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Published on: September 13, 2022
Epithelial cell adhesion molecule-targeted drug delivery for cancer therapy
Manuel Simon1, Nikolas Stefan, Andreas Plückthun
1University of Bern, Institute of Pharmacology, Friedbühlstrasse 49, CH-3010 Bern, Switzerland.
Introduction:
The epithelial cell adhesion molecule (EpCAM) is abundantly expressed in epithelial tumors, on cancer stem cells and circulating tumor cells. Together with its role in oncogenic signaling, this has sparked interest in its potential for tumor targeting with antibodies and drug conjugates for safe and effective cancer therapy. Recent advances in protein engineering, linker design and drug formulations have provided a multitude of EpCAM-targeting anticancer agents, several of them with good perspectives for clinical development.
Areas Covered:
This article reviews the biological, therapeutic and technical aspects of EpCAM-targeted drug delivery for cancer therapy. The authors discuss seminal findings, which distinguish EpCAM as a target with oncogenic function and abundant expression in epithelial tumors. Moreover, recent trends in engineering improved anti-EpCAM antibodies, binding proteins that are not derived from immunoglobulins and drug conjugates derived from them are highlighted and their therapeutic potential based on reported preclinical and clinical data, originality of design and perspectives are critically assessed.
Expert Opinion:
EpCAM has shown promise for safe and efficient targeting of solid tumors using antibodies, alternative binding molecules and novel drug conjugates. Among the myriad of EpCAM-targeting drug delivery systems investigated so far, several could demonstrate therapeutic benefit, other formulations engineered to become tailor-made missiles are on the brink.
Insights
Epithelial cell adhesion molecule (EpCAM) is a promising target for cancer therapy. Novel EpCAM-targeted drug delivery systems show potential for effective and safe treatment of solid tumors.
Area of Science:
- Oncology
- Molecular Biology
- Drug Delivery
Background:
- Epithelial cell adhesion molecule (EpCAM) is highly expressed in epithelial tumors, cancer stem cells, and circulating tumor cells.
- EpCAM's role in oncogenic signaling makes it an attractive target for cancer therapy.
- Its abundance and function have driven interest in EpCAM-targeted therapies.
Purpose of the Study:
- To review the biological, therapeutic, and technical aspects of EpCAM-targeted drug delivery for cancer treatment.
- To critically assess the therapeutic potential of novel EpCAM-targeting agents.
- To highlight recent advancements in EpCAM-targeted therapy development.
Main Methods:
- Review of seminal findings on EpCAM's oncogenic function and expression.
- Analysis of recent trends in engineering anti-EpCAM antibodies and alternative binding proteins.
- Assessment of drug conjugates derived from EpCAM-targeting molecules.
Main Results:
- EpCAM is a validated target for antibody and drug conjugate-based cancer therapy.
- Advances in protein engineering and drug formulation have yielded numerous EpCAM-targeting agents.
- Several EpCAM-targeted therapies demonstrate significant preclinical and clinical promise.
Conclusions:
- EpCAM-targeted drug delivery systems offer a promising strategy for safe and effective solid tumor treatment.
- Various EpCAM-targeting agents, including antibodies and drug conjugates, have shown therapeutic benefits.
- Ongoing research and development are poised to deliver advanced, tailor-made EpCAM-targeting therapies.
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