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Elsevier BV, 2018

DOI: 10.17863/cam.24976

Cell Press, Cancer Cell, 4(33), p. 649-663.e4, 2018

DOI: 10.1016/j.ccell.2018.02.010

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Fc Effector Function Contributes to the Activity of Human Anti-CTLA-4 Antibodies

Journal article published in 2018 by Frederick Arce Vargas, Yien Ning Sophia Wong, Dirk Strauss, Ingrid Teige, Andrew Js S. Furness, Frederick Arce Vargas, Samra Turajlic, Marta H. Lesko, Andrew Wotherspoon, Charles Swanton, Jake Y. Henry, Kevin Litchfield, Andrew Georgiou, Myles Smith, Mary Varia and other authors.
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

With the use of a mouse model expressing human Fc-gamma receptors (FcγRs), we demonstrated that antibodies with isotypes equivalent to ipilimumab and tremelimumab mediate intra-tumoral regulatory T (Treg) cell depletion in vivo, increasing the CD8+ to Treg cell ratio and promoting tumor rejection. Antibodies with improved FcγR binding profiles drove superior anti-tumor responses and survival. In patients with advanced melanoma, response to ipilimumab was associated with the CD16a-V158F high affinity polymorphism. Such activity only appeared relevant in the context of inflamed tumors, explaining the modest response rates observed in the clinical setting. Our data suggest that the activity of anti-CTLA-4 in inflamed tumors may be improved through enhancement of FcγR binding, whereas poorly infiltrated tumors will likely require combination approaches.