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神经降压素抗体恢复顺铂敏感性对肺癌细胞可塑性和异质性的调控。

Modulation of lung cancer cell plasticity and heterogeneity with the restoration of cisplatin sensitivity by neurotensin antibody.

机构信息

INSERM UMRS 1007, Paris Descartes University, 75270, Paris Cedex 06, France.

INSERM UMRS 1007, Paris Descartes University, 75270, Paris Cedex 06, France; Department of Thoracic Surgery, Cochin Hospital of Paris, AP-HP, Paris Descartes University, Paris, France; Paris-Sud, Paris-Saclay University, Orsay, France.

出版信息

Cancer Lett. 2019 Mar 1;444:147-161. doi: 10.1016/j.canlet.2018.12.007. Epub 2018 Dec 21.

Abstract

Overall survival of patients with metastatic non-small cell lung cancer (NSCLC) has significantly improved with platinum-based salt treatments and recently with targeted therapies and immunotherapies. However, treatment failure occurs due to acquired or emerging tumor resistance. We developed a monoclonal antibody against the proform of neurotensin (LF-NTS mAb) that alters the homeostasis of tumors overexpressing NTSR1. Neurotensin is frequently overexpressed along with its high affinity receptor (NTSR1) in tumors from epithelial origins. This ligand/receptor complex contributes to the progression of many tumor types by activation of the cellular effects involved in tumor progression (proliferation, survival, migration, and invasion). We demonstrate that LF-NTS mAb operates on the plasticity of tumor cells overexpressing NTSR1 and lowers their aggressiveness. The mAb enables the restoration of platinum-based therapies responsiveness, while also decreasing metastatic processes. Efficacy dosage with long-term treatment showed no obvious adverse events, while demonstrating improvement in the performance status. Our data suggests that LF-NTS mAb is an ideal candidate to be safely added to the conventional standard of care in order to improve its efficacy.

摘要

转移性非小细胞肺癌 (NSCLC) 患者的总体生存率随着铂类盐类治疗以及最近的靶向治疗和免疫治疗显著提高。然而,由于获得性或新出现的肿瘤耐药性,治疗失败仍时有发生。我们开发了一种针对神经降压素前体形式的单克隆抗体(LF-NTS mAb),该抗体改变了过度表达 NTSR1 的肿瘤的体内平衡。神经降压素及其高亲和力受体(NTSR1)在源自上皮的肿瘤中经常过度表达。该配体/受体复合物通过激活与肿瘤进展相关的细胞效应(增殖、存活、迁移和侵袭)促进多种肿瘤类型的进展。我们证明 LF-NTS mAb 作用于过度表达 NTSR1 的肿瘤细胞的可塑性,并降低其侵袭性。该 mAb 能够恢复对铂类药物治疗的反应性,同时减少转移过程。疗效剂量的长期治疗未显示明显的不良反应,同时表现出患者身体状况的改善。我们的数据表明,LF-NTS mAb 是一种理想的候选药物,可以安全地添加到常规标准治疗中,以提高其疗效。

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