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Published on: September 10, 2018
Combination antibody treatment down-regulates epidermal growth factor receptor by inhibiting endosomal recycling
Jamie B Spangler1, Jason R Neil, Sivan Abramovitch
1Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Abstract:
Due to its common dysregulation in epithelial-based cancers and extensive characterization of its role in tumor growth, epidermal growth factor receptor (EGFR) is a highly validated target for anticancer therapies. There has been particular interest in the development of monoclonal antibodies (mAbs) targeting EGFR, resulting in two approved mAb-based drugs and several others in clinical trials. It has recently been reported that treatment with combinations of noncompetitive mAbs can induce receptor clustering, leading to synergistic receptor down-regulation. We elucidate three key aspects of this phenomenon. First, we show that highly potent combinations consisting of two noncompetitive mAbs that target EGFR domain 3 reduce surface receptor levels by up to 80% with a halftime of 0.5-5 h in both normal and transformed human cell lines to an extent inversely proportional to receptor density. Second, we find the mechanism underlying down-regulation to be consistent with recycling inhibition. Third, in contrast to the agonism associated with ligand-induced down-regulation, we demonstrate that mAb-induced down-regulation does not activate EGFR or its downstream effectors and it leads to synergistic reduction in migration and proliferation of cells that secrete autocrine ligand. These new insights will aid in ongoing rational design of EGFR-targeted antibody therapeutics.
Insights
Combinations of two noncompetitive monoclonal antibodies targeting epidermal growth factor receptor (EGFR) significantly reduce receptor levels by inhibiting recycling. This EGFR antibody therapy approach offers a novel strategy for cancer treatment by reducing cell migration and proliferation.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Epidermal growth factor receptor (EGFR) is frequently dysregulated in epithelial cancers, making it a key target for anticancer therapies.
- Monoclonal antibodies (mAbs) targeting EGFR are established anticancer drugs, with ongoing development of new antibody-based therapeutics.
Purpose of the Study:
- To elucidate the mechanism and impact of noncompetitive mAb combinations on EGFR down-regulation.
- To investigate the effect of mAb-induced EGFR down-regulation on cancer cell behavior.
Main Methods:
- Utilized combinations of two noncompetitive mAbs targeting EGFR domain 3.
- Quantified surface EGFR levels and receptor down-regulation kinetics in normal and transformed human cell lines.
- Investigated the mechanism of down-regulation through recycling inhibition assays.
- Assessed EGFR activation and downstream signaling pathways.
- Evaluated the synergistic effects on cell migration and proliferation in cells with autocrine ligand secretion.
Main Results:
- Potent mAb combinations reduced surface EGFR levels by up to 80% with a half-time of 0.5-5 hours, inversely proportional to receptor density.
- The primary mechanism of EGFR reduction was identified as recycling inhibition.
- Unlike ligand-induced down-regulation, mAb-induced EGFR reduction did not activate EGFR or its downstream effectors.
- Synergistic reduction in migration and proliferation was observed in cells secreting autocrine ligand.
Conclusions:
- Noncompetitive mAb combinations provide a potent and specific method for EGFR down-regulation via recycling inhibition.
- This EGFR-targeted antibody approach offers a non-agonistic strategy that reduces cancer cell migration and proliferation.
- These findings support the rational design of novel EGFR-targeted antibody therapeutics for cancer treatment.
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