Generation and Characterization of SORT1-Targeted Antibody-Drug Conjugate for the Treatment of SORT1-Positive Breast

Weiliang Zhuang1,2, Wei Zhang2, Liping Xie2

  • 1Engineering Research Center of Cell & Therapeutic Antibody, Ministry of Education, School of Pharmacy, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, China.

Insights

New antibody-drug conjugates targeting Sortilin-1 (SORT1) show promise for advanced breast cancer treatment. These SORT1-targeted ADCs demonstrate potent anti-tumor activity and offer a potential new therapeutic option for patients resistant to current treatments.

Area of Science:

  • Oncology
  • Immunotherapy
  • Drug Development

Background:

  • Advanced breast tumors remain challenging to treat due to antigen heterogeneity and drug resistance.
  • Existing antibody-drug conjugates (ADCs) offer improved outcomes but face limitations.
  • Novel therapeutic targets are needed to overcome current treatment challenges in breast cancer.

Purpose of the Study:

  • To evaluate Sortilin-1 (SORT1) as a potential target for antibody-drug conjugates (ADCs) in breast cancer treatment.
  • To generate and characterize novel SORT1-targeted ADCs.
  • To compare the efficacy and safety of different ADC constructs.

Main Methods:

  • Generation of a humanized antibody (8D302) with high affinity for SORT1.
  • Conjugation of 8D302 with cytotoxic payloads MMAE and DXd to create ADCs 8D302-MMAE and 8D302-DXd.
  • In vitro and in vivo evaluation of ADC cytotoxicity, bystander killing, anti-tumor activity, safety, and pharmacokinetics.

Main Results:

  • Both 8D302-MMAE and 8D302-DXd exhibited potent cytotoxicity against SORT1-positive breast cancer cells and induced bystander killing.
  • 8D302-MMAE demonstrated superior in vitro and in vivo anti-tumor activity compared to 8D302-DXd.
  • 8D302-DXd presented a more favorable safety and pharmacokinetic profile than 8D302-MMAE.
  • SORT1 showed faster internalization and lysosomal trafficking, with higher turnover than HER2.
  • 8D302-DXd outperformed trastuzumab-DXd (a HER2-targeted ADC) in cell cytotoxicity and tumor suppression.

Conclusions:

  • Sortilin-1 (SORT1) is a promising target for antibody-drug conjugate development in breast cancer.
  • SORT1-targeted ADCs, particularly 8D302-DXd, show significant potential for treating SORT1-positive breast tumors.
  • The high turnover of SORT1 may enhance the efficacy of SORT1-targeted ADCs, offering a new therapeutic strategy.