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Published on: May 14, 2021
Fibronectin-targeted drug delivery in cancer
Heena Kumra1, Dieter P Reinhardt1
1Faculty of Medicine, Department of Anatomy and Cell Biology, McGill University, Montreal, QC H3A 0C7, Canada; Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada.
Abstract:
Fibronectin is an extracellular matrix protein with pivotal physiological and pathological functions in development and adulthood. Alternative splicing of the precursor mRNA, produced from the single copy fibronectin gene, occurs at three sites coding for the EDA, EDB and IIICS domains. Fibronectin isoforms comprising the EDA or EDB domains are known as oncofetal forms due to their developmental importance and their re-expression in tumors, contrasting with restricted presence in normal adult tissues. These isoforms are also recognized as important markers of angiogenesis, a crucial physiological process in development and required by tumor cells in cancer progression. Attributed to this feature, EDA and EDB domains have been extensively used for the targeted delivery of cytokines, cytotoxic agents, chemotherapy drugs and radioisotopes to fibronectin-expressing tumors to exert therapeutic effects on primary cancers and metastatic lesions. In addition to drug delivery, the EDA and EDB domains of fibronectin have also been utilized to develop imaging strategies for tumor tissues. Furthermore, EDA and EDB based vaccines seem to be promising for the treatment and prevention of certain cancer types. In this review, we will summarize recent advances in fibronectin EDA and EDB-based therapeutic strategies developed to treat cancer.
Insights
Fibronectin
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Fibronectin is an extracellular matrix protein with critical roles in development and disease.
- Alternative splicing creates fibronectin isoforms, including oncofetal forms (EDA, EDB) re-expressed in tumors.
- These oncofetal fibronectin isoforms are key markers of angiogenesis, vital for tumor growth.
Purpose of the Study:
- To review recent advancements in fibronectin EDA and EDB domain-based therapeutic strategies for cancer treatment.
- To highlight the use of these domains in targeted drug delivery, imaging, and vaccine development for various cancers.
Main Methods:
- This review synthesizes findings from preclinical and clinical studies on fibronectin-targeted cancer therapies.
- Literature search focused on therapeutic applications utilizing fibronectin EDA and EDB domains.
Main Results:
- Fibronectin EDA and EDB domains are effectively targeted for delivering therapeutic agents (cytokines, drugs, radioisotopes) to tumors.
- These domains facilitate the development of novel imaging strategies for tumor detection and characterization.
- Fibronectin EDA and EDB-based vaccines show promise for cancer prevention and treatment.
Conclusions:
- Fibronectin EDA and EDB domains represent valuable targets for developing innovative cancer therapies.
- Targeted delivery, imaging, and vaccine strategies based on these domains offer significant therapeutic potential.
- Further research into fibronectin-based approaches could lead to improved cancer treatment outcomes.
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