Expression of the 5T4 oncofoetal antigen in renal cell carcinoma: a potential target for T-cell-based immunotherapy

R W Griffiths1, D E Gilham, A Dangoor

  • 1Department of Medical Oncology, Paterson Institute for Cancer Research, Christie Research Centre, Manchester M20 4BX, UK.

British Journal of Cancer
|October 14, 2005
PubMed

Insights

The 5T4 antigen is present on most kidney cancers, making it a target for immunotherapy. Genetically modified T cells can now kill 5T4-expressing renal cell carcinoma cells.

Area of Science:

  • Oncology
  • Immunology
  • Biochemistry

Background:

  • The 5T4 oncofoetal antigen is a cell surface glycoprotein expressed on placental trophoblasts and various human cancers.
  • 5T4 is not significantly expressed in healthy adult tissues, positioning it as a potential tumor-associated antigen.
  • This antigen is a promising target for cancer immunotherapy strategies.

Purpose of the Study:

  • To investigate the expression of the 5T4 antigen in renal cell carcinoma (RCC).
  • To evaluate the potential of 5T4-targeted therapies for RCC treatment.
  • To demonstrate the efficacy of genetically engineered T cells against 5T4-expressing RCC.

Main Methods:

  • Immunohistochemical analysis to determine 5T4 expression in RCC.
  • Development of chimeric antigen receptors (CARs) for T cell modification.
  • In vitro co-culture assays to assess T cell-mediated killing of RCC cell lines.

Main Results:

  • 5T4 is highly expressed on the majority of renal cell carcinomas.
  • Genetically modified T cells, equipped with a chimeric-signalling protein targeting 5T4, effectively killed 5T4-expressing RCC cell lines.
  • The engineered T cells utilized a single-chain antibody fragment and a CD3zeta-signalling domain to bind and activate T cells.

Conclusions:

  • The 5T4 antigen is a suitable target for immunotherapy in a significant proportion of renal cell carcinoma patients.
  • Engineered T cells offer a potent approach to overcome tumor immune evasion mechanisms.
  • This T cell-based therapy is scalable for clinical application in cancer treatment.

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