Structural insights into an immune checkpoint receptor reveal a novel approach to cancer immunotherapy

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Abstract/Contents

Abstract
Immunotherapy has revolutionized cancer treatment, but the limited response rates to current checkpoint inhibitors necessitate the identification of additional immunotherapeutic approaches. Lymphocyte-activation gene 3 (LAG-3) has emerged as a potential orthogonal checkpoint molecule that negatively regulates T cell activation. First-generation monoclonal antibodies against LAG-3 demonstrated moderate success, despite a lack of knowledge about the mechanism by which LAG-3 functions. This thesis aims to provide key details focused on LAG3 structural characterization, including functional consequences of LAG-3 dimerization on ligand binding and activation, as well as epitope mapping of murine and clinical human LAG-3 antibodies. The first major accomplishment of this work was the elucidation of the crystal structure of the glycosylated mouse LAG-3 extracellular domain, providing valuable insights into its overall architecture and molecular features. This structural information, which was generated in collaboration with Irimpan Mathews at SLAC, served as a foundation for further investigations into the functional aspects of LAG-3. By employing sophisticated biochemical and biophysical techniques in collaborative work with the laboratories of Jun Wang and Xiang-Peng Kong at NYU, we demonstrated that disruption of D2 domain dimerization severely compromised LAG-3's ability to engage with its ligands and modulate T-cell responses. To further explore the potential therapeutic implications of disrupting LAG-3 dimerization, we performed fine epitope mapping of an antibody called C9B7W, known to bind the LAG-3 D2 domain that we identified as being key to LAG-3 dimerization. The study pinpointed the binding site of C9B7W squarely at the D2 dimerization interface, suggesting a potential mechanism by which this antibody disrupts LAG-3 function. Epitope mapping and electron microscopy showed that like C9B7W, murine antibodies which bind LAG-3 D1 and D3 can also disrupt dimerization and ligand binding. Lastly, we undertook a comprehensive epitope mapping analysis of 11 currently known human LAG-3 antibodies under clinical development. Intriguingly, unlike C9B7W, none of the LAG-3 antibodies under clinical development bound to the D2 dimerization interface, and all bound to the LAG-3 D1 domain, some with overlapping and others with disparate epitopes. Collectively, these findings significantly contribute to our understanding of LAG-3 biology and provide crucial insights into its therapeutic potential. The structural characterization, identification of the critical role of D2 dimerization, and epitope mapping of disruptive and clinical human LAG-3 antibodies pave the way for the development of novel immunotherapeutic strategies targeting LAG-3 in the fight against cancer and other immune-related diseases.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Silberstein, John Louis
Degree supervisor Cochran, Jennifer
Thesis advisor Cochran, Jennifer
Thesis advisor Huang, Possu
Thesis advisor Mellins, Elizabeth
Thesis advisor Robinson, Bill
Degree committee member Huang, Possu
Degree committee member Mellins, Elizabeth
Degree committee member Robinson, Bill
Associated with Stanford University, School of Medicine
Associated with Stanford University, Department of Microbiology and Immunology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility John Louis Silberstein.
Note Submitted to the Department of Microbiology and Immunology.
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/kn512tb1251

Access conditions

Copyright
© 2023 by John Louis Silberstein
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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