title: Non-internalizing antibody-drug conjugates display potent anti-cancer activity upon proteolytic release of monomethyl auristatin E in the subendothelial extracellular matrix.
abstract: Antibody-drug conjugates (ADCs) represent a promising class of biopharmaceuticals with the potential to localize at the tumor site and improve the therapeutic index of cytotoxic drugs. While it is generally believed that ADCs need to be internalized into tumor cells in order to display optimal therapeutic activity, it has recently been shown that non-internalizing antibodies can efficiently liberate disulfide-linked drugs at the extracellular tumor site, leading to potent anti-cancer activity in preclinical animal models. Here, we show that engineered variants of the F16 antibody, specific to a splice isoform of tenascin-C, selectively localize to the subendothelial tumor extracellular matrix in three mouse models of human cancer (U87, A431, MDA-MB-231). A site-specific coupling of F16 in IgG format with a monomethyl auristatin E (MMAE) derivative, featuring a valine-citrulline dipeptide linker equipped with a self-immolative spacer, yielded an ADC product, which cured tumor-bearing mice at a dose of 7 mg/Kg. The observation of an efficient extracellular proteolytic cleavage of the valine-citrulline linker was surprising, as it has generally been assumed that this peptidic structure would be selectively cleaved by cathepsin B in intracellular compartments. The products described in this article may be useful for the treatment of human malignancies, as their cognate antigen is strongly expressed in the majority of human solid tumors, lymphomas and aggressive leukemias, while being virtually undetectable in most normal adult tissues.
authors.affiliation: Department of Applied Biosciences, Swiss Federal Institute of Technology (ETH Zürich), Zürich, CH-8093, Switzerland.
authors.forename: Rémy
authors.initials: R
authors.lastname: Gébleux
authors.affiliation: Department of Applied Biosciences, Swiss Federal Institute of Technology (ETH Zürich), Zürich, CH-8093, Switzerland.
authors.forename: Marco
authors.initials: M
authors.lastname: Stringhini
authors.affiliation: Institute of Pathology, University Hospital Zurich, Zurich, CH-8091, Switzerland.
authors.forename: Ruben
authors.initials: R
authors.lastname: Casanova
authors.affiliation: Institute of Pathology, University Hospital Zurich, Zurich, CH-8091, Switzerland.
authors.forename: Alex
authors.initials: A
authors.lastname: Soltermann
authors.affiliation: Department of Applied Biosciences, Swiss Federal Institute of Technology (ETH Zürich), Zürich, CH-8093, Switzerland.
authors.forename: Dario
authors.initials: D
authors.lastname: Neri
mesh_terms: D000818:Animals; D000906:Antibodies / Q000627:therapeutic use; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D016466:CHO Cells; D045744:Cell Line, Tumor; D002956:Citrulline / Q000737:chemistry; D003412:Cricetulus; D004727:Endothelium / Q000473:pathology*; D005109:Extracellular Matrix / Q000737:chemistry*; D005260:Female; D006801:Humans; D018796:Immunoconjugates / Q000627:therapeutic use*; D007150:Immunohistochemistry; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D008856:Microscopy, Fluorescence; D009842:Oligopeptides / Q000378:metabolism / Q000627:therapeutic use*; D020033:Protein Isoforms; D019063:Tenascin / Q000737:chemistry; D014633:Valine / Q000737:chemistry
chemical_list: D000906:Antibodies; D000911:Antibodies, Monoclonal; D000970:Antineoplastic Agents; D018796:Immunoconjugates; D009842:Oligopeptides; D020033:Protein Isoforms; D019063:Tenascin; D002956:Citrulline; D014633:Valine; C495575:monomethyl auristatin E
keywords: A1 domain of tenascin-C; IgG; MMAE; SIP; antibody-drug conjugates; vascular targeting