Interactions of the anti-FcRn monoclonal antibody, rozanolixizumab, with Fcγ receptors and functional impact on immune cells in vitro

Rozanolixizumab is a humanized anti-neonatal Fc receptor (FcRn) monoclonal antibody (mAb) of the immunoglobulin G4 (IgG4) sub-class, currently in clinical development for the treatment of IgG autoantibody-driven diseases. This format is frequently used for therapeutic mAbs due to its intrinsic lower affinity for Fc gamma receptors (FcγR) and lack of C1q engagement. However, with growing evidence suggesting that no Fc-containing agent is truly "silent" in this respect, we explored the engagement of FcγRs and potential functional consequences with rozanolixizumab. In the study presented here, rozanolixizumab was shown to bind to FcγRs in both protein-protein and cell-based assays, and the kinetic data were broadly as expected based on published data for an IgG4 mAb. Rozanolixizumab was also able to mediate antibody bipolar bridging (ABB), a phenomenon that led to a reduction of labeled FcγRI from the surface of human macrophages in an FcRn-dependent manner. However, the presence of exogenous human IgG, even at low concentrations, was able to prevent both binding and ABB events. Furthermore, data from in vitro experiments using relevant human cell types that express both FcRn and FcγRI indicated no evidence for functional sequelae in relation to cellular activation events (e.g., intracellular signaling, cytokine production) upon either FcRn or FcγR binding of rozanolixizumab. These data raise important questions about whether therapeutic antagonistic mAbs like rozanolixizumab would necessarily engage FcγRs at doses typically administered to patients in the clinic, and hence challenge the relevance and interpretation of in vitro assays performed in the absence of competing IgG.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

mAbs - 16(2024), 1 vom: 17. Jan., Seite 2300155

Sprache:

Englisch

Beteiligte Personen:

Qureshi, Omar S [VerfasserIn]
Sutton, Emma J [VerfasserIn]
Bithell, Rosemary F [VerfasserIn]
West, Shauna M [VerfasserIn]
Cutler, Rona M [VerfasserIn]
McCluskey, Gillian [VerfasserIn]
Craggs, Graham [VerfasserIn]
Maroof, Asher [VerfasserIn]
Barnes, Nicholas M [VerfasserIn]
Humphreys, David P [VerfasserIn]
Rapecki, Stephen [VerfasserIn]
Smith, Bryan J [VerfasserIn]
Shock, Anthony [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal
Antibodies, Monoclonal, Humanized
Antibody bipolar bridging
Fcγ receptor
FcRn
Histocompatibility Antigens Class I
Immunoglobulin G
Journal Article
Neonatal Fc receptor
P7186074QC
Receptors, Fc
Receptors, IgG
Rozanolixizumab

Anmerkungen:

Date Completed 22.01.2024

Date Revised 24.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/19420862.2023.2300155

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367315858