A GPC2 antibody-drug conjugate is efficacious against neuroblastoma and small-cell lung cancer via binding a

Swetha Raman1, Samantha N Buongervino2, Maria V Lane2

  • 1Program in Molecular Medicine, Hospital for Sick Children Research Institute, Toronto, ON M5G 0A4, Canada.

Cell Reports. Medicine
|August 2, 2021
PubMed

Insights

Glypican 2 (GPC2) is a target for neuroblastoma and small-cell lung cancer (SCLC) therapies. An antibody-drug conjugate targeting GPC2 effectively reduced tumors in preclinical models without toxicity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunotherapy

Background:

  • Glypican 2 (GPC2) is a MYCN-regulated oncoprotein found on neuroblastoma cells, making it a potential target for immunotherapy.
  • GPC2 expression is also identified in small-cell lung cancer (SCLC) and enriches within the stem cell compartments of both SCLC and neuroblastoma.

Purpose of the Study:

  • To investigate the potential of GPC2 as a therapeutic target in SCLC.
  • To characterize the binding and efficacy of a GPC2-directed antibody-drug conjugate (ADC).

Main Methods:

  • Crystal structure determination of the D3-GPC2-Fab/GPC2 complex.
  • Development and testing of a GPC2-specific ADC (D3-GPC2-PBD) comprising a GPC2 antibody and a DNA-damaging agent.
  • Evaluation of ADC efficacy in preclinical neuroblastoma and SCLC models, assessing tumor regression, DNA damage, apoptosis, and bystander effects.

Main Results:

  • The crystal structure revealed that the D3 antibody binds a specific epitope on the GPC2 extracellular domain.
  • The D3-GPC2-PBD ADC demonstrated durable tumor regression in both neuroblastoma and SCLC models.
  • ADC treatment induced DNA damage and apoptosis, leading to significant tumor regression and bystander cell killing.
  • No significant in vivo toxicity was observed with the GPC2-targeted ADC.

Conclusions:

  • GPC2 is a promising therapeutic target for both neuroblastoma and SCLC, particularly within the cancer stem cell populations.
  • GPC2-targeted ADCs, such as D3-GPC2-PBD, show significant preclinical efficacy and a favorable safety profile.
  • These findings support the clinical translation of GPC2-targeting ADCs for treating neuroblastoma and SCLC.

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