Eradication of melanomas by targeted elimination of a minor subset of tumor cells

Proc Natl Acad Sci U S A. 2011 Feb 8;108(6):2474-9. doi: 10.1073/pnas.1009069108. Epub 2011 Jan 31.

Abstract

Proceeding on the assumption that all cancer cells have equal malignant capacities, current regimens in cancer therapy attempt to eradicate all malignant cells of a tumor lesion. Using in vivo targeting of tumor cell subsets, we demonstrate that selective elimination of a definite, minor tumor cell subpopulation is particularly effective in eradicating established melanoma lesions irrespective of the bulk of cancer cells. Tumor cell subsets were specifically eliminated in a tumor lesion by adoptive transfer of engineered cytotoxic T cells redirected in an antigen-restricted manner via a chimeric antigen receptor. Targeted elimination of less than 2% of the tumor cells that coexpress high molecular weight melanoma-associated antigen (HMW-MAA) (melanoma-associated chondroitin sulfate proteoglycan, MCSP) and CD20 lastingly eradicated melanoma lesions, whereas targeting of any random 10% tumor cell subset was not effective. Our data challenge the biological therapy and current drug development paradigms in the treatment of cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer*
  • Animals
  • Antigens, CD20 / immunology*
  • Cell Line, Transformed
  • Humans
  • Melanoma / immunology
  • Melanoma / therapy*
  • Melanoma-Specific Antigens / immunology*
  • Mice
  • Mice, Mutant Strains
  • Neoplasm Proteins / immunology*
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • Antigens, CD20
  • Melanoma-Specific Antigens
  • Neoplasm Proteins