Targeting Solid Cancers with a Cancer-Specific Monoclonal Antibody to Surface Expressed Aberrantly O-glycosylated Proteins

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The lack of antibodies with sufficient cancer selectivity is currently limiting the treatment of solid tumors by immunotherapies. Most current immunotherapeutic targets are tumor-associated antigens that are also found in healthy tissues and often do not display sufficient cancer selectivity to be used as targets for potent antibody-based immunotherapeutic treatments, such as chimeric antigen receptor (CAR) T cells. Many solid tumors, however, display aberrant glycosylation that results in expression of tumor-associated carbohydrate antigens that are distinct from healthy tissues. Targeting aberrantly glycosylated glycopeptide epitopes within existing or novel glycoprotein targets may provide the cancer selectivity needed for immunotherapy of solid tumors. However, to date only a few such glycopeptide epitopes have been targeted. Here, we used O-glycoproteomics data from multiple cell lines to identify a glycopeptide epitope in CD44v6, a cancer-associated CD44 isoform, and developed a cancer-specific mAb, 4C8, through a glycopeptide immunization strategy. 4C8 selectively binds to Tn-glycosylated CD44v6 in a site-specific manner with low nanomolar affinity. 4C8 was shown to be highly cancer specific by IHC of sections from multiple healthy and cancerous tissues. 4C8 CAR T cells demonstrated target-specific cytotoxicity in vitro and significant tumor regression and increased survival in vivo. Importantly, 4C8 CAR T cells were able to selectively kill target cells in a mixed organotypic skin cancer model having abundant CD44v6 expression without affecting healthy keratinocytes, indicating tolerability and safety.
OriginalsprogEngelsk
TidsskriftMolecular Cancer Therapeutics
Vol/bind22
Udgave nummer10
Sider (fra-til)1204-1214
Antal sider11
ISSN1535-7163
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
M.K.M. Aasted reports grants from NEYE foundation during the conduct of the study; personal fees from GO therapeutics outside the submitted work. A.C. Groen reports other support from GO Therapeutics outside the submitted work; as well as reports a patent for anti–glyco-cd44 antibodies and their uses issued; and holds stock

Funding Information:
This work was supported by GO Therapeutics, the Neye Foundation, the European Commission (GlycoSkin H2020-ERC), and the Danish National Research Foundation (DNRF107), The Cancer Research Foundation, Friis Foundation, The Michelsen Foundation, The Danish Research Councils (Sapere Aude Research Leader grant; to H.H. Wandall), A.P. Møller og Hustru Chastine Mc-Kinney Møllers Fond til Almene Formaal, the Lundbeck foundation.

Publisher Copyright:
© 2023 The Authors; Published by the American Association for Cancer Research.

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