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Bispecific Targeting of EGFR and Urokinase Receptor (uPAR) Using Ligand-Targeted Toxins in Solid Tumors
Felix Oh1,2, Jaime F Modiano2,3, Veronika Bachanova2,4
1School of Medicine, Department of Radiation Oncology, University of Minnesota, Minneapolis, MN 55455 USA.
Abstract:
Ligand-targeted toxins (LTTs) are bioengineered molecules which are composed of a targeting component linked to a toxin that induces cell death once the LTT binds its target. Bispecific targeting allows for the simultaneous targeting of two receptors. In this review, we mostly focus on the epidermal growth factor receptor (EGFR) as a target. We discuss the development and testing of a bispecific LTT targeting EGFR and urokinase-type plasminogen activator receptor (uPAR) as two attractive targets implicated in tumor growth and in the regulation of the tumor microvasculature in solid tumors. In vitro and mouse xenograft studies have shown that EGFR-targeted bispecific angiotoxin (eBAT) is effective against human solid tumors. Canine studies have shown that eBAT is both safe and effective against canine hemangiosarcoma, which is physiologically similar to human angiosarcoma. Finding the appropriate dosing strategy and sequencing of eBAT administration, in combination with other therapeutics, are among important factors for future directions. Together, the data indicate that eBAT targets cancer stem cells, it may have a role in inhibiting human tumor vasculature, and its bispecific conformation may have a role in reducing toxicity in comparative oncologic trials in dogs.
Insights
Bispecific ligand-targeted toxins (LTTs) targeting EGFR and uPAR show promise in treating solid tumors. This bispecific angiotoxin (eBAT) demonstrated safety and efficacy in canine hemangiosarcoma models.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Ligand-targeted toxins (LTTs) are engineered molecules combining a targeting ligand with a cell-killing toxin.
- Bispecific targeting enables simultaneous engagement of two distinct cellular receptors.
- The epidermal growth factor receptor (EGFR) and urokinase-type plasminogen activator receptor (uPAR) are key targets in solid tumor progression.
Purpose of the Study:
- To review the development and efficacy of a bispecific LTT targeting both EGFR and uPAR.
- To evaluate the potential of this bispecific molecule, eBAT, in preclinical cancer models.
- To discuss future directions for optimizing eBAT therapy.
Main Methods:
- Development of a bispecific ligand-targeted toxin (eBAT) engineered to target EGFR and uPAR.
- In vitro and in vivo testing in mouse xenograft models of human solid tumors.
- Preclinical evaluation in canine hemangiosarcoma models due to physiological similarities with human angiosarcoma.
Main Results:
- EGFR-targeted bispecific angiotoxin (eBAT) demonstrated effectiveness against human solid tumors in vitro and in mouse xenografts.
- Canine studies confirmed eBAT's safety and efficacy in treating hemangiosarcoma.
- eBAT exhibits potential for targeting cancer stem cells and inhibiting tumor vasculature.
Conclusions:
- Bispecific LTTs, such as eBAT, represent a promising therapeutic strategy for solid tumors.
- The bispecific design may contribute to reduced toxicity, as suggested by comparative oncologic trials in dogs.
- Further research into dosing strategies and combination therapies is warranted to optimize eBAT's clinical application.
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