Nature Communications (Apr 2023)

Anti-cancer pro-inflammatory effects of an IgE antibody targeting the melanoma-associated antigen chondroitin sulfate proteoglycan 4

  • Jitesh Chauhan,
  • Melanie Grandits,
  • Lais C. G. F. Palhares,
  • Silvia Mele,
  • Mano Nakamura,
  • Jacobo López-Abente,
  • Silvia Crescioli,
  • Roman Laddach,
  • Pablo Romero-Clavijo,
  • Anthony Cheung,
  • Chara Stavraka,
  • Alicia M. Chenoweth,
  • Heng Sheng Sow,
  • Giulia Chiaruttini,
  • Amy E. Gilbert,
  • Tihomir Dodev,
  • Alexander Koers,
  • Giulia Pellizzari,
  • Kristina M. Ilieva,
  • Francis Man,
  • Niwa Ali,
  • Carl Hobbs,
  • Sara Lombardi,
  • Daniël A. Lionarons,
  • Hannah J. Gould,
  • Andrew J. Beavil,
  • Jenny L. C. Geh,
  • Alastair D. MacKenzie Ross,
  • Ciaran Healy,
  • Eduardo Calonje,
  • Julian Downward,
  • Frank O. Nestle,
  • Sophia Tsoka,
  • Debra H. Josephs,
  • Philip J. Blower,
  • Panagiotis Karagiannis,
  • Katie E. Lacy,
  • James Spicer,
  • Sophia N. Karagiannis,
  • Heather J. Bax

DOI
https://doi.org/10.1038/s41467-023-37811-3
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 18

Abstract

Read online

Abstract Outcomes for half of patients with melanoma remain poor despite standard-of-care checkpoint inhibitor therapies. The prevalence of the melanoma-associated antigen chondroitin sulfate proteoglycan 4 (CSPG4) expression is ~70%, therefore effective immunotherapies directed at CSPG4 could benefit many patients. Since IgE exerts potent immune-activating functions in tissues, we engineer a monoclonal IgE antibody with human constant domains recognizing CSPG4 to target melanoma. CSPG4 IgE binds to human melanomas including metastases, mediates tumoricidal antibody-dependent cellular cytotoxicity and stimulates human IgE Fc-receptor-expressing monocytes towards pro-inflammatory phenotypes. IgE demonstrates anti-tumor activity in human melanoma xenograft models engrafted with human effector cells and is associated with enhanced macrophage infiltration, enriched monocyte and macrophage gene signatures and pro-inflammatory signaling pathways in the tumor microenvironment. IgE prolongs the survival of patient-derived xenograft-bearing mice reconstituted with autologous immune cells. No ex vivo activation of basophils in patient blood is measured in the presence of CSPG4 IgE. Our findings support a promising IgE-based immunotherapy for melanoma.