Efficacy of SCF drug conjugate targeting c-KIT in gastrointestinal stromal tumor

Dengyang Zhang1, Chunxiao He1, Yao Guo1

  • 1Edmond H. Fischer Translational Medical Research Laboratory, Scientific Research Center, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, 518107, Guangdong, China.

BMC Medicine
|August 23, 2022
PubMed
Abstract

Insights

A novel drug conjugate, stem cell factor-emtansine (SCF-DM1), effectively targets gastrointestinal stromal tumor (GIST) cells, including imatinib-resistant types. This conjugate shows promise as a new therapeutic strategy for GIST treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Development

Background:

  • Gastrointestinal stromal tumor (GIST) is a rare cancer often driven by KIT mutations.
  • Imatinib therapy is effective but limited by acquired drug resistance.
  • Targeting KIT, the receptor for stem cell factor (SCF), is a key therapeutic strategy.

Purpose of the Study:

  • To develop a novel drug conjugate for GIST treatment.
  • To evaluate the efficacy of SCF-emtansine (SCF-DM1) against imatinib-sensitive and -resistant GIST.
  • To assess the safety and efficacy of SCF-DM1 in preclinical models.

Main Methods:

  • Recombinant human SCF (rhSCF) was produced and purified.
  • rhSCF was conjugated with DM1 to create SCF-DM1.
  • In vitro cell-based assays and in vivo xenograft mouse models were used for evaluation.

Main Results:

  • SCF-DM1 demonstrated potent inhibition of GIST cell lines and primary cells (IC50 < 30 nM).
  • The conjugate induced apoptosis and cell cycle arrest in GIST cells.
  • SCF-DM1 exhibited favorable efficacy and safety profiles in a xenograft mouse model.

Conclusions:

  • Recombinant human SCF serves as an effective drug delivery vector for KIT-positive GIST.
  • SCF-DM1 represents a promising drug candidate for treating both imatinib-sensitive and -resistant GIST.