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Updated: Feb 8, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Catumaxomab with Activated T-cells Efficiently Lyses Chemoresistant EpCAM-positive Triple-negative Breast Cancer Cell
Makoto Kubo1, Masayo Umebayashi2, Kanako Kurata1
1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Background/Aim:
Epithelial cell adhesion molecule (EpCAM) is expressed in various types of cancer, including breast cancer, and is correlated with metastasis, invasion, therapeutic resistance and prognosis. Moreover, several cell surface markers, such as CD44 and EpCAM, are molecular targets on cancer stem-like cells of breast cancer. The aim of this study was to investigate whether catumaxomab, a clinical-grade bispecific antibody that binds to both EpCAM on tumor cells and CD3 on T-cells, combined with activated T-cells can eliminate chemoresistant triple-negative breast cancer (TNBC) cells in vitro.
Materials And Methods:
First, a cell line (MUK-BC1) was established from human breast carcinoma cells derived from a patient with chemoresistant and disseminated breast cancer. These EpCAM-positive TNBC cells were almost completely resistant to various drug-mediated cytotoxicities up to a concentration of 10 μg/ml.
Results:
Pre-treatment with catumaxomab and subsequent addition of interleukin-2/OKT3-activated autologous T-cells eliminated EpCAM-positive TNBC cells.
Conclusion:
Catumaxomab combined with activated T-cells may be a potent therapeutic modality to overcome chemoresistant EpCAM-positive TNBC cells.
Insights
Catumaxomab, a bispecific antibody, combined with activated T-cells effectively eliminated chemoresistant triple-negative breast cancer (TNBC) cells in vitro. This approach shows promise for treating EpCAM-positive TNBC, overcoming drug resistance.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Epithelial cell adhesion molecule (EpCAM) is a marker in various cancers, linked to metastasis and drug resistance.
- Cancer stem-like cells in breast cancer express markers like CD44 and EpCAM.
- Triple-negative breast cancer (TNBC) often exhibits chemoresistance and poor prognosis.
Purpose of the Study:
- To investigate the efficacy of catumaxomab, a bispecific antibody, in combination with activated T-cells.
- To determine if this combination can eliminate chemoresistant EpCAM-positive TNBC cells in vitro.
Main Methods:
- Established a chemoresistant, EpCAM-positive TNBC cell line (MUK-BC1) from patient-derived cells.
- Utilized catumaxomab to bridge EpCAM on tumor cells and CD3 on T-cells.
- Activated autologous T-cells with interleukin-2/OKT3 for co-culture experiments.
Main Results:
- The MUK-BC1 cell line demonstrated significant resistance to multiple chemotherapeutic agents.
- Pre-treatment with catumaxomab followed by activated T-cells led to the elimination of EpCAM-positive TNBC cells.
- The combination therapy proved effective against drug-resistant TNBC cells in vitro.
Conclusions:
- Catumaxomab in combination with activated T-cells represents a potential therapeutic strategy for chemoresistant EpCAM-positive TNBC.
- This approach may overcome therapeutic resistance in difficult-to-treat breast cancer subtypes.
- Further investigation into this immunotherapy modality is warranted.
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