阿米万他单抗在野生型表皮生长因子受体非小细胞肺癌肿瘤中的疗效与配体表达水平相关。
Amivantamab efficacy in wild-type EGFR NSCLC tumors correlates with levels of ligand expression.
作者信息
Rivera-Soto Ricardo, Henley Benjamin, Pulgar Marian A, Lehman Stacey L, Gupta Himanshu, Perez-Vale Kia Z, Weindorfer Megan, Vijayaraghavan Smruthi, Yao Tsun-Wen Sheena, Laquerre Sylvie, Moores Sheri L
机构信息
Janssen Research and Development, Spring House, PA, USA.
Janssen Research and Development, La Jolla, CA, USA.
出版信息
NPJ Precis Oncol. 2024 Sep 6;8(1):192. doi: 10.1038/s41698-024-00682-y.
Amivantamab is an FDA-approved bispecific antibody targeting EGF and Met receptors, with clinical activity against EGFR mutant non-small cell lung cancer (NSCLC). Amivantamab efficacy has been demonstrated to be linked to three mechanisms of action (MOA): immune cell-mediated killing, receptor internalization and degradation, and inhibition of ligand binding to both EGFR and Met receptors. Among the EGFR ligands, we demonstrated that amphiregulin (AREG) is highly expressed in wild-type (WT) EGFR (EGFR) NSCLC primary tumors, with significantly higher circulating protein levels in NSCLC patients than in healthy volunteers. Treatment of AREG-stimulated EGFR cells/tumors with amivantamab or with an AREG-targeting antibody inhibited ligand-induced signaling and cell/tumor proliferation/growth. Across 11 EGFR NSCLC patient-derived xenograft models, amivantamab efficacy correlated with AREG RNA levels. Interestingly, in these models, amivantamab anti-tumor activity was independent of Fc engagement with immune cells, suggesting that, in this context, the ligand-blocking function is sufficient for amivantamab maximal efficacy. Finally, we demonstrated that in lung adenocarcinoma patients, high expression of AREG and EGFR mutations were mutually exclusive. In conclusion, these data 1) highlight EGFR ligand AREG as a driver of tumor growth in some EGFR NSCLC models, 2) illustrate the preclinical efficacy of amivantamab in ligand-driven EGFR NSCLC, and 3) identify AREG as a potential predictive biomarker for amivantamab activity in EGFR NSCLC.
阿米万他单抗是一种经美国食品药品监督管理局(FDA)批准的双特异性抗体,靶向表皮生长因子(EGF)和间质-上皮转化因子(Met)受体,对表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)具有临床活性。已证明阿米万他单抗的疗效与三种作用机制(MOA)相关:免疫细胞介导的杀伤、受体内化和降解,以及抑制配体与EGFR和Met受体的结合。在EGFR配体中,我们证明双调蛋白(AREG)在野生型(WT)EGFR NSCLC原发性肿瘤中高表达,NSCLC患者的循环蛋白水平明显高于健康志愿者。用阿米万他单抗或靶向AREG的抗体处理AREG刺激的EGFR细胞/肿瘤,可抑制配体诱导的信号传导以及细胞/肿瘤增殖/生长。在11个源自EGFR NSCLC患者的异种移植模型中,阿米万他单抗的疗效与AREG RNA水平相关。有趣的是,在这些模型中,阿米万他单抗的抗肿瘤活性与Fc与免疫细胞的结合无关,这表明在此背景下,配体阻断功能足以使阿米万他单抗发挥最大疗效。最后,我们证明在肺腺癌患者中,AREG的高表达与EGFR突变相互排斥。总之,这些数据1)突出了EGFR配体AREG在某些EGFR NSCLC模型中作为肿瘤生长驱动因素的作用,2)阐明了阿米万他单抗在配体驱动的EGFR NSCLC中的临床前疗效,3)确定AREG为阿米万他单抗在EGFR NSCLC中活性的潜在预测生物标志物。