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Updated: Mar 1, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Bi-specific molecule against EGFR and death receptors simultaneously targets proliferation and death pathways in
Yanni Zhu1,2, Nicole Bassoff1,2, Clemens Reinshagen1,3,2,4
1Center for Stem Cell Therapeutics and Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, 02114, USA.
Abstract:
Developing therapeutics that target multiple receptor signaling pathways in tumors is critical as therapies targeting single specific biomarker/pathway have shown limited efficacy in patients with cancer. In this study, we extensively characterized a bi-functional molecule comprising of epidermal growth factor receptor (EGFR) targeted nanobody (ENb) and death receptor (DR) targeted ligand TRAIL (ENb-TRAIL). We show that ENb-TRAIL has therapeutic efficacy in tumor cells from different cancer types which do not respond to either EGFR antagonist or DR agonist monotherapies. Utilizing pharmacological inhibition, genetic loss of function and FRET studies, we show that ENb-TRAIL blocks EGFR signalling via the binding of ENb to EGFR which in turn induces DR5 clustering at the plasma membrane and thereby primes tumor cells to caspase-mediated apoptosis. In vivo, using a clinically relevant orthotopic resection model of primary glioblastoma and engineered stem cells (SC) expressing ENb-TRAIL, we show that the treatment with synthetic extracellular matrix (sECM) encapsulated SC-ENb-TRAIL alleviates tumor burden and significantly increases survival. This study is the first to report novel mechanistic insights into simultaneous targeting of receptor-mediated proliferation and cell death signaling pathways in different tumor types and presents a promising approach for translation into the clinical setting.
Insights
A novel bifunctional molecule, ENb-TRAIL, simultaneously targets EGFR and death receptors, showing efficacy in diverse cancers resistant to single-target therapies. This approach offers a promising new strategy for cancer treatment by blocking tumor growth and inducing cell death.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Single-target cancer therapies often exhibit limited efficacy due to tumor heterogeneity and pathway redundancy.
- Developing multi-targeted therapeutics is crucial for overcoming resistance and improving patient outcomes in cancer treatment.
Purpose of the Study:
- To characterize a novel bifunctional molecule, ENb-TRAIL, targeting both epidermal growth factor receptor (EGFR) and death receptors (DR).
- To investigate the therapeutic efficacy and underlying mechanisms of ENb-TRAIL in various cancer types, particularly those resistant to monotherapies.
- To evaluate the in vivo efficacy of ENb-TRAIL in a glioblastoma model.
Main Methods:
- Characterization of the bifunctional ENb-TRAIL molecule.
- In vitro studies using pharmacological inhibition, genetic loss of function, and Förster Resonance Energy Transfer (FRET).
- In vivo studies using an orthotopic glioblastoma resection model with engineered stem cells (SC) encapsulated in synthetic extracellular matrix (sECM).
Main Results:
- ENb-TRAIL demonstrated therapeutic efficacy in cancer cells resistant to EGFR antagonist or DR agonist monotherapies.
- ENb-TRAIL blocks EGFR signaling, induces DR5 clustering, and primes cells for caspase-mediated apoptosis.
- In vivo treatment with sECM-encapsulated SC-ENb-TRAIL significantly reduced tumor burden and increased survival in a glioblastoma model.
Conclusions:
- ENb-TRAIL offers a novel dual-targeting strategy for cancer therapy by simultaneously inhibiting proliferation and inducing apoptosis.
- This approach provides new mechanistic insights into targeting multiple receptor signaling pathways.
- ENb-TRAIL presents a promising candidate for clinical translation in treating diverse cancer types.
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