Precision glycocalyx editing as a strategy for cancer immunotherapy

H Xiao, EC Woods, P Vukojicic… - Proceedings of the …, 2016 - National Acad Sciences
Proceedings of the National Academy of Sciences, 2016National Acad Sciences
Cell surface sialosides constitute a central axis of immune modulation that is exploited by
tumors to evade both innate and adaptive immune destruction. Therapeutic strategies that
target tumor-associated sialosides may therefore potentiate antitumor immunity. Here, we
report the development of antibody–sialidase conjugates that enhance tumor cell
susceptibility to antibody-dependent cell-mediated cytotoxicity (ADCC) by selective
desialylation of the tumor cell glycocalyx. We chemically fused a recombinant sialidase to …
Cell surface sialosides constitute a central axis of immune modulation that is exploited by tumors to evade both innate and adaptive immune destruction. Therapeutic strategies that target tumor-associated sialosides may therefore potentiate antitumor immunity. Here, we report the development of antibody–sialidase conjugates that enhance tumor cell susceptibility to antibody-dependent cell-mediated cytotoxicity (ADCC) by selective desialylation of the tumor cell glycocalyx. We chemically fused a recombinant sialidase to the human epidermal growth factor receptor 2 (HER2)-specific antibody trastuzumab through a C-terminal aldehyde tag. The antibody–sialidase conjugate desialylated tumor cells in a HER2-dependent manner, reduced binding by natural killer (NK) cell inhibitory sialic acid-binding Ig-like lectin (Siglec) receptors, and enhanced binding to the NK-activating receptor natural killer group 2D (NKG2D). Sialidase conjugation to trastuzumab enhanced ADCC against tumor cells expressing moderate levels of HER2, suggesting a therapeutic strategy for cancer patients with lower HER2 levels or inherent trastuzumab resistance. Precision glycocalyx editing with antibody–enzyme conjugates is therefore a promising avenue for cancer immune therapy.
National Acad Sciences
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