# Developing a novel agonist of CD137 for cancer immunoprevention

> **NIH NIH UG3** · UNIVERSITY OF MISSOURI-COLUMBIA · 2024 · $761,094

## Abstract

PROJECT SUMMARY
The primary objective of this proposal is to assess a novel agonist of 4-1BB costimulatory pathway, SA-4-1BBL, as
a single agent for cancer immunoprevention in preclinical models that closely represent high-risk populations
susceptible to lung cancer resulting from environmental exposures. Advances in immunology led to the
development of immunotherapies with remarkable clinical efficacy against various tumors and put the immune
system at the forefront of the battle to prevent, intercept, and treat cancer. The perceived modalities for cancer
immunoprevention are vaccines, which are well-suited for virally-derived tumors because of the known nature of
target antigens. In marked contrast, the design of preventive vaccines against non-viral tumors for high-risk
populations faces a significant challenge due to the unknown nature of target antigens. Thus, a cancer
immunoprevention approach that does not require antigens and serves as a platform to prevent a wide range of
tumor types will be transformative. The 4-1BB costimulatory pathway has been targeted for cancer
immunotherapy because of the critical role signaling through this receptor plays in the expansion of CD8+ T cells,
acquisition of effector function, and long-term survival. The natural ligand, 4-1BBL, is a cell surface protein and
lacks costimulatory activity as a soluble molecule. As an alternative, agonistic antibodies (Abs) to 4-1BB have
been pursued for cancer immunotherapy and shown significant toxicity with limited clinical efficacy. We
hypothesized that a natural ligand would lack these attributes of Abs and generated an oligomeric form of mouse
ligand, mSA-4-1BBL. This molecule has robust costimulatory activity in soluble form and showed therapeutic
efficacy as the immune adjuvant component of tumor-associated antigens-based vaccines in various preclinical
cancer models without detectable toxicity. mSA-4-1BBL as a single agent also protects mice against various
tumor types, a highly significant and unexpected finding. Cancer immunoprevention efficacy is a bona fide
feature of mSA-4-1BBL, as agonistic Abs to 4-1BB receptor are ineffective. mSA-4-1BBL exhibits unexpected
efficacy in preventing cancer in mice lacking the 4-1BB receptor, suggesting the involvement of additional
immune pathway(s). A series of studies under 4 Specific Aims will be conducted to; i) identify additional pathways
targeted by SA-4-1BBL for cancer immunoprevention, ii) assess the efficacy of SA-4-1BBL in a tobacco carcinogen-
induced preclinical lung cancer model, iii) generate the human version of SA-4-1BBL and assess its efficacy against
lung cancer in a mouse model expressing human 4-1BB receptor, and iv) assess the cancer immunoprevention
efficacy of human SA-4-1BBL in a mouse model humanized with hematopoietic stem cells and transplanted with
patient-derived lung cancer. Various studies will be conducted to elucidate the mechanistic underlying of success
or failure of SA-4-1BBL-based cancer...

## Key facts

- **NIH application ID:** 10877474
- **Project number:** 1UG3CA290305-01
- **Recipient organization:** UNIVERSITY OF MISSOURI-COLUMBIA
- **Principal Investigator:** Haval Shirwan
- **Activity code:** UG3 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $761,094
- **Award type:** 1
- **Project period:** 2024-07-17 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10877474

## Citation

> US National Institutes of Health, RePORTER application 10877474, Developing a novel agonist of CD137 for cancer immunoprevention (1UG3CA290305-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10877474. Licensed CC0.

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