Antibody isotype-specific engagement of Fcγ receptors regulates B lymphocyte depletion during CD20 immunotherapy

Y Hamaguchi, Y Xiu, K Komura… - The Journal of …, 2006 - rupress.org
Y Hamaguchi, Y Xiu, K Komura, F Nimmerjahn, TF Tedder
The Journal of experimental medicine, 2006rupress.org
CD20 monoclonal antibody (mAb) immunotherapy is effective for lymphoma and
autoimmune disease. In a mouse model of immunotherapy using mouse anti–mouse CD20
mAbs, the innate monocyte network depletes B cells through immunoglobulin (Ig) G Fc
receptor (FcγR)-dependent pathways with a hierarchy of IgG2a/c> IgG1/IgG2b> IgG3. To
understand the molecular basis for these CD20 mAb subclass differences, B cell depletion
was assessed in mice deficient or blocked for stimulatory FcγRI, FcγRIII, FcγRIV, or FcR …
CD20 monoclonal antibody (mAb) immunotherapy is effective for lymphoma and autoimmune disease. In a mouse model of immunotherapy using mouse anti–mouse CD20 mAbs, the innate monocyte network depletes B cells through immunoglobulin (Ig)G Fc receptor (FcγR)-dependent pathways with a hierarchy of IgG2a/c>IgG1/IgG2b>IgG3. To understand the molecular basis for these CD20 mAb subclass differences, B cell depletion was assessed in mice deficient or blocked for stimulatory FcγRI, FcγRIII, FcγRIV, or FcR common γ chain, or inhibitory FcγRIIB. IgG1 CD20 mAbs induced B cell depletion through preferential, if not exclusive, interactions with low-affinity FcγRIII. IgG2b CD20 mAbs interacted preferentially with intermediate affinity FcγRIV. The potency of IgG2a/c CD20 mAbs resulted from FcγRIV interactions, with potential contributions from high-affinity FcγRI. Regardless, FcγRIV could mediate IgG2a/b/c CD20 mAb–induced depletion in the absence of FcγRI and FcγRIII. In contrast, inhibitory FcγRIIB deficiency significantly increased CD20 mAb–induced B cell depletion by enhancing monocyte function. Although FcγR-dependent pathways regulated B cell depletion from lymphoid tissues, both FcγR-dependent and -independent pathways contributed to mature bone marrow and circulating B cell clearance by CD20 mAbs. Thus, isotype-specific mAb interactions with distinct FcγRs contribute significantly to the effectiveness of CD20 mAbs in vivo, which may have important clinical implications for CD20 and other mAb-based therapies.
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