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Induction of Invasive Transitional Cell Bladder Carcinoma in Immune Intact Human MUC1 Transgenic Mice: A Model for Immunotherapy Development
Published on: October 30, 2013
Mucosally restricted antigens as novel immunological targets for antitumor therapy
Adam E Snook1, Benjamin J Stafford, Laurence C Eisenlohr
1Thomas Jefferson University, Department of Pharmacology and Experimental Therapeutics, Philadelphia, PA, USA. adam.snook@jefferson.edu
Abstract:
Colorectal cancer is the third most common malignancy and the second most common cause of cancer-related mortality worldwide. While surgery remains the mainstay of therapy, approximately 50% of persons who undergo resection develop parenchymal metastatic disease. Unfortunately, current therapeutic regimens offer little improvement in survival. Using immunotherapy to fill this therapeutic gap has enjoyed limited success, reflecting a paucity of tumor-associated antigens. In that context, there is a significant unrealized opportunity to exploit structural and functional immune system compartmentalization to generate a therapeutic immune response against metastatic colorectal tumors employing biomarkers whose expression is normally confined to intestinal epithelial cells and their derivative malignancies. This novel class of biomarkers, here termed cancer mucosa antigens, may fill the unmet therapeutic need for colorectal cancer-associated immune targets. As a concrete example, guanylyl cyclase C is an intestinal mucosa-specific biomarker ideally suited to test this hypothesis and serve as the first cancer mucosa antigen for colorectal cancer immunotherapy. Here, we discuss colorectal cancer immunity, immune compartmentalization and preliminary results targeting guanylyl cyclase C in mouse models of colorectal cancer, as well as the potential paradigm shift to employing cancer mucosa antigens in immunotherapy of colorectal cancer.
Insights
Colorectal cancer immunotherapy shows promise by targeting novel cancer mucosa antigens, like guanylyl cyclase C, to combat metastatic disease. This approach exploits immune system compartmentalization for better therapeutic outcomes.
Area of Science:
- Oncology
- Immunology
- Biomarker Discovery
Background:
- Colorectal cancer is a leading cause of cancer mortality globally.
- Current treatments, including surgery, have limited efficacy against metastatic disease, with ~50% of patients developing metastases.
- Existing immunotherapies face challenges due to a lack of specific tumor-associated antigens.
Purpose of the Study:
- To explore the potential of targeting cancer mucosa antigens for colorectal cancer immunotherapy.
- To investigate the use of immune system compartmentalization to generate therapeutic responses against metastatic colorectal tumors.
- To validate guanylyl cyclase C as a novel, intestinal mucosa-specific target for colorectal cancer immunotherapy.
Main Methods:
- Review of colorectal cancer immunity and immune compartmentalization principles.
- Discussion of preliminary results from targeting guanylyl cyclase C in mouse models of colorectal cancer.
- Exploration of the paradigm shift towards using cancer mucosa antigens in cancer immunotherapy.
Main Results:
- Identified a novel class of biomarkers, termed cancer mucosa antigens, with potential for colorectal cancer immunotherapy.
- Guanylyl cyclase C demonstrated suitability as an intestinal mucosa-specific target.
- Preliminary data in mouse models suggest the feasibility of targeting guanylyl cyclase C.
Conclusions:
- Cancer mucosa antigens represent a promising new avenue for colorectal cancer immunotherapy.
- Targeting guanylyl cyclase C offers a potential strategy to overcome limitations of current treatments.
- Exploiting immune compartmentalization with specific biomarkers could significantly improve therapeutic efficacy for colorectal cancer.
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