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TLR9 agonist MGN1703 enhances B cell differentiation and function in lymph nodes

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DOI

  • Mariane H Schleimann
  • Maria-Louise Kobberø
  • ,
  • Line K Vibholm
  • ,
  • Kathrine Kjær
  • Leila B Giron, Wistar Institute
  • ,
  • Kathleen Busman-Sahay, Oregon Health & Science University
  • ,
  • Chi Ngai Chan, Oregon Health & Science University
  • ,
  • Michael Nekorchuk, Oregon Health & Science University
  • ,
  • Manuel Schmidt, Mologen AG, Berlin, Germany.
  • ,
  • Burghardt Wittig, Mologen AG, Berlin, Germany; MolBio2Math - Molecular Biology & Integral Biomathics, a non-profit Foundation Institute, Berlin, Germany.
  • ,
  • Tine E Damsgaard
  • ,
  • Peter Ahlburg
  • Michel B Hellfritzsch
  • Kaja Zuwala
  • Frederik H Rothemejer
  • Rikke Olesen
  • Phillipp Schommers, Institute of Virology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50931 Cologne, Germany; Department of Internal Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50931 Cologne, Germany; German Center for Infection Research, Partner Site Bonn-Cologne, 50931 Cologne, Germany.
  • ,
  • Florian Klein, Institute of Virology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50931 Cologne, Germany; German Center for Infection Research, Partner Site Bonn-Cologne, 50931 Cologne, Germany.
  • ,
  • Harsh Dweep, Wistar Institute
  • ,
  • Andrew Kossenkov, Wistar Institute
  • ,
  • Jens R Nyengaard
  • Jacob D Estes, Oregon Health & Science University
  • ,
  • Mohamed Abdel-Mohsen, Wistar Institute
  • ,
  • Lars Østergaard
  • Martin Tolstrup
  • Ole S Søgaard
  • Paul W Denton

BACKGROUND: TLR9 agonists are being developed as immunotherapy against malignancies and infections. TLR9 is primarily expressed in B cells and plasmacytoid dendritic cells (pDCs). TLR9 signalling may be critically important for B cell activity in lymph nodes but little is known about the in vivo impact of TLR9 agonism on human lymph node B cells. As a pre-defined sub-study within our clinical trial investigating TLR9 agonist MGN1703 (lefitolimod) treatment in the context of developing HIV cure strategies (NCT02443935), we assessed TLR9 agonist-mediated effects in lymph nodes.

METHODS: Participants received MGN1703 for 24 weeks concurrent with antiretroviral therapy. Seven participants completed the sub-study including lymph node resection at baseline and after 24 weeks of treatment. A variety of tissue-based immunologic and virologic parameters were assessed.

FINDINGS: MGN1703 dosing increased B cell differentiation; activated pDCs, NK cells, and T cells; and induced a robust interferon response in lymph nodes. Expression of Activation-Induced cytidine Deaminase, an essential regulator of B cell diversification and somatic hypermutation, was highly elevated. During MGN1703 treatment IgG production increased and antibody glycosylation patterns were changed.

INTERPRETATION: Our data present novel evidence that the TLR9 agonist MGN1703 modulates human lymph node B cells in vivo. These findings warrant further considerations in the development of TLR9 agonists as immunotherapy against cancers and infectious diseases. FUND: This work was supported by Aarhus University Research Foundation, the Danish Council for Independent Research and the NovoNordisk Foundation. Mologen AG provided study drug free of charge.

OriginalsprogEngelsk
TidsskriftEBioMedicine
Vol/bind45
Sider (fra-til)328-340
DOI
StatusUdgivet - jul. 2019

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Copyright © 2019. Published by Elsevier B.V.

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