Prostatic Acid Phosphatase (PAP) Antibodies to Treat Castration-Resistant Prostate Cancer

Alexander Kirschenbaum1, Pamela Cheung2, Shen Yao2

  • 1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Insights

Targeting prostatic acid phosphatase (PAP) with antibody therapies shows promise for treating advanced prostate cancer. Monoclonal antibodies and antibody-drug conjugates targeting transmembrane PAP (TMPAP) significantly reduced tumor size and improved survival in preclinical models.

Area of Science:

  • Oncology
  • Cancer Therapeutics
  • Molecular Biology

Background:

  • Prostate cancer (PCa) is a leading cause of cancer death in men, with metastatic disease often progressing to castration-resistant prostate cancer (CRPC) despite androgen deprivation therapy (ADT).
  • Effective treatments for metastatic CRPC (mCRPC) are limited, necessitating the identification of novel therapeutic targets expressed on cancer cells.
  • Prostatic acid phosphatase (PAP), particularly its transmembrane form (TMPAP), is a potential target identified as being expressed in CRPC.

Purpose of the Study:

  • To identify and validate actionable cell surface targets for novel therapies against metastatic castration-resistant prostate cancer (mCRPC).
  • To evaluate the therapeutic potential of targeting transmembrane prostatic acid phosphatase (TMPAP) using a human anti-TMPAP monoclonal antibody (3D8-Ab) and antibody-drug conjugates (3D8-ADCs).

Main Methods:

  • Development of a human anti-TMPAP monoclonal antibody (3D8-Ab).
  • Evaluation of 3D8-Ab and 3D8-ADCs in a xenograft mouse model using human PCa cell line VCaP.
  • Assessment of tumor size, volume, and animal survival following treatment.

Main Results:

  • Treatment with either 3D8-Ab or 3D8-ADCs significantly reduced tumor size and volume in the xenograft model.
  • Both antibody-based therapies led to increased survival rates in the treated animals.
  • These findings validate TMPAP as a viable therapeutic target in CRPC models.

Conclusions:

  • Targeting TMPAP with monoclonal antibodies, alone or conjugated to toxins, represents a promising therapeutic strategy for CRPC.
  • The anti-TMPAP antibody 3D8 and its conjugates demonstrate significant anti-tumor activity in preclinical models.
  • Further development of PAP-targeted therapies could offer new treatment options for patients with advanced prostate cancer.

Related Concept Videos