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Updated: Aug 18, 2026

Targeted Antibody Blocking by a Dual-Functional Conjugate of Antigenic Peptide and Fc-III Mimetics (DCAF)
Published on: September 17, 2019
Antibody blockade of the Cripto CFC domain suppresses tumor cell growth in vivo
Heather B Adkins1, Caterina Bianco, Susan G Schiffer
1Biogen Inc., 14 Cambridge Center, Cambridge, Massachusetts 02142, USA.
Abstract:
Cripto, a cell surface-associated protein belonging to the EGF-CFC family of growth factor-like molecules, is overexpressed in many human solid tumors, including 70-80% of breast and colon tumors, yet how it promotes cell transformation is unclear. During embryogenesis, Cripto complexes with Alk4 via its unique cysteine-rich CFC domain to facilitate signaling by the TGF-beta ligand Nodal. We report, for the first time to our knowledge, that Cripto can directly bind to another TGF-beta ligand, Activin B, and that Cripto overexpression blocks Activin B growth inhibition of breast cancer cells. This result suggests a novel mechanism for antagonizing Activin signaling that could promote tumorigenesis by deregulating growth homeostasis. We show that an anti-CFC domain antibody, A8.G3.5, both disrupts Cripto-Nodal signaling and reverses Cripto blockade of Activin B-induced growth suppression by blocking Cripto's association with either Alk4 or Activin B. In two xenograft models, testicular and colon cancer, A8.G3.5 inhibited tumor cell growth by up to 70%. Both Nodal and Activin B expression was found in the xenograft tumor, suggesting that either ligand could be promoting tumorigenesis. These data validate that functional blockade of Cripto inhibits tumor growth and highlight antibodies that block Cripto signaling mediated through its CFC domain as an important class of antibodies for further therapeutic development.
Insights
Cripto protein overexpression in tumors is linked to cancer growth. Blocking Cripto
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cripto, an Epidermal Growth Factor-Cripto, FRL-1, Cryptic (EGF-CFC) family protein, is overexpressed in numerous human solid tumors.
- While Cripto's role in embryogenesis involves complexing with Alk4 to mediate Transforming Growth Factor-beta (TGF-beta) ligand Nodal signaling, its precise mechanism in promoting cell transformation and tumorigenesis remains largely undefined.
- Understanding Cripto's interactions with other TGF-beta ligands is crucial for elucidating its oncogenic potential.
Purpose of the Study:
- To investigate the interaction between Cripto and the TGF-beta ligand Activin B.
- To determine if Cripto overexpression affects Activin B-mediated growth inhibition in breast cancer cells.
- To evaluate the therapeutic potential of targeting Cripto signaling using antibodies.
Main Methods:
- Investigated the direct binding of Cripto to Activin B.
- Assessed the effect of Cripto overexpression on Activin B-induced growth suppression in cancer cells.
- Utilized an anti-CFC domain antibody (A8.G3.5) to block Cripto-ligand interactions and signaling.
- Evaluated the efficacy of A8.G3.5 in inhibiting tumor growth in testicular and colon cancer xenograft models.
Main Results:
- Demonstrated for the first time that Cripto directly binds to Activin B.
- Showed that Cripto overexpression antagonizes Activin B's growth-inhibitory effects on breast cancer cells.
- The anti-CFC antibody A8.G3.5 disrupted both Cripto-Nodal and Cripto-Activin B signaling by blocking Cripto's association with Alk4 or Activin B.
- A8.G3.5 significantly inhibited tumor cell growth by up to 70% in colon and testicular cancer xenografts, where both Nodal and Activin B were expressed.
Conclusions:
- Cripto's interaction with Activin B provides a novel mechanism for antagonizing growth inhibition, potentially promoting tumorigenesis by disrupting growth homeostasis.
- Functional blockade of Cripto signaling, particularly through antibodies targeting its CFC domain, effectively inhibits tumor growth.
- Antibodies targeting the Cripto CFC domain represent a promising therapeutic strategy for various solid tumors overexpressing Cripto.
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