Eradication of Tumors through Simultaneous Ablation of CD276/B7-H3-Positive Tumor Cells and Tumor Vasculature

Cancer Cell. 2017 Apr 10;31(4):501-515.e8. doi: 10.1016/j.ccell.2017.03.005.

Abstract

Targeting the tumor vasculature with antibody-drug conjugates (ADCs) is a promising anti-cancer strategy that in order to be realized must overcome several obstacles, including identification of suitable targets and optimal warheads. Here, we demonstrate that the cell-surface protein CD276/B7-H3 is broadly overexpressed by multiple tumor types on both cancer cells and tumor-infiltrating blood vessels, making it a potentially ideal dual-compartment therapeutic target. In preclinical studies CD276 ADCs armed with a conventional MMAE warhead destroyed CD276-positive cancer cells, but were ineffective against tumor vasculature. In contrast, pyrrolobenzodiazepine-conjugated CD276 ADCs killed both cancer cells and tumor vasculature, eradicating large established tumors and metastases, and improving long-term overall survival. CD276-targeted dual-compartment ablation could aid in the development of highly selective broad-acting anti-cancer therapies.

Keywords: ADC; Abcb1; B7H3; P-glycoprotein; P-gp; PBD; TEM; angiogenesis; cancer; endothelium.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Antineoplastic Agents / immunology
  • Antineoplastic Agents / pharmacology
  • B7 Antigens / genetics*
  • B7 Antigens / immunology
  • B7 Antigens / metabolism*
  • Benzodiazepines / pharmacology
  • Blood Vessels / metabolism
  • Blood Vessels / pathology
  • Cell Line, Tumor
  • Endothelium, Vascular / drug effects
  • Endothelium, Vascular / pathology
  • Female
  • Humans
  • Immunoconjugates / immunology
  • Immunoconjugates / pharmacology*
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Transgenic
  • Molecular Targeted Therapy / methods
  • Neoplasms / blood supply*
  • Neoplasms / pathology
  • Neoplasms / therapy
  • Oligopeptides / pharmacology
  • Pyrroles / pharmacology
  • Rabbits

Substances

  • Antineoplastic Agents
  • B7 Antigens
  • CD276 protein, human
  • Cd276 protein, mouse
  • Immunoconjugates
  • Oligopeptides
  • Pyrroles
  • pyrrolo(2,1-c)(1,4)benzodiazepine
  • Benzodiazepines
  • monomethyl auristatin E