A fully human anti-c-Kit monoclonal antibody 2G4 inhibits proliferation and degranulation of human mast cells

Mol Cell Biochem. 2023 Apr;478(4):861-873. doi: 10.1007/s11010-022-04557-3. Epub 2022 Sep 15.

Abstract

Given that mast cells are pivotal contributors to allergic diseases, various allergy treatments have been developed to inhibit them. Omalizumab, an anti-immunoglobulin E antibody, is a representative therapy that can alleviate allergy symptoms by inhibiting mast cell degranulation. However, omalizumab cannot reduce the proliferation and accumulation of mast cells, which is a fundamental cause of allergic diseases. c-Kit is essential for the proliferation, survival, and differentiation of mast cells. Excessive c-Kit activation triggers various mast cell diseases, such as asthma, chronic spontaneous urticaria, and mastocytosis. Herein, we generated 2G4, an anti-c-Kit antibody, to develop a therapeutic agent for mast cell diseases. The therapeutic efficacy of 2G4 antibody was evaluated in LAD2, a human mast cell line. 2G4 antibody completely inhibited c-Kit signaling by blocking the binding of stem cell factor, known as the c-Kit ligand. Inhibition of c-Kit signaling led to the suppression of proliferation, migration, and degranulation in LAD2 cells. Moreover, 2G4 antibody suppressed the secretion of pro-inflammatory cytokines, including granulocyte-macrophage colony-stimulating factor, vascular endothelial growth factor, C-C motif chemokine ligand 2, brain-derived neurotrophic factor, and complement component C5/C5a, which can exacerbate allergy symptoms. Taken together, these results suggest that 2G4 antibody has potential as a novel therapeutic agent for mast cell diseases.

Keywords: Allergy; Mast cell; Mast cell disease; Monoclonal antibody; c-Kit.

MeSH terms

  • Cell Degranulation
  • Cell Proliferation
  • Humans
  • Hypersensitivity* / metabolism
  • Mast Cell Activation Disorders*
  • Mast Cells / metabolism
  • Omalizumab / metabolism
  • Proto-Oncogene Proteins c-kit / metabolism
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Stem Cell Factor / metabolism
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Omalizumab
  • Vascular Endothelial Growth Factor A
  • Receptor Protein-Tyrosine Kinases
  • Proto-Oncogene Proteins c-kit
  • Stem Cell Factor

Supplementary concepts

  • Congenital disorder of glycosylation, type 2C