Natural Killer (NK) cells and Programmed cell death protein-1 (PD-1)

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Natural Killer (NK) cells and Programmed cell death protein-1 (PD-1) Sujan Badal, MS2; Zachary B. Davis, PhD; Jeffrey Miller, MD Department of Medicine, Division of Hematology, Oncology, and Transplantation University of Minnesota, Minneapolis, MN 55455, USA

OUTLINE Background Natural Killer (NK) Cells Programmed Death (PD-1) Receptor PD-1 and NK Cells Anti-PD1 scfv Specific Aims Results Conclusion Future Direction

NK Cells - Large, granular lymphocytes of the innate immune system - Diverse function : First response cytolytic effector function against virus infected and tumor transformed cells Does not require prior exposure or priming T-cell, macrophages, Dendritic cell activation/inhibition - Regulated by various activatory and inhibitory receptors Blood 2016 127:3341-3349

Programmed Cell Death (PD-1) Receptor PD-L1/L2 - Immune check-point regulator e.g. PD-1, CTLA-4 - Inhibitory receptor Anti-PD-1 Ab - Inducibly expressed by T-cells and B-cells - Frequently exploited by tumor cells to evade immune response PD-1 - Ligands PD-L1/PD-L2 - Current clinical use: Anti-PD-1Ab in Melanoma, NSC lung cancer - Pembrolizumab (Keytruda) - Nivolumab (Opdivo) T-cell Tumor cell

PD-1 and NK Cells - Well characterized in T-cells - PD-1 expression and regulation of NK cells unclear - Questions? Expression/Inducibility Cytotoxicity Cytokine secretion Proliferation Downstream signaling pathway Riella et. al. Am J Transplant, 2013

Anti-PD-1 scfv VH VL Fab Fv VL VH Fc Anti-PD1 scfv SHP-2 Anti-PD1 Antibody Signaling Kinases TCR MHC-1 PD-L1/ PD-1 PD-L2 VL VH Anti-PD1 scfv T-cell Tumor cell NK cell

OUTLINE Background Natural Killer (NK) Cells Programmed Death (PD-1) Receptor PD-1 and NK Cells Anti-PD1 scfv Specific Aims Results Conclusion Future Direction

Specific Aims Aim 1: Determine if, and to what extent the checkpoint receptor, programmed death-1 (PD-1) is expressed in peripheral blood NK cells from healthy individuals. Aim 2: Investigate the inducibility of PD-1 expression under various activating conditions including cytokine stimulation and the inflammatory tumor microenvironment. Aim 3: Determine the functional relevance of PD-1 on peripheral blood NK cells in response to tumor targets expressing its ligand, PD-L1 using conventional and novel PD-1 antagonistic antibodies.

OUTLINE Background Natural Killer (NK) Cells Programmed Death (PD-1) Receptor PD-1 and NK Cells Anti-PD1 scfv Specific Aims Results Conclusion Future Direction

PD-1_PD-L1/L2 Expression Isotype control apd-1 scfv apd-1 PD-1 THP-1_iso THP-1_PD-L1 THP-1g_PD-L1 PD-L1 THP-1_iso THP-1_PD-L2 THP-1g_PD-L2 PD-L2

Full-length vs scfv

NK ADCC response

NK PD-1 Signaling

OUTLINE Background Natural Killer (NK) Cells Programmed Death (PD-1) Receptor PD-1 and NK Cells Anti-PD1 scfv Specific Aims Results Conclusion Future Direction

Conclusions 1. The anti-pd-1 scfv construct demonstrates superior target affinity and specificity as compared to commercial full-length anti-pd1 antibody. 2. PD-1 is expressed on all peripheral blood NK cells. 3. PD-1 blockade using scfv construct enhances the cytolytic, cytokine production, and ADCC function of NK cells. 4. The NK cell PD-1 pathway involves downstream signaling component (pakt) parallel to that of the well characterized T-cell PD-1 signaling pathway. 5. The anti-pd-1 scfv has potential implications in the development of novel BiKE/TriKE constructs that could be therapeutically used to enhance NK cell function.

OUTLINE Background Natural Killer (NK) Cells Programmed Death (PD-1) Receptor PD-1 and NK Cells Anti-PD1 scfv Specific Aims Results Conclusion Future Direction

Future Direction CD33 BiKE construct CD33 ADCC Tumor Cell CD16 Redirected Lysis NK Cell CD33 CD16 PD-1 CD16 TriKE construct PD-1 ADCC PD-1 blockade Tumor Cell

ACKNOWLEDGEMENT MILLER LAB Zachary Davis, Ph. D. Jeffery Miller, M.D. (PI) NIH T35 2017 Medical Student Summer Research Program In Infection and Immunity Daniel Muller, M.D. Program Director All other members Andrea Stewart Executive Administrative Specialist