GPA33 expression in colorectal cancer can be induced by WNT inhibition and targeted by cellular therapy

Teresa Börding1, Tobias Janik1, Philip Bischoff1,2,3

  • 1Institute of Pathology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Oncogene
|October 30, 2024
PubMed

Insights

GPA33 is a target for colorectal cancer (CRC) therapy, but expression varies. Inhibiting WNT signaling boosts GPA33, enhancing CAR T-cell therapy effectiveness against CRC tumors.

Area of Science:

  • Oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • GPA33 is a surface antigen expressed in colorectal cancer (CRC), showing potential for targeted therapy.
  • Previous clinical trials targeting GPA33 in CRC have yielded suboptimal response rates.
  • Understanding GPA33 expression dynamics and regulation is crucial for improving CRC treatment strategies.

Purpose of the Study:

  • To investigate GPA33 expression patterns and regulation in colorectal cancer.
  • To develop and evaluate GPA33-targeted cellular therapy for CRC.
  • To identify strategies for enhancing GPA33 expression and therapeutic efficacy.

Main Methods:

  • GPA33 expression analysis in CRC cohorts using immunohistochemistry and immunofluorescence.
  • In vitro and in vivo investigation of GPA33 regulation via oncogenic signaling interference.
  • Engineering and assessment of anti-GPA33-CAR T cells for CRC treatment.

Main Results:

  • Consistent intratumoral heterogeneity of GPA33 expression was observed in CRC, with antigen loss at tumor edges and metastatic sites.
  • GPA33-positive cells exhibited a differentiated phenotype and low WNT pathway activity.
  • Downregulation of WNT activity increased GPA33 expression in vitro and in GPA33-negative subpopulations.
  • GPA33-CAR T cells demonstrated activation and reduced xenograft growth upon intratumoral application.

Conclusions:

  • GPA33 expression in CRC is heterogeneous and linked to WNT pathway activity and tumor progression.
  • Simultaneous WNT inhibition may enhance GPA33 expression, improving GPA33-targeted therapies.
  • GPA33 represents a promising target for cellular immunotherapy in colorectal cancer.

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