表达 EGFR 特异性纳米抗体变体的治疗性干细胞具有抗肿瘤作用。

Therapeutic stem cells expressing variants of EGFR-specific nanobodies have antitumor effects.

机构信息

Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA.

出版信息

Proc Natl Acad Sci U S A. 2012 Oct 9;109(41):16642-7. doi: 10.1073/pnas.1202832109. Epub 2012 Sep 25.

Abstract

The deregulation of the epidermal growth factor receptor (EGFR) has a significant role in the progression of tumors. Despite the development of a number of EGFR-targeting agents that can arrest tumor growth, their success in the clinic is limited in several tumor types, particularly in the highly malignant glioblastoma multiforme (GBM). In this study, we generated and characterized EGFR-specific nanobodies (ENb) and imageable and proapoptotic ENb immunoconjugates released from stem cells (SC) to ultimately develop a unique EGFR-targeted therapy for GBM. We show that ENbs released from SCs specifically localize to tumors, inhibit EGFR signaling resulting in reduced GBM growth and invasiveness in vitro and in vivo in both established and primary GBM cell lines. We also show that ENb primes GBM cells for proapoptotic tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-induced apoptosis. Furthermore, SC-delivered immunoconjugates of ENb and TRAIL target a wide spectrum of GBM cell types with varying degrees of TRAIL resistance and significantly reduce GBM growth and invasion in both established and primary invasive GBM in mice. This study demonstrates the efficacy of SC-based EGFR targeted therapy in GBMs and provides a unique approach with clinical implications.

摘要

表皮生长因子受体 (EGFR) 的失调在肿瘤的进展中起着重要作用。尽管已经开发出许多针对 EGFR 的靶向药物可以阻止肿瘤生长,但在几种肿瘤类型中,它们在临床上的成功是有限的,特别是在高度恶性的多形性胶质母细胞瘤 (GBM) 中。在这项研究中,我们生成并表征了 EGFR 特异性纳米抗体 (ENb) 和可成像的、促凋亡的从干细胞 (SC) 释放的 ENb 免疫偶联物,最终为 GBM 开发了一种独特的 EGFR 靶向治疗方法。我们表明,从 SC 释放的 ENb 特异性地定位于肿瘤,抑制 EGFR 信号传导,从而减少体外和体内的 GBM 生长和侵袭性,无论是在已建立的还是原发性 GBM 细胞系中。我们还表明,ENb 为促凋亡肿瘤坏死因子相关凋亡诱导配体 (TRAIL) 诱导的凋亡使 GBM 细胞致敏。此外,ENb 和 TRAIL 的 SC 递送免疫偶联物靶向具有不同 TRAIL 耐药程度的广泛的 GBM 细胞类型,并在小鼠中显著减少已建立的和原发性侵袭性 GBM 的生长和侵袭。这项研究证明了基于 SC 的 EGFR 靶向治疗在 GBM 中的疗效,并提供了一种具有临床意义的独特方法。

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