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Updated: May 21, 2025

Polymalic Acid-based Nano Biopolymers for Targeting of Multiple Tumor Markers: An Opportunity for Personalized Medicine?
Published on: June 13, 2014
Affibody-based HER2 prodrug shows conditional cytotoxic effect on HER2-positive cancer cells
Cornelia Westerberg1, Anna Mestre Borras1, Stefan Ståhl1
1Department of Protein Science, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden.
Abstract:
Therapeutic affinity proteins offer a targeted mode of action due to their typically high affinity and specificity for disease-associated molecules. In cancer therapy, such target molecules are often overexpressed receptors on tumor cells. However, their presence in healthy tissues can lead to on-target, off-tumor toxicity, necessitating strategies to enhance tumor selectivity. Here, we present an affibody-based prodrug concept that exploits tumor-associated proteases for selective activation. As proof of concept, we designed, produced, and characterized HER2-specific prodrug candidates, each incorporating a distinct protease substrate for selective activation by tumor-associated proteases. Their activation by corresponding proteases and subsequent HER2 binding were assessed. The most promising prodrug candidate was conjugated to the cytotoxic agent DM1 and evaluated for cytotoxicity in HER2-positive cancer cells. The results demonstrated potent, HER2-dependent cell killing, with markedly reduced cytotoxicity in the absence of prodrug activation. These findings support the feasibility of affibody-based prodrugs as a strategy to enhance tumor selectivity and minimize off-tumor toxicity in targeted cancer therapy.
Insights
This study introduces an affibody-based prodrug strategy to improve tumor selectivity in cancer therapy. By using tumor-associated proteases for activation, this approach aims to reduce off-tumor toxicity.
Area of Science:
- Biotechnology
- Molecular Biology
- Cancer Therapeutics
Background:
- Therapeutic affinity proteins offer targeted cancer therapy by binding disease-associated molecules, often overexpressed receptors on tumor cells.
- On-target, off-tumor toxicity is a significant challenge due to the presence of target molecules in healthy tissues.
- Enhanced tumor selectivity is crucial for minimizing side effects in targeted cancer therapies.
Purpose of the Study:
- To develop and validate an affibody-based prodrug concept for enhanced tumor selectivity.
- To exploit tumor-associated proteases for the selective activation of prodrugs at the tumor site.
- To assess the efficacy and safety of HER2-specific affibody prodrugs in preclinical models.
Main Methods:
- Design and production of HER2-specific affibody prodrug candidates with distinct protease substrates.
- Assessment of prodrug activation by tumor-associated proteases and subsequent HER2 binding.
- Conjugation of the lead prodrug candidate to the cytotoxic agent DM1 for in vitro cytotoxicity evaluation in HER2-positive cancer cells.
Main Results:
- Successful design and characterization of HER2-specific affibody prodrugs.
- Demonstrated selective activation of prodrugs by corresponding tumor-associated proteases.
- The DM1-conjugated prodrug exhibited potent, HER2-dependent cytotoxicity with significantly reduced toxicity when prodrug activation was absent.
Conclusions:
- Affibody-based prodrugs activated by tumor-associated proteases represent a feasible strategy to enhance tumor selectivity.
- This approach holds promise for minimizing off-tumor toxicity in targeted cancer therapy.
- Further development of protease-activated prodrugs could lead to safer and more effective cancer treatments.
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