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Updated: Aug 29, 2026

Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
CD44v6: a target for antibody-based cancer therapy
Karl-Heinz Heider1, Hartmut Kuthan, Gerd Stehle
1Boehringer Ingelheim Austria, Dr. Boehringer Gasse 5-11, 1121 Vienna, Austria. Karl-Heinz.Heider@vie.boehringer-ingelheim.com
Abstract:
The human CD44 gene encodes type 1 transmembrane glycoproteins involved in cell-cell and cell-matrix interactions. The structural heterogeneity of the gene products is caused primarily by alternative splicing of at least 10 out of 20 exons. Certain CD44 variant isoforms, in particular those containing CD44 variant domain 6 (CD44v6), have been implicated in tumourigenesis, tumour cell invasion and metastasis. Here we will give an overview of immunohistochemically determined CD44v6 expression in human malignancies (primary epithelial and nonepithelial tumours as well as metastases) and normal tissues, and review several examples of the clinical use of CD44v6-specific antibodies. In nonmalignant tissues, CD44v6 expression is essentially restricted to a subset of epithelia. Intense and homogeneous expression of CD44v6 was reported for the majority of squamous cell carcinomas and a proportion of adenocarcinomas of differing origin, but was rarely seen in nonepithelial tumours. This expression pattern has made CD44v6 an attractive target for antibody-guided therapy of various types of epithelium-derived cancers.
Insights
CD44 variant domain 6 (CD44v6) is highly expressed in many epithelial cancers but not normal tissues. This makes CD44v6 a promising target for antibody therapies against cancers like squamous cell carcinomas.
Area of Science:
- Molecular biology
- Immunology
- Oncology
Background:
- The CD44 gene encodes transmembrane glycoproteins crucial for cell interactions.
- Alternative splicing of CD44 exons generates diverse protein isoforms, including CD44 variant domain 6 (CD44v6).
- CD44v6 is linked to tumor development, invasion, and metastasis.
Purpose of the Study:
- To provide an overview of CD44v6 expression in human malignancies and normal tissues using immunohistochemistry.
- To review the clinical applications of CD44v6-specific antibodies.
- To assess CD44v6 as a therapeutic target in epithelial cancers.
Main Methods:
- Immunohistochemical analysis of CD44v6 expression.
- Review of clinical data on CD44v6-specific antibody applications.
- Comparison of CD44v6 expression in malignant versus nonmalignant tissues.
Main Results:
- CD44v6 expression is largely restricted to a subset of epithelia in nonmalignant tissues.
- Intense and homogeneous CD44v6 expression is prevalent in most squamous cell carcinomas and some adenocarcinomas.
- CD44v6 expression is infrequent in nonepithelial tumors.
Conclusions:
- The distinct expression pattern of CD44v6 in epithelial cancers versus normal tissues supports its role as a potential therapeutic target.
- CD44v6-specific antibodies show promise for targeted therapy in epithelium-derived cancers.
- Further clinical evaluation of CD44v6-targeted therapies is warranted.
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