Extracellular Antibody Drug Conjugates Exploiting the Proximity of Two Proteins

David J Marshall1, Scott S Harried1, John L Murphy1

  • 1Centrose, Madison, Wisconsin, USA.

Insights

New precision cancer therapy uses extracellular drug conjugates (EDCs) to target the Na+/K+-ATPase (NKA) on cancer cells. This approach achieves high selectivity and potency, offering a novel framework for cancer treatment.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Oncology

Background:

  • The Na+/K+-ATPase (NKA) is crucial for maintaining cellular resting potential.
  • NKA inhibition causes cell swelling and death, indicating its vital role.
  • Cancer cells exhibit NKA in proximity to cancer-related proteins.

Purpose of the Study:

  • To investigate targeting the NKA on cancer cells with a novel precision therapy.
  • To develop and characterize extracellular drug conjugates (EDCs) for cancer treatment.
  • To establish a framework for a new class of targeted cancer therapies.

Main Methods:

  • Covalent attachment of a small molecule NKA inhibitor to antibodies targeting cancer cell surface proteins (CD20, CD38, CD56, CD147, dysadherin).
  • Creation and testing of selective extracellular drug conjugates (EDCs).
  • Evaluation of EDC efficacy, including EC50 values and signal-to-noise ratios.

Main Results:

  • EDCs demonstrated low to mid-picomolar EC50 values and high signal-to-noise ratios (>1,000:1).
  • EDC efficacy was dependent on NKA and target protein expression on cancer cells.
  • Developed potent and selective EDCs that induce extracellular cancer cell death via necrosis-like mechanisms.

Conclusions:

  • The NKA can be effectively targeted on cancer cells using antibody-drug conjugates.
  • EDCs represent a promising new strategy for precision cancer therapy.
  • This framework enables the development of highly selective therapies targeting extracellular disease-related proteins.

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