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A trispecific antibody targeting HER2 and T cells inhibits breast cancer growth via CD4 cells

Edward Seung, Zhen Xing, Lan Wu, Ercole Rao, Virna Cortez-Retamozo, Beatriz Ospina, Liqing Chen, Christian Beil, Zhili Song, Bailin Zhang, Mikhail Levit, Gejing Deng, Andrew Hebert, Patrick Kirby, Aiqun Li, Emma-Jane Poulton, Rita Vicente, Audrey Garrigou, Peter Piepenhagen, Greg Ulinski, Michele Sanicola-Nadel, Dinesh S. Bangari, Huawei Qiu, Lily Pao (), Dmitri Wiederschain, Ronnie Wei, Zhi-yong Yang () and Gary J. Nabel ()
Additional contact information
Edward Seung: Sanofi R&D, North America
Zhen Xing: Sanofi R&D, North America
Lan Wu: Sanofi R&D, North America
Ercole Rao: Sanofi R&D, Frankfurt
Virna Cortez-Retamozo: Sanofi R&D, North America
Beatriz Ospina: Sanofi R&D, North America
Liqing Chen: Sanofi R&D, North America
Christian Beil: Sanofi R&D, Frankfurt
Zhili Song: Sanofi R&D, North America
Bailin Zhang: Sanofi R&D, North America
Mikhail Levit: Sanofi R&D, North America
Gejing Deng: Sanofi R&D, North America
Andrew Hebert: Sanofi R&D, North America
Patrick Kirby: Sanofi R&D, North America
Aiqun Li: Sanofi R&D, North America
Emma-Jane Poulton: Sanofi R&D, North America
Rita Vicente: Sanofi R&D, Montpellier
Audrey Garrigou: Sanofi R&D, Montpellier
Peter Piepenhagen: Sanofi R&D, North America
Greg Ulinski: Sanofi R&D, North America
Michele Sanicola-Nadel: Sanofi R&D, North America
Dinesh S. Bangari: Sanofi R&D, North America
Huawei Qiu: Sanofi R&D, North America
Lily Pao: Sanofi R&D, North America
Dmitri Wiederschain: Sanofi R&D, North America
Ronnie Wei: Sanofi R&D, North America
Zhi-yong Yang: Sanofi R&D, North America
Gary J. Nabel: Sanofi R&D, North America

Nature, 2022, vol. 603, issue 7900, 328-334

Abstract: Abstract Effective antitumour immunity depends on the orchestration of potent T cell responses against malignancies1. Regression of human cancers has been induced by immune checkpoint inhibitors, T cell engagers or chimeric antigen receptor T cell therapies2–4. Although CD8 T cells function as key effectors of these responses, the role of CD4 T cells beyond their helper function has not been defined. Here we demonstrate that a trispecific antibody to HER2, CD3 and CD28 stimulates regression of breast cancers in a humanized mouse model through a mechanism involving CD4-dependent inhibition of tumour cell cycle progression. Although CD8 T cells directly mediated tumour lysis in vitro, CD4 T cells exerted antiproliferative effects by blocking cancer cell cycle progression at G1/S. Furthermore, when T cell subsets were adoptively transferred into a humanized breast cancer tumour mouse model, CD4 T cells alone inhibited HER2+ breast cancer growth in vivo. RNA microarray analysis revealed that CD4 T cells markedly decreased tumour cell cycle progression and proliferation, and also increased pro-inflammatory signalling pathways. Collectively, the trispecific antibody to HER2 induced T cell-dependent tumour regression through direct antitumour and indirect pro-inflammatory/immune effects driven by CD4 T cells.

Date: 2022
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DOI: 10.1038/s41586-022-04439-0

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