Lewis Clayton S, Backman Charles, Ahsan Sabahat, Cliff Ashley, Hariharan Arthi, Yeh Jen Jen, Zhang Xiang, Xie Changchun, Sohal Davendra P S, Bogdanov Vladimir Y
Division of Hematology/Oncology, Department of Internal Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Int J Mol Sci. 2024 Feb 23;25(5):2580. doi: 10.3390/ijms25052580.
Alternatively spliced tissue factor (asTF) promotes the progression of pancreatic ductal adenocarcinoma (PDAC) by activating β1-integrins on PDAC cell surfaces. hRabMab1, a first-in-class humanized inhibitory anti-asTF antibody we recently developed, can suppress PDAC primary tumor growth as a single agent. Whether hRabMab1 has the potential to suppress metastases in PDAC is unknown. Following in vivo screening of three asTF-proficient human PDAC cell lines, we chose to make use of KRAS G12V-mutant human PDAC cell line PaCa-44, which yields aggressive primary orthotopic tumors with spontaneous spread to PDAC-relevant anatomical sites, along with concomitant severe leukocytosis. The experimental design featured orthotopic tumors formed by luciferase labeled PaCa-44 cells; administration of hRabMab1 alone or in combination with gemcitabine/paclitaxel (gem/PTX); and the assessment of the treatment outcomes on the primary tumor tissue as well as systemic spread. When administered alone, hRabMab1 exhibited poor penetration of tumor tissue; however, hRabMab1 was abundant in tumor tissue when co-administered with gem/PTX, which resulted in a significant decrease in tumor cell proliferation; leukocyte infiltration; and neovascularization. Gem/PTX alone reduced primary tumor volume, but not metastatic spread; only the combination of hRabMab1 and gem/PTX significantly reduced metastatic spread. RNA-seq analysis of primary tumors showed that the addition of hRabMab1 to gem/PTX enhanced the downregulation of tubulin binding and microtubule motor activity. In the liver, hRabMab1 reduced liver metastasis as a single agent. Only the combination of hRabMab1 and gem/PTX eliminated tumor cell-induced leukocytosis. We here demonstrate for the first time that hRabMab1 may help suppress metastasis in PDAC. hRabMab1's ability to improve the efficacy of chemotherapy is significant and warrants further investigation.
可变剪接组织因子(asTF)通过激活胰腺导管腺癌(PDAC)细胞表面的β1整合素来促进PDAC的进展。hRabMab1是我们最近开发的首个一流的人源化抑制性抗asTF抗体,作为单一药物可抑制PDAC原发性肿瘤的生长。hRabMab1是否具有抑制PDAC转移的潜力尚不清楚。在对三种asTF丰富的人PDAC细胞系进行体内筛选后,我们选择使用KRAS G12V突变的人PDAC细胞系PaCa-44,该细胞系会产生侵袭性原发性原位肿瘤,并自发扩散至与PDAC相关的解剖部位,同时伴有严重的白细胞增多症。实验设计包括由荧光素酶标记的PaCa-44细胞形成的原位肿瘤;单独给予hRabMab1或与吉西他滨/紫杉醇(gem/PTX)联合给药;以及评估对原发性肿瘤组织和全身扩散的治疗效果。单独给药时,hRabMab1在肿瘤组织中的穿透性较差;然而,与gem/PTX联合给药时,hRabMab1在肿瘤组织中含量丰富,这导致肿瘤细胞增殖、白细胞浸润和新血管形成显著减少。单独使用gem/PTX可减少原发性肿瘤体积,但不能减少转移扩散;只有hRabMab1与gem/PTX联合使用才能显著减少转移扩散。对原发性肿瘤的RNA测序分析表明,在gem/PTX中添加hRabMab1可增强微管蛋白结合和微管运动活性的下调。在肝脏中,hRabMab1作为单一药物可减少肝转移。只有hRabMab1与gem/PTX联合使用才能消除肿瘤细胞诱导的白细胞增多症。我们首次证明hRabMab1可能有助于抑制PDAC的转移。hRabMab1提高化疗疗效的能力具有重要意义,值得进一步研究。