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Targeting pediatric sarcoma with a bispecific ligand immunotoxin targeting urokinase and epidermal growth factor
Kristy Pilbeam1, Hongbo Wang1, Elizabeth Taras2
1Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN 55345, USA.
Abstract:
Children with high risk sarcoma have a poor prognosis despite surgical resection, irradiation and chemotherapy. Alternative therapies are urgently needed. Urokinase-type plasminogen activator receptor (uPAR) and epidermal growth factor receptor (EGFR) are surface proteins expressed by some pediatric sarcomas. We show for the first time that a de-immunized bispecific ligand toxin, EGFATFKDEL, directed against EGFR and uPAR, successfully targets pediatric sarcoma. Using flow cytometry, we identified a rhabdomyosarcoma (RMS) cell line, RH30, that expresses both uPAR and EGFR, and a Ewing sarcoma (EWS) cell line, TC-71, that expresses only uPAR. We tested the differential sensitivity of these two sarcoma cell lines to toxin-induced killing, using both in vitro assays and an in vivo murine model. We show that pediatric sarcomas are highly sensitive to EGFATFKDEL (at subnanomolar concentrations) in vitro. In vivo, tumor growth was significantly attenuated after treatment with EGFTFKDEL, compared to untreated controls, in both RH30 and TC-71 tumor bearing mice. In addition, we found that simultaneously targeting both receptors in a dual positive cell line was more effective than targeting a single receptor or antigen, resulting in a greater tumor response, including complete tumor regression in an animal model of bulky disease. Our findings provide support for further exploration of bispecific targeting of pediatric sarcomas with bispecific ligand toxins, such as EGFATFKDEL.
Insights
A novel bispecific ligand toxin effectively targets pediatric sarcoma by binding to epidermal growth factor receptor (EGFR) and urokinase-type plasminogen activator receptor (uPAR). Dual targeting demonstrated superior efficacy, leading to significant tumor regression in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Pediatric sarcomas have a poor prognosis despite current treatments.
- Targeting surface receptors like uPAR and EGFR presents a therapeutic opportunity.
- Novel therapeutic strategies are needed for high-risk pediatric sarcomas.
Purpose of the Study:
- To evaluate the efficacy of a novel bispecific ligand toxin, EGFATFKDEL, targeting both uPAR and EGFR in pediatric sarcoma.
- To assess the differential sensitivity of rhabdomyosarcoma and Ewing sarcoma cell lines to the toxin.
- To investigate the therapeutic potential of dual-receptor targeting in preclinical models.
Main Methods:
- Flow cytometry was used to confirm uPAR and EGFR expression in RH30 (RMS) and TC-71 (EWS) cell lines.
- In vitro cytotoxicity assays were performed to determine sensitivity to EGFATFKDEL.
- In vivo efficacy was evaluated using murine models bearing RH30 or TC-71 tumors.
Main Results:
- Pediatric sarcoma cell lines RH30 and TC-71 showed high sensitivity to EGFATFKDEL at subnanomolar concentrations in vitro.
- EGFATFKDEL treatment significantly attenuated tumor growth in both RH30 and TC-71 xenograft models.
- Simultaneous targeting of both uPAR and EGFR was more effective than single-receptor targeting, achieving complete tumor regression in a bulky disease model.
Conclusions:
- The bispecific ligand toxin EGFATFKDEL demonstrates potent preclinical efficacy against pediatric sarcomas.
- Dual targeting of uPAR and EGFR offers a promising therapeutic strategy for pediatric sarcomas.
- Further investigation of bispecific ligand toxins for pediatric sarcoma treatment is warranted.
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