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    Cancers. 2021 Sep 6. pii: cancers13174489. doi: 10.3390/cancers13174489
    Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer.
    Oo HZ1,  Lohinai Z2,  Khazamipour N3,  Lo J4,  Kumar G5,  Pihl J6,  Adomat H7,  Nabavi N8,  Behmanesh H9,  Zhai B10,  Dagil R11,  Choudhary S12,  Gustavsson T13,  Clausen TM14,  Esko JD15,  Allen JW16,  Thompson MA17,  Tran NL18,  Moldvay J19,  Dome B20,  Salanti A21,  Al-Nakouzi N22,  Weiss GJ23,  Daugaard M24
    Author information
    1Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    2Department of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary.
    3Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    4Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    5Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    6Department of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USA.
    7Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    8Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    9Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    10Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    11Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.
    12Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.
    13Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.
    14Department of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USA.
    15Department of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USA.
    16Kootenai Health, Post Falls, ID 83854, USA.
    17Aurora Cancer Care, Advocate Aurora Health, Milwaukee, WI 53215, USA.
    18Department of Cancer Biology, Mayo Clinic, Scottsdale, AZ 85259, USA.
    19Department of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary.
    20Department of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary.
    21Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.
    22Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    23MiRanostics Consulting, Oro Valley, AZ 85755, USA.
    24Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, Canada.
    Abstract

    Broad-spectrum therapeutics in non-small cell lung cancer (NSCLC) are in demand. Most human solid tumors express proteoglycans modified with distinct oncofetal chondroitin sulfate (CS) chains that can be detected and targeted with recombinant VAR2CSA (rVAR2) proteins and rVAR2-derived therapeutics. Here, we investigated expression and targetability of oncofetal CS expression in human NSCLC. High oncofetal CS expression is associated with shorter disease-free survival and poor overall survival of clinically annotated stage I and II NSCLC patients ( = 493). Oncofetal CS qualifies as an independent prognosticator of NSCLC in males and smokers, and high oncofetal CS levels are more prevalent in EGFR/KRAS wild-type cases, as compared to mutation cases. NSCLC cell lines express oncofetal CS-modified proteoglycans that can be specifically detected and targeted by rVAR2 proteins in a CSA-dependent manner. Importantly, a novel VAR2-drug conjugate (VDC-MMAE) efficiently eliminates NSCLC cells in vitro and in vivo. In summary, oncofetal CS is a prognostic biomarker and an actionable glycosaminoglycan target in NSCLC.


    KEYWORDS: NSCLC, VDC-MMAE, chondroitin sulfate, drug conjugate, glycosaminoglycan

    Publikations ID: 34503301
    Quelle: öffnen
     
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