Cancer immunotherapy by NC410, a LAIR-2 Fc protein blocking human LAIR-collagen interaction

  1. M Ines Pascoal Ramos
  2. Linjie Tian
  3. Emma J de Ruiter
  4. Chang Song
  5. Ana Paucarmayta
  6. Akashdip Singh
  7. Eline Elshof
  8. Saskia V Vijver
  9. Jahangheer Shaik
  10. Jason Bosiacki
  11. Zachary Cusumano
  12. Christina Jensen
  13. Nicholas Willumsen
  14. Morten A Karsdal
  15. Linda Liu
  16. Sol Langermann
  17. Stefan Willems
  18. Dallas Flies  Is a corresponding author
  19. Linde Meyaard  Is a corresponding author
  1. Center for Translational Immunology, University Medical Center Utrecht, Utrecht University, Netherlands
  2. Oncode Institute, Netherlands
  3. NextCure, United States
  4. Nordic Bioscience, Denmark
  5. Department of Pathology, University Medical Center Utrecht, Utrecht University, Netherlands
7 figures, 1 table and 6 additional files

Figures

Figure 1 with 1 supplement
High expression of total collagens and LAIR-1 is associated with reduced overall survival.

The expression of 43 collagen genes, LAIR-1 and LAIR-2 in normal (gray) and tumor tissue (red) were queried using TCGA database. (A) The expression of 43 different collagen genes was assessed …

Figure 1—figure supplement 1
Expression of total collagens, LAIR-1 and LAIR-2 in healthy and tumor tissues.

The expression of total collagens (43 collagen chains), LAIR-1 and LAIR-2 in normal (gray) and tumor tissue (red) was queried using TCGA database: bladder urothelial carcinoma (BLCA), breast …

Figure 2 with 1 supplement
Development of NC410, a LAIR-2 Fc protein that blocks LAIR-1-collagen interaction.

(A) LAIR-2 overexpression is associated with improved overall survival in some tumors: head and neck squamous cell carcinoma (HNSC), thyroid carcinoma (THCA), thymoma (THYM) and skin cutaneous …

Figure 2—figure supplement 1
NC410 blocks LAIR-1 functional interactions with collagen.

NC410 dose-response measured by Incucyte imaging during 24 hr. Representative microscopic images (10×) of WT and hLAIR-1 reporter cells over time. NC410 protein was added at increasing …

Figure 3 with 4 supplements
NC410 therapy promotes human T cell expansion in a xenogeneic-graft versus-host disease model.

In a non-tumor model, 1 × 107 total human peripheral blood mononuclear cells were adoptively transferred intravenously to NSG mice (N = 6/group) on day 0. Mice were treated with indicated doses of …

Figure 3—figure supplement 1
Gating strategy to identify human naïve, memory and effector memory T cell subsets in an NSG non-tumor mouse model.

Human peripheral blood mononuclear cells were transferred into NSG mice, and at day 6 post transfer human T cells subsets were analyzed in the spleen based on CD45RA and CCR7 expression (naïve …

Figure 3—figure supplement 2
HT-29 mRNA collagen expression by RNA sequencing.

For collagen gene expression analysis of HT-29 cells, data was acquired from the public dataset GSE41586 (https://pubmed.ncbi.nlm.nih.gov/23902433/). Raw count data of untreated HT-29 cells was …

Figure 3—figure supplement 3
NC410 binds to collagens on HT-29 cells but does not induce antibody-dependent cellular cytotoxicity.

Immunofluorescence analysis of HT-29 cells stained with (A) isotype control, (B) NC410 or (C) pan-collagen antibody. 40× magnification (D) HT-29 cells were removed from culture flasks using …

Figure 3—figure supplement 4
NC410 anti-tumor activity is dependent on T cells and an active IgG1 Fc.

(A) Humanized tumor model (A) of HT-29 tumor injected subcutaneously in the presence of human peripheral blood mononuclear cells (PBMCs). 1 × 107 total human PBMCs with or without T cell depletion …

NC410 therapy controls in vivo tumor growth of tumor cells that do not express collagen.

(A) Histogram plot showing mouse P815 tumor cells stained with NC410-biotin or control Fc-biotin. (B) Mouse P815 cells and human HT-29 cells were stained with titrated concentrations of …

NC410 promotes T cell anti-tumor immunity in an HT-29 humanized tumor model.

(A) Humanized tumor model of HT-29 tumor cells injected subcutaneously in the presence of human peripheral blood mononuclear cells (PBMCs). 2 × 107 total human PBMCs were adoptively transferred …

NC410 increases collagen degradation products that correlate with tumor regression.

(A) Schematic representation of the humanized murine tumor model used. HT-29 tumor was injected subcutaneously in the presence of human peripheral blood mononuclear cells. Mice were treated with …

Figure 7 with 4 supplements
Immunohistochemical characterization of LAIR-1+ cells and LAIR-2 Fc binding in primary human tumors.

(A) Schematic representation of the immunohistochemical stainings performed. (B) Representative hematoxylin and eosin (H&E), Masson Trichrome, NC410 and LAIR-1 staining in a stomach tumor specimen. …

Figure 7—figure supplement 1
Characterization of LAIR-1+ cells in primary human tumors.

(A) Representative NC410, LAIR-1, CD45, CD3, CD68 and CD163 staining in a stomach tumor specimen. For quantification of the immune cell counts, regions of interest (ROIs) were annotated on the …

Figure 7—figure supplement 2
Immunohistochemical analysis of primary human tumors.

Representative hematoxylin and eosin (H&E), Masson Trichrome, NC410 and LAIR-1 staining for seven different tumor types (glioblastoma [GBM], head and neck squamous cell carcinoma [HNSC], skin …

Figure 7—figure supplement 3
Immunohistochemical analysis of healthy tissues.

Representative hematoxylin and eosin (H&E), Masson Trichrome, NC410 and LAIR-1 staining for healthy tissue matching the tumors used in Figure 7—figure supplement 2.

Figure 7—figure supplement 4
NC410 preferentially binds to tumors with an immune-excluded phenotype.

(A) Representative image of the three different immune phenotypes, immune-desert, immune-excluded and immune-inflamed, in a high-grade serous ovarian carcinoma (HGSC) specimen. (B) Patients within …

Tables

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Genetic reagent
(Mus musculus)
NOD-SCID IL2RγnullJackson LabsStock #: 005557, RRID:IMSR_JAX:005557Female mice
Biological sample (Homo sapiens)Human PBMCsIn vitro studies – healthy donors in agreement with ethical committee of the University Medical Center Utrecht
In vivo studies –
Leukopaks (StemCell)
Cell line
(M. musculus)
hLAIR-1 reporter cell lineMeyaard Lab2B4 T cell hybridoma cells transduced with a NFAT-GFP reporter and hLAIR-1-CD3ζ
Cell line
(M. musculus)
WT reporter cell lineMeyaard Lab2B4 T cell hybridoma cells transduced with a NFAT-GFP reporter
Cell line
(Homo sapiens)
HT-29ATCCATCC HTB-38 (RRID:CVCL_0320)
Cell line
(M. musculus)
P815ATCCATCC TIB-64 (RRID:CVCL_2154)
Cell line
(Cricetulus griseus)
CHO cellsLonzaCHOK1SV, RRID:CVCL_DR97CHOK1-SV-GS (glutamine synthase)-KO cells
AntibodyAnti-human CD45-BV421
(mouse monoclonal)
ThermoFisher ScientificCat number: 50-166-070(Flow cytometry: 1:40)
AntibodyAnti-mouse CD45-APC
(rat monoclonal)
ThermoFisher ScientificCat number: 17-0451-82(Flow cytometry: 1:200)
AntibodyAnti-human CD3-PerCP.Cy5.5
(mouse monoclonal)
ThermoFisher ScientificCat number: 45-0037-42(Flow cytometry: 1:40)
AntibodyAnti-human CD8-AF488
(rat monoclonal)
ThermoFisher ScientificCat number: 53-0081-82(Flow cytometry: 1:40)
AntibodyAnti-human CD4-BV711
(mouse monoclonal)
BiolegendCat number: 300558(Flow cytometry: 1:40)
AntibodyAnti-Human CD45RA- eF450
(mouse monoclonal)
ThermoFisherCat number: 48-0458-42(Flow cytometry: 1:40)
AntibodyAnti-human CCR7-PE
(mouse monoclonal)
BiolegendCat number: 353204(Flow cytometry: 1:40)
AntibodyAnti-human TNF-α-PE
(mouse monoclonal)
ThermoFisher ScientificCat number: 12-7349-41(Flow cytometry: 1:40)
AntibodyAnti-human IFN-ɣ-PECy7
(rat monoclonal)
ThermoFisher ScientificCat number: 25-7311-41(Flow cytometry: 1:40)
AntibodyAnti-human LAIR-1
(rabbit polyclonal)
ATLAS antibodiesCat number: HPA011155(Immunohistochemistry: 1:500)
AntibodyAnti-human LAIR-1
(mouse monoclonal)
BD PharmingenCat number: 550810(Immunohistochemistry: 1:100)
AntibodyNC410-biotinThis paper/NextCureSee Materials and methods (Immunohistochemistry: 1:500)
AntibodyAnti-human CD45
(mouse monoclonal)
DAKOCat number: GA751(Immunohistochemistry: 1:25)
AntibodyAnti-human CD3
(rabbit polyclonal)
DAKOCat number: GA503(Immunohistochemistry: 1:100)
AntibodyAnti-human CD68
(mouse monoclonal)
NovocastraCat number: NCL-L-CD68(Immunohistochemistry: 1:1600)
AntibodyAnti-human CD163
(mouse monoclonal)
NovocastraCat number: NCL-L-CD163(Immunohistochemistry: 1:800)
AntibodyPan-collagen antibody
(rabbit polyclonal)
ThermoFisher ScientificCat number: PA1-85324(Immunofluorescence: 1:200)
AntibodyStreptavidin APCeBioscienceCat number: 17-4317-82(Flow cytometry: 1:200)
AntibodyIgG1-AlexaFluor 594ThermoFisher
Scientific
Cat number: A-21125(Immunofluorescence: 1:200)
AntibodyStreptavidin AlexaFluor 594ThermoFisher
Scientific
Cat number: S11227(Immunofluorescence: 1:2000)
Peptide, recombinant proteinLAIR-1 FCThis paper/NextCureSee Materials and methods LAIR-1- Fc, LAIR-2-Fc (NC410) and LAIR-2-Fc (NC410) FES generation
Peptide, recombinant proteinLAIR-2 FCThis paper/NextCureSee Materials and methods LAIR-1- Fc, LAIR-2-Fc (NC410) and LAIR-2-Fc (NC410) FES generation
Peptide, recombinant proteinLAIR-2 FESThis paper/NextCureSee Materials and methods LAIR-1- Fc, LAIR-2-Fc (NC410) and LAIR-2-Fc (NC410) FES generation
Peptide, recombinant proteinHuman collagen IR&D Systems; Stem CellCat number: 6220 CL-020 (R&D); 07005 (StemCell)
Peptide, recombinant proteinMouse collagen IRay BiotechCat number: DF-01-0058
Peptide, recombinant proteinRat collagen IYo ProteinCat number: ABIN628947
Peptide, recombinant proteinHuman collagen IIIR&D SystemsCat number: 7294 CL-020
Peptide, recombinant proteinRat collagen IIIYo ProteinCat number: ABIN377054
Commercial assay/kitmouse tumor dissociation kitMiltenyiCat number: 130-096-730, RRID:SCR_020285
Commercial assay/kitCell Stimulation Cocktail plus protein transport inhibitorsThermoFisher ScientificCat number: 00-4970-93
Commercial assay/kitCytofix/CytoPerm Plus Fixation/Permeabilization KitBDCat number: 555028
Commercial assay/kitSingleplex Luminex Protein Assay KitThermoFisher ScientificCat number: EPX010-10420-901
Commercial assay/kitHuman T cell positive selection kitStemCellCat number: 17851
Commercial assay/kitOptiview DAB IHC detection kitVentana kitCat number: 760–700
OtherZombie NIR viability dyeBiolegendCat number: 423105
OtherACK lysis bufferKD medicalCat number: 50-101-9080
OtherRIPA Lysis bufferThermoFisher ScientificCat number: 89900
Otherproteinase inhibitorRocheCat number: 4693116001
OtherDNaseMilliporeCat number: 69182–3
OtherCollagenase (from Clostridium histolyticum)SigmaCat number: C0130
OtherTriton X-100RocheCat number: 10789704001
OtherEZ-Link NHS-PEG4-BiotinThermoFisherCat number: 21329
OtherZebaSpin Desalting ColumnsThermoFisherCat number: 87770
OtherDELFIA wash bufferPerkinElmerCat number: 1244-114
OtherDELFIA enhancement solutionPerkinElmerCat number: 4001-0010
OtherEuropium-labeled StreptavidinPerkinElmerCat number: 1244-360
OtherMasson’s TrichromeAbcamCat number: Ab150686
OtherHematoxylinSigma-Aldrich chemieCat number: 51275-1L
OtherDAPI VectaShield hardsetVector LabCat number: H-1500-10, RRID:AB_2336788
Software, algorithmQuPath version 0.2.0QuPathRRID:SCR_018257
Software, algorithmGraphPad Prism 8.0GraphPad PrismRRID:SCR_002798
Software, algorithmTCGA database (https://cancergenome.nih.gov/)RRID:SCR_003193R codes for TCGA analysis
Files can be found in the supplied Source code files

Additional files

Source code 1

Survival curves comparing individuals with high collagen expression against individuals with low collagen expression.

Expression values corresponding to 43 collagen genes in tumor were obtained and averaged for each individual. The collagen expression from various individuals was divided into four quantiles. The individuals with expression values less than or equal to the first quantile were regarded as low expression, and those with values greater than or equal to the third quantile were considered as high expression. The association between expression (high/low) and their survival was assessed using Kaplan–Meier method. The survival curves were drawn using ggsurvplot function in the survminer package in R. The cancers where p-value was less than 0.05 were considered significant and are displayed.

https://cdn.elifesciences.org/articles/62927/elife-62927-code1-v3.zip
Source code 2

Average collagen expression in normal and tumor across various cancers.

The expression values corresponding to 43 different collagen proteins are queried from the TCGA database. TCGA consists of 33 projects corresponding to 33 different cancers, which can individually be queried for expression of genes. For each cancer, expression of collagen genes in cancer and normal (where available) was queried individually. The expression across all collagens was averaged in tumor and normal and displayed as a bar graph in different cancers.

https://cdn.elifesciences.org/articles/62927/elife-62927-code2-v3.zip
Source code 3

Average LAIR-1/2 expression in normal and tumor across various cancers.

Expression of LAIR-1/2 is queried from the TCGA database. Expression of LAIR-1/2 in normal and tumor is displayed as bar graphs in each cancer.

https://cdn.elifesciences.org/articles/62927/elife-62927-code3-v3.zip
Source code 4

Survival curves comparing individuals with high LAIR-1/2 expression against individuals with low LAIR-1/2 expression.

LAIR-1/2 expression was obtained for each individual and divided into four quantiles. The individuals with expression values less than or equal to the first quantile were regarded as low expression, and those with values greater than or equal to the third quantile were considered as high expression. The association between expression (high/low) and their survival was assessed using Kaplan–Meier method, and the cancers where p-value was less than 0.05 are displayed.

https://cdn.elifesciences.org/articles/62927/elife-62927-code4-v3.zip
Source code 5

Survival curves comparing individuals with high collagen, high LAIR-1 expression against individuals with low collagen, low LAIR-1 expression.

Two-way analysis involved dividing average collagen expression across individuals into low and high categories based on the quantiles as Source code 4. Similarly, LAIR-1 expression was also divided into low and high categories based on quantiles. The individuals with high LAIR-1 and high collagen expression were considered high group, and those with low LAIR-1 and low collagen expression were considered low group. Survival based on expression of these two categories was evaluated using Kaplan–Meier method, and the cancers where p-value was less than 0.05 is displayed.

https://cdn.elifesciences.org/articles/62927/elife-62927-code5-v3.zip
Transparent reporting form
https://cdn.elifesciences.org/articles/62927/elife-62927-transrepform-v3.pdf

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