DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab

Abstract

The rational modulation of the immune response with biologics represents one of the most promising and active areas for the realization of new therapeutic strategies. In particular, the use of function blocking monoclonal antibodies targeting checkpoint inhibitors such as CTLA-4 and PD-1 have proven to be highly effective for the systemic activation of the human immune system to treat a wide range of cancers. Ipilimumab is a fully human antibody targeting CTLA-4 that received FDA approval for the treatment of metastatic melanoma in 2011. Ipilimumab is the first-in-class immunotherapeutic for blockade of CTLA-4 and significantly benefits overall survival of patients with metastatic melanoma. Understanding the chemical and physical determinants recognized by these mAbs provides direct insight into the mechanisms of pathway blockade, the organization of the antigen–antibody complexes at the cell surface, and opportunities to further engineer affinity and selectivity. Here, we report the 3.0 Å resolution X-ray crystal structure of the complex formed by ipilimumab with its human CTLA-4 target. This structure reveals that ipilimumab contacts the front β-sheet of CTLA-4 and intersects with the CTLA-4:Β7 recognition surface, indicating that direct steric overlap between ipilimumab and the B7 ligands is a major mechanistic contributor to ipilimumab function. The crystallographicallymore » observed binding interface was confirmed by a comprehensive cell-based binding assay against a library of CTLA-4 mutants and by direct biochemical approaches. This structure also highlights determinants responsible for the selectivity exhibited by ipilimumab toward CTLA-4 relative to the homologous and functionally related CD28.« less

Authors:
ORCiD logo [1];  [2];  [1];  [1];  [3];  [4];  [4];  [4];  [4];  [4];  [4];  [4];  [1]
  1. Albert Einstein College of Medicine, Bronx, NY (United States). Dept. of Biochemistry
  2. Albert Einstein College of Medicine, Bronx, NY (United States). Dept. of Biochemistry and Dept. of Microbiology and Immunology
  3. Albert Einstein College of Medicine, Bronx, NY (United States). Dept. of Microbiology and Immunology
  4. Bristol–Myers Squibb, Redwood City, CA (United States)
Publication Date:
Research Org.:
Argonne National Laboratory (ANL), Argonne, IL (United States). Advanced Photon Source (APS)
Sponsoring Org.:
National Institutes of Health (NIH)
OSTI Identifier:
1437464
Grant/Contract Number:  
HG008325; GM094662; GM094665
Resource Type:
Accepted Manuscript
Journal Name:
Proceedings of the National Academy of Sciences of the United States of America
Additional Journal Information:
Journal Volume: 114; Journal Issue: 21; Journal ID: ISSN 0027-8424
Publisher:
National Academy of Sciences
Country of Publication:
United States
Language:
ENGLISH
Subject:
60 APPLIED LIFE SCIENCES; immunotherapy; X-ray crystallography; CTLA-4; ipilimumab; cancer

Citation Formats

Ramagopal, Udupi A., Liu, Weifeng, Garrett-Thomson, Sarah C., Bonanno, Jeffrey B., Yan, Qingrong, Srinivasan, Mohan, Wong, Susan C., Bell, Alasdair, Mankikar, Shilpa, Rangan, Vangipuram S., Deshpande, Shrikant, Korman, Alan J., and Almo, Steven C. Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab. United States: N. p., 2017. Web. doi:10.1073/pnas.1617941114.
Ramagopal, Udupi A., Liu, Weifeng, Garrett-Thomson, Sarah C., Bonanno, Jeffrey B., Yan, Qingrong, Srinivasan, Mohan, Wong, Susan C., Bell, Alasdair, Mankikar, Shilpa, Rangan, Vangipuram S., Deshpande, Shrikant, Korman, Alan J., & Almo, Steven C. Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab. United States. https://doi.org/10.1073/pnas.1617941114
Ramagopal, Udupi A., Liu, Weifeng, Garrett-Thomson, Sarah C., Bonanno, Jeffrey B., Yan, Qingrong, Srinivasan, Mohan, Wong, Susan C., Bell, Alasdair, Mankikar, Shilpa, Rangan, Vangipuram S., Deshpande, Shrikant, Korman, Alan J., and Almo, Steven C. Mon . "Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab". United States. https://doi.org/10.1073/pnas.1617941114. https://www.osti.gov/servlets/purl/1437464.
@article{osti_1437464,
title = {Structural basis for cancer immunotherapy by the first-in-class checkpoint inhibitor ipilimumab},
author = {Ramagopal, Udupi A. and Liu, Weifeng and Garrett-Thomson, Sarah C. and Bonanno, Jeffrey B. and Yan, Qingrong and Srinivasan, Mohan and Wong, Susan C. and Bell, Alasdair and Mankikar, Shilpa and Rangan, Vangipuram S. and Deshpande, Shrikant and Korman, Alan J. and Almo, Steven C.},
abstractNote = {The rational modulation of the immune response with biologics represents one of the most promising and active areas for the realization of new therapeutic strategies. In particular, the use of function blocking monoclonal antibodies targeting checkpoint inhibitors such as CTLA-4 and PD-1 have proven to be highly effective for the systemic activation of the human immune system to treat a wide range of cancers. Ipilimumab is a fully human antibody targeting CTLA-4 that received FDA approval for the treatment of metastatic melanoma in 2011. Ipilimumab is the first-in-class immunotherapeutic for blockade of CTLA-4 and significantly benefits overall survival of patients with metastatic melanoma. Understanding the chemical and physical determinants recognized by these mAbs provides direct insight into the mechanisms of pathway blockade, the organization of the antigen–antibody complexes at the cell surface, and opportunities to further engineer affinity and selectivity. Here, we report the 3.0 Å resolution X-ray crystal structure of the complex formed by ipilimumab with its human CTLA-4 target. This structure reveals that ipilimumab contacts the front β-sheet of CTLA-4 and intersects with the CTLA-4:Β7 recognition surface, indicating that direct steric overlap between ipilimumab and the B7 ligands is a major mechanistic contributor to ipilimumab function. The crystallographically observed binding interface was confirmed by a comprehensive cell-based binding assay against a library of CTLA-4 mutants and by direct biochemical approaches. This structure also highlights determinants responsible for the selectivity exhibited by ipilimumab toward CTLA-4 relative to the homologous and functionally related CD28.},
doi = {10.1073/pnas.1617941114},
journal = {Proceedings of the National Academy of Sciences of the United States of America},
number = 21,
volume = 114,
place = {United States},
year = {Mon May 08 00:00:00 EDT 2017},
month = {Mon May 08 00:00:00 EDT 2017}
}

Journal Article:
Free Publicly Available Full Text
Publisher's Version of Record

Citation Metrics:
Cited by: 103 works
Citation information provided by
Web of Science

Save / Share:

Works referenced in this record:

Domain association in immunoglobulin molecules
journal, December 1985


An engineered lipocalin specific for CTLA-4 reveals a combining site with structural and conformational features similar to antibodies
journal, May 2009

  • Schonfeld, D.; Matschiner, G.; Chatwell, L.
  • Proceedings of the National Academy of Sciences, Vol. 106, Issue 20
  • DOI: 10.1073/pnas.0813399106

Refinement of Macromolecular Structures by the Maximum-Likelihood Method
journal, May 1997

  • Murshudov, G. N.; Vagin, A. A.; Dodson, E. J.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 53, Issue 3
  • DOI: 10.1107/S0907444996012255

A solution for the best rotation to relate two sets of vectors
journal, September 1976


Crystal structure of the B7-1/CTLA-4 complex that inhibits human immune responses
journal, March 2001

  • Stamper, Carin C.; Zhang, Yan; Tobin, James F.
  • Nature, Vol. 410, Issue 6828
  • DOI: 10.1038/35069118

Structural basis for co-stimulation by the human CTLA-4/B7-2 complex
journal, March 2001

  • Schwartz, Jean-Claude D.; Zhang, Xuewu; Fedorov, Alexander A.
  • Nature, Vol. 410, Issue 6828
  • DOI: 10.1038/35069112

CTLA4 blockade and GM-CSF combination immunotherapy alters the intratumor balance of effector and regulatory T cells
journal, July 2006

  • Quezada, S. A.
  • Journal of Clinical Investigation, Vol. 116, Issue 7
  • DOI: 10.1172/JCI27745

CTLA-4 blockade increases IFN -producing CD4+ICOShi cells to shift the ratio of effector to regulatory T cells in cancer patients
journal, September 2008

  • Liakou, C. I.; Kamat, A.; Tang, D. N.
  • Proceedings of the National Academy of Sciences, Vol. 105, Issue 39
  • DOI: 10.1073/pnas.0806075105

Clonal neoantigens elicit T cell immunoreactivity and sensitivity to immune checkpoint blockade
journal, March 2016


Structure of Murine CTLA-4 and Its Role in Modulating T Cell Responsiveness
journal, October 2000


Tuning Sensitivity of CAR to EGFR Density Limits Recognition of Normal Tissue While Maintaining Potent Antitumor Activity
journal, August 2015


Crystallization and preliminary X-ray analysis of the complex between human CTLA-4 and B7-2
journal, May 2001

  • Zhang, Xuewu; Schwartz, Jean-Claude D.; Nathenson, Stanley G.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 57, Issue 6
  • DOI: 10.1107/S0907444901005777

Immunologic and clinical effects of antibody blockade of cytotoxic T lymphocyte-associated antigen 4 in previously vaccinated cancer patients
journal, February 2008

  • Hodi, F. S.; Butler, M.; Oble, D. A.
  • Proceedings of the National Academy of Sciences, Vol. 105, Issue 8
  • DOI: 10.1073/pnas.0712237105

Cancer Immunotherapy
journal, December 2013


Fc-dependent depletion of tumor-infiltrating regulatory T cells co-defines the efficacy of anti–CTLA-4 therapy against melanoma
journal, July 2013

  • Simpson, Tyler R.; Li, Fubin; Montalvo-Ortiz, Welby
  • The Journal of Experimental Medicine, Vol. 210, Issue 9
  • DOI: 10.1084/jem.20130579

Cancer immunotherapy: new applications in urologic oncology
journal, January 2016


Combined Nivolumab and Ipilimumab or Monotherapy in Untreated Melanoma
journal, July 2015

  • Larkin, James; Chiarion-Sileni, Vanna; Gonzalez, Rene
  • New England Journal of Medicine, Vol. 373, Issue 1
  • DOI: 10.1056/nejmoa1504030

Cancer immunotherapy
journal, August 1976

  • Plotkin, D.
  • JAMA: The Journal of the American Medical Association, Vol. 236, Issue 9
  • DOI: 10.1001/jama.236.9.1012

Phase III Randomized Clinical Trial Comparing Tremelimumab With Standard-of-Care Chemotherapy in Patients With Advanced Melanoma
journal, February 2013

  • Ribas, Antoni; Kefford, Richard; Marshall, Margaret A.
  • Journal of Clinical Oncology, Vol. 31, Issue 5
  • DOI: 10.1200/JCO.2012.44.6112

Pooled Analysis of Long-Term Survival Data From Phase II and Phase III Trials of Ipilimumab in Unresectable or Metastatic Melanoma
journal, June 2015

  • Schadendorf, Dirk; Hodi, F. Stephen; Robert, Caroline
  • Journal of Clinical Oncology, Vol. 33, Issue 17
  • DOI: 10.1200/JCO.2014.56.2736

Anti-CTLA-4 Antibodies of IgG2a Isotype Enhance Antitumor Activity through Reduction of Intratumoral Regulatory T Cells
journal, April 2013


Acidic extracellular microenvironment and cancer
journal, January 2013

  • Kato, Yasumasa; Ozawa, Shigeyuki; Miyamoto, Chihiro
  • Cancer Cell International, Vol. 13, Issue 1
  • DOI: 10.1186/1475-2867-13-89

Rigid-body Ligand Recognition Drives Cytotoxic T-lymphocyte Antigen 4 (CTLA-4) Receptor Triggering
journal, December 2010

  • Yu, Chao; Sonnen, Andreas F. -P.; George, Roger
  • Journal of Biological Chemistry, Vol. 286, Issue 8
  • DOI: 10.1074/jbc.M110.182394

Pembrolizumab versus Ipilimumab in Advanced Melanoma
journal, June 2015

  • Robert, Caroline; Schachter, Jacob; Long, Georgina V.
  • New England Journal of Medicine, Vol. 372, Issue 26
  • DOI: 10.1056/NEJMoa1503093

Considerations for Combined Immune Checkpoint Modulation and Radiation Treatment
journal, August 2014

  • Almo, Steven C.; Guha, Chandan
  • Radiation Research, Vol. 182, Issue 2
  • DOI: 10.1667/RR13667.1

Trans-Endocytosis of CD80 and CD86: A Molecular Basis for the Cell-Extrinsic Function of CTLA-4
journal, April 2011


Cutting Edge: Cell-Extrinsic Immune Regulation by CTLA-4 Expressed on Conventional T Cells
journal, June 2012

  • Wang, Chun Jing; Kenefeck, Rupert; Wardzinski, Lukasz
  • The Journal of Immunology, Vol. 189, Issue 3
  • DOI: 10.4049/jimmunol.1200972

Cutting Edge: CTLA-4 on Effector T Cells Inhibits In Trans
journal, July 2012


The blockade of immune checkpoints in cancer immunotherapy
journal, March 2012

  • Pardoll, Drew M.
  • Nature Reviews Cancer, Vol. 12, Issue 4
  • DOI: 10.1038/nrc3239

gp100 Peptide Vaccine and Interleukin-2 in Patients with Advanced Melanoma
journal, June 2011

  • Schwartzentruber, Douglas J.; Lawson, David H.; Richards, Jon M.
  • New England Journal of Medicine, Vol. 364, Issue 22
  • DOI: 10.1056/NEJMoa1012863

Cancer immunotherapy comes of age
journal, December 2011

  • Mellman, Ira; Coukos, George; Dranoff, Glenn
  • Nature, Vol. 480, Issue 7378
  • DOI: 10.1038/nature10673

Coot model-building tools for molecular graphics
journal, November 2004

  • Emsley, Paul; Cowtan, Kevin
  • Acta Crystallographica Section D Biological Crystallography, Vol. 60, Issue 12, p. 2126-2132
  • DOI: 10.1107/S0907444904019158

PD-L1 (B7-H1) and PD-1 pathway blockade for cancer therapy: Mechanisms, response biomarkers, and combinations
journal, March 2016


Interactions of protein antigens with antibodies.
journal, January 1996

  • Davies, D. R.; Cohen, G. H.
  • Proceedings of the National Academy of Sciences, Vol. 93, Issue 1
  • DOI: 10.1073/pnas.93.1.7

Acidity Generated by the Tumor Microenvironment Drives Local Invasion
journal, January 2013


Cancer Immunotherapy
book, January 1999


Exact and efficient analytical calculation of the accessible surface areas and their gradients for macromolecules
journal, February 1998


Cancer Immunotherapy Comes of Age
journal, December 2011

  • Topalian, Suzanne L.; Weiner, George J.; Pardoll, Drew M.
  • Journal of Clinical Oncology, Vol. 29, Issue 36
  • DOI: 10.1200/jco.2011.38.0899

Nivolumab plus Ipilimumab in Advanced Melanoma
journal, July 2013

  • Wolchok, Jedd D.; Kluger, Harriet; Callahan, Margaret K.
  • New England Journal of Medicine, Vol. 369, Issue 2
  • DOI: 10.1056/NEJMoa1302369

Solution structure of human CTLA-4 and delineation of a CD80/CD86 binding site conserved in CD28
journal, July 1997

  • Metzler, William J.; Bajorath, Jürgen; Fenderson, William
  • Nature Structural Biology, Vol. 4, Issue 7
  • DOI: 10.1038/nsb0797-527

Expression, Refolding, Purification, Molecular Characterization, Crystallization, and Preliminary X-ray Analysis of the Receptor Binding Domain of Human B7-2
journal, June 2002

  • Zhang, Xuewu; Schwartz, Jean-Claude D.; Almo, Steven C.
  • Protein Expression and Purification, Vol. 25, Issue 1
  • DOI: 10.1006/prep.2002.1616

The interpretation of protein structures: Estimation of static accessibility
journal, February 1971


Structure and Cancer Immunotherapy of the B7 Family Member B7x
journal, November 2014


NMRPipe: A multidimensional spectral processing system based on UNIX pipes
journal, November 1995

  • Delaglio, Frank; Grzesiek, Stephan; Vuister, GeertenW.
  • Journal of Biomolecular NMR, Vol. 6, Issue 3
  • DOI: 10.1007/BF00197809

Molecular replacement with MOLREP
journal, December 2009

  • Vagin, Alexei; Teplyakov, Alexei
  • Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 1
  • DOI: 10.1107/S0907444909042589

Cancer Immunotherapy
journal, January 1973


Long term survival with cytotoxic T lymphocyte-associated antigen 4 blockade using tremelimumab
journal, November 2015


Humanization of an anti-p185HER2 antibody for human cancer therapy.
journal, May 1992

  • Carter, P.; Presta, L.; Gorman, C. M.
  • Proceedings of the National Academy of Sciences, Vol. 89, Issue 10, p. 4285-4289
  • DOI: 10.1073/pnas.89.10.4285

Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study
journal, March 2016


Proof of principle study of sequential combination atezolizumab and Vigil in relapsed ovarian cancer
journal, March 2021


Nivolumab and Ipilimumab versus Ipilimumab in Untreated Melanoma
journal, May 2015

  • Postow, Michael A.; Chesney, Jason; Pavlick, Anna C.
  • New England Journal of Medicine, Vol. 372, Issue 21
  • DOI: 10.1056/NEJMoa1414428

Ipilimumab-dependent cell-mediated cytotoxicity of regulatory T cells ex vivo by nonclassical monocytes in melanoma patients
journal, April 2015

  • Romano, Emanuela; Kusio-Kobialka, Monika; Foukas, Periklis G.
  • Proceedings of the National Academy of Sciences, Vol. 112, Issue 19
  • DOI: 10.1073/pnas.1417320112

The case for open-source software in drug discovery
journal, February 2005


Crystal structure of a soluble CD28-Fab complex
journal, February 2005

  • Evans, Edward J.; Esnouf, Robert M.; Manso-Sancho, Raquel
  • Nature Immunology, Vol. 6, Issue 3
  • DOI: 10.1038/ni1170

Blockade of CTLA-4 on both effector and regulatory T cell compartments contributes to the antitumor activity of anti–CTLA-4 antibodies
journal, July 2009

  • Peggs, Karl S.; Quezada, Sergio A.; Chambers, Cynthia A.
  • The Journal of Experimental Medicine, Vol. 206, Issue 8
  • DOI: 10.1084/jem.20082492

Multi-functionality of a tryptophan residue conserved in substrate-binding groove of GH19 chitinases
journal, January 2021


Intensive Chemotherapy and Immunotherapy in Patients With Newly Diagnosed Primary CNS Lymphoma: CALGB 50202 (Alliance 50202)
journal, September 2013

  • Rubenstein, James L.; Hsi, Eric D.; Johnson, Jeffrey L.
  • Journal of Clinical Oncology, Vol. 31, Issue 25
  • DOI: 10.1200/JCO.2012.46.9957

Prediction of glycosylation sites using random forests
journal, November 2008


The acidity of the tumor microenvironment is a mechanism of immune escape that can be overcome by proton pump inhibitors
journal, January 2013

  • Bellone, Matteo; Calcinotto, Arianna; Filipazzi, Paola
  • OncoImmunology, Vol. 2, Issue 1
  • DOI: 10.4161/onci.22058

Antitumor activity of concurrent blockade of immune checkpoint molecules CTLA-4 and PD-1 in preclinical models.
journal, May 2013


[20] Processing of X-ray diffraction data collected in oscillation mode
book, January 1997


Works referencing / citing this record:

Sex bias in MHC I-associated shaping of the adaptive immune system
journal, February 2018

  • Schneider-Hohendorf, Tilman; Görlich, Dennis; Savola, Paula
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 9
  • DOI: 10.1073/pnas.1716146115

Development of immune checkpoint therapy for cancer
journal, May 2019

  • Fritz, Jill M.; Lenardo, Michael J.
  • Journal of Experimental Medicine, Vol. 216, Issue 6
  • DOI: 10.1084/jem.20182395

Anti–CTLA-4 therapy requires an Fc domain for efficacy
journal, March 2018

  • Ingram, Jessica R.; Blomberg, Olga S.; Rashidian, Mohammad
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 15
  • DOI: 10.1073/pnas.1801524115

Construction, Expression, and Characterization of rSEA-EGF and In Vitro Evaluation of its Antitumor Activity Against Nasopharyngeal Cancer
journal, January 2018

  • Liu, Xueting; Zeng, Liping; Zhao, Zhongqiu
  • Technology in Cancer Research & Treatment, Vol. 17
  • DOI: 10.1177/1533033818762910

Immune checkpoint therapy in liver cancer
journal, May 2018

  • Xu, Feng; Jin, Tianqiang; Zhu, Yuwen
  • Journal of Experimental & Clinical Cancer Research, Vol. 37, Issue 1
  • DOI: 10.1186/s13046-018-0777-4

Inhibition of autophagy potentiated the anti-tumor effects of VEGF and CD47 bispecific therapy in glioblastoma
journal, May 2018

  • Zhang, Xuyao; Wang, Shaofei; Nan, Yanyang
  • Applied Microbiology and Biotechnology, Vol. 102, Issue 15
  • DOI: 10.1007/s00253-018-9069-3

Structure and Optimization of Checkpoint Inhibitors
journal, December 2019


CTLA-4: a moving target in immunotherapy
journal, January 2018


Current knowledge of Ipilimumab and its use in treating non-small cell lung cancer
journal, April 2019


Anti-CTLA-4 immunotherapy: uncoupling toxicity and efficacy
journal, March 2018


Immunotherapy for hepatocellular carcinoma: recent advances and future perspectives
journal, January 2019


A mathematical modelling tool for unravelling the antibody-mediated effects on CTLA-4 interactions
journal, June 2018

  • Ganesan, Aravindhan; Arulraj, Theinmozhi; Choulli, Tahir
  • BMC Medical Informatics and Decision Making, Vol. 18, Issue 1
  • DOI: 10.1186/s12911-018-0606-x

Hypophysitis induced by immune checkpoint inhibitors: a 10-year assessment
journal, November 2019

  • Di Dalmazi, Giulia; Ippolito, Silvia; Lupi, Isabella
  • Expert Review of Endocrinology & Metabolism, Vol. 14, Issue 6
  • DOI: 10.1080/17446651.2019.1701434

Mathematical Prostate Cancer Evolution: Effect of Immunotherapy Based on Controlled Vaccination Strategy
journal, January 2020

  • Ba̧dziul, Dorota; Jakubczyk, Paweł; Chotorlishvili, Levan
  • Computational and Mathematical Methods in Medicine, Vol. 2020
  • DOI: 10.1155/2020/7970265

Combination Strategies to Optimize Efficacy of Dendritic Cell-Based Immunotherapy
journal, December 2018

  • van Gulijk, Mandy; Dammeijer, Floris; Aerts, Joachim G. J. V.
  • Frontiers in Immunology, Vol. 9
  • DOI: 10.3389/fimmu.2018.02759

Preponderance of CTLA4 Variation Associated With Autosomal Dominant Immune Dysregulation in the MYPPPY Motif
journal, July 2019

  • Siggs, Owen M.; Russell, Amanda; Singh-Grewal, Davinder
  • Frontiers in Immunology, Vol. 10
  • DOI: 10.3389/fimmu.2019.01544

A reappraisal of CTLA-4 checkpoint blockade in cancer immunotherapy
journal, February 2018


Molecular Interactions of Antibody Drugs Targeting PD-1, PD-L1, and CTLA-4 in Immuno-Oncology
journal, March 2019


Anti–CTLA-4 therapy requires an Fc domain for efficacy
journal, March 2018

  • Ingram, Jessica R.; Blomberg, Olga S.; Rashidian, Mohammad
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 15
  • DOI: 10.1073/pnas.1801524115

Development of immune checkpoint therapy for cancer
journal, May 2019

  • Fritz, Jill M.; Lenardo, Michael J.
  • Journal of Experimental Medicine, Vol. 216, Issue 6
  • DOI: 10.1084/jem.20182395

Immunotherapy for hepatocellular carcinoma: recent advances and future perspectives
journal, January 2019


A mathematical modelling tool for unravelling the antibody-mediated effects on CTLA-4 interactions
journal, June 2018

  • Ganesan, Aravindhan; Arulraj, Theinmozhi; Choulli, Tahir
  • BMC Medical Informatics and Decision Making, Vol. 18, Issue 1
  • DOI: 10.1186/s12911-018-0606-x

CTLA-4 in Regulatory T Cells for Cancer Immunotherapy
preprint, February 2021


Structure and Optimization of Checkpoint Inhibitors
journal, December 2019


Determinants of Resistance to Checkpoint Inhibitors
journal, February 2020

  • Tran, Linda; Theodorescu, Dan
  • International Journal of Molecular Sciences, Vol. 21, Issue 5
  • DOI: 10.3390/ijms21051594

Molecular Interactions of Antibody Drugs Targeting PD-1, PD-L1, and CTLA-4 in Immuno-Oncology
journal, March 2019