Anti-Mesothelin Recombinant Immunotoxin Therapy for Colorectal Cancer

Clin Colorectal Cancer. 2019 Sep;18(3):192-199.e1. doi: 10.1016/j.clcc.2019.06.006. Epub 2019 Jul 2.

Abstract

Background: Mesothelin (MSLN) is a cell surface glycoprotein expressed at a high level on many malignancies, including pancreatic adenocarcinoma, serous ovarian cancer, and epithelioid mesothelioma. MSLN-targeted recombinant immunotoxins (RITs) consist of an anti-MSLN Fv fused to the catalytic domain of Pseudomonas exotoxin A. Recent data has also shown that MSLN is expressed at clinically relevant levels on the surface of colorectal cancer (CRC). In this study, CRC cell lines were tested for MSLN expression and susceptibility to MSLN-targeted RITs.

Materials and methods: CRC cell lines were tested for membranous MSLN expression via flow cytometry. Cell lines expressing MSLN were tested by WST-8 cell viability assay for sensitivity to various RITs and chemotherapeutic agents. CRC cell line SW-48 was tested in a mouse model for response to RIT as a single agent or in combination with actinomycin D and oxaliplatin.

Results: CRC cell lines were susceptible to anti-MSLN RITs at half maximal inhibitory concentration levels comparable with those previously described in pancreatic cancer cell lines. In a nude mouse model, MSLN-targeted RIT treatment of SW48 CRC tumors resulted in a significant decrease in tumor volume. Although combination therapy with standard of care chemotherapeutic oxaliplatin did not improve tumor regressions, combination therapy with actinomycin D resulted in > 90% tumor volume reduction with 50% complete regressions.

Conclusions: These data support the development of anti-MSLN RITs as well as other MSLN-targeted therapies for CRC.

Keywords: Actinomycin D; HTB39; LMB100; LMB164; SW48.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • ADP Ribose Transferases / administration & dosage*
  • ADP Ribose Transferases / genetics
  • ADP Ribose Transferases / immunology
  • Animals
  • Antigens, Neoplasm / immunology
  • Antigens, Neoplasm / metabolism
  • Antineoplastic Agents, Immunological / administration & dosage*
  • Antineoplastic Agents, Immunological / immunology
  • Bacterial Toxins / administration & dosage*
  • Bacterial Toxins / genetics
  • Bacterial Toxins / immunology
  • Cell Line, Tumor
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / immunology
  • Colorectal Neoplasms / pathology
  • Exotoxins / administration & dosage*
  • Exotoxins / genetics
  • Exotoxins / immunology
  • Female
  • GPI-Linked Proteins / antagonists & inhibitors*
  • GPI-Linked Proteins / immunology
  • GPI-Linked Proteins / metabolism
  • Humans
  • Immunotoxins / administration & dosage*
  • Immunotoxins / genetics
  • Immunotoxins / immunology
  • Mesothelin
  • Mice
  • Pseudomonas aeruginosa Exotoxin A
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / genetics
  • Recombinant Proteins / immunology
  • Virulence Factors / administration & dosage*
  • Virulence Factors / genetics
  • Virulence Factors / immunology
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, Neoplasm
  • Antineoplastic Agents, Immunological
  • Bacterial Toxins
  • Exotoxins
  • GPI-Linked Proteins
  • Immunotoxins
  • MSLN protein, human
  • Msln protein, mouse
  • Recombinant Proteins
  • Virulence Factors
  • ADP Ribose Transferases
  • Mesothelin