Evaluation of Tissue from Patients with Prostate Cancer Identifies B7-H3 as an Androgen-Regulated, Broadly Expressed,

Shivang Sharma1, Nikita Mundhara1, Emirhan Tekoglu2,3

  • 1Department of Oncology, Johns Hopkins School of Medicine; Baltimore, Maryland.

Abstract

Insights

B7-H3 is a promising target for advanced prostate cancer (PCa) management, showing uniform expression across all disease stages. Combining B7-H3 therapies with androgen deprivation therapy (ADT) may overcome treatment resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunotherapy

Background:

  • Advanced prostate cancer (PCa) presents therapeutic resistance due to variable expression of surface targets.
  • Identifying reliable targets across the PCa continuum is crucial for effective management.

Purpose of the Study:

  • To identify the most promising, clinically relevant surface targets for advanced prostate cancer (PCa).
  • To evaluate targets across hormone-sensitive, castration-resistant, neuroendocrine, and double-negative PCa (DNPC) subtypes.

Main Methods:

  • Integrated single-cell transcriptomics (JHU-PANORAMA, ~1 million cells, 213 patients) and patient-derived xenograft (PDX) models.
  • Proteomic validation on patient samples and mechanistic studies on PCa cell lines.

Main Results:

  • B7-H3 exhibited the most uniform expression across the entire PCa continuum.
  • B7-H3 showed high potential for bispecific antibody design, particularly with TROP-2, NECTIN1, KLK2, and NECTIN4.
  • B7-H3 expression is negatively regulated by androgen receptor (AR), and its combination with AR inhibition synergistically reduced tumor growth.

Conclusions:

  • B7-H3 demonstrates low heterogeneity, making it a robust therapeutic target.
  • B7-H3-based therapies combined with androgen deprivation therapy (ADT) offer a synergistic approach to overcome resistance in advanced PCa.