Quantification of CD44v6 and EGFR expression in head and neck squamous cell carcinomas using a single-dose

Marika Nestor1, Tomas Ekberg, John Dring

  • 1Unit of Otolaryngology and Head and Neck Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. Marika.Nestor@bms.uu.se

Abstract

Insights

A single-dose radioimmunoassay accurately quantified CD44v6 and EGFR in head and neck squamous cell carcinoma. CD44v6 showed higher expression than EGFR, suggesting it as a promising target for antibody-based therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunotherapy

Background:

  • Profiling molecular targets is crucial for advancing tumor targeting strategies.
  • Head and neck squamous cell carcinoma (HNSCC) requires effective molecular target identification.
  • CD44v6 and Epidermal Growth Factor Receptor (EGFR) are key targets in cancer research.

Purpose of the Study:

  • To quantify CD44v6 and EGFR expression in HNSCC patient samples.
  • To validate a single-dose (SD) radioimmunoassay for molecular target quantification.
  • To compare SD radioimmunoassay results with immunohistochemical staining.

Main Methods:

  • Validated a single-dose (SD) radioimmunoassay using 125I-labeled chimeric monoclonal antibodies (cMAb) U36 and cetuximab.
  • Applied the validated SD radioimmunoassay to quantify CD44v6 and EGFR antigen levels in HNSCC patient samples.
  • Correlated SD radioimmunoassay findings with conventional immunohistochemical (IHC) staining results.

Main Results:

  • The SD radioimmunoassay provided sensitive and quantitative measurements of CD44v6 and EGFR.
  • Results from the SD assay generally agreed with IHC staining.
  • CD44v6 expression (0.2-20 nmol/µg membrane) was significantly higher than EGFR expression (0.6-2.3 nmol/µg membrane) in HNSCC tumors, averaging 700,000 CD44v6 molecules and 90,000 EGFR molecules per cell.

Conclusions:

  • The SD radioimmunoassay is a simple, reliable method for quantifying molecular targets using small tissue amounts (50 mg).
  • This assay serves as a valuable complement to IHC in personalized cancer therapy.
  • Higher CD44v6 expression suggests its potential as a more accessible target for monoclonal antibody (MAb) therapies in HNSCC.

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