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A next-generation anti-CTLA-4 probody mitigates toxicity and enhances anti-tumor immunity in mice

Weian Cao, Junfan Chen, Yutong Fu, Haitao Jiang, Yu Gao, Huiming Huang, Yang-Xin Fu () and Wenyan Wang ()
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Weian Cao: Tsinghua University
Junfan Chen: Tsinghua University
Yutong Fu: Tsinghua University
Haitao Jiang: Tsinghua University
Yu Gao: Tsinghua University
Huiming Huang: Tsinghua University
Yang-Xin Fu: Tsinghua University
Wenyan Wang: Tsinghua University

Nature Communications, 2025, vol. 16, issue 1, 1-14

Abstract: Abstract CTLA-4 is a promising target for immune checkpoint inhibition in cancer therapy, with CTLA-4 blockade achieving prolonged overall survival for responding patients. However, the progressively elevated doses of anti-CTLA-4 agents, aimed at achieving better efficacy, result in increased toxicities, limiting their clinical applications. Here, we generate a prodrug design of the anti-CTLA-4 antibody, named ProCTLA-4, by folding the Fab fragment of the antibody in a tumor-associated protease-based manner. In preclinical mouse models, ProCTLA-4 effectively depletes suppressive regulatory T cells within the tumor microenvironment and enhances tumor-associated antigen-specific CD8+ T cell responses, while exhibiting reduced toxicity compared to currently available CTLA-4 blockade approaches. Furthermore, compared to the currently used Probody therapeutics for anti-CTLA-4 (BMS986288), ProCTLA-4 has more advantages in efficacy amplification, such as in poor immunogenic melanoma. Our design establishes an alternative paradigm for antibody agents that limits the emergence of immune-related adverse events (irAE) while increasing therapeutic efficacy.

Date: 2025
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DOI: 10.1038/s41467-025-64081-y

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