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Advances in epidermal growth factor receptor specific immunotherapy: lessons to be learned from armed antibodies
Fleury Augustin Nsole Biteghe1,2, Neelakshi Mungra3,2, Nyangone Ekome Toung Chalomie4
1Department of Radiation Oncology and Biomedical Sciences, Cedars-Sinai Medical, Los Angeles, CA, USA.
Abstract:
The epidermal growth factor receptor (EGFR) has been recognized as an important therapeutic target in oncology. It is commonly overexpressed in a variety of solid tumors and is critically involved in cell survival, proliferation, metastasis, and angiogenesis. This multi-dimensional role of EGFR in the progression and aggressiveness of cancer, has evolved from conventional to more targeted therapeutic approaches. With the advent of hybridoma technology and phage display techniques, the first anti-EGFR monoclonal antibodies (mAbs) (Cetuximab and Panitumumab) were developed. Due to major limitations including host immune reactions and poor tumor penetration, these antibodies were modified and used as guiding mechanisms for the specific delivery of readily available chemotherapeutic agents or plants/bacterial toxins, giving rise to antibody-drug conjugates (ADCs) and immunotoxins (ITs), respectively. Continued refinement of ITs led to deimmunization strategies based on depletion of B and T-cell epitopes or substitution of non-human toxins leading to a growing repertoire of human enzymes capable of inducing cell death. Similarly, the modification of classical ADCs has resulted in the first, fully recombinant versions. In this review, we discuss significant advancements in EGFR-targeting immunoconjugates, including ITs and recombinant photoactivable ADCs, which serve as a blueprint for further developments in the evolving domain of cancer immunotherapy.
Insights
Targeting the epidermal growth factor receptor (EGFR) with immunoconjugates like antibody-drug conjugates (ADCs) and immunotoxins (ITs) offers advanced cancer immunotherapy. These targeted therapies overcome limitations of early approaches for improved cancer treatment.
Area of Science:
- Oncology and Immunology
- Molecular Biology
- Drug Development
Background:
- Epidermal growth factor receptor (EGFR) is a key target in oncology due to its overexpression in solid tumors and role in cancer progression.
- EGFR's involvement in cell survival, proliferation, metastasis, and angiogenesis makes it crucial for cancer aggressiveness.
- Early anti-EGFR monoclonal antibodies (mAbs) faced limitations like immune reactions and poor tumor penetration.
Purpose of the Study:
- To review advancements in EGFR-targeting immunoconjugates for cancer immunotherapy.
- To highlight the evolution from early mAbs to antibody-drug conjugates (ADCs) and immunotoxins (ITs).
- To discuss refined strategies including deimmunization and recombinant technologies.
Main Methods:
- Review of scientific literature on EGFR-targeting immunoconjugates.
- Analysis of developments in antibody-drug conjugates (ADCs) and immunotoxins (ITs).
- Discussion of deimmunization strategies and recombinant antibody technologies.
Main Results:
- Development of antibody-drug conjugates (ADCs) and immunotoxins (ITs) by modifying anti-EGFR mAbs.
- Refinement of immunotoxins (ITs) through deimmunization and use of human enzymes.
- Creation of fully recombinant antibody-drug conjugates (ADCs).
Conclusions:
- EGFR-targeting immunoconjugates, including ITs and recombinant ADCs, represent significant progress in cancer immunotherapy.
- These advanced therapies offer improved strategies for targeted cancer treatment.
- Further developments in EGFR-targeting immunoconjugates hold promise for future cancer immunotherapy.
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