Targeting immune checkpoints, such as
Programmed cell Death 1 (PD1), has
improved survival in
cancer patients by unleashing exhausted CD8+ T-
cell thereby restoring anti-tumor immune responses. Most patients, however, relapse or are
refractory to
immune checkpoint blocking therapies. Here, the inventors show that NRP1 is recruited in the cytolytic
synapse of PD1+CD8+ T-cells, interacts and enhances PD-1 activity. In mice, CD8+ T-
cell specific deletion of Nrp1 improves spontaneous and anti PD1
antibody anti-tumor immune responses. Likewise, in human
metastatic melanoma, the expression of NRP1 in tumor infiltrating CD8+ T-cells predicts poor outcome of patients treated with anti-PD1 (e.g. pembrolizumab). Finally, the combination of anti-NRP1 and anti-PD1 antibodies is synergistic in human, specifically in CD8+ T-cells anti-
tumor response. Thus the therapeutic inhibition of NRP1 alone or combined with an
immune checkpoint inhibitor (e.g. anti-PD1
antibody) could efficiently repress
tumor growth in
human cancer. The present invention also relates to multispecific antibodies comprising at least one
binding site that specifically binds to an
immune checkpoint molecule (e.g. PD-1), and at least one
binding site that specifically binds to NRP-1. The present invention also relates to a
population of cells engineered to express a
chimeric antigen receptor (CAR) and wherein the expression of NRP-1 in said cells is repressed.