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Updated: Feb 10, 2026

Author Spotlight: Optimizing Antibody-Based Cancer Treatments via Antibody-Dependent, Cell-Mediated Cytotoxicity Assay
Published on: September 13, 2024
Anticancer activity and antibody-dependent cell-mediated cytotoxicity of novel anti-nucleolin antibodies
Sofia Romano1,2, Vera Moura1,3, Sérgio Simões1,4
1CNC - Center for Neuroscience and Cell Biology, Faculty of Medicine (Pólo I), University of Coimbra, Rua Larga, 3004-504, Coimbra, Portugal.
Abstract:
Nucleolin arises as a relevant target for cancer therapy, as it is overexpressed at the surface of cancer and angiogenic endothelial cells thus enabling a dual cellular targeting strategy. Immunotherapeutic strategies, albeit of proven therapeutic relevance, have been scarcely explored against this target. Therefore, this work aimed at engineering an anti-nucleolin VHH-based antibody capable of triggering anticancer immune responses. Herein, anti-nucleolin VHHs have been generated upon grafting F3 peptide-derived nucleolin-binding sequences onto a VHH CDR1 or CDR3. One of these nucleolin-binding CDR3-grafted VHH was subsequently fused to a human IgG1 Fc region, enabling a significant antibody-dependent cell-mediated cytotoxicity (ADCC). The generated anti-nucleolin VHH revealed increased binding and antiproliferative effects against cancer cells, relative to the parental VHH, while the VHH-Fc counterpart presented increased cytotoxicity relative to the corresponding VHH. This VHH-Fc also triggered an ADCC effect, in the nanomolar range, against a nucleolin-overexpressing cancer cell line. This effect was evidenced by a 2 or 1.7-fold increase of cell death, in the presence of PBMCs, relative to the parental VHH-Fc or the VHH counterpart, respectively. Overall, these formats represent the first anti-nucleolin VHHs and the first anti-nucleolin antibody with ADCC activity that have been successfully developed.
Insights
Researchers engineered novel anti-nucleolin VHH antibodies for cancer therapy. A VHH-Fc fusion protein demonstrated significant antibody-dependent cell-mediated cytotoxicity (ADCC) against cancer cells.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Nucleolin is overexpressed on cancer and angiogenic endothelial cells, making it a promising dual-targeting strategy for cancer therapy.
- Immunotherapeutic strategies against nucleolin are underexplored despite their therapeutic potential.
Purpose of the Study:
- To engineer novel anti-nucleolin VHH-based antibodies capable of eliciting anticancer immune responses.
- To develop an antibody format that can trigger antibody-dependent cell-mediated cytotoxicity (ADCC).
Main Methods:
- Generation of anti-nucleolin VHHs by grafting nucleolin-binding sequences onto VHH CDR1 or CDR3.
- Fusion of a nucleolin-binding CDR3-grafted VHH to a human IgG1 Fc region to create a VHH-Fc fusion protein.
- Assessment of binding affinity, antiproliferative effects, and ADCC activity against cancer cells.
Main Results:
- Engineered anti-nucleolin VHHs showed enhanced binding and antiproliferative effects compared to parental VHH.
- The VHH-Fc fusion protein exhibited increased cytotoxicity and triggered significant ADCC in the nanomolar range.
- ADCC activity resulted in a 2-fold or 1.7-fold increase in cancer cell death in the presence of PBMCs.
Conclusions:
- The developed anti-nucleolin VHHs are the first of their kind.
- The VHH-Fc fusion protein is the first anti-nucleolin antibody demonstrating ADCC activity.
- These findings pave the way for novel immunotherapeutic strategies targeting nucleolin in cancer treatment.
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