infection Research, Munich, Germany. AD - Helmholtz Zentrum Munchen, Munich, Germany. FAU - von Bergwelt-Baildon, Michael AU - von Bergwelt-Baildon M AD - Department of Medicine III, University Hospital, LMU Munich, Munich, Germany. AD - German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany. AD - German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Flamann, Cindy AU - Flamann C AD - Department of Internal Medicine 5, University Hospital Erlangen, Erlangen, Germany. FAU - Bruns, Heiko AU - Bruns H AD - Department of Internal Medicine 5, University Hospital Erlangen, Erlangen, Germany. FAU - Wichmann, Christian AU - Wichmann C AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Baumann, Niklas AU - Baumann N AD - Division of Stem Cell Transplantation and Immunotherapy, Department of Internal Medicine II, Christian Albrechts University and University Hospital Schleswig-Holstein, Kiel, Germany. FAU - Valerius, Thomas AU - Valerius T AD - Division of Stem Cell Transplantation and Immunotherapy, Department of Internal Medicine II, Christian Albrechts University and University Hospital Schleswig-Holstein, Kiel, Germany. FAU - Schewe, Denis M AU - Schewe DM AD - Department of Pediatrics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany. FAU - Peipp, Matthias AU - Peipp M AD - Division of Antibody-Based Immunotherapy, Department of Internal Medicine II, Christian Albrechts University and University Hospital Schleswig-Holstein, Kiel, Germany. FAU - Rosner, Thies AU - Rosner T AD - Division of Stem Cell Transplantation and Immunotherapy, Department of Internal Medicine II, Christian Albrechts University and University Hospital Schleswig-Holstein, Kiel, Germany. FAU - Humpe, Andreas AU - Humpe A AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. FAU - Kellner, Christian AU - Kellner C AD - Division of Transfusion Medicine, Cell Therapeutics and Haemostaseology, University Hospital, LMU Munich, Munich, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221027 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (CD47 Antigen) RN - 0 (Leukocyte Immunoglobulin-like Receptor B1) RN - 4F4X42SYQ6 (Rituximab) RN - 0 (Antibodies) RN - 0 (CD47 protein, human) RN - 0 (LILRB1 protein, human) RN - 0 (Antigens, CD) SB - IM MH - Humans MH - *CD47 Antigen/metabolism MH - Leukocyte Immunoglobulin-like Receptor B1/metabolism MH - Rituximab/pharmacology/therapeutic use/metabolism MH - *Leukemia, Lymphocytic, Chronic, B-Cell/metabolism MH - Cell Line, Tumor MH - Phagocytosis MH - Macrophages MH - Antibodies/metabolism MH - Antigens, CD/metabolism PMC - PMC9647079 OTO - NOTNLM OT - CD20 OT - CD47 OT - LILRB1 (ILT2) OT - antibody therapy OT - innate immune checkpoint blockade OT - lymphoma OT - macrophages OT - phagocytosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/18 06:00 MHDA- 2022/11/22 06:00 PMCR- 2022/01/01 CRDT- 2022/11/17 12:42 PHST- 2022/04/26 00:00 [received] PHST- 2022/10/12 00:00 [accepted] PHST- 2022/11/17 12:42 [entrez] PHST- 2022/11/18 06:00 [pubmed] PHST- 2022/11/22 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.929339 [doi] PST - epublish SO - Front Immunol. 2022 Oct 27;13:929339. doi: 10.3389/fimmu.2022.929339. eCollection 2022.