Sensitive quantification of fibroblast activation protein and high-throughput screening for inhibition by

Kateřina Čermáková1, Adéla Šimková2, Filip Wichterle3

  • 1Institute of Organic Chemistry and Biochemistry of the Czech Academy of Sciences, Flemingovo náměstí 2, 166 10 Prague 6, Czech Republic; First Faculty of Medicine, Charles University, Kateřinská 32, 121 08 Prague 2, Czech Republic.

Insights

This study introduces a rapid assay to screen FDA-approved drugs for inhibiting fibroblast activation protein (FAP). Several drugs, including antibiotics and reverse transcriptase inhibitors, were identified as novel FAP inhibitors, aiding theranostic radiotracer development.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Oncology

Background:

  • Fibroblast activation protein (FAP) is a key cancer biomarker.
  • FAP inhibitors are crucial for developing targeted theranostic radiotracers.
  • Identifying drug interactions with FAP is vital for clinical applications.

Purpose of the Study:

  • To develop a high-throughput method for screening FAP inhibitors.
  • To identify FDA-approved drugs that inhibit FAP.
  • To assess potential interference of existing drugs with FAP-targeted therapies.

Main Methods:

  • Developed a fast, qPCR-based DNA-linked Inhibitor Antibody Assay (DIANA) for FAP inhibition screening.
  • Screened a library of 2667 FDA-approved drugs.
  • Quantified FAP concentrations in human plasma using FAP DIANA.

Main Results:

  • Identified numerous FDA-approved drugs as novel FAP inhibitors.
  • Prodrugs of cephalosporin antibiotics, reverse transcriptase inhibitors, and an elastase inhibitor showed potent FAP inhibition.
  • Achieved a detection limit of 50 pg/ml for FAP quantification, offering an alternative to ELISA.

Conclusions:

  • Expands the known repertoire of FAP inhibitors.
  • Provides insights into potential drug-drug interactions affecting FAP-targeted theranostics.
  • Offers a sensitive, low-consumption method for FAP quantification in biological samples.

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