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Updated: Feb 6, 2026

Author Spotlight: Advancing Personalized Medicine in Ovarian Cancer
Published on: February 23, 2024
A Single-Agent Dual-Specificity Targeting of FOLR1 and DR5 as an Effective Strategy for Ovarian Cancer
Gururaj Shivange1, Karol Urbanek1, Piotr Przanowski2
1Laboratory of Novel Biologics, University of Virginia School of Medicine, Charlottesville, VA 22908, USA; Department of Biochemistry and Molecular Genetics, University of Virginia School of Medicine, Charlottesville, VA 22908, USA; UVA Cancer Center, University of Virginia School of Medicine, Charlottesville, VA 22908, USA.
Abstract:
Therapeutic antibodies targeting ovarian cancer (OvCa)-enriched receptors have largely been disappointing due to limited tumor-specific antibody-dependent cellular cytotoxicity. Here we report a symbiotic approach that is highly selective and superior compared with investigational clinical antibodies. This bispecific-anchored cytotoxicity activator antibody is rationally designed to instigate "cis" and "trans" cytotoxicity by combining specificities against folate receptor alpha-1 (FOLR1) and death receptor 5 (DR5). Whereas the in vivo agonist DR5 signaling requires FcγRIIB interaction, the FOLR1 anchor functions as a primary clustering point to retain and maintain a high level of tumor-specific apoptosis. The presented proof of concept study strategically makes use of a tumor cell-enriched anchor receptor for agonist death receptor targeting to potentially generate a clinically viable strategy for OvCa.
Insights
This study introduces a novel bispecific antibody for ovarian cancer (OvCa) that enhances tumor cell killing. By targeting folate receptor alpha-1 (FOLR1) and death receptor 5 (DR5), it achieves superior, tumor-specific apoptosis compared to current treatments.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Therapeutic antibodies for ovarian cancer (OvCa) show limited efficacy due to poor tumor-specific cytotoxicity.
- Existing treatments often fail to achieve sufficient tumor cell killing for clinical success.
Purpose of the Study:
- To develop a novel bispecific antibody strategy for enhanced ovarian cancer treatment.
- To improve tumor-specific antibody-dependent cellular cytotoxicity in ovarian cancer.
Main Methods:
- Designed a bispecific antibody targeting folate receptor alpha-1 (FOLR1) and death receptor 5 (DR5).
- Investigated the antibody's ability to induce 'cis' and 'trans' cytotoxicity.
- Utilized FOLR1 as an anchor to cluster the antibody on tumor cells for sustained apoptosis.
Main Results:
- The bispecific antibody demonstrated superior selectivity and efficacy compared to investigational antibodies.
- FOLR1 anchoring facilitated sustained tumor-specific apoptosis via DR5 signaling.
- The approach achieved high levels of tumor-specific cell death.
Conclusions:
- A symbiotic bispecific antibody approach targeting FOLR1 and DR5 offers a promising strategy for ovarian cancer therapy.
- This method enhances tumor-specific cytotoxicity and apoptosis, potentially leading to a clinically viable treatment for OvCa.
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