Follicle-Stimulating Hormone Receptor Is Expressed by Most Ovarian Cancer Subtypes and Is a Safe and Effective

Alfredo Perales-Puchalt1, Nikolaos Svoronos1, Melanie R Rutkowski1

  • 1Tumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.

Abstract

Insights

Engineered T cells targeting follicle-stimulating hormone receptor (FSHR) show promise for ovarian cancer treatment. These FSHR-targeted T cells demonstrated effectiveness and safety in preclinical models, offering a new therapeutic avenue.

Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Follicle-stimulating hormone receptor (FSHR) is expressed in various gynecologic malignancies.
  • FSHR presents a potential target for ovarian cancer immunotherapy.

Purpose of the Study:

  • To evaluate the safety and efficacy of T cells engineered to target FSHR-expressing ovarian cancer cells.

Main Methods:

  • FSHR expression was analyzed in ovarian cancer tissues and healthy tissues using Western blotting, immunohistochemistry, and qPCR.
  • The therapeutic potential of FSHR-targeted T cells was assessed in patient-derived xenografts and immunocompetent mouse models.

Main Results:

  • FSHR is present in diverse ovarian cancer subtypes but not in healthy non-ovarian tissues.
  • FSHR-targeted T cells induced significant tumor rejection and improved survival in preclinical models with no observable toxicity.
  • Engineered T cells persisted as memory cells and enhanced endogenous anti-tumor immunity, though exosomes in ascites posed a challenge.

Conclusions:

  • T cells redirected against FSHR-positive ovarian tumors offer a promising therapeutic strategy.
  • This approach demonstrates broad applicability across ovarian malignancies with minimal toxicity, even with FSHR presence in healthy ovaries.

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