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Updated: Jul 19, 2026

Real-time Cytotoxicity Assays in Human Whole Blood
Published on: November 7, 2014
A urokinase-activated recombinant anthrax toxin is selectively cytotoxic to many human tumor cell types
Ralph J Abi-Habib1, Ravibhushan Singh, Shihui Liu
1Cancer Research Institute of Scott & White Memorial Hospital, Temple, Texas 76502, USA.
Abstract:
Urokinase plasminogen activator (uPA) is a tumor-specific protease highly expressed in several types of solid tumors and rarely present on normal cells under physiologic conditions. Due to its high expression on metastatic tumors, several different strategies have been used to target the urokinase system. These have mostly led to tumor growth inhibition rather than tumor regression. A different approach was adopted by replacing the furin activation site on a recombinant anthrax toxin with a urokinase activation site. The resulting toxin, PrAgU2/FP59, was highly potent against tumors both in vitro and in vivo. In this study, we show that PrAgU2/FP59 is toxic to a wide range of tumor cell lines, including non-small cell lung cancer, pancreatic cancer, and basal-like breast cancer cell lines. Of the few cell lines found to be resistant to PrAgU2/FP59, most became sensitive upon addition of exogenous pro-uPA. PrAgU2/FP59 was much less toxic to normal human cells. The potency of PrAgU2/FP59 was dependent on anthrax toxin receptor, uPA receptor, and uPA levels but not on total plasminogen activator inhibitor-1 levels. In this study, we show that PrAgU2/FP59 is a wide-range, highly potent, and highly selective toxin that is capable of specifically targeting uPA-expressing tumor cells, independently of the tissue of origin of these cells. Furthermore, we identify three molecular markers, anthrax toxin receptor, uPA, and uPA receptor, which can be used as predictors of tumor cell sensitivity to PrAgU2/FP59.
Insights
A novel toxin, PrAgU2/FP59, targets urokinase plasminogen activator (uPA)-expressing tumors selectively. This engineered anthrax toxin shows high potency against various cancer cells, offering a promising new therapeutic strategy.
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Urokinase plasminogen activator (uPA) is a tumor-specific protease overexpressed in many solid tumors.
- Current strategies targeting the urokinase system primarily inhibit tumor growth, not induce regression.
Purpose of the Study:
- To evaluate the efficacy and selectivity of a novel recombinant toxin, PrAgU2/FP59, engineered to target uPA-expressing tumor cells.
- To identify predictive biomarkers for tumor cell sensitivity to PrAgU2/FP59.
Main Methods:
- Engineering a recombinant anthrax toxin (PrAgU2/FP59) with a urokinase activation site.
- Assessing PrAgU2/FP59 toxicity against diverse tumor cell lines and normal human cells in vitro and in vivo.
- Analyzing the correlation between toxin potency and the expression levels of anthrax toxin receptor, uPA, and uPA receptor.
Main Results:
- PrAgU2/FP59 demonstrated potent toxicity against a broad spectrum of tumor cell lines, including lung, pancreatic, and breast cancers.
- Most resistant tumor cells became sensitive to PrAgU2/FP59 upon addition of exogenous pro-uPA.
- PrAgU2/FP59 exhibited significantly lower toxicity towards normal human cells, indicating high selectivity.
- Toxin efficacy was dependent on anthrax toxin receptor, uPA, and uPA receptor levels.
Conclusions:
- PrAgU2/FP59 is a highly potent and selective toxin capable of targeting uPA-expressing tumor cells irrespective of their origin.
- Anthrax toxin receptor, uPA, and uPA receptor serve as reliable predictors of tumor cell sensitivity to PrAgU2/FP59 therapy.
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