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Updated: Feb 16, 2026

An Ex vivo Model to Study Hormone Action in the Human Breast
Published on: January 8, 2015
An Anti-GDNF Family Receptor Alpha 1 (GFRA1) Antibody-Drug Conjugate for the Treatment of Hormone Receptor-Positive
Sunil Bhakta1, Lisa M Crocker2, Yvonne Chen2
1Genentech, Inc., 1 DNA Way, South San Francisco, California. sbhakta@gene.com jagathjr@gmail.com.
Abstract:
Luminal A (hormone receptor-positive) breast cancer constitutes 70% of total breast cancer patients. In an attempt to develop a targeted therapeutic for this cancer indication, we have identified and characterized Glial cell line-Derived Neurotrophic Factor (GDNF) Family Receptor Alpha 1 (GFRA1) antibody-drug conjugates (ADC) using a cleavable valine-citrulline-MMAE (vcMMAE) linker-payload. RNAseq and IHC analysis confirmed the abundant expression of GFRA1 in luminal A breast cancer tissues, whereas minimal or no expression was observed in most normal tissues. Anti-GFRA-vcMMAE ADC internalized to the lysosomes and exhibited target-dependent killing of GFRA1-expressing cells both in vitro and in vivo The ADCs using humanized anti-GFRA1 antibodies displayed robust therapeutic activity in clinically relevant cell line-derived (MCF7 and KPL-1) tumor xenograft models. The lead anti-GFRA1 ADC cross-reacts with rodent and cynomolgus monkey GFRA1 antigen and showed optimal pharmacokinetic properties in both species. These properties subsequently enabled a target-dependent toxicity study in rats. Anti-GFRA1 ADC is well tolerated in rats, as seen with other vcMMAE linker-payload based ADCs. Overall, these data suggest that anti-GFRA1-vcMMAE ADC may provide a targeted therapeutic opportunity for luminal A breast cancer patients. Mol Cancer Ther; 17(3); 638-49. ©2017 AACR.
Insights
Researchers developed a novel antibody-drug conjugate targeting Glial cell line-Derived Neurotrophic Factor (GDNF) Family Receptor Alpha 1 (GFRA1) for Luminal A breast cancer. This targeted therapy demonstrated significant efficacy in preclinical models, offering a promising new treatment avenue.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Luminal A breast cancer, a hormone receptor-positive subtype, accounts for 70% of all breast cancer cases.
- There is a critical need for targeted therapeutics to improve outcomes for Luminal A breast cancer patients.
Purpose of the Study:
- To identify and characterize novel antibody-drug conjugates (ADCs) targeting Glial cell line-Derived Neurotrophic Factor (GDNF) Family Receptor Alpha 1 (GFRA1) for Luminal A breast cancer treatment.
Main Methods:
- Utilized RNA sequencing and immunohistochemistry (IHC) to confirm GFRA1 expression in breast cancer tissues.
- Developed and tested anti-GFRA1 ADCs with a cleavable valine-citrulline-MMAE (vcMMAE) linker-payload.
- Evaluated ADC efficacy and pharmacokinetics in vitro, in vivo xenograft models (MCF7, KPL-1), and non-human primates.
Main Results:
- Confirmed abundant GFRA1 expression in Luminal A breast cancer tissues, with minimal expression in normal tissues.
- Anti-GFRA1-vcMMAE ADC demonstrated target-dependent cell killing and internalized to lysosomes.
- Showcased robust therapeutic activity in preclinical xenograft models and favorable pharmacokinetic profiles in multiple species.
Conclusions:
- Anti-GFRA1-vcMMAE ADC exhibits potent anti-tumor activity and a favorable safety profile in preclinical studies.
- These findings suggest that anti-GFRA1-vcMMAE ADC represents a promising targeted therapeutic strategy for Luminal A breast cancer.
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