Summary
Anti-CD40 monoclonal antibodies (mAbs) that promote or inhibit receptor function hold promise as therapeutics for cancer and autoimmunity. Rules governing their diverse range of functions, however, are lacking. Here we determined characteristics of nine hCD40 mAbs engaging epitopes throughout the CD40 extracellular region expressed as varying isotypes. All mAb formats were strong agonists when hyper-crosslinked; however, only those binding the membrane-distal cysteine-rich domain 1 (CRD1) retained agonistic activity with physiological Fc gamma receptor crosslinking or as human immunoglobulin G2 isotype; agonistic activity decreased as epitopes drew closer to the membrane. In addition, all CRD2-4 binding mAbs blocked CD40 ligand interaction and were potent antagonists. Thus, the membrane distal CRD1 provides a region of choice for selecting CD40 agonists while CRD2-4 provides antagonistic epitopes.
Keywords: agonist, antagonist, CD40, epitope, crystal structure, Fc receptors, immunotherapy, isotype, monoclonal antibody, TNFR
Graphical Abstract
Highlights
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Epitope in combination with isotype governs hCD40 mAb activity
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CRD1 binding mAbs are agonistic as IgG2 or with FcγRIIB crosslinking
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CRD2-4 binding mAbs display antagonistic properties
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Structure of receptor complex provides insights into agonistic function
CD40 agonist mAbs are being investigated for cancer treatment, whereas antagonistic mAbs are under investigation for the treatment of autoimmune and inflammatory conditions. Yu et al. show that the activity of a CD40 mAb is determined by an interplay between the location of its epitope within CD40 and its isotype.
Significance
Monoclonal antibodies (mAbs) that regulate immune responses are providing potent therapeutics for treating cancer and autoimmune disease. One target in development is CD40, a tumor necrosis factor receptor (TNFR) superfamily member expressed on antigen-presenting cells involved in regulating adaptive immunity. mAbs targeting this receptor show diverse activities, from strong agonism to powerful antagonism; however, the rules determining activity are unclear. Here we demonstrate that a complex interplay between the location of the mAb epitope within CD40 and the isotype determines these differing levels of activity. Such detailed understanding of mAb mechanism of action will help guide the development of the next generation of immuno-therapeutics targeting CD40 and potentially other members of the TNFR superfamily.
Introduction
Monoclonal antibodies (mAbs) that target regulatory receptors to modulate immune responses are revolutionizing the treatment of cancer and autoimmune disease (Chan and Carter, 2010, Schaer et al., 2014, Sharma and Allison, 2015). One promising target is CD40, a member of the tumor necrosis factor receptor superfamily (TNFRSF) expressed on cells including B cells and specialized antigen-presenting cells (Grewal and Flavell, 1998). Agonistic mAbs that stimulate CD40 signaling are in development as cancer therapeutics designed to potentiate anti-tumor immunity (Remer et al., 2017, Vonderheide and Glennie, 2013), with the most encouraging results coming with CP870,893 in pancreatic cancer (Beatty et al., 2011). Conversely, antagonistic mAbs that inhibit CD40 function are under investigation for the treatment of autoimmune and inflammatory conditions (Croft et al., 2013). The rules that govern whether a particular mAb will possess agonistic or antagonistic properties, however, are currently unclear.
The ligand for CD40 (CD40L/CD154) is trimeric and believed to initiate CD40 activation by clustering the receptor in the cell membrane allowing recruitment of TNFR-associated factors leading to immune activation (Werneburg et al., 2001). We have investigated the pathways by which agonistic anti-human (h) CD40 mAb can mimic this process and have demonstrated two distinct mechanisms, both influenced by the mAb constant region (White et al., 2011, White et al., 2015). The first is mediated by hyper-crosslinking of the mAb Fc through interaction with Fc gamma receptors (FcγR) (White et al., 2011). In in vivo mouse models crosslinking is mediated by the inhibitory FcγR, FcγRIIB. The anti-mouse (m) CD40 mAbs 3/23 (White et al., 2011) and IC10 (Li and Ravetch, 2011) are agonistic when expressed as isotypes that engage mouse FcγRIIB with relatively high affinity (mouse IgG1 [immunoglobulin G1] [m1] or rat IgG2a [r2a]), but not as isotypes with low FcγRIIB affinity (m2a or human IgG1 [h1]) or in the absence of FcγRIIB expression (Li and Ravetch, 2011, White et al., 2011). FcγRIIB is thought to act as a hyper-crosslinking scaffold for the mAbs to enhance clustering of CD40 in the membrane (Beers et al., 2016, White et al., 2013). Its predominant role in vivo likely reflects its bioavailability as other FcγR can mediate this function in vitro, at least when expressed at sufficient surface density (White et al., 2011, Wilson et al., 2011).
The second mechanism through which hCD40 mAbs can elicit activity is independent of FcγR, but dependent upon the hinge region of human IgG2 (h2) (White et al., 2015). h2 can adopt alternative disulfide bonding arrangements in its hinge that exhibit differences in flexibility and conformation (Dillon et al., 2008, Martinez et al., 2008, Wypych et al., 2008). We previously demonstrated that the hCD40 mAb ChiLob 7/4 becomes highly agonistic in the absence of FcγR-mediated hyper-crosslinking when “locked” in an h2 “B” conformation, where the two F(ab) arms are disulfide-linked to the hinge (Allen et al., 2009, White et al., 2015). h2B can agonize the receptor in vivo when administered as a F(ab’)2 fragment, potently stimulating antigen-specific CD8 T cell proliferation in wild-type (WT) or Fcgr2b−/− (knockout [KO]) mice, unequivocally demonstrating its FcγR-independent activity. Similarly, F(ab’)2 fragments of the clinical h2 hCD40 mAb CP870,893 also retain agonistic activity (Richman and Vonderheide, 2014), confirming that FcγR-mediated hyper-crosslinking is not obligatory for hCD40 mAb activity. We hypothesize that the compact h2B conformation promotes close packaging of CD40 molecules in the membrane allowing efficient TRAF recruitment and receptor activation even when FcγR are absent (Beers et al., 2016, White et al., 2015).
These isotype-dependent rules of agonistic activity have been shown for multiple mAb targeting CD40 and other TNFR (Li and Ravetch, 2011, Li and Ravetch, 2012, White et al., 2015, Wilson et al., 2011, Xu et al., 2003), suggesting a common mechanism of action. However, they were established by dissecting modes of activity of known agonists. It is not clear whether all mAbs directed against CD40 or other TNFRSF members will be agonistic as m1 or h2 isotypes, or whether additional factors dictate activity. In particular, although epitope specificity clearly plays an important role in anti-hCD40 mAb function (Barr and Heath, 2001, Bjorck et al., 1994, Ellmark et al., 2002; Malmborg Hager et al., 2003, Yamniuk et al., 2016), the interaction between isotype and epitope in dictating anti-TNFR mAb activity has not been systematically investigated. Likewise, the rules governing antagonistic anti-hCD40 mAb behavior are not clear. True antagonism likely necessitates the ability to prevent CD40L-mediated receptor activation, suggesting that epitope specificity and the ability to prevent CD40L binding are inter-related.
The goal of this study was to define the relationship between epitope location and isotype in dictating the biological activity of hCD40 mAbs.
Results
Epitope and Agonist Activity
To examine the role of epitope specificity in the agonistic activity of hCD40 mAbs, we assembled a panel of nine mAbs expressed with the m1 constant domain known to confer agonistic activity through FcγRIIB engagement (Li and Ravetch, 2011, White et al., 2011). We then compared their ability to stimulate B cell proliferation in vitro and CD8 T cell expansion in vivo. Three of these mAbs, Lob 7/4-m1, SGN40-m1, and CP870,893-m1 were derived from ChiLob 7/4, SGN40 (dacetuzumab), and CP870,893, respectively, all of which have been used in clinical trials (Hussein et al., 2010, Johnson et al., 2015, Vonderheide et al., 2007). The remainder were produced in-house by standard hybridoma technology (Lob 7/8-m1, Lob 7/6-m1, Lob 8/2-m1, Lob 7/7-m1, and Lob 7/2-m1) or generated from patent sequences (24.2.1-m1; US patent 2009/0130715).
Figure 1A shows the dose-dependent proliferation of purified human CD40 transgenic (hCD40Tg) mouse B cells expressing (WT) or lacking (KO) mFcγRII in response to the three clinical mAbs. Lob 7/4-m1 and SGN40-m1 showed similar agonistic activity that was largely dependent upon crosslinking by the B cell FcγRII (Figure 1A). In contrast, CP870,893-m1 displayed much stronger agonistic activity, delivering two to three times more B cell proliferation with WT cells, and with much less dependence on crosslinking by mFcγRII.
Comparison of the remaining hCD40 mAbs in the B cell proliferation assay revealed a spectrum of activity (Figure 1B) with WT B cells (left bars) ranging from strong agonists (CP870,893-m1) to those with little or no activity (Lob 7/8-m1). When mFcγRII KO B cells were used (middle bars), only CP870,893-m1 continued to show strong activity (Figure 1B). However, importantly, when a feeder layer of CHO-K1 cells overexpressing hFcγRIIB (XL) was included in these cultures (White et al., 2011) all of the mAbs became highly agonistic, demonstrating their capacity to bind CD40 and provide potent agonism in the presence of non-physiological levels of mFcγRII-mediated crosslinking.
To compare in-vivo immunostimulatory activity, a vaccination model that measured SIINFEKL-specific CD8 (OT1) T cell responses against co-administered OVA in hCD40Tg mice was used (Figure 1C). The ability of the mAbs to expand OT1 cells correlated with their relative activity in the B cell proliferation assay, suggesting that similar rules dictate the agonistic activity of the mAbs on distinct cell types (B and T cells) and also in vitro and in vivo.
ChiLob 7/4, SGN40, and CP870,893 Engage Similar Epitopes in CRD1
The differences between mAbs in both the level of agonistic activity and mFcγRII dependency prompted us to examine more closely the role of the epitope in agonism. To precisely define the epitope bound by ChiLob 7/4 we determined the crystal structure of its Fab’ bound to a soluble CD40 extracellular domain (ECD) (Figure 2A; Table S1). Residues 1–211 of the ChiLob 7/4 light chain (LC) and 1–223 of the heavy chain (HC) were resolved (with the exception of residues 139–144 within CH1 of the HC). This leaves 3 terminal residues in the LC and an estimated 15 terminal residues in the HC unresolved in the electron density (see STAR Methods). CD40 was resolved in electron density for residues 21–120, corresponding to cysteine-rich domain 1 (CRD1), CRD2, and the majority of CRD3 (Figure 2A). The structure revealed that ChiLob 7/4 engaged an epitope at the N terminus of CD40 within CRD1 (Figure 2B). The complementarity-determining region (CDR) 3 of the ChiLob 7/4 HC formed interactions with CD40 giving the highest ΔG, as analyzed by PISA (Krissinel and Henrick, 2007), mostly within the A1 region of CRD1 (Figure 2B). The LC CDR1 and CDR3 contacted the B2 region of CRD1, while the CDR2 region contacted both the CRD1 A1 and B2 regions (Figure 2B).
Western blotting and competition experiments by surface plasmon resonance (SPR) and flow cytometry were used to map the binding epitopes of other hCD40 mAbs. ChiLob 7/4, SGN40, and CP870,893, all bound the full-length CD40 ECD, but not truncated forms where CRD1 was deleted (Figure 3A), and hence must recognize epitopes on CRD1 as reported previously for SGN40 and CP870,893 (Bjorck et al., 1994, Gladue et al., 2011). The mAb 24.2.1 bound to CD40 even when CRD1 was deleted, whereas Lob 7/6 bound when both CRD1 and CRD2 were deleted (Figure 3A). Flow cytometry data confirm domain-specific engagement as the CRD1-specific mAb Lob 7/4, SGN40, and CP870,893 all inhibited binding of Lob 7/4-fluorescein isothiocyanate (FITC) to hCD40Tg B cells, whereas Lob 7/6 and 24.2.1, which bind CRD domains closer to the membrane, did not (Figure 3B top panels). In contrast, Lob 7/6 and 24.2.1 blocked labeling of hCD40Tg B cells with Lob 7/6-FITC, whereas Lob 7/4, SGN40, and CP870,893 did not (Figure 3B, bottom panels). Furthermore, SPR showed that ChiLob 7/4, SGN40, and CP870,893 cross-competed with each other but not with Lob 7/6 for CD40 binding (Figure 3C). Thus, despite being associated with markedly different levels of agonistic activity (Figure 1), ChiLob 7/4, SGN40, and CP870,893 all bound to a similar region of CRD1 within CD40.
To differentiate the epitopes of ChiLob 7/4, SGN40, and CP870,893, we used a further deletion variant of CD40 in which the A1 domain of CRD1 was removed (residues 23–37; Figure 2A). The binding of the mAbs to cells transfected with these variants was compared. ChiLob 7/4, SGN40, and CP870,893, which engage an epitope in CRD1, as well as 24.2.1 and Lob 7/6, which engage epitopes in CRD2-4, all bound approximately 80% of cells transfected with WT CD40 (Figure 3D). For the CD40-A1 deletion variant, 24.2.1 and Lob 7/6 still bound close to 80% of the cells, suggesting stable expression of this mutant. In contrast, binding of SGN40 was reduced to 58%, binding of ChiLob 7/4 was reduced to 9%, and binding of CP870,893 was completely lost (Figure 3D). These data reflect an epitope variation for these mAbs. In a simple modeling exercise based on the determined crystallographic structure of ChiLob 7/4, we demonstrate how these differences can be rationalized (Figure S1A). The modeling suggests that an interaction with CRD1 is lost while another interaction with CRD2 is gained, placing the binding epitope for SGN40 further down the CD40 scaffold compared with the one seen in the structure of ChiLob 7/4:CD40.
Western blotting and flow cytometry were used to produce epitope maps for a further six anti-hCD40 mAbs (Lob 7/2, Lob 7/4, Lob 7/6-Lob 7/7, Lob 7/8, Lob 8/2, and 24.2.1; Figures S1B and S1C). The proposed distribution of these epitopes in relation to the CD40 domain structure is presented in Figure 3E.
Surface alanine scanning mutagenesis was used to confirm and refine these observations (Figure 4). CHO-K1 cells stably transfected with CD40 proteins in which consecutive pairs of surface amino acids were mutated to alanine were used to define residues critical for mAb binding. Consistent with the data in Figure 3, residues R27 and E28 close to the N terminus of CD40 were found to be essential for CP870,893 binding, whereas ChiLob 7/4 was dependent upon residues F54 and T55 within the B2 domain of CRD1 (Figure 4). SGN40 and Lob 7/2 bound epitopes related to that of ChiLob 7/4, being additionally dependent upon residues E56 and T57 (Figure 4). This technique also identified residues in CRD2 important for the binding of Lob 8/2 (G63 × E64 K94 G95) and Lob 7/7 (D84 P85) (Figure 4). Overall these data gave a detailed positional map of the binding sites on extracellular CD40 for each of the antibodies.
When the defined epitope locations are correlated with agonistic activity (Figure 1), it is clear that, without extensive crosslinking, only those mAbs that bind to CRD1 are strong agonists. The inability of mAbs that bind epitopes in CRD2-4 to agonize CD40 may reflect reduced availability of their Fc regions to engage FcγR expressed at physiological levels. This notion was supported by experiments that demonstrated CRD2-4 binding mAbs were also less able to direct macrophage-mediated phagocytosis of opsonized B cells compared with CRD1 binders, a process that also requires FcγR interaction (Figure S2), as well as the strong agonism displayed by all antibodies when crosslinking was forced by super-physiological levels of mFcγRII (Figure 1B).
The Influence of Human Isotype on Epitope-Dependent Agonism
Having established the role of epitope in the context of the m1 isotype, we next explored the influence of epitope specificity in the context of human IgG isotypes, h1 and h2. As demonstrated previously (White et al., 2015), ChiLob 7/4-h2 and SGN40-h2 (mAbs expressed with h2 constant domains) caused proliferation of isolated hCD40Tg mouse B cells, whereas their h1 counterparts were largely inactive (Figure 5A).
The activity of CP870,893 was largely independent of isotype, with both h1 and h2 formats driving robust B cell expansion (Figure 5A). Moreover, the overall level of agonistic activity observed with CP870,893 was higher than either ChiLob 7/4-h2 or SGN40-h2, with >4- to 30-fold greater B cell proliferation at 1 μg/mL depending upon the isotype and consistent with clinical studies demonstrating an approximately 10-fold lower maximum tolerated dose for CP870,893 versus SGN40 or ChiLob 7/4 (Hussein et al., 2010, Johnson et al., 2015, Vonderheide et al., 2007). The increased agonistic activity of CP870,893 was not due to enhanced CD40 binding as similar amounts of each mAb bound to B cells over the concentration range analyzed (data not shown). This is further indication of the different mode of action of CP870,893.
Similar differences were observed in the ability of the different mAbs to activate isolated human B cells, as assessed by CD23 upregulation (Figure 5B). In addition, all h1 and h2 mAbs activated human B cells equivalently when cells expressing super-physiological levels of hFcγRIIB were added (Figure 5B), suggesting similar mechanisms of CD40 activation in mouse and human B cells.
We next extended the panel of h1 and h2 hCD40 mAbs to investigate how epitope specificity influenced agonism (Figure 5C). As with m1, we found that B cell agonistic activity was largely confined to those mAbs binding to the CRD1 membrane distal domain. Lob 8/2 was the exception in that it bound to CRD2 but was agonistic, at least as h2. For all agonists, h2 was the most active of the human isotypes, particularly in the case of Lob 7/2, SGN40, and Lob 7/4, where h2 and m1 showed very similar agonism with h1 less active. However, the most striking difference between isotypes was seen when using mFcγRII KO B cells where, in almost all cases, h1 and m1 completely lost activity, while h2 retained agonistic function. An exception was the low level of agonism observed with Lob 7/2 h1, which was retained in the absence of mFcγRII. This is consistent with previous findings that h2 agonistic activity is independent of FcγR interaction (White et al., 2015). Finally, CP870,893 was again shown to be unique in evoking very high agonistic activity irrespective of isotype, and in retaining appreciable activity in the absence of mFcγRII. This distinct isotype insensitivity, compared with other mAbs such as ChiLob 7/4, was recapitulated in nuclear factor κB activation assays (Figure S3).
To extend these studies in vivo we performed adoptive transfer of OT1 cells into hCD40Tg mice (Figure 5D). As with the m1 of these reagents (Figure 1), the in vitro and in vivo data corresponded closely. ChiLob 7/4-h2 and SGN40-h2 stimulated strong expansion of OT1 T cells, whereas h1 was significantly less active (Figure 5D). This was particularly striking for SGN40 where, compared with h2, h1 showed very little activity. Importantly, and unlike m1 (Figure 1C), the activity of ChiLob 7/4-h2 and SGN40-h2 was independent of mFcγRII, showing comparable activity in mFcγRII KO mice, and confirming previous observations where F(ab’)2 fragments of ChiLob 7/4 h2 demonstrated wholly FcγR-independent activity in vivo (White et al., 2015). In comparison, CP870,893 stimulated greater expansion of OT1 T cells as h1 or h2 compared with SGN40 and ChiLob 7/4 in the presence or absence of FcγRII. Thus, in contrast to ChiLob 7/4 and SGN40, CP870,893 displayed much greater agonistic activity both in vitro and in vivo, which was largely independent of isotype and mFcγRII engagement. Overall these data support the notion that mAbs binding to epitopes closer to the cell membrane make weaker agonists, irrespective of how agonism is achieved, either through the h2 isotype or FcγRII engagement.
The unusual nature of CP870,893 was underlined when we examined the effect of different h2 isoforms on its agonistic activity. Previously we showed that the FcγR-independent agonistic activity of ChiLob 7/4-h2 was dependent on the h2B isoform, which exists in unmodified h2 preparations when hinge region disulfide bonds are “shuffled” (White et al., 2015). The h2A and h2B forms can be enriched by chemical skewing in different redox buffers or by introducing cysteine to serine mutations, which “lock” the molecule in different conformations. Figure 6 shows that, similar to Lob 7/4 (White et al., 2015), the agonistic activity of the SGN40 was stronger both in vitro and in vivo when enriched as h2B versus h2A (Figures 6A–6C). In contrast, CP870,893 was equally active as h2A or h2B produced through either skewing or mutagenesis (Figure 6A), both in vitro (Figure 6B) and in vivo (Figure 6C). These results underline the unusual ability of CP870,893 to retain agonistic activity in all isotypes and isoforms and without FcγR crosslinking.
mAbs that Engage CRD2-4 Block CD40L and Are Antagonists
Having established the factors regulating potent agonism, we next examined the requirements for antagonism in our panel of mAbs by assessing their ability to inhibit CD40L-mediated B cell activation. Flow cytometry demonstrated that none of the mAbs that engage CRD1 (ChiLob 7/4, SGN40, CP870,893, or Lob 7/2) prevented binding of CD40L to hCD40Tg mouse B cells (Figure 7A), while mAbs that bound epitopes in CRD2-4 either partially (Lob 7/7) or completely (Lob 7/7, Lob 7/8, 24.2.1, and Lob 8/2) blocked CD40L binding. The structural superposition of our ChiLob 7/4:CD40 complex with the CD40:CD40L complex (PDB: 3QD6) demonstrates that ChiLob 7/4 and the CD40L bind to different CRDs on opposite faces of CD40 (Figure 7B). Since ChiLob 7/4, SGN40, and CP870,893 compete for related epitopes in CRD1 (Figures 3 and 4), none of these mAbs would be predicted to block the CD40-CD40L interaction. mAbs that engage epitopes in CRD2-4 may, however, interfere with CD40L binding.
The ability to block CD40-CD40L interaction correlated with differences in antagonistic function. When added to hCD40Tg B cells, hexameric mCD40L, a form with potent agonistic properties (Haswell et al., 2001), activated the cells as measured by homotypic adhesion (Figure 7C, top panels), upregulation of CD23, CD86, and MHCII (Figure 7C, lower three panels), and enhanced B cell proliferation (Figure 7D). When m1 mAbs binding CRD1 (ChiLob 7/4, SGN40, CP870,893, and Lob 7/2) were added together with CD40L, B cell activation (Figure 7C) and proliferation (Figure 7D) were increased compared with CD40L alone. In contrast, Lob 7/7, which partially blocks CD40L binding, had no significant additive effect on CD40L-mediated B cell activation or proliferation (Figures 7C and 7D), whereas Lob 8/2, Lob 7/8, and 24.2.1, which all prevent CD40-CD40L interaction inhibited B cell activation and division compared with CD40L alone (Figures 7C and 7D).
Similar results were observed when h2 mAbs were used (Figure 7E). Lob 7/4 and Lob 7/2 (CRD1 binders) were both agonistic in the absence of exogenous ligand and maintained robust B cell proliferation in its presence (Figure 7E). In contrast, 24.2.1 and Lob 7/6, which engage epitopes in CRD2-4 and compete for CD40L binding, were not agonistic alone and prevented activation by CD40L (Figure 7E). An exception, as noted for Figure 5C, was Lob 8/2, which, despite blocking CD40L interaction, enhanced B cell proliferation in both the presence and absence of CD40L when used as h2.
Collectively, our data suggest that agonistic hCD40 mAbs do not compete with CD40L binding, and retain agonistic activity in its presence. In contrast, antagonistic anti-hCD40 mAbs bind to CRD2-4 that are closer to the cell membrane and tend to block CD40L binding, and thus antagonize CD40L activity.
Discussion
Here, we performed a comprehensive analysis of the roles that epitope specificity and isotype play in mediating hCD40 mAb function. Using a panel of nine hCD40 mAbs, including three in clinical development, engaging epitopes throughout the length of CD40 and with a number of different IgG isotype frameworks, we reveal a complex interplay between epitope location and isotype that produces a range of activities from antagonism to strong agonism. These insights provide the opportunity to fine-tune hCD40 mAb function for defined levels of activity, as may be required for specific tissue locations or therapeutic circumstances.
Both epitope specificity (Barr and Heath, 2001, Bjorck et al., 1994, Ellmark et al., 2002; Malmborg Hager et al., 2003, Yamniuk et al., 2016) and isotype (Dahan et al., 2016, Li and Ravetch, 2011, White et al., 2011, White et al., 2013, White et al., 2014, White et al., 2015) have separately been shown to regulate hCD40 mAb function. However, how these factors combine to mediate the wide-ranging levels of activity had not been systematically addressed. Mouse IgG1 constant regions can promote CD40 mAb agonism through interaction with FcγRIIB mediating mAb crosslinking in vitro and in vivo (White et al., 2011). However, when our nine hCD40 mAbs were expressed with the same m1 backbone, a range of activities was observed, from non-agonistic to strongly agonistic, clearly demonstrating that m1 constant regions cannot confer stimulatory activity to anti-hCD40 mAbs per se. Indeed, only those mAbs engaging epitopes in CRD1 (ChiLob 7/4, SGN40, CP870,893, and Lob 7/2) were agonistic as m1, whereas those that bound CRD2-4 were not, demonstrating an essential role for epitope location.
Protein crystallography elucidated the precise epitope for ChiLob 7/4; close to the N terminus of CD40, most distal from the cell membrane and on the opposite face of CD40 to the CD40L binding site. We propose that the dependence on membrane-distal CRD1 binding epitopes for m1-mediated agonistic activity reflects the requirement for the mAb Fc to engage FcγRII on adjacent cells (White et al., 2013). Whereas the Fc domains of mAbs that bind CRD1 may be accessible to FcγRII, steric constraints may prevent optimal FcγR engagement for mAbs that bind epitopes closer to the membrane. This hypothesis is supported by the similar dependence on hCD40 mAb epitope location for macrophage phagocytosis of B cells that is dependent upon activatory FcγR engagement. Dahan et al. (2016) recently reported that the hCD40 mAb clone 40.1, which engages an epitope toward the N terminus of CD40, induced greater T cell responses in hCD40Tg mice than clone 40.2, which binds further down the molecule and competes with CD40L for CD40 association. Introduction of Fc mutations to selectively enhance hFcγRIIB affinity increased the stimulatory activity of both clones; however, the activity of 40.1 remained substantially greater even in this context (Dahan et al., 2016). In the current study, all m1 mAbs, regardless of epitope location, became highly agonistic in vitro when crosslinking was forced through introduction of FcγRIIB hyper-expressing accessory cells, reminiscent of earlier studies by Pound et al. (1999) and, more recently, Yamniuk et al. (2016). These data suggest that, for mAbs whose agonism is dependent upon FcγRIIB binding, activity level is governed by a combination of three factors: (1) accessibility of the mAb Fc (determined by epitope location); (2) affinity of the mAb Fc for FcγRIIB; and (3) level of FcγRIIB expression in the local microenvironment.
A similar relationship with epitope location was observed when agonistic activity was examined in the context of h2 constant regions that can confer FcγR-independent agonistic activity due to a unique arrangement of hinge disulfides (White et al., 2015). Similar to results with m1, h2 mAbs that engaged epitopes in CRD1 were agonistic, whereas two of three h2 mAbs that engaged epitopes in CRD2-4 did not display agonistic function. The exception was Lob 8/2, which bound an epitope in CRD2 and agonized CD40 when expressed as h2 but not when expressed as m1. These results suggest that the relationships between epitope and agonistic activity are distinct for m1 and h2. Exactly how h2 anti-hCD40 mAbs mediate CD40 activation in the absence of FcγR binding is not known, and the subject of our ongoing research. Under physiological conditions, CD40 is activated through engagement by trimeric CD40L. Although trimerization is believed to be required for activation, CD40 is thought to exist as pre-formed dimers or trimers in membranes of unstimulated cells (Chan et al., 2000, Smulski et al., 2013). Elegant studies using recombinant CD40L molecules of different stoichiometries have also demonstrated that higher-order clustering of CD40 can enhance signal intensity to levels above those observed with the trimeric ligand (Graves et al., 2014, Haswell et al., 2001). We hypothesize that h2B hCD40 mAbs are compact, and when they engage epitopes in CRD1 they are able to cluster pre-formed CD40 dimers or trimers in the membrane to promote signaling in the absence of additional crosslinking. This is similar to a model proposed for the agonistic death receptor 5 mAb AMG 655 where co-crystallization of receptor-ligand-AMG 655 complexes suggest the formation of higher-order signaling complexes in the cell membrane (Graves et al., 2014). It is possible that mAbs engaging epitopes in CRD2-4 disrupt pre-formed complexes and prevent this mechanism of activation. Consistent with this hypothesis, we found that CRD1 binding mAbs retained B cell activation in response to CD40L, whereas those that engage CRDs 2–4 inhibit CD40L-mediated activation, as has been reported previously (Challa et al., 1999, Pound et al., 1999). Further studies will be required to delineate the precise mechanism of CD40 activation by h2 mAbs. Importantly, however, and similar to m1, the presence of mFcγRII-overexpressing cells rendered all h2 anti-hCD40 mAbs highly agonistic, regardless of epitope, consistent with the ability of hyper-crosslinking to force activation through non-physiological receptor clustering.
Dahan et al. (2016) recently demonstrated that the relative agonistic activity of h1 and h2 hCD40 mAbs in hCD40Tg mice is influenced by the repertoire of FcγR available for Fc crosslinking; in mice expressing all human FcγR, h1 versions of CP870,893 and Lob 7/4 became more active than their h2 counterparts due to the superior ability of h1 to engage human FcγRIIB. Previous studies have similarly demonstrated that the isotype dependence of hCD40 mAbs is influenced by the local FcγR availability (White et al., 2011, Wilson et al., 2011). However, Dahan et al. also proposed that FcγR crosslinking was a requirement for the agonistic activity of h2 anti-hCD40 mAbs, because deglycosylated CP870,893, with its reduced ability to engage FcγR (Tao and Morrison, 1989), lost activity in vivo (Dahan et al., 2016). This contrasts with our own work (White et al., 2015) as well as that of Richman and Vonderheide (2014). Those authors demonstrated that F(ab’)2 fragments of CP870,893, which de facto cannot engage FcγR, could activate human B cells to a similar extent to the parental h2 IgG in vitro, similar to our own studies with ChiLob 7/4 that demonstrated strong in vivo agonistic activity of h2 (but not h1) F(ab’)2 fragments in stimulating T cell responses against co-administered OVA (White et al., 2015). The present study clearly shows FcγR-independent agonistic activity of multiple h2 anti-hCD40 mAbs (SGN40, CP870,893, Lob 7/2, and Lob 8/2) in vitro using FcγR-deficient B cells, as well as FcgRIIB-independent in vivo activity.
While some general rules regarding the roles of epitope and isotype in anti-hCD40 mAb function can be imputed from this study and used to aid design of future therapeutic mAbs with defined characteristics, it is clear that this relationship is not simple and that other factors can influence activity. Multiple hCD40 mAbs are in early clinical development and it will be important to elucidate the characteristics of each of these agents to optimize activity. The different agonistic mechanisms exhibited (m1 versus h2 versus isotype-independent activity of CP870,893) will also need to be investigated for differences in therapeutic efficacy and toxicity. CD40 is just one member of the TNFR superfamily, many others of which are also targets for therapeutic mAb development. Whether the rules revealed for CD40 will apply to these other targets that exhibit similarities in their mechanisms of activation, also remains to be seen. Other studies have shown that epitope location plays a crucial role in the activity of mAbs against the Ig family member CD28, with epitopes in the lateral C’’D loop imparting “super-agonistic” properties enabling T cell activation in the absence of TCR stimulation (Luhder et al., 2003). The mechanisms responsible are distinct from those involved in CD40 activation, but further highlight the complexities involved in developing agonistic mAb therapeutics compared with those designed to block receptor-ligand interactions.
As well as helping to design effective immunotherapeutics, the different properties exhibited by the range of hCD40 mAbs in this study also provides a valuable toolbox with which to probe the biology of TNFR activation.
STAR★Methods
Key Resources Table
REAGENT or RESOURCE | SOURCE | IDENTIFIER |
---|---|---|
Antibodies | ||
Mouse IgG HRP | Dako | Cat. # PO447 |
Mouse CD23 PE (B3B4) | BD | Cat.# 553139; RRID:AB_394654 |
Mouse MHCII FITC (M5/114) | In-house | N/A |
Mouse CD86 FITC (GL1) | In-house | N/A |
Mouse CD8α APC (53-6.7) | BD | Cat. # 561093; RRID: AB_398527 |
Mouse IgG (FITC) | Abcam | Cat. # ab97264; RRID: AB_ 10688260 |
Penta.His | Qiagen | Cat. # 34660; RRID: AB_2619735 |
Human Fc HRP | Jackson ImmunoResearch | Cat. # 109-035-098; RRID: AB_2337586 |
Human CD23 FITC (MHM6) | In-house | N/A |
Human CD40 (Lob 7/4; various isotypes; FITC) | In-house (Johnson et al., 2015) | N/A |
Human CD40 (Lob 7/2; various isotypes) | In-house | N/A |
Human CD40 (Lob 7/6; various isotypes; FITC) | In-house | N/A |
Human CD40 (Lob 7/7; various isotypes; FITC) | In-house | N/A |
Human CD40 (Lob 7/8; various isotypes; FITC) | In-house | N/A |
Human CD40 (Lob 8/2; various isotypes) | In-house | N/A |
Human CD40 (24.2.1; various isotypes) | In-house | N/A |
Human CD40 (CP870,893; various isotypes) | In-house (Vonderheide et al., 2007) | N/A |
Human CD40 (SGN40; various isotypes) | In-house (Hussein et al., 2010) | N/A |
Chemicals, Peptides, and Recombinant Proteins | ||
Chicken Ovalbumin | Sigma-Aldrich | Cat. # A2512 |
SIINFEKL tetramer PE | In-house (White et al., 2011) | N/A |
Lymphoprep | Axis-Shield | Cat. # 07861 |
SuperSignal West Pico Chemiluminescent Substrate | Thermo Fisher | Cat. # 34080 |
GenePORTER | Genlantis | T201075 |
Critical Commercial Assays | ||
EasySep™ mouse B cell isolation kit | StemCell Technologies | Cat. # 19854 |
EasySep™ human B cell isolation kit | StemCell Technologies | Cat. # 17954 |
Deposited Data | ||
CD40 ECD/ChiLob 7/4 Fab’ crystal structure | Protein Data Bank | 6FAX |
Experimental Models: Cell Lines | ||
Freestyle™ 293-F cells | Thermo Fisher Scientific | Cat. # R79007 |
CHO-K1 cells | Sigma-Aldrich | Cat. # 85051005 |
NF-κB/Jurkat/GFP reporter cell line | System Biosciences | Cat. # TR850A-1 |
Experimental Models: Organisms/Strains | ||
Mouse: C57BL/6 | Charles River Laboratories | Strain: 027 |
Mouse: hCD40Tg: C57BL/6-Tg(hCD40) | Gift from R Noelle (Ahonen et al., 2002) | N/A |
Mouse: FcγRII-/-: C57BL/6-Fcgr2-/- | Gift from Dr Verbeek, Leiden University Medical Centre | N/A |
Mouse: FcRγ chain -/-: C57BL/6-Fcer1g-/- | Gift from Dr Verbeek, Leiden University Medical Centre | N/A |
Oligonucleotides | ||
HuCD40F: AAGCTTGGTCTCACC TCGCCATGGTTCGT |
||
HuCD40Ec-6HisR: CTCGAGCTAATGATGATGATGATG ATGTCTCAGCCGATGGTG |
||
Recombinant DNA | ||
pCIpuro | Modified in-house from PCIneo (Promega Cat. # E1841) | N/A |
pEE6.4 | Licensed from Lonza | N/A |
pEE12.4 | Licensed from Lonza | N/A |
Software and Algorithms | ||
Prism | Graphpad | N/A |
FCS Express V3 | De Novo | N/A |
AIMLESS | CCP4 (Evans and Murshudov, 2013) | N/A |
PHASER | CCP4 (McCoy et al., 2007) | N/A |
COOT | CPP4 (Emsley et al., 2010) | N/A |
REFMAC5 | CCP4 (Murshudov et al., 1997) | N/A |
Contact for Reagent and Resource Sharing
Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Ann L White (ann.white@UCB.com).
Experimental Model and Subject Details
Mice
C57BL/6 mice were from Charles River Laboratories (Kent, UK). Fcgr2b-/- and Fcer1g-/-C57BL/6 mice (Boross et al., 2011) were kindly provided by Dr Sjef Verbeek (Leiden University Medical School). OTI TCR transgenic mice were kindly provided by Dr Matthias Merkenschlager, (Imperial College, London) and human CD40 transgenic (hCD40 Tg) were kindly provided by Randolph Noelle (Kings College, London) (Ahonen et al., 2002). hCD40Tg;Fcgr2b-/- and hCD40Tg;Fcer1g-/- mice were generated by crossbreeding with genotypes confirmed by flow cytometry. Animals were bred and housed in local animal facilities, were fed regular chow and had freely accessible water. For all experiments, age- (predominantly 8-12 weeks) and sex-matched mice were used that were randomly assigned to experimental groups and housed together under the same conditions. All experiments were carried out according to local ethical committee guidelines under UK Home Office licence numbers PPL30/2451 and PPL30/2964.
Human Samples
PBMCs were obtained from healthy adult volunteers through Southampton National Blood Service after informed consent. As anonymized samples were used, the sex and age of the volunteers are not known. Density gradient centrifugation (Lymphoprep, Axis-Shield) was performed within 4 hours. Use of human samples was approved by the East of Scotland Research Ethics Service, in accordance with the declaration of Helsinki.
Method Details
Antibodies and Reagents
Anti-mouse CD23-PE was from BD Biosciences. For OTI cell staining, anti-mouse CD8α−ΑPC (clone 53-6.7; BD Biosciences), and PE- SIINFEKL tetramers were produced in-house as described previously (White et al., 2011). Chicken ovalbumin (OVA) was from Sigma-Aldridge (Poole, UK). Anti-mouse CD86-FITC (clone GL1) and anti-mouse MHCII-FITC (clone M5/114) were both produced in-house.
DNA constructs encoding heavy and light (kappa) chain variable regions of various mAb were either amplified from hybridomas by PCR or synthesized by Genewiz, Inc. The anti-hCD40 mAb SGN40, CP870,893 and 24.2.1 were produced using patent published sequences. Lob 7/2, Lob 7/4, Lob 7/6, Lob 7/7, Lob 7/8 and Lob 8/2 were produced in-house using standard hybridoma technology. Variable regions were subcloned into expression vectors (pEE6.4 for heavy chain and pEE12.4 vector for light chain, Lonza) containing constant regions of different antibody isotypes. Heavy and light chain vectors were subcloned together before transfection into 293F cells (for transient) or CHO-K1 cells (for stable) production of mAb. Secreted mAb were purified by Protein A-Sepharose (Sigma-Aldrich) chromatography and aggregates (as revealed by SEC-HPLC) removed by gel filtration through Sephadex 200 (Sigma-Aldrich). All preparations were endotoxin low (<1 ng/mg protein) as determined by an Endosafe-PTS portable test system (Charles River Laboratories). Non-reducing denaturing capillary electrophoresis (nrCE-SDS) of mAb preparations was performed using a Beckman PA800 Plus analyser according to the manufacturer’s instructions. To produce skewed forms of h2, mAb were dialysed into 0.2 M Tris pH8.0 containing 6 mM cysteine plus 1 mM cystamine with (for h2A) or without (for h2B) 2 M guanidine hydrochloride, for 4 days at 4°C, then dialysed into PBS before use.
B Cell Activation and Proliferation
B cells were purified from mouse spleen or human PBMC using magnetic negative selection kits (StemCell Technologies). Cells were plated into 96-well round-bottom dishes at 1 x 105 cells/well with concentrations of mAb as described for individual experiments. In some cases, 1 x 105 irradiated CHO-K1 or 293F cells transfected with human FcγRIIB (White et al., 2011) were also added. To assess activation, cells were photographed (Olympus CKX41 microscope with CC12 soft imaging system) after 48 hour incubation and activation marker expression analysed by flow cytometry (FACSCalibur, BD Biosciences). Proliferation was assessed by [methyl-3H] thymidine (PerkinElmer, Cambridge, UK) incorporation after 5 days of culture, as described (White et al., 2011).
Immunisation and Assessment of Immune Responses
To assess in vivo agonistic activity of anti-hCD40 mAb, 1 x 105 splenic OVA-specific CD8 (OT1) T cells were adoptively transferred via tail vein injection in 200 μl PBS; one day later, anti-hCD40 mAb (30 μg or 100 μg, see figure legends) and OVA (100 μg) were injected vial tail vein. Expansion of OT1 cells was monitored by serial blood sampling and of the number circulating enumerated by flow cytometry on a BD FacsCalibur using anti-CD8-APC and SIINFEKL-PE tetramer.
Generation and Expression of CD40 Constructs
A full-length CD40 extracellular domain (ECD) construct (residues 21-193) was generated by PCR using wild-type CD40 DNA as template. The genes for the coding regions of truncated forms of CD40 and CD40-hisTag fusion proteins were synthesized from GeneArt and subcloned into pcDNA3.1 vector. FreeStyle 293F cells (Thermo Fisher) were transfected with constructs using a DNA:PEI (polyethylenimine, Polysciences) ratio of 1:3 and supernatant harvested for purification on day 7 using a Ni-NTA column (GE-Healthcare). To assess binding of mAb to recombinant proteins by western blot, protein samples were prepared in SDS loading buffer without DTT and ran on an 18% polyacrylamide gel. The proteins were transferred on nitrocellulose, the membrane blocked before probing with anti-hCD40 or anti-His mAb (Qiagen) at 4°C overnight. The membrane was washed, then incubated with either goat anti-human Fc-HRP (Jackson Immuno Research) or polyclonal goat anti-mouse IgG-HRP (Dako), and washed before adding SuperSignal West Pico chemiluminescence substrate (Thermo Fisher). Signals were analysed using a Fluor-S Multi-imager Bio-Rad system.
Alanine scanning mutagenesis was carried out on the CRD1 and CRD2 domains of hCD40 to map CD40 mAb epitopes. The wild type extracellular and transmembrane domains of hCD40 were cloned into the pCIpuro vector (Promega) for cell surface expression. For scanning mutagenesis, sets of two consecutive residues were mutated to alanines. Nucleotide sequences were designed in house and synthesized by Genewiz (Hertfordshire, UK). CHO-K1 clones stably expressing each mutant were generated using GenePORTER Transfection reagent (Amsbio, UK) and 10 μg/ml puromycin (Invivogen, UK) for selection. Two different stable clones varying in the level of CD40 expression were generated for each mutant. For epitope mapping, 10 μg/ml of hCD40 m1 mAb was incubated with the cells on ice for 30 minutes before secondary detection using goat F(ab')2 anti-mouse Fc-FITC. The level of mAb binding was then assessed by flow cytometry (FACSCalibur) and data analysed by FCS Express V3 (De Novo Software).
Protein Crystallography
ChiLob 7/4-h1 was digested with pepsin (10 mg/ml at room temperature). Cleavage of the heavy chain occurs below the cysteine rich sequence of the hinge region. The cleaved product was subjected to size exclusion chromatography (SEC) using two coupled S200 columns (GE Healthcare; 70ml volume in total) to remove the Fc fragment. The resulting F(ab’)2 fragments were reduced with DTT to produce Fab’ and quenched by Iodoacetamide. The final Fab’ product was verified by HPLC and CE-SDS.
The Fab’ fragment was incubated with CD40 ECD (CRD 1-4) in PBS at room temperature for 30 minutes at a molar ratio of 1:4 (CD40:Fab’), followed by SEC using an S200 10/300 column (GE Healthcare) using HEPES buffer (150 mM HEPES, 50 mM KCl pH 7.0). Complex formation was confirmed by HPLC. The complex was concentrated to 13.6 mg/ml for crystallisation in sitting drop plates, set up using a TOPS (Bulek et al., 2012) screen at 20°C using a Gryphon (Art Robbins Instruments). Crystals grew over 3 weeks in condition A11 (20% w/v PEG8000, 0.2 M Ammonium Sulphate, 0.1 M Sodium Cacodylate, pH 6.0) and were harvested in a cryo-protectant (crystallisation buffer containing 20% glycerol), flash frozen and stored under liquid nitrogen.
Diffraction experiments were carried out at beamline ID23-1 (ESRF, France) at a wavelength of 0.9763 (12.7KeV); images were collected using a Pilatus 6M detector. The final dataset in space group P3121 was processed using XDS to a resolution of 3Å (Kabsch, 2010)
All data manipulation was carried out using the CCP4 suite (Winn et al., 2011). Data reduction and scaling was performed using AIMLESS (Evans and Murshudov, 2013). Molecular replacement was carried out with PHASER using pdb models 1U6A for the Fab’ and 3QD6 for CD40 (McCoy et al., 2007). Iterative model building and reciprocal space refinement were carried out using COOT (Emsley et al., 2010) and REFMAC5 (Murshudov et al., 1997). Refinement statistics are given in Table S1. The final model and structure factors have been deposited in the PDB.
NF-κB Assay
DNA encoding wild-type human CD40 in the pCIpuro vector was transfected into NF-κB/Jurkat/GFP reporter cells (System Biosciences) with Lipofectamine2000 (Thermofisher). Stable transfectants were selected in 10% RPMI medium containing 1 μg/ml puromycin and single-cell cloned to establish a stable cell-line for use. To assess NF-κB activity, cells were stimulated with of anti-hCD40 mAb for 8 hours at 37°C and activity was measured by the production of GFP by flow cytometry.
Surface Plasmon Resonance
A Biacore T100 was used to determine competition between pairs of anti-hCD40 mAb for binding to human CD40. hCD40-Fc (R&D Systems) was immobilised onto a CM5 chip at 1000 RU at pH5. mAb binding was analysed at 500 nM at 25°C with a flow rate of 10 μl/min in HBS-EP+ running buffer (GE Healthcare). The first mAb was injected for 600 seconds followed by the second for 180 seconds. The chip was regenerated with 10 mM glycine pH1.5 for 30 sec at 30 μl/min. The blank control curve was automatically subtracted. Results were analysed using Biacore T100 Evaluation software and GraphPad Prism. mAb used were ChiLob 7/4 h1, SGN40 h1, CP870,893 h1, Lob 7/6 h2.
Phagocytosis Assay
Bone marrow from the femurs and tibia of WT, FcγRIIB KO or γ chain KO C57BL/6 mice was resuspended at 1x106 cells/ml in complete RPMI containing 20% L929 cell supernatant and 50μM β-mercaptoethanol, and incubated for 6-8 days at 37°C/5% CO2. Adherent macrophages were harvested using trypsin/EDTA (Invitrogen), resuspended in complete RPMI, plated into a 96-well tissue culture plate (5 × 104/well), and incubated for 2 to 4 hours at 37°C/5% CO2. hCD40Tg B cells were purified as above and labelled with 5 μM CFSE before opsonising with 10 μg/ml of the indicated mAb. Opsonised B cells were then co-cultured with macrophages at a ratio of 5:1 for 30 minutes at 37°C, stained with anti-F4/80-APC and analysed by flow cytometry.
Quantification and Statistical Analysis
Students T-tests (unpaired, two-tailed) or one way ANOVA followed by Tukey’s multiple comparisons test were performed using GraphPad Prism software (GraphPad Software, inc., La Jolla, California) as indicated for individual experiments. In some cases data from multiple experiments were combined.
Data and Software Availability
The CD40 ECD/ChiLob 7/4 Fab’ crystal structure has been deposited in the PDB database, dataset ID: D_1200001230; PDB ID 6FAX
Acknowledgments
We would like to thank colleagues from the Cancer Sciences Unit who provided advice and technical support, the Biomedical Research Facility for animal husbandry, and Professor Rienk Offringa for technical discussion. We thank Chris Holes at the Macromolecular Crystallisation Facility, Biological Sciences, and staff at the European Synchrotron Radiation Facility for access and excellent user support, and acknowledge support through MX1732 and MX1848. Funding was provided by CRUK grants C1477/A10834, C1477/A20537, C34999/A18087, and C328/A25139 as well as EU FP7 grant 602262-2.
Author Contributions
X.Y. designed and performed the experiments, analyzed and interpreted data, and helped write the manuscript. H.T.C., C.O., I.T., O.D., S.B., L.N.D., P.D., L.R.D., C.P., L.O.B., C.I.M., and R.R.F. generated or provided key reagents or performed and analyzed the research. A.R.P. supervised data collection, analyzed data, and edited the manuscript. I.T. performed crystallographic structure analysis, discussed and interpreted data, and wrote the manuscript. M.S.C. supervised data collection, discussed and interpreted data, and edited the manuscript. M.J.G. and A.W. designed the study, analyzed and interpreted data, and wrote the manuscript.
Declaration of Interests
Mark S. Cragg acts as a consultant for BioInvent and has received research funding from BioInvent, GSK, iTeos, and Roche. Martin J. Glennie acts as a consultant to a number of biotech companies and receives institutional payments and royalties from antibody patents and licenses. This work is related to patent Family WO 2015/145360 protecting antibodies containing modified IgG2 domains which elicit agonist or antagonistic properties.
Published: March 22, 2018
Footnotes
Supplemental Information includes three figures and one table and can be found with this article online at https://doi.org/10.1016/j.ccell.2018.02.009.
Supplemental Information
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