鸟苷酸环化酶C溶酶体亲和性内吞作用将免疫毒素疗法传递至转移性结直肠癌。
GUCY2C lysosomotropic endocytosis delivers immunotoxin therapy to metastatic colorectal cancer.
作者信息
Marszalowicz Glen P, Snook Adam E, Magee Michael S, Merlino Dante, Berman-Booty Lisa D, Waldman Scott A
机构信息
School of Biomedical Engineering, Science, and Health Systems, Drexel University, Philadelphia, PA.
Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA USA.
出版信息
Oncotarget. 2014 Oct 15;5(19):9460-71. doi: 10.18632/oncotarget.2455.
The emergence of targeted cancer therapy has been limited by the paucity of determinants which are tumor-specific and generally associated with disease, and have cell dynamics which effectively deploy cytotoxic payloads. Guanylyl cyclase C (GUCY2C) may be ideal for targeting because it is normally expressed only in insulated barrier compartments, including intestine and brain, but over-expressed by systemic metastatic colorectal tumors. Here, we reveal that GUCY2C rapidly internalizes from the cell surface to lysosomes in intestinal and colorectal cancer cells. Endocytosis is independent of ligand binding and receptor activation, and is mediated by clathrin. This mechanism suggests a design for immunotoxins comprising a GUCY2C-directed monoclonal antibody conjugated through a reducible disulfide linkage to ricin A chain, which is activated to a potent cytotoxin in lysosomes. Indeed, this immunotoxin specifically killed GUCY2C-expressing colorectal cancer cells in a lysosomal- and clathrin-dependent fashion. Moreover, this immunotoxin reduced pulmonary tumors>80% (p<0.001), and improved survival 25% (p<0.001), in mice with established colorectal cancer metastases. Further, therapeutic efficacy was achieved without histologic evidence of toxicity in normal tissues. These observations support GUCY2C-targeted immunotoxins as novel therapeutics for metastatic tumors originating in the GI tract, including colorectum, stomach, esophagus, and pancreas.
靶向癌症治疗的出现受到限制,因为缺乏肿瘤特异性且通常与疾病相关的决定因素,这些因素还需具备能有效递送细胞毒性载荷的细胞动力学特性。鸟苷酸环化酶C(GUCY2C)可能是理想的靶向目标,因为它通常仅在包括肠道和大脑在内的隔离屏障隔室中表达,但在系统性转移性结直肠癌肿瘤中过度表达。在此,我们发现GUCY2C在肠道和结肠癌细胞中从细胞表面迅速内化至溶酶体。内吞作用独立于配体结合和受体激活,且由网格蛋白介导。这一机制提示了一种免疫毒素的设计方案,该免疫毒素由通过可还原二硫键与蓖麻毒素A链偶联的GUCY2C导向单克隆抗体组成,其在溶酶体中被激活成为强效细胞毒素。事实上,这种免疫毒素以溶酶体和网格蛋白依赖的方式特异性杀死表达GUCY2C的结肠癌细胞。此外,在已建立结直肠癌转移的小鼠中,这种免疫毒素使肺部肿瘤减少>80%(p<0.001),并使生存率提高25%(p<0.001)。而且,在正常组织中未观察到毒性的组织学证据的情况下实现了治疗效果。这些观察结果支持将GUCY2C靶向免疫毒素作为源自胃肠道(包括结肠、胃、食管和胰腺)转移性肿瘤的新型治疗方法。