RT Journal Article SR Electronic T1 Fibroblast activation protein-targeted-4-1BB ligand agonist amplifies effector functions of intratumoral T cells in human cancer JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP e000238 DO 10.1136/jitc-2019-000238 VO 8 IS 2 A1 Marta Trüb A1 Franziska Uhlenbrock A1 Christina Claus A1 Petra Herzig A1 Martin Thelen A1 Vaios Karanikas A1 Marina Bacac A1 Maria Amann A1 Rosemarie Albrecht A1 Claudia Ferrara-Koller A1 Daniela Thommen A1 Sacha Rothschield A1 Spasenija Savic Prince A1 Kirsten D Mertz A1 Gieri Cathomas A1 Robert Rosenberg A1 Viola Heinzelmann-Schwarz A1 Mark Wiese A1 Didier Lardinois A1 Pablo Umana A1 Christian Klein A1 Heinz Laubli A1 Abhishek S Kashyap A1 Alfred Zippelius YR 2020 UL http://jitc.bmj.com/content/8/2/e000238.abstract AB Background The costimulatory receptor 4-1BB (CD137, TNFRSF9) plays an important role in sustaining effective T cell immune responses and is investigated as target for cancer therapy. Systemic 4-1BB directed therapies elicit toxicity or low efficacy, which significantly hampered advancement of 4-1BB-based immunotherapy. Therefore, targeted delivery of 4-1BB agonist to the tumor side is needed for eliciting antitumor efficacy while avoiding systemic toxicity.Methods We analyzed the immunostimulatory properties of a fibroblast activation protein (FAP)-targeted 4-1BB agonist (FAP-4-1BBL) by assessing tumor-infiltrating lymphocytes’ (TIL) activity from patients with non-small cell lung cancer and epithelial ovarian cancer.Results Combination treatment with FAP-4-1BBL and T cell receptor stimulation by either anti-CD3 or T cell bispecific antibodies significantly enhanced TIL activation and effector functions, including T cell proliferation, secretion of proinflammatory cytokines and cytotoxicity. Notably, costimulation with FAP-4-1BBL led to de novo secretion of interleukin (IL)−13. This was associated with cytokine-mediated tumor cell apoptosis, which was partially dependent on IL-13 alpha 1/2 receptors and STAT6 phosphorylation.Conclusions Our study provides mechanistic insights into T cell stimulation induced by FAP-4-1BBL in primary human tumors and supports the investigation of FAP-4-1BBL compound in early clinical trials.