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靶向 LGR5 以治疗多种癌症类型的新型免疫治疗药物

英文原题:Novel immunotherapeutics against LGR5 to target multiple cancer types.

PubMed 2024/08/21(内容时间) EMBO Mol Med Q1 · IF 7.9(JCR 2025)

研究概要

我们已开发并验证了一种高度特异、多用途的抗体,针对人LGR5的胞外域(-LGR5)。

中文摘要

我们开发并验证了一种针对人LGR5胞外域的高特异性、多用途抗体(-LGR5)。-LGR5可检测出>90%的结直肠癌(CRC)、肝细胞癌(HCC)和pre-B-ALL肿瘤细胞中LGR5的过表达,并用于生成抗体-药物偶联物(-LGR5-ADC)、双特异性T细胞衔接器(-LGR5-BiTE)和嵌合抗原受体(-LGR5-CAR)。-LGR5-ADC在体外是靶向LGR5+癌细胞最有效的模式,并在人NALM6 pre-B-ALL小鼠模型中表现出强效的抗肿瘤疗效,使肿瘤消减至对照治疗的不到1%。-LGR5-BiTE治疗在pre-B-ALL癌症模型中效果较差,但仍促使肿瘤负荷减少两倍。-LGR5-CAR-T细胞在体外也表现出对LGR5+癌细胞的特异性且强效的杀伤作用,并有效靶向肿瘤,使pre-B-ALL肿瘤负荷相对于对照组减少四倍。综上所述,我们表明-LGR5不仅可用作研究工具和生物标志物,还为针对一系列表达LGR5的癌细胞的高效免疫治疗组合提供了一个多用途的构建模块。

展开英文摘要原文

We have developed and validated a highly specific, versatile antibody to the extracellular domain of human LGR5 ( -LGR5). -LGR5 detects LGR5 overexpression in >90% of colorectal cancer (CRC), hepatocellular carcinoma (HCC) and pre-B-ALL tumour cells and was used to generate an Antibody-Drug Conjugate ( -LGR5-ADC), Bispecific T-cell Engager ( -LGR5-BiTE) and Chimeric Antigen Receptor ( -LGR5-CAR). -LGR5-ADC was the most effective modality for targeting LGR5 + cancer cells in vitro and demonstrated potent anti-tumour efficacy in a murine model of human NALM6 pre-B-ALL driving tumour attrition to less than 1% of control treatment. -LGR5-BiTE treatment was less effective in the pre-B-ALL cancer model yet promoted a twofold reduction in tumour burden. -LGR5-CAR-T cells also showed specific and potent LGR5 + cancer cell killing in vitro and effective tumour targeting with a fourfold decrease in pre-B-ALL tumour burden relative to controls. Taken together, we show that -LGR5 can not only be used as a research tool and a biomarker but also provides a versatile building block for a highly effective immune therapeutic portfolio targeting a range of LGR5-expressing cancer cells.

论文信息

作者
Chen HC、Mueller N、Stott K、Kapeni C、Rivers E、Sauer CM、Beke F、Walsh SJ
第一作者单位
University of Cambridge, Cancer Research UK Cambridge Institute, Robinson Way, Cambridge, CB2 0RE, UK.United Kingdom
通讯作者单位
University of Cambridge, Cancer Research UK Cambridge Institute, Robinson Way, Cambridge, CB2 0RE, UK. maike.delaroche@cruk.cam.ac.uk.United Kingdom
期刊
EMBO molecular medicine2024 Sep
原文标识
PubMed 39169164 · DOI 10.1038/s44321-024-00121-2