Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines

IntroductionThe CD6‐CD318 axis has emerged as a potential target for immuno‐oncology. Recent work has shown that blocking the CD6‐CD318 interaction with a murine anti‐human CD6 antibody increases lymphocyte cytotoxicity. However, several studies have demonstrated the drawbacks associated with the cl...

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Main Authors: Cynthia González Muñoz, Rydell Álvarez Arzola, Adanays Calvo Pérez, Milagro de la Caridad Frometa Campanón, Patricia Hernández Casaña, Aymé Fernández-Calienes Valdés, Patricia Lorenzo-Luaces, Zaima Mazorra Herrera, Tania Crombet Ramos, Mayrel Labrada Mon
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Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1585597/full
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author Cynthia González Muñoz
Rydell Álvarez Arzola
Adanays Calvo Pérez
Milagro de la Caridad Frometa Campanón
Patricia Hernández Casaña
Aymé Fernández-Calienes Valdés
Patricia Lorenzo-Luaces
Zaima Mazorra Herrera
Tania Crombet Ramos
Mayrel Labrada Mon
author_facet Cynthia González Muñoz
Rydell Álvarez Arzola
Adanays Calvo Pérez
Milagro de la Caridad Frometa Campanón
Patricia Hernández Casaña
Aymé Fernández-Calienes Valdés
Patricia Lorenzo-Luaces
Zaima Mazorra Herrera
Tania Crombet Ramos
Mayrel Labrada Mon
author_sort Cynthia González Muñoz
collection DOAJ
description IntroductionThe CD6‐CD318 axis has emerged as a potential target for immuno‐oncology. Recent work has shown that blocking the CD6‐CD318 interaction with a murine anti‐human CD6 antibody increases lymphocyte cytotoxicity. However, several studies have demonstrated the drawbacks associated with the clinical use of murine antibodies and the variability among anti‐CD6 antibodies. Therefore, evidence that the first‐in‐class humanized anti‐human CD6 antibody itolizumab could be used for cancer immunotherapy may be a breakthrough in developing an antitumor clinical approach.MethodsPhenotypic and functional characterization of peripheral blood mononuclear cells (PBMCs) from healthy donors after challenge with CD318+ cell lines was performed by flow cytometry. In addition, IFNγ was determined by ELISA in culture supernatants. Immunohistochemical analyses of breast tumor samples were also performed.Results and DiscussionHere, we provide evidence supporting the rationale for itolizumab in cancer immunotherapy. The blockade of the CD6-CD318 interaction by itolizumab increases the cytotoxic capacity of CD8 T and NK cells over CD318+ tumor lines, reverses the NKG2A/NKG2D ratio, and increases granzyme B and IFNγ production. Itolizumab also regulates immune responses by downregulating CD5 expression and upregulating PD-1 and CTLA-4 inhibitory receptors on lymphocytes, which contribute to reducing exacerbated responses and additively enhancing CD318+ tumor cell cytotoxicity when combined with other immunocheckpoint inhibitors. In addition, we report that CD6‐CD318 interaction inhibits lymphocyte proliferation and survival while downregulating CD6 expression on lymphocytes in vitro and in human breast cancer tissue samples, reinforcing the role of the CD6‐CD318 axis as an immune checkpoint and highlighting the potential of itolizumab as an immune checkpoint inhibitor. Taken together, our results provide the first evidence linking the blocking of the CD6-CD318 axis by itolizumab with the potentiation of functional properties of lymphocytes, highlighting itolizumab as a novel promising immunotherapy for CD318+ tumors and supporting the relevance of new combinatorial therapies with checkpoint inhibitors.
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spelling doaj-art-55b953c4fea3462fb61b9caa15a9f1712025-08-20T03:52:29ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-05-011610.3389/fimmu.2025.15855971585597Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell linesCynthia González Muñoz0Rydell Álvarez Arzola1Adanays Calvo Pérez2Milagro de la Caridad Frometa Campanón3Patricia Hernández Casaña4Aymé Fernández-Calienes Valdés5Patricia Lorenzo-Luaces6Zaima Mazorra Herrera7Tania Crombet Ramos8Mayrel Labrada Mon9Research Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaCellular Biology Department and Biological Sample Bio-Bank, National Institute of Oncology and Radiobiology, Havana, CubaCellular Biology Department and Biological Sample Bio-Bank, National Institute of Oncology and Radiobiology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaResearch Division, Center of Molecular Immunology, Havana, CubaIntroductionThe CD6‐CD318 axis has emerged as a potential target for immuno‐oncology. Recent work has shown that blocking the CD6‐CD318 interaction with a murine anti‐human CD6 antibody increases lymphocyte cytotoxicity. However, several studies have demonstrated the drawbacks associated with the clinical use of murine antibodies and the variability among anti‐CD6 antibodies. Therefore, evidence that the first‐in‐class humanized anti‐human CD6 antibody itolizumab could be used for cancer immunotherapy may be a breakthrough in developing an antitumor clinical approach.MethodsPhenotypic and functional characterization of peripheral blood mononuclear cells (PBMCs) from healthy donors after challenge with CD318+ cell lines was performed by flow cytometry. In addition, IFNγ was determined by ELISA in culture supernatants. Immunohistochemical analyses of breast tumor samples were also performed.Results and DiscussionHere, we provide evidence supporting the rationale for itolizumab in cancer immunotherapy. The blockade of the CD6-CD318 interaction by itolizumab increases the cytotoxic capacity of CD8 T and NK cells over CD318+ tumor lines, reverses the NKG2A/NKG2D ratio, and increases granzyme B and IFNγ production. Itolizumab also regulates immune responses by downregulating CD5 expression and upregulating PD-1 and CTLA-4 inhibitory receptors on lymphocytes, which contribute to reducing exacerbated responses and additively enhancing CD318+ tumor cell cytotoxicity when combined with other immunocheckpoint inhibitors. In addition, we report that CD6‐CD318 interaction inhibits lymphocyte proliferation and survival while downregulating CD6 expression on lymphocytes in vitro and in human breast cancer tissue samples, reinforcing the role of the CD6‐CD318 axis as an immune checkpoint and highlighting the potential of itolizumab as an immune checkpoint inhibitor. Taken together, our results provide the first evidence linking the blocking of the CD6-CD318 axis by itolizumab with the potentiation of functional properties of lymphocytes, highlighting itolizumab as a novel promising immunotherapy for CD318+ tumors and supporting the relevance of new combinatorial therapies with checkpoint inhibitors.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1585597/fullCD6CD318ALCAM(CD166)CD5NK cellsCD8 lymphocytes
spellingShingle Cynthia González Muñoz
Rydell Álvarez Arzola
Adanays Calvo Pérez
Milagro de la Caridad Frometa Campanón
Patricia Hernández Casaña
Aymé Fernández-Calienes Valdés
Patricia Lorenzo-Luaces
Zaima Mazorra Herrera
Tania Crombet Ramos
Mayrel Labrada Mon
Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
Frontiers in Immunology
CD6
CD318
ALCAM(CD166)
CD5
NK cells
CD8 lymphocytes
title Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
title_full Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
title_fullStr Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
title_full_unstemmed Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
title_short Itolizumab regulates activating and inhibitory signals on effector cells, improving their cytotoxicity against CD318+ tumor cell lines
title_sort itolizumab regulates activating and inhibitory signals on effector cells improving their cytotoxicity against cd318 tumor cell lines
topic CD6
CD318
ALCAM(CD166)
CD5
NK cells
CD8 lymphocytes
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1585597/full
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