Center for Childhood Cancer and Blood Diseases, Nationwide Children's Hospital, Columbus, OH.
Division of Hematology, Oncology and Blood and Marrow Transplantation, Nationwide Children's Hospital, Columbus, OH.
Int J Cancer. 2020 Jun 1;146(11):3184-3195. doi: 10.1002/ijc.32743. Epub 2019 Nov 6.
Ewing sarcoma (EWS) is the second most common and aggressive type of metastatic bone tumor in adolescents and young adults. There is unmet medical need to develop and test novel pharmacological targets and novel therapies to treat EWS. Here, we found that EWS expresses high levels of a p53 isoform, delta133p53. We further determined that aberrant expression of delta133p53 induced HGF secretion resulting in tumor growth and metastasis. Thereafter, we evaluated targeting EWS tumors with HGF receptor neutralizing antibody (AMG102) in preclinical studies. Surprisingly, we found that targeting EWS tumors with HGF receptor neutralizing antibody (AMG102) in combination with GD2-specific, CAR-reengineered T-cell therapy synergistically inhibited primary tumor growth and establishment of metastatic disease in preclinical models. Furthermore, our data suggested that AMG102 treatment alone might increase leukocyte infiltration including efficient CAR-T access into tumor mass and thereby improves its antitumor activity. Together, our findings warrant the development of novel CAR-T-cell therapies that incorporate HGF receptor neutralizing antibody to improve therapeutic potency, not only in EWS but also in tumors with aberrant activation of the HGF/c-MET pathway.
尤因肉瘤(EWS)是青少年和年轻人中第二常见且侵袭性最强的转移性骨肿瘤。目前仍需要开发和测试新的药理学靶点和新疗法来治疗 EWS。在这里,我们发现 EWS 表达高水平的 p53 异构体 delta133p53。我们进一步确定,delta133p53 的异常表达诱导 HGF 分泌,导致肿瘤生长和转移。此后,我们在临床前研究中评估了针对 EWS 肿瘤的 HGF 受体中和抗体(AMG102)的疗效。令人惊讶的是,我们发现针对 EWS 肿瘤的 HGF 受体中和抗体(AMG102)联合 GD2 特异性、CAR 重编程 T 细胞治疗在临床前模型中协同抑制了原发性肿瘤生长和转移性疾病的建立。此外,我们的数据表明,单独使用 AMG102 治疗可能会增加白细胞浸润,包括有效的 CAR-T 进入肿瘤组织,从而提高其抗肿瘤活性。总之,我们的研究结果证明了开发新型 CAR-T 细胞疗法的必要性,该疗法将包含 HGF 受体中和抗体,以提高治疗效力,不仅在 EWS 中,而且在 HGF/c-MET 通路异常激活的肿瘤中也是如此。
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