A mAb against surface-expressed FSHR engineered to engage adaptive immunity for ovarian cancer immunotherapy

Devivasha Bordoloi1, Pratik S Bhojnagarwala1, Alfredo Perales-Puchalt1

  • 1Vaccine & Immunotherapy Center and.

JCI Insight
|December 12, 2022
PubMed

Insights

Researchers developed a novel antibody targeting the follicle-stimulating hormone receptor (FSHR) to treat ovarian cancer (OC). This antibody, D2AP11, effectively eliminated OC cells and reduced tumor burden in preclinical models, showing promise for new ovarian cancer therapies.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Recurrent ovarian cancer (OC) presents a significant therapeutic challenge with poor prognosis.
  • Targeting tumor cells while engaging the tumor microenvironment (TME) is crucial for effective OC treatment.
  • Identifying tumor-specific surface targets is essential to minimize off-target effects in OC therapy.

Purpose of the Study:

  • To develop novel biologics targeting the follicle-stimulating hormone receptor (FSHR) for ovarian cancer treatment.
  • To generate and characterize a potent monoclonal antibody (mAb) against the external domain of FSHR.
  • To evaluate the efficacy of an FSHR-targeted bispecific T cell engager (TCE) in preclinical OC models.

Main Methods:

  • Generation of FSHR-targeting mAbs using an in vivo-expressed FSHR vector.
  • High-throughput flow analysis for mAb clone selection, identifying D2AP11.
  • Development of a D2AP11-based bispecific T cell engager (TCE).
  • In vitro assessment of D2AP11-TCE-mediated T cell killing of OC lines.
  • Evaluation of D2AP11-TCE in reducing tumor burden in OC-challenged mouse models.

Main Results:

  • D2AP11 effectively targets FSHR on various OC cell lines, including those with BRCA1/2 mutations and therapy resistance.
  • D2AP11-TCE induced potent and specific killing of diverse genetic and immune-evasive OC lines in vitro.
  • D2AP11-TCE demonstrated significant tumor burden reduction in preclinical OC mouse models.
  • The D2AP11-TCE exhibited low EC50 values in the ng/ml range for OC cell killing.

Conclusions:

  • FSHR is a viable surface target for ovarian cancer therapy.
  • The D2AP11 mAb and its derived TCE show significant potential for treating ovarian cancer.
  • Targeting FSHR may offer a new therapeutic strategy for FSHR-positive cancers, including ovarian cancer.