Tumor-agnostic cancer therapy using antibodies targeting oncofetal chondroitin sulfate

Affiliations
  • 1Centre for Translational Medicine and Parasitology, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. elena@sund.ku.dk.
  • 2VAR2 Pharmaceuticals ApS, Copenhagen, Denmark. elena@sund.ku.dk.
  • 3VAR2 Pharmaceuticals ApS, Copenhagen, Denmark.
  • 4Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
  • 5VARCT Diagnostics, Copenhagen, Denmark.
  • 6Copenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
  • 7GlycoDisplay ApS, Copenhagen, Denmark.
  • 8Proteomics Research Infrastructure, University of Copenhagen, Copenhagen, Denmark.
  • 9College of Life Sciences, Zhejiang University, Hangzhou, China.
  • 10Vancouver Prostate Centre, Vancouver Coastal Health Research Institutes, Vancouver, BC, Canada.
  • 11Department of Urologic Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
  • 12Center for Surgical Science, Department of Surgery, Zealand University Hospital Køge, Køge, Denmark.
  • 13VAR2 Pharmaceuticals ApS, Copenhagen, Denmark. mads.daugaard@ubc.ca.
  • 14Vancouver Prostate Centre, Vancouver Coastal Health Research Institutes, Vancouver, BC, Canada. mads.daugaard@ubc.ca.
  • 15Department of Urologic Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. mads.daugaard@ubc.ca.
  • 16VAR2 Pharmaceuticals ApS, Copenhagen, Denmark. salanti@sund.ku.dk.

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Abstract

Molecular similarities between embryonic and malignant cells can be exploited to target tumors through specific signatures absent in healthy adult tissues. One such embryonic signature tumors express is oncofetal chondroitin sulfate (ofCS), which supports disease progression and dissemination in cancer. Here, we report the identification and characterization of phage display-derived antibody fragments recognizing two distinct ofCS epitopes. These antibody fragments show binding affinity to ofCS in the low nanomolar range across a broad selection of solid tumor types in vitro and in vivo with minimal binding to normal, inflamed, or benign tumor tissues. Anti-ofCS antibody drug conjugates and bispecific immune cell engagers based on these targeting moieties disrupt tumor progression in animal models of human and murine cancers. Thus, anti-ofCS antibody fragments hold promise for the development of broadly effective therapeutic and diagnostic applications targeting human malignancies.

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