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Glycoprotein non-metastatic b (GPNMB): A metastatic mediator and emerging therapeutic target in cancer
Gordana Maric1, April An Rose, Matthew G Annis
1Goodman Cancer Research Centre, McGill University, Montréal, Québec, Canada ; Department of Medicine, McGill University, Montréal, Québec, Canada.
Abstract:
Molecularly targeted therapies are rapidly growing with respect to their clinical development and impact on cancer treatment due to their highly selective anti-tumor action. However, many aggressive cancers such as triple-negative breast cancer (TNBC) currently lack well-defined therapeutic targets against which such agents can be developed. The identification of tumor-associated antigens and the generation of antibody drug-conjugates represent an emerging area of intense interest and growth in the field of cancer therapeutics. Glycoprotein non-metastatic b (GPNMB) has recently been identified as a gene that is over-expressed in numerous cancers, including TNBC, and often correlates with the metastatic phenotype. In breast cancer, GPNMB expression in the tumor epithelium is associated with a reduction in disease-free and overall survival. Based on these findings, glembatumumab vedotin (CDX-011), an antibody-drug conjugate that selectively targets GPNMB, is currently being investigated in clinical trials for patients with metastatic breast cancer and unresectable melanoma. This review discusses the physiological and potential pathological roles of GPNMB in normal and cancer tissues, respectively, and details the clinical advances and challenges in targeting GPNMB-expressing malignancies.
Insights
Glycoprotein non-metastatic b (GPNMB) is overexpressed in aggressive cancers like triple-negative breast cancer, correlating with metastasis. Targeting GPNMB with antibody-drug conjugates like glembatumumab vedotin shows promise for new cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Molecularly targeted therapies offer selective anti-tumor action but lack targets in aggressive cancers like triple-negative breast cancer (TNBC).
- Identifying tumor-associated antigens is crucial for developing novel antibody-drug conjugates (ADCs).
- Glycoprotein non-metastatic b (GPNMB) is overexpressed in various cancers, including TNBC, and linked to metastasis and reduced survival in breast cancer.
Purpose of the Study:
- To review the roles of GPNMB in normal and cancerous tissues.
- To detail the clinical development of GPNMB-targeting therapies, specifically glembatumumab vedotin (CDX-011).
- To discuss advances and challenges in targeting GPNMB-expressing malignancies.
Main Methods:
- Literature review of GPNMB's physiological and pathological roles.
- Analysis of clinical trial data for glembatumumab vedotin (CDX-011).
- Discussion of antibody-drug conjugate strategies targeting GPNMB.
Main Results:
- GPNMB overexpression is associated with poor prognosis in breast cancer.
- GPNMB is a validated target for antibody-drug conjugates in clinical trials.
- Glembatumumab vedotin (CDX-011) is under investigation for metastatic breast cancer and melanoma.
Conclusions:
- GPNMB represents a promising therapeutic target for aggressive cancers.
- Targeting GPNMB with ADCs like glembatumumab vedotin offers a new avenue for cancer treatment.
- Further clinical investigation is needed to overcome challenges in GPNMB-targeted therapy.
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