Department of Molecular Science and Technology, Ajou University, Suwon 16499, Republic of Korea.
Orum Therapeutics Inc., Daejeon 34050, Republic of Korea.
Sci Adv. 2020 Jan 15;6(3):eaay2174. doi: 10.1126/sciadv.aay2174. eCollection 2020 Jan.
Oncogenic RAS mutant (RAS) proteins have been considered undruggable via conventional antibody regimens owing to the intracellular location restricting conventional-antibody accessibility. Here, we report a pan-RAS-targeting IgG antibody, inRas37, which directly targets the intracellularly activated form of various RAS subtypes after tumor cell-specific internalization into the cytosol to block the interactions with effector proteins, thereby suppressing the downstream signaling. Systemic administration of inRas37 exerted a potent antitumor activity in a subset of RAS tumor xenografts in mice, but little efficacy in RAS tumors with concurrent downstream PI3K mutations, which were overcome by combination with a PI3K inhibitor. The YAP1 protein was up-regulated as an adaptive resistance-inducing response to inRas37 in RAS-dependent colorectal tumors; accordingly, a combination of inRas37 with a YAP1 inhibitor manifested synergistic antitumor effects in vitro and in vivo. Our study offers a promising pan-RAS-targeting antibody and the corresponding therapeutic strategy against RAS tumors.
致癌性 RAS 突变体(RAS)蛋白因其位于细胞内,限制了常规抗体的可及性,因此被认为无法通过传统抗体方案进行治疗。在这里,我们报告了一种泛 RAS 靶向 IgG 抗体 inRas37,它在肿瘤细胞特异性内化到细胞质后,直接靶向各种 RAS 亚型的细胞内激活形式,从而阻断与效应蛋白的相互作用,从而抑制下游信号转导。inRas37 的系统给药在小鼠的一组 RAS 肿瘤异种移植中发挥了强大的抗肿瘤活性,但在同时存在下游 PI3K 突变的 RAS 肿瘤中疗效甚微,与 PI3K 抑制剂联合使用可克服这一问题。在依赖 RAS 的结直肠肿瘤中,YAP1 蛋白被上调作为对 inRas37 的适应性耐药诱导反应;因此,inRas37 与 YAP1 抑制剂联合使用在体外和体内均表现出协同的抗肿瘤作用。我们的研究提供了一种有前途的泛 RAS 靶向抗体和针对 RAS 肿瘤的相应治疗策略。
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