一种表现出卓越抗肿瘤活性的新型表皮生长因子受体/血管内皮生长因子双特异性融合蛋白的作用机制和生物分布。

The mechanism of action and biodistribution of a novel EGFR/VEGF bispecific fusion protein that exhibited superior antitumor activities.

作者信息

Deng Lan, Wang Lihua, Zhang Jinzhao, Zhao Le, Meng Yun, Zheng Jidai, Xu Wei, Zhu Zhenping, Huang Haomin

机构信息

Sunshine Guojian Pharmaceutical (Shanghai) Co. Ltd. a 3SBio Inc. Company, 399 Libing Road, Shanghai, 201203, China.

出版信息

Heliyon. 2023 Jun 3;9(6):e16922. doi: 10.1016/j.heliyon.2023.e16922. eCollection 2023 Jun.

Abstract

Despite the promising clinical benefits of therapies targeting epidermal growth factor receptor (EGFR) or vascular endothelial growth factor (VEGF) with antibodies in various cancers, resistance to these therapies will inevitably develop following treatment. Recent studies suggest that crosstalk between the EGFR and VEGF signaling pathways might be involved in the development of resistance. Therefore, simultaneous blockade of EGFR and VEGF signaling may be able to counteract this resistance and improve clinical outcomes. Here, we devised a fusion protein with two copies of VEGFR1 domain 2 connected to the C-terminus of cetuximab that can simultaneously bind to EGFR and VEGF and effectively inhibit target cell growth mediated by these two pathways. Furthermore, the fusion protein could bring soluble VEGF into target cells for degradation through internalization upon binding to EGFR. Tissue distribution in mice confirmed that the fusion protein effectively accumulated in tumors compared to its mAb counterpart cetuximab. These features resulted in stronger antitumor efficacies than the combination of bevacizumab and cetuximab. Thus, we provide a promising new strategy for the treatment of EGFR-overexpressing cancers.

摘要

尽管针对表皮生长因子受体(EGFR)或血管内皮生长因子(VEGF)的抗体疗法在各种癌症中具有可观的临床益处,但治疗后对这些疗法的耐药性仍不可避免地会出现。最近的研究表明,EGFR和VEGF信号通路之间的串扰可能与耐药性的产生有关。因此,同时阻断EGFR和VEGF信号可能能够对抗这种耐药性并改善临床结果。在此,我们设计了一种融合蛋白,该蛋白将两个拷贝的VEGFR1结构域2连接到西妥昔单抗的C末端,它可以同时结合EGFR和VEGF,并有效抑制由这两条途径介导的靶细胞生长。此外,融合蛋白在与EGFR结合后可通过内化作用将可溶性VEGF带入靶细胞进行降解。小鼠体内的组织分布证实,与单克隆抗体对应物西妥昔单抗相比,融合蛋白在肿瘤中有效积累。这些特性导致其抗肿瘤疗效比贝伐单抗和西妥昔单抗联合使用更强。因此,我们为治疗EGFR过表达的癌症提供了一种有前景的新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da96/10360952/4be28a282db2/gr1.jpg

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