Human Kallikrein 2: A Novel Lineage-Specific Surface Target in Prostate Cancer

Fei Shen1, Ryan Smith1, Theresa McDevitt1

  • 1Johnson & Johnson, Spring House, Pennsylvania.

Abstract

Insights

Human kallikrein 2 (KLK2) is a prostate-specific antigen now confirmed as a cell surface target for prostate cancer (PCa). Targeting KLK2 with novel therapeutics shows significant preclinical efficacy in advanced PCa.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Metastatic prostate cancer (PCa) lacks effective targeted therapies, necessitating new drug targets and mechanisms of action (MoA).
  • Human kallikrein 2 (KLK2), a prostate-specific antigen, has been underexplored as a therapeutic target due to prior assumptions about its expression.
  • Limited evidence of cell surface expression historically hindered KLK2's recognition as a viable target in PCa.

Purpose of the Study:

  • To systematically characterize KLK2 expression across the PCa disease continuum.
  • To confirm the cell surface expression of KLK2 in prostate cancer.
  • To evaluate the preclinical efficacy of KLK2-targeting therapeutics with distinct MoA.

Main Methods:

  • Immunohistochemistry and multiplex immunofluorescent stainings to assess KLK2 expression profiles.
  • In vitro studies using PCa cell lines and patient-derived material.
  • In vivo xenograft mouse models to evaluate therapeutic efficacy.

Main Results:

  • KLK2 demonstrated robust and homogeneous expression in localized and hormone-sensitive PCa, with some heterogeneity in metastatic castration-resistant PCa.
  • KLK2 exhibits higher specificity compared to other PCa target antigens and is confirmed to be expressed on the cell surface.
  • Three distinct KLK2-targeting therapeutics (bispecific T-cell redirector, targeted alpha-radioligand, CAR T) showed potent in vitro activity and significant in vivo tumor control.

Conclusions:

  • KLK2 is validated as a highly prostate-specific cell surface target for PCa.
  • Targeting KLK2 presents promising novel therapeutic strategies for advanced prostate cancer.
  • The diverse MoA evaluated offer multiple avenues for developing effective KLK2-based therapies.