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Updated: Jan 6, 2026

In Vitro Assay to Study Tumor-macrophage Interaction
Published on: August 1, 2019
Generating CAR-macrophages to target endothelin B receptor-positive tumors
Cyril Lherminier1, Narciso Costa1, Amaury Herbet1
1CEA, INRAE, Médicaments Et Technologies Pour La Santé (MTS), SPI, Laboratoire d'Etude de L'Unité Neurovasculaire Et Innovation Thérapeutique (LENIT), Université Paris-Saclay, 91191, Gif-Sur-Yvette, France.
Abstract:
The endothelin axis is highly involved and overexpressed in many tumors, making it an interesting therapeutic target. However, except for strategies based on small molecule antagonists, this axis is poorly targeted by immunotherapy approaches. Although cell-based therapies, in particular CAR-T cells, have produced impressive results in treating hematological tumors, they remain challenging for solid tumors. CAR-macrophages represent a promising alternative, but only a few therapeutic targets have been evaluated thus far. Having developed antibodies targeting ET1R, our laboratory proposes this axis as a target for CAR-macrophages development. This study investigated the efficacy of CAR-macrophages directed against the endothelin B receptor (ETB), expressed by melanoma cells developed from Rendomab B4 (RB4), an antibody targeting ETB. Before assembling the CAR against ETB, the scFv RB4 fragment, derived from the full-length RB4 antibody, was characterized. It exhibited properties similar to those of the original antibody and displayed exclusive recognition of ETB-positive melanoma cell lines. CAR RB4 evaluation showed remarkable antitumor activity against the high ETB-expressing WM266 cell line, but no activity on the low ETB-expressing A375 cell line. We show the first proof of concept for CAR therapy targeting the endothelin axis and establish CAR RB4 as a promising candidate for the treatment of ETB-positive solid tumors.
Insights
Chimeric antigen receptor (CAR) macrophages targeting the endothelin B receptor (ETB) demonstrate potent antitumor activity against ETB-positive melanoma. This study presents a novel immunotherapy approach for solid tumors by targeting the endothelin axis.
Area of Science:
- Immunotherapy
- Oncology
- Cellular Therapy
Background:
- The endothelin axis is overexpressed in various tumors, presenting a potential therapeutic target.
- Current immunotherapy approaches, including CAR-T cells, face challenges in treating solid tumors.
- CAR-macrophages offer a promising alternative for solid tumor treatment, but therapeutic targets are limited.
Purpose of the Study:
- To investigate the efficacy of CAR-macrophages targeting the endothelin B receptor (ETB) for melanoma treatment.
- To develop and evaluate CAR-macrophages using Rendomab B4 (RB4) antibody targeting ETB.
Main Methods:
- Characterization of the scFv RB4 fragment derived from the RB4 antibody targeting ETB.
- Development of CAR-macrophages utilizing the scFv RB4 fragment.
- Evaluation of CAR RB4-macrophage antitumor activity against ETB-positive and ETB-low melanoma cell lines.
Main Results:
- The scFv RB4 fragment demonstrated exclusive recognition of ETB-positive melanoma cell lines.
- CAR RB4-macrophages exhibited significant antitumor activity against high ETB-expressing WM266 melanoma cells.
- No significant antitumor activity was observed against low ETB-expressing A375 melanoma cells.
Conclusions:
- This study provides the first proof of concept for CAR therapy targeting the endothelin axis.
- CAR RB4-macrophages represent a promising therapeutic candidate for treating ETB-positive solid tumors.
- Targeting the endothelin axis with CAR-macrophages offers a novel strategy for solid tumor immunotherapy.
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