Molecular Therapy: Oncolytics (Sep 2021)

A novel protein-drug conjugate, SSH20, demonstrates significant efficacy in caveolin-1-expressing tumors

  • Ryan Robb,
  • Jimmy Chun-Tien Kuo,
  • Yang Liu,
  • Sergio Corrales-Guerrero,
  • Tiantian Cui,
  • Ahmad Hegazi,
  • Gregory Nagy,
  • Robert J. Lee,
  • Terence M. Williams

Journal volume & issue
Vol. 22
pp. 555 – 564

Abstract

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In recent years, human serum albumin (HSA) has been characterized as an ideal drug carrier in the cancer arena. Caveolin-1 (Cav-1) has been established as the principal structural protein of caveolae and, thus, critical for caveolae-mediated endocytosis. Cav-1 has been shown to be overexpressed in cancers of the lung and pancreas, among others. We found that Cav-1 expression plays a critical role in both HSA uptake and response to albumin-based chemotherapies. As such, developing a novel albumin-based chemotherapy that is more selective for tumors with high Cav-1 expression or high levels of caveolar-endocytosis could have significant implications in biomarker-directed therapy. Herein, we present the development of a novel and effective HSA-SN-38 conjugate (SSH20). We find that SSH20 uptake decreases significantly by immunofluorescence assays and western blotting after silencing of Cav-1 expression through RNA interference. Decreased drug sensitivity occurs in Cav-1-depleted cells using cytotoxicity assays. Importantly, we find significantly reduced sensitivity to SSH20 in Cav-1-silenced tumors compared to Cav-1-expressing tumors in vivo. Notably, we show that SSH20 is significantly more potent than irinotecan in vitro and in vivo. Together, we have developed a novel HSA-conjugated chemotherapy that is potent, effective, safe, and demonstrates improved efficacy in high Cav-1-expressing tumors.

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