Simultaneously targeting cancer-associated fibroblasts and angiogenic vessel as a treatment for TNBC

Malvika Sharma1, Ravi Chakra Turaga1, Yi Yuan1

  • 1Department of Biology, Georgia State University, Atlanta, GA.

Insights

ProAgio, a novel protein therapy, targets integrin αvβ3 to induce apoptosis in cancer-associated fibroblasts and endothelial cells. This approach reduces tumor fibrosis and hypoxia, enhancing chemotherapy effectiveness and improving survival in triple-negative breast cancer models.

Area of Science:

  • Oncology
  • Cancer Biology
  • Drug Development

Background:

  • Triple-negative breast cancer (TNBC) is characterized by a fibrotic tumor stroma that promotes cancer progression and chemoresistance.
  • Integrin αvβ3 is highly expressed on cancer-associated fibroblasts (CAFs) and angiogenic endothelial cells (aECs) within TNBC tumors.
  • Targeting integrin αvβ3 presents a potential therapeutic strategy for TNBC.

Purpose of the Study:

  • To evaluate the efficacy of a rationally designed protein, ProAgio, targeting integrin αvβ3 at a novel site for TNBC treatment.
  • To investigate ProAgio's mechanism of action, including its effects on CAFs, aECs, tumor microenvironment, and therapeutic resistance.
  • To assess the therapeutic potential of ProAgio, alone or in combination with chemotherapy, in preclinical TNBC models.

Main Methods:

  • Administration of ProAgio, a protein targeting integrin αvβ3, to TNBC murine models.
  • Assessment of ProAgio's effects on CAF and aEC apoptosis, intratumoral collagen levels, growth factor release, and tumor hypoxia.
  • Evaluation of ProAgio's impact on cancer cell proliferation, apoptotic resistance, and metastasis.
  • Combination therapy studies involving ProAgio and a chemotherapeutic agent.

Main Results:

  • ProAgio effectively induced apoptosis in CAFs and aECs expressing integrin αvβ3.
  • Depletion of CAFs by ProAgio led to reduced intratumoral collagen, decreased growth factor release, and diminished cancer cell proliferation and resistance to apoptosis.
  • ProAgio treatment reduced tumor hypoxia by eliminating leaky angiogenic vessels, thereby improving drug delivery.
  • ProAgio decreased lysyl oxidase (LOX) secretion, potentially reducing metastasis.
  • ProAgio demonstrated a survival benefit as a standalone therapy or in combination with chemotherapy in TNBC models.

Conclusions:

  • ProAgio effectively targets integrin αvβ3 on CAFs and aECs, disrupting the tumor microenvironment in TNBC.
  • ProAgio's ability to reduce fibrosis, normalize vasculature, and decrease hypoxia enhances chemotherapeutic efficacy and survival.
  • ProAgio represents a promising therapeutic strategy for triple-negative breast cancer, warranting further clinical investigation.