The CCR4-3 antibody is a humanized monoclonal antibody that targets the CC chemokine receptor 4 (CCR4) . CCR4 is a G protein-coupled receptor that is expressed on various immune cells, including T-regulatory cells (Tregs) and cutaneous T-cell lymphoma (CTCL) cells, as well as other types of solid tumors . The high expression of CCR4 on CTCL cells and Tregs makes it a potential target for antibody-based immunotherapy for CTCL and other solid tumors .
A murine anti-CCR4 monoclonal antibody, mAb1567, was humanized and affinity-optimized to create mAb2-3 . MAb1567 recognizes both the N-terminal and extracellular domains of CCR4 with high affinity and inhibits chemotaxis of CCR4+ CTCL cells .
The anti-CCR4 antibody functions through multiple mechanisms:
Complement-Dependent Cytotoxicity (CDC) MAb1567 demonstrates CDC activity, leading to the direct killing of CCR4-expressing cells .
Antibody-Dependent Cellular Cytotoxicity (ADCC) The antibody mediates ADCC activity through neutrophils and human natural killer (NK) cells, facilitating the destruction of target cells by immune effector cells .
Inhibition of Treg Migration and Suppression MAb1567 inhibits the migration of Tregs toward its ligand, CCL22, and abrogates Treg suppression activity, thereby enhancing the immune response against tumors .
Blocks Ligand-Induced Signaling Anti-CCR4 antibodies can effectively compete with ligand binding and block ligand-induced signaling and cell migration .
In a mouse CTCL tumor model, mAb1567 exhibited a potent anti-tumor effect . An affinity-optimized variant of humanized mAb1567, mAb2-3, was selected for further preclinical development based on its higher binding affinity and more potent ADCC and CDC activities .
CCR4 is a therapeutic target for cancer immunotherapy due to its expression on tumor-infiltrating immune cells, including regulatory T cells (Tregs), and on tumor cells in several cancer types, as well as its role in metastasis .
CCR4 expression helps define T-cell subsets with distinct functions and susceptibility to HIV infection .
CCR4+CCR6+ T cells produce IL-17 and express the Th17-specific transcription factor RORC .
CCR4+CCR6− T cells produce IL-5 and express the mRNA for the Th2-specific transcription factor GATA3 .
CCR4+CCR6+ T cells (Th17 profile) and CXCR3+CCR6+ T cells are highly permissive to R5 and X4 HIV infection .
Different isotypes of anti-CCR4 antibodies exhibit varying in vivo activities . The IgG1 isotype of mAb2-3 leads to in vivo depletion of Tregs, whereas the IgG4 isotype has limited in vivo depletion activity .
| Cell Type | CCR4 Expression Level |
|---|---|
| Tregs | High |
| Teffs | Low |
| Antibody Variant | ADCC Activity |
|---|---|
| 17G | Strong |
| 9E | Higher |
Trametinib, a MEK inhibitor, can improve the selectivity of anti-CCR4 antibodies by reducing CCR4 expression in non-target cells . Antigen stimulation induces CCR4 expression in CMV-CTLs, and TGF-β1 increases CCR4 expression in CMV-CTLs, whereas trametinib inhibits CCR4 expression in CMV-CTLs with or without TGF-β1 treatment .
CCR4 is a chemokine receptor that binds ligands CCL17 (TARC) and CCL22 (MDC). It plays a crucial role in the migration of T cells, particularly to the skin. CCR4 is highly expressed on cutaneous T-cell lymphoma (CTCL) cells and on regulatory T cells (Tregs). Its expression profile makes it an attractive target for both research and therapeutic applications. The significance of CCR4 stems from its involvement in T-cell trafficking to tissues, regulation of immune responses, and its overexpression in certain malignancies .
Anti-CCR4 antibodies vary in their binding epitopes and characteristics. Some antibodies like mAb1567 recognize both the N-terminal and extracellular domains of CCR4, while others may target specific regions. When selecting an antibody, researchers should consider that epitope specificity affects the antibody's ability to inhibit ligand binding, trigger receptor internalization, or mediate effector functions. For instance, mAb1567 binds to both N-terminal and extracellular loop regions, contributing to its high potency in inhibiting chemotaxis . Specificity testing using chimeric receptors (like CCR4/CCR8 chimeras) can help determine the exact binding epitopes and potential cross-reactivity with related chemokine receptors .
CCR4-3 antibodies should typically be stored at -20°C or -80°C for long-term storage . For working solutions, storage between 2°C and 8°C is recommended, with protection from prolonged exposure to light, particularly for fluorophore-conjugated antibodies . It's crucial to avoid repeated freeze-thaw cycles as mentioned in preparation guidelines . For reconstituted antibodies, they can generally be stored at 2-8°C for approximately 1 month or at -20 to -70°C for up to 6 months under sterile conditions .
For flow cytometry applications, CCR4 antibodies should be titrated to determine optimal concentrations, typically in the range of 0.2-1 μg per test. A recommended protocol includes:
Prepare single-cell suspensions from your sample (e.g., PBMCs, tissue-derived cells)
Block Fc receptors with appropriate blocking reagent (5-10 minutes)
Surface staining: Incubate cells with fluorophore-conjugated anti-CCR4 antibody at 4°C for 30 minutes in the dark
For multi-color panels, include appropriate markers to identify cell populations of interest (e.g., CD3, CD4, CD25 for Tregs)
Wash twice with flow cytometry buffer
Analyze on a flow cytometer with appropriate compensation controls
For intracellular staining, following surface staining, fix cells with 2% paraformaldehyde for 10 minutes, then permeabilize with 0.5% saponin before intracellular antibody staining . The antibody has been validated for detection of CCR4 in human PBMCs, showing specific staining of CCR4-expressing T cell subsets .
To validate antibody specificity, employ multiple approaches:
Positive and negative controls: Test the antibody on cell lines known to express CCR4 (e.g., CTCL cell lines like Mac-1) and those that don't
Blocking experiments: Pre-incubate the antibody with recombinant CCR4 protein before staining to confirm specific binding is inhibited
siRNA knockdown: Reduce CCR4 expression in a positive cell line and demonstrate reduced antibody binding
Western blot analysis: Confirm detection of a band at the expected molecular weight (~42 kDa for CCR4)
Chimeric receptor experiments: Use CCR4/CCR8 chimeras to map epitope specificity
Cross-species reactivity testing: If working with mouse models, confirm whether your anti-human CCR4 antibody cross-reacts with mouse CCR4 (only ~85% sequence identity)
For studying CCR4-dependent chemotaxis, the Transwell migration assay is most commonly used:
Place CCR4-expressing cells (1×10^6/well) in the upper chamber of Transwell plates (typically 5-8 μm pore size)
Add CCR4 ligands (CCL17 or CCL22, 50-100 ng/ml) to the lower chamber
For inhibition studies, pre-incubate cells with anti-CCR4 antibody (varied concentrations)
Incubate for 3-4 hours at 37°C
Collect cells from the bottom chamber and enumerate by flow cytometry or cell counting
Calculate migration index: (number of migrated cells with chemokine)/(number of migrated cells without chemokine)
This method has been effectively used to demonstrate how anti-CCR4 antibodies like mAb1567 inhibit chemotaxis of both CCR4+ tumor cells and CD4+CD25high Tregs toward CCL17 and CCL22 .
CCR4 shows differential expression across T cell subsets:
| T Cell Subset | CCR4 Expression | CCR4 Molecules/Cell (approx.) |
|---|---|---|
| Tregs (CD4+CD25highCD127dim/−) | High (85% positive) | ~19,700 |
| Conventional CD4+ T cells | Variable (4-40%) | ~8,000 |
| Skin-homing T cells | High | Variable |
| Naïve T cells | Low | Low |
| Memory T cells | Subset-dependent | Variable |
For characterization, a multiparameter flow cytometry approach is most effective:
Use antibody combinations targeting lineage markers (CD3, CD4)
Include subset markers (CD25, CD127 for Tregs; CCR7, CD45RA for memory/naïve)
Quantify absolute receptor numbers using QuantiBRITE PE beads and PE-labeled anti-CCR4 antibody
Correlate with functional studies (migration, cytokine production)
This approach has revealed that Tregs express approximately 2.5-fold higher surface density of CCR4 compared to effector T cells .
CCR4 expression on Tregs has several important functional implications:
Tissue trafficking: CCR4 enables Tregs to migrate to tissues expressing CCL17/CCL22, particularly skin and sites of inflammation
Tumor infiltration: Tumors and tumor-associated macrophages secrete CCL22, recruiting CCR4+ Tregs to establish an immunosuppressive microenvironment
Immune regulation: CCR4+ Tregs maintain peripheral tolerance and are present in tissues under normal conditions
Transplantation: CCR4+ Tregs are involved in allograft tolerance, with recruitment dependent on CCL22
Therapeutic target: Anti-CCR4 antibodies can block Treg migration and abrogate their suppressive function, potentially enhancing anti-tumor immunity
Experimentally, it has been shown that CCR4+ Tregs strongly suppress effector T cell proliferation, and that anti-CCR4 antibodies can inhibit both Treg migration toward CCL22 and their suppressive activity in T cell proliferation assays .
During T cell activation and differentiation, CCR4 expression undergoes dynamic regulation:
Naïve T cells: Generally low CCR4 expression
Activation: Upregulation of CCR4 upon TCR stimulation, particularly in cells primed in skin-draining lymph nodes
Differentiation: Preferential expression on Th2 and Th17 cells, with variable expression on Th1 cells
Memory formation: Maintained on certain memory T cell subsets, especially skin-homing memory cells
Disease states: Further upregulation during inflammation or in malignant transformation
To study these changes, researchers should use time-course experiments with flow cytometry analysis following T cell activation with anti-CD3/CD28 or antigen-specific stimulation. This should be combined with analysis of other homing receptors (like CLA for skin-homing) to understand the coordinated regulation of migration potential .
CCR4 contributes significantly to EAE pathogenesis, as demonstrated in CCR4−/− mice which show:
Delayed disease onset: CCR4−/− mice exhibit significantly delayed EAE development
Reduced disease incidence and severity: Lower mean cumulative scores and fewer inflammatory lesions
Decreased CNS infiltrate: Reduced numbers of infiltrating lymphocytes and monocytes
Normal peripheral T cell responses: No alterations in Th1 or Th17 responses to myelin antigen
Interestingly, the mechanism appears to involve CD11b+Ly6Chi inflammatory macrophages (iMϕ) rather than direct effects on T cells. To study CCR4's role using antibodies:
Use flow cytometry to monitor CCR4 expression on different immune cell populations during disease progression
Administer anti-CCR4 antibodies prophylactically or therapeutically in the EAE model
Assess clinical scores, CNS infiltration, and composition of infiltrating cells
Analyze peripheral immune responses to distinguish between effects on priming versus trafficking
This approach can help determine whether CCR4 primarily regulates iMϕ tissue accumulation or inflammatory function in EAE .
Therapeutic anti-CCR4 antibodies employ multiple mechanisms to target CTCL cells:
Complement-dependent cytotoxicity (CDC): Antibodies like mAb1567 activate the complement system to form membrane attack complexes on CCR4+ tumor cells
Antibody-dependent cellular cytotoxicity (ADCC):
NK cell-mediated ADCC: Natural killer cells recognize antibody-coated tumor cells and induce apoptosis
Neutrophil-mediated ADCC: Neutrophils can also contribute to tumor cell killing
Inhibition of chemotaxis: Blocking CCR4 prevents tumor cell migration toward CCL17/CCL22, potentially limiting disease spread
Depletion of suppressive Tregs: Anti-CCR4 antibodies deplete CCR4+ Tregs, enhancing anti-tumor immune responses
Disruption of tumor microenvironment: Reduced recruitment of CCR4+ cells can alter the supportive microenvironment
These mechanisms have been demonstrated through in vitro assays including CDC (with rabbit or mouse complement), ADCC (using PBMCs, isolated NK cells, or neutrophils as effectors), and chemotaxis inhibition assays. Humanized antibodies like mAb2-3 show enhanced ADCC and CDC activities compared to their murine counterparts .
For evaluating anti-CCR4 antibody efficacy in tumor models:
Model selection:
Xenograft models using CCR4+ human tumor cell lines (e.g., luciferase-expressing Mac-1 CTCL cells) in immunodeficient mice
Syngeneic models with mouse CCR4+ tumor cells in immunocompetent mice to assess impact on immune microenvironment
Experimental design:
Group size: Typically 8-10 mice per group for statistical power
Treatment regimen: Begin when tumors are established (50-100 mm³)
Dosing: 3-5 mg/kg antibody administered intraperitoneally 2-3 times per week
Controls: Isotype control antibodies at equivalent doses
Monitoring parameters:
Tumor volume measurements using calipers (calculate as length × width² × 0.52)
Bioluminescence imaging for luciferase-expressing tumors
Survival analysis
Body weight and adverse events monitoring
Mechanistic analyses:
Flow cytometry of tumor infiltrating lymphocytes
Immunohistochemistry for complement deposition
Analysis of Treg numbers and function
Cytokine profiling in tumor microenvironment
This approach has been successfully used to demonstrate the anti-tumor efficacy of anti-CCR4 antibodies like mAb1567 in CTCL models .
Integrating single-cell technologies with anti-CCR4 antibodies can provide deeper insights into the heterogeneity of CCR4-expressing cells:
Single-cell RNA-seq with protein detection:
Use CITE-seq or REAP-seq methods, which combine anti-CCR4 antibodies conjugated to oligonucleotide tags with single-cell transcriptomics
This allows correlation of CCR4 protein levels with global gene expression profiles
Can identify novel CCR4+ subpopulations with distinct transcriptional programs
Mass cytometry (CyTOF):
Label anti-CCR4 antibodies with rare earth metals
Combine with 30+ other markers to deeply phenotype CCR4+ cells
Enables high-dimensional analysis of CCR4 co-expression with other chemokine receptors and functional markers
Spatial transcriptomics with immunofluorescence:
Use fluorescently-labeled anti-CCR4 antibodies alongside spatial transcriptomics methods
Map CCR4+ cell locations in tissues relative to other cell types and ligand-producing cells
Understand tissue microniches where CCR4-dependent interactions occur
Live cell imaging with labeled antibodies:
Use non-blocking fluorescent anti-CCR4 Fab fragments
Track CCR4+ cell migration and interactions in real-time
Quantify receptor dynamics, internalization, and signaling
These approaches can reveal functionally distinct CCR4+ cell subsets that may respond differently to therapeutic targeting .
Addressing antibody penetration into solid tumors requires multifaceted approaches:
Antibody engineering strategies:
Use smaller formats: scFv, Fab, or nanobody derivatives of anti-CCR4 antibodies
Engineer antibodies with optimized isoelectric points and reduced hydrophobicity
Develop bispecific antibodies targeting both CCR4 and tumor-specific antigens
Combination approaches:
Pair anti-CCR4 antibodies with agents that normalize tumor vasculature (e.g., anti-VEGF therapy)
Combine with ECM-modifying enzymes (hyaluronidase, collagenase) to reduce physical barriers
Use ultrasound or radiation to temporarily enhance vascular permeability
Alternative delivery methods:
Intratumoral injection of anti-CCR4 antibodies when accessible
Nanoparticle-conjugated antibodies for enhanced EPR effect
Antibody-drug conjugates to increase potency against the cells that are reached
Monitoring strategies:
Use radioisotope-labeled antibodies with PET imaging to quantify tumor penetration
Multiplex immunohistochemistry on serial biopsies to assess penetration depth
Implement mathematical modeling to predict optimal dosing for maximal tumor penetration
These strategies could enhance the effectiveness of anti-CCR4 antibodies against solid tumors with CCR4+ infiltrating cells .
Addressing resistance to anti-CCR4 antibody therapy requires understanding and targeting multiple mechanisms:
Receptor downregulation or mutation:
Monitor CCR4 expression levels before and during treatment
Sequence CCR4 to detect emerging mutations in the antibody binding epitope
Develop antibodies targeting different epitopes for sequential or combination therapy
Alternative chemokine receptor usage:
Profile expression of other chemokine receptors (CCR8, CCR10) that might compensate for CCR4 blockade
Consider dual receptor targeting strategies
Use chemokine receptor antagonists in combination with anti-CCR4 antibodies
Fc receptor polymorphisms affecting ADCC:
Genotype FcγR polymorphisms to predict ADCC efficacy
Engineer Fc regions for enhanced binding to activating FcγRs regardless of polymorphisms
Use defucosylated antibodies (like mogamulizumab) to enhance ADCC potency
Complement inhibition:
Assess expression of membrane complement inhibitors (CD55, CD59)
Combine with inhibitors of complement regulatory proteins
Engineer antibodies with enhanced C1q binding
Immunosuppressive microenvironment adaptations:
Monitor changes in cytokine profiles during treatment
Analyze emergence of alternative immunosuppressive cell populations
Combine with checkpoint inhibitors to address multiple immune evasion mechanisms
Implementation of regular molecular monitoring and adaptive combination strategies can help mitigate resistance development .