Efficient intracellular drug delivery by co-administration of two antibodies against cell adhesion molecule 1

Man Hagiyama1, Azusa Yoneshige1, Akihiro Wada1

  • 1Department of Pathology, Faculty of Medicine, Kindai University, Osaka, Japan.

Insights

Two monoclonal antibodies targeting cell adhesion molecule 1 (CADM1) relocate the protein to detergent-resistant fractions and facilitate targeted drug delivery. This combination therapy shows promise for treating CADM1-expressing tumors.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Cell adhesion molecule 1 (CADM1) is implicated in oncogenesis.
  • Previous studies showed therapeutic efficacy of anti-CADM1 antibodies against mesothelioma, but the mechanism was unclear.

Purpose of the Study:

  • To investigate the molecular mechanisms of anti-CADM1 antibodies in tumor cells.
  • To explore the potential of anti-CADM1 antibodies as drug delivery vehicles.

Main Methods:

  • Sequencing analysis of anti-CADM1 chicken monoclonal antibodies (3E1: IgY, 9D2: IgM).
  • Assessment of CADM1 subcellular distribution after antibody co-administration.
  • Creation of isotype-switched chimeric antibodies to identify critical antibody regions.
  • Cytochemical studies to track antibody-antigen complex internalization.
  • Conjugation of 3E1 antibody with monomethyl auristatin E (MMAE).
  • Evaluation of anti-tumor activity in vitro and in a syngeneic mouse melanoma model.

Main Results:

  • Co-administration of 3E1 and 9D2 antibodies induced CADM1 relocation to detergent-resistant fractions.
  • The variable region of 3E1 combined with the IgM constant region was essential for CADM1 relocation.
  • The 3E1-CADM1 complex was internalized via lipid-raft mediated endocytosis to late endosomes/lysosomes.
  • The 3E1-MMAE conjugate, in combination with 9D2, suppressed tumor cell growth.
  • Anti-tumor activity was confirmed in a preclinical mouse model.

Conclusions:

  • The combination of anti-CADM1 antibodies 3E1 and 9D2 alters CADM1 localization and facilitates targeted drug delivery.
  • Anti-CADM1 antibodies, particularly 3E1 conjugated with MMAE and administered with 9D2, demonstrate significant anti-tumor potential.
  • These antibodies represent promising drug delivery vehicles for CADM1-expressing tumors.