CD28 antibodies are monoclonal or domain antibodies (dAbs) designed to either stimulate (agonists) or inhibit (antagonists) CD28 signaling:
Agonist antibodies (e.g., BPS Bioscience’s Anti-CD28 Agonist Antibody ) mimic natural CD28 ligands (CD80/CD86), enhancing T cell proliferation and cytokine production.
Antagonist antibodies (e.g., monovalent dAbs ) block CD28-CD80/86 interactions, suppressing T cell activation to prevent pathological immune responses.
CD28 is constitutively expressed on ~80% of CD4+ and ~50% of CD8+ T cells . Its engagement with APCs provides a "second signal" required for T cell survival, IL-2 production, and prevention of anergy .
CD28 antibodies exert effects through distinct structural and signaling pathways:
Antagonist dAbs inhibit T cell proliferation with an EC50 of 35–53 ng/ml, correlating with CD28 receptor occupancy . Agonists like CD28.2 costimulate TCR signals, increasing cytokine production 10-fold in vitro .
GVHD Prevention: Anti-CD28 mAb reduced donor T cell expansion in mice by 86% (vs. 63% for CTLA4-Ig), effectively preventing graft-versus-host disease .
Autoimmunity: Monovalent dAbs suppressed T cell-dependent antibody responses in primates without cytokine release or T cell depletion .
Tumor Models: CD28 agonists enhanced antitumor responses by promoting cytotoxic T cell activity .
Parameter | Anti-CD28 dAb | CTLA4-Ig |
---|---|---|
Inhibition of DC-MLR | EC50: 35 ng/ml | EC50: 120 ng/ml |
CD80/CD86 Neutralization | Equipotent | CD86-selective |
Treg Modulation | No interference | Inhibits Tregs |
Autoimmune Diseases: Antagonist dAbs are in clinical trials for lupus and multiple sclerosis due to their potency and lack of Treg suppression .
Transplantation: Anti-CD28 mAbs reduced GVHD in murine models by targeting donor T cell expansion .
Cancer Immunotherapy: Agonist antibodies amplify CAR-T cell responses in combinatorial therapies .
Cytokine Storm: Historical setbacks like TGN1412 (a CD28 superagonist) underscore the need for controlled agonism .
Target Specificity: Off-target effects on non-lymphoid cells (e.g., eosinophils) require further study .
Emerging strategies include:
Bispecific antibodies combining CD28 targeting with checkpoint inhibitors (e.g., PD-1).
Tuned agonists with controlled activation thresholds to avoid cytokine release syndromes.
CD28 is a critical costimulatory receptor that provides the essential "signal 2" required for complete T-cell activation. It functions alongside the T-cell receptor (TCR)/CD3 complex stimulation (signal 1) to enhance T-cell proliferation, cytokine production, and survival. CD28 and CTLA-4, together with their ligands B7-1 and B7-2, constitute one of the dominant costimulatory pathways regulating T and B cell responses .
Functionally, CD28 costimulation significantly enhances anti-tumor activity when signal 1 from TCR/CD3 is present. Without CD28 costimulation, T-cells typically experience insufficient activation and early exhaustion, limiting their effectiveness in cancer immunotherapy applications .
CD28 antibodies can be categorized into two main functional types based on their ability to activate T-cells:
Non-superagonistic CD28 antibodies:
Require TCR/CD3 stimulation to activate T-cells
Often bind to epitopes closer to the apex of CD28, similar to natural ligands
Show costimulatory effects only when combined with TCR/CD3 stimulation
Demonstrate better safety profiles in preclinical models
Example: E1P2, which mimics the function of endogenous CD80/CD86
Superagonistic CD28 antibodies:
Can activate T-cells without concurrent TCR/CD3 stimulation
Typically bind to lateral epitopes of CD28, away from the natural ligand binding site
Associated with severe cytokine release syndrome, as demonstrated in the 2006 TeGenero clinical trial
Induce polyclonal T-cell activation that can lead to systemic inflammation
Example: TGN1412, which caused severe adverse effects in clinical trials
To experimentally differentiate between these types, researchers perform in vitro superagonistic assays where antibodies are plate-bound and T-cell activation is measured in the absence of TCR/CD3 stimulation .
Comprehensive evaluation of CD28 antibody binding specificity requires multiple complementary techniques:
Flow Cytometry Analysis:
Assess binding to primary human and mouse T-cells expressing native CD28
Determine EC50 values through serial dilution of antibodies
Test binding to CD28-negative cell lines to confirm specificity
Use fluorescently-labeled secondary antibodies for detection
ELISA-Based Characterization:
Test binding to recombinant CD28 proteins
Determine apparent affinity through EC50 values
Compare binding to human versus mouse CD28 to assess cross-reactivity
Include appropriate controls (e.g., isotype control antibodies)
Protein Quality Assessment:
Confirm purity and homogeneity of both antibody and recombinant CD28 proteins using SEC and SDS-PAGE
For CD28 antibodies specifically, testing binding to both human and mouse CD28 is crucial to facilitate preclinical safety testing. For example, E1P2 binds to both species with different affinities (EC50 values of 4.9 nM for human and 88 nM for mouse T-cells) .
Assessment of CD28 antibody costimulatory effects requires several complementary approaches:
T-Cell Activation Assay Protocol:
Coat plates with anti-CD3 antibody (e.g., OKT3) or use CD3 bispecific antibodies
Add freshly isolated human PBMCs as effector cells
Include CD28 antibody at various concentrations
Incubate for 3-5 days depending on the readout
Analyze activation markers (CD25, CD69) by flow cytometry
Proliferation Assessment Methods:
MTS colorimetric assay to measure metabolic activity
Flow cytometric determination of absolute CD3+ T-cell counts
CFSE or CellTrace dye dilution to track cell divisions
Tumor Cell Killing Efficiency Evaluation:
Co-culture PBMCs with target cells (e.g., tumor cells expressing specific markers)
Measure target cell killing when combining CD28 antibodies with CD3 bispecific antibodies
Use Zombie Violet or similar dyes for live/dead discrimination
When performing these assays, include appropriate controls: isotype control antibodies, conditions without CD3 stimulation to check for superagonistic activity, and conditions with CD3 stimulation alone to assess the costimulatory effect .
After the TGN1412 incident in 2006, comprehensive safety monitoring for CD28 antibodies has become essential:
Cytokine Release Monitoring:
Measure pro-inflammatory cytokines (IL-2, IFN-γ, TNF-α, IL-6)
Compare patterns to known superagonistic antibodies
Assess time-course of cytokine release (6, 24, 48, 72 hours)
In Vitro Superagonistic Activity Assessment:
Culture human PBMCs with plate-bound CD28 antibodies (3 μg/ml)
Measure activation without TCR/CD3 stimulation
Include multiple donors to account for variability
Compare results with known superagonistic antibodies (e.g., TGN1412)
In Vivo Model Selection:
Use humanized mouse models (e.g., NSG mice with human PBMC engraftment)
Ensure antibody cross-reactivity with the model species
Remember that conventional animal models failed to predict TGN1412 toxicity
Clinical Signs and Histopathology:
Monitor for signs of systemic inflammation
Examine tissues for lymphocyte infiltration
Epitope mapping has proven crucial for developing safer CD28 antibodies, as demonstrated with E1P2 development:
Epitope-Function Relationship:
Binding Region | Functional Outcome | Safety Profile | Example |
---|---|---|---|
Lateral epitopes (C''D loop) | Superagonistic activity | Associated with CRS | TGN1412 |
Apex region | Natural ligand-like activity | Requires TCR/CD3 co-stimulation | E1P2 |
Strategic Selection Approaches:
For E1P2 development, phage display selection was designed to favor binders toward the apex of CD28 by attaching biotin-streptavidin-magnetic bead complexes near the superagonistic epitope region
This effectively masked the C''D loop during selection, directing antibody development toward safer epitopes
Mapping Methodologies:
Competition binding assays with known ligands (CD80/CD86)
Hydrogen-deuterium exchange mass spectrometry
X-ray crystallography or cryo-EM
By understanding epitope-function relationships, researchers can direct antibody development toward safer epitopes that require TCR/CD3 co-engagement for T-cell activation, rather than epitopes that confer superagonistic properties .
Combining CD28 antibodies with CD3 bispecific T-cell engagers requires optimized protocols to enhance efficacy while maintaining safety:
Experimental Protocol for Combination Testing:
Prepare target cells expressing tumor antigens (e.g., WI-38 cells expressing fibronectin EDB)
Add human PBMCs at defined effector-to-target ratios (5:1)
Include anti-CD3/anti-tumor antigen BiTE at various concentrations (10, 1, 0.1 nM)
Add CD28 antibody at fixed concentration (50 nM)
Incubate for 4 days
Measure:
Optimization Parameters:
Dose ratio between CD28 and CD3 components
Timing of administration (sequential vs. simultaneous)
Format options (separate molecules vs. bispecific constructs)
Results from E1P2 Studies:
When E1P2 was combined with CD3 bispecific antibodies targeting EDB, researchers observed enhanced tumor cell killing and T-cell proliferation compared to CD3 bispecific antibodies alone, demonstrating the value of CD28 co-stimulation in cancer immunotherapy applications .
Differentiating CD28 antibody-induced cytokine release syndrome (CRS) from other immune-related adverse events requires comprehensive analysis:
Temporal and Cytokine Profile Analysis:
Parameter | CRS (CD28-Induced) | Other Immune-Related Adverse Events |
---|---|---|
Onset timing | Rapid (hours to days) | Often delayed (days to weeks) |
Key cytokines | IL-2, TNF-α, IFN-γ (T-cell derived) | Varies by affected organ system |
T-cell markers | Rapid CD25, CD69 upregulation | Variable pattern |
Resolution | Often responds to IL-6 blockade | May require targeted intervention |
Cellular Analysis Protocol:
Collect peripheral blood at multiple timepoints
Perform flow cytometry for:
T-cell activation markers (CD25, CD69)
T-cell subset distribution
Monocyte/macrophage activation status
Compare patterns with established CRS profiles
In Vivo Differentiation:
E1P2 demonstrated no signs of CRS in humanized NSG mice, while TGN1412 induced significant cytokine release, highlighting the importance of proper epitope selection in developing safer CD28 antibodies .
Researchers should perform predictive in vitro screening for superagonistic properties through stimulation of PBMCs without TCR/CD3 co-engagement as a critical step to identify antibodies with potential to cause CRS before advancing to in vivo studies .
The successful development of E1P2 provides valuable insights into optimizing phage display for safer CD28 antibodies:
Phage Display Protocol Optimization:
Clone and express the extracellular domain of human CD28 with an Fc tag for homo-dimerization
Add an AviTag™ for site-specific biotinylation near the C-terminal region
Attach biotin to the membrane-proximal part of CD28, near the C''D loop (superagonistic epitope)
Use streptavidin-coated magnetic beads to immobilize the antigen
Pre-incubate phage library with non-specific human IgG1 to eliminate Fc binders
Perform multiple rounds of selection with appropriate washing steps
Strategic Considerations:
Epitope masking: Position biotin-streptavidin complexes to shield unwanted epitopes
Alternative approach: Include competing antibodies during selection to block unwanted epitopes
Screen clones by ELISA against both CD28-Fc and human IgG1 to exclude Fc binders
Sequence positive clones to identify consensus in CDR regions
The E1P2 development demonstrated that phage display can successfully isolate non-superagonistic CD28 antibodies when selection strategies are designed to favor binding to specific regions of the target protein .
Comprehensive characterization of CD28 antibodies for immunotherapy requires rigorous controls and validation:
Basic Characterization Controls:
Isotype-matched control antibodies
CD28-negative cell lines for specificity testing
Multiple T-cell donors to account for response variability
Functional Validation Protocol:
In vitro superagonistic testing:
Co-stimulation activity assessment:
In vivo safety validation:
Epitope Characterization:
Competition binding with natural ligands
Epitope mapping to confirm binding region
Cross-reactivity testing with mouse CD28 to enable preclinical studies
Through this comprehensive validation approach, E1P2 was confirmed to be non-superagonistic while maintaining effective costimulatory properties when combined with CD3 stimulation, demonstrating the importance of thorough characterization before advancing to clinical applications .
CD28 (Cluster of Differentiation 28) is a protein expressed on T cells that provides essential co-stimulatory signals required for T cell activation and survival . It is a type I transmembrane glycoprotein of the immunoglobulin superfamily and is constitutively expressed on the surface of 80% of CD4+ T cells and 50% of CD8+ T cells in humans, and 100% on both CD4+ and CD8+ T cells in mice . CD28 plays a crucial role in the immune response by enhancing the production of various interleukins, particularly IL-6, when T cells are stimulated through CD28 in conjunction with the T-cell receptor (TCR) .
CD28 is involved in several key processes:
Hamster Anti-Mouse CD28 antibodies are monoclonal antibodies derived from hamsters and are specific to the CD28 molecule in mice. These antibodies are commonly used in research to study T-cell activation and function. One of the well-known clones is 37.51, which is used in various applications such as flow cytometry, immunohistochemistry, and in vitro costimulation .