Abstract
Epidermal growth factor receptor (EGFR) signaling inhibition by monoclonal antibodies and EGFR-specific tyrosine kinase inhibitors has shown clinical efficacy in cancer by restoring susceptibility of tumor cells to therapeutic apoptosis induction. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a promising anti-cancer agent with tumor-selective apoptotic activity. Here we present a novel approach that combines EGFR-signaling inhibition with target cell-restricted apoptosis induction using a TRAIL fusion protein with engineered specificity for EGFR. This fusion protein, scFv425:sTRAIL, comprises the EGFR-blocking antibody fragment scFv425 genetically fused to soluble TRAIL (sTRAIL). Treatment with scFv425:sTRAIL resulted in the specific accretion to the cell surface of EGFR-positive cells only. EGFR-specific binding rapidly induced a dephosphorylation of EGFR and down-stream mitogenic signaling, which was accompanied by cFLIP(L) down-regulation and Bad dephosphorylation. EGFR-specific binding converted soluble scFv425:sTRAIL into a membrane-bound form of TRAIL that cross-linked agonistic TRAIL receptors in a paracrine manner, resulting in potent apoptosis induction in a series of EGFR-positive tumor cell lines. Co-treatment of EGFR-positive tumor cells with the EGFR-tyrosine kinase inhibitor Iressa resulted in a potent synergistic pro-apoptotic effect, caused by the specific down-regulation of c-FLIP. Furthermore, in mixed culture experiments binding (L)of scFv425:sTRAIL to EGFR-positive target cells conveyed a potent apoptotic effect toward EGFR-negative bystander tumor cells. The favorable characteristics of scFv425:sTRAIL, alone and in combination with Iressa, as well as its potent anti-tumor bystander activity indicate its potential value for treatment of EGFR-expressing cancers.
Highlights
Epidermal growth factor receptor (EGFR) signaling inhibition by monoclonal antibodies and EGFR-specific tyrosine kinase inhibitors has shown clinical efficacy in cancer by restoring susceptibility of tumor cells to therapeutic apoptosis induction
Strong binding of scFv425:soluble TRAIL (sTRAIL) was detected on the cell surface (Fig. 1A, solid line) that could be inhibited by preincubation with parental EGFR-blocking mAb 425 (Fig. 1A, dashed line)
Binding of scFv425:sTRAIL to cell surface-expressed EGFR results in the reciprocal activation of agonistic Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) receptors in a paracrine fashion, whereby apoptotic activity can be directed toward neighboring tumor cells that are devoid of EGFR expression
Summary
The following cell lines were purchased from the ATTC (Manassas, VA): Jurkat (ALL T-cell line), A431 (epidermoid vulva carcinoma), A172, Hs683 (glioblastoma), SW948, and WiDr (colon carcinoma). Cell line Jurkat.EGFRvIII was generated by electroporation of Jurkat cells with plasmid pHApr-1-neo/EGFRvIII Duke University Medical Center, NC), after which transfectants were selected by G418 selection (500 g/ml, Invitrogen). Cell lines were cultured at 37 °C in a humidified 5% CO2 atmosphere. SW948, and WiDr cells were cultured in RPMI 1640 (Cambrex Bio Science, Verviers, France) supplemented with 15% fetal calf serum. A431, HS683, and A172 cells were cultured in Dulbecco’s modified Eagle’s medium, 10% fetal calf serum, and 4 mM L-glutamine (Cambrex Bio Science)
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