1. Stromal-targeting radioimmunotherapy mitigates the progression of therapy-resistant tumors
- Author
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Ana Rita Pombo Antunes, Tony Lahoutte, Ahmet Krasniqi, Emile J. Clappaert, Aleksandar Murgaski, Kiavash Movahedi, Marnik Vuylsteke, Amanda Gonçalves, Geert Stangé, Nick Devoogdt, Jo A. Van Ginderachter, Geert Raes, Matthias D'Huyvetter, Evangelia Bolli, Danielle Berus, Sana M. Arnouk, Department of Bio-engineering Sciences, Faculty of Sciences and Bioengineering Sciences, Supporting clinical sciences, Medical Imaging, Preventie- & Milieudienst, Medicine and Pharmacy academic/administration, Diabetes Pathology & Therapy, Pathologic Biochemistry and Physiology, Basic (bio-) Medical Sciences, Faculty of Medicine and Pharmacy, Nuclear Medicine, Cellular and Molecular Immunology, and Translational Imaging Research Alliance
- Subjects
Stromal cell ,Paclitaxel ,medicine.drug_class ,medicine.medical_treatment ,Pharmaceutical Science ,Receptors, Cell Surface ,02 engineering and technology ,Tumor-associated macrophage ,Adenocarcinoma ,Monoclonal antibody ,tumor-associated macrophage ,Mice ,03 medical and health sciences ,Radioresistance ,medicine ,Animals ,Lectins, C-Type ,Doxorubicin ,030304 developmental biology ,Mice, Inbred BALB C ,0303 health sciences ,hypoxia ,Chemistry ,Macrophages ,Mammary Neoplasms, Experimental ,immune checkpoint blockade ,Radioimmunotherapy ,Single-Domain Antibodies ,021001 nanoscience & nanotechnology ,Mannose-Binding Lectins ,Radionuclide therapy ,Cancer cell ,Nanobody ,Disease Progression ,Cancer research ,Female ,Stromal Cells ,0210 nano-technology ,Mannose Receptor ,medicine.drug - Abstract
Radioimmunotherapy (RIT) aims to deliver a high radiation dose to cancer cells, while minimizing the exposure of normal cells. Typically, monoclonal antibodies are used to target the radionuclides to cancer cell surface antigens. However, antibodies face limitations due to their poor tumor penetration and suboptimal pharmacokinetics, while the expression of their target on the cancer cell surface may be gradually lost. In addition, most antigens are expressed in a limited number of tumor types. To circumvent these problems, we developed a Nanobody (Nb)-based RIT against a prominent stromal cell (stromal-targeting radioimmunotherapy or STRIT) present in nearly all tumors, the tumor-associated macrophage (TAM). Macrophage Mannose Receptor (MMR) functions as a stable molecular target on TAM residing in hypoxic areas, further allowing the delivery of a high radiation dose to the more radioresistant hypoxic tumor regions. Since MMR expression is not restricted to TAM, we first optimized a strategy to block extra-tumoral MMR to prevent therapy-induced toxicity. A 100-fold molar excess of unlabeled bivalent Nb largely blocks extra-tumoral binding of Lu-177-labeled anti-MMR Nb and prevents toxicity, while still allowing the intra-tumoral binding of the monovalent Nb. Interestingly, three doses of Lu-177-labeled anti-MMR Nb resulted in a significantly retarded tumor growth, thereby outcompeting the effects of antiPD1, anti-VEGFR2, doxorubicin and paclitaxel in the TS/A mammary carcinoma model. Together, these data propose anti-MMR STRIT as a valid new approach for cancer treatment.
- Published
- 2019
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