Antitumor activity of an engineered decoy receptor targeting CLCF1-CNTFR signaling in lung adenocarcinoma

Jun W Kim1, Cesar P Marquez2,3, Kaja Kostyrko2

  • 1Department of Bioengineering, Stanford University, Stanford, CA, USA.

Nature Medicine
|November 9, 2019
PubMed

Insights

Blocking cardiotrophin-like cytokine factor 1 (CLCF1) with a novel soluble receptor (eCNTFR-Fc) inhibits lung adenocarcinoma (LUAD) growth. This targeted therapy is most effective in KRAS-mutated LUAD, offering a new therapeutic strategy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Proinflammatory cytokines in the tumor microenvironment can drive tumor progression.
  • The cardiotrophin-like cytokine factor 1 (CLCF1)-ciliary neurotrophic factor receptor (CNTFR) signaling axis plays a role in lung adenocarcinoma (LUAD).
  • Targeting cytokine signaling in cancer remains an underexploited therapeutic avenue.

Purpose of the Study:

  • To validate the functional role of the CLCF1-CNTFR axis in LUAD.
  • To develop and test a novel therapeutic agent targeting CLCF1.
  • To investigate the efficacy of CLCF1 blockade in preclinical LUAD models.

Main Methods:

  • Generation of a high-affinity soluble receptor, eCNTFR-Fc, to sequester CLCF1.
  • Evaluation of eCNTFR-Fc efficacy in multiple LUAD xenograft models.
  • Assessment of eCNTFR-Fc in an autochthonous, genetically engineered mouse model of LUAD (Kras-driven, Trp53-null).

Main Results:

  • eCNTFR-Fc effectively inhibits tumor growth in various LUAD models.
  • Therapeutic efficacy is most pronounced in LUAD driven by oncogenic KRAS mutations.
  • The effectiveness correlates with KRAS mutations retaining guanosine triphosphate (GTP) hydrolysis capacity, suggesting a mechanism linked to GTP loading.

Conclusions:

  • Blockade of the CLCF1-CNTFR signaling pathway is a promising therapeutic strategy for LUAD.
  • eCNTFR-Fc demonstrates significant preclinical anti-tumor activity, particularly in KRAS-mutated LUAD.
  • Targeting CLCF1 represents a novel therapeutic opportunity for LUAD and potentially other cancers with CLCF1 presence.