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Claudin-18 Splice Variant 2 Is a Pan-Cancer Target Suitable for Therapeutic Antibody Development
Ist Teil von
Clinical cancer research, 2008-12, Vol.14 (23), p.7624-7634
Ort / Verlag
Philadelphia, PA: American Association for Cancer Research
Erscheinungsjahr
2008
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Purpose: Antibody-based cancer therapies have emerged as the most promising therapeutics in oncology. The purpose of this study was
to discover novel targets for therapeutic antibodies in solid cancer.
Experimental Design: We combined data mining and wet-bench experiments to identify strictly gastrocyte lineage–specific cell surface molecules
and to validate them as therapeutic antibody targets.
Results: We identified isoform 2 of the tight junction molecule claudin-18 (CLDN18.2) as a highly selective cell lineage marker. Its
expression in normal tissues is strictly confined to differentiated epithelial cells of the gastric mucosa, but it is absent
from the gastric stem cell zone. CLDN18.2 is retained on malignant transformation and is expressed in a significant proportion
of primary gastric cancers and the metastases thereof. In addition to its orthotopic expression, we found frequent ectopic
activation of CLDN18.2 in pancreatic, esophageal, ovarian, and lung tumors, correlating with distinct histologic subtypes.
The activation of CLDN18.2 depends on the binding of the transcription factor cyclic AMP–responsive element binding protein
to its unmethylated consensus site. Most importantly, we were able to raise monoclonal antibodies that bind to CLDN18.2 but
not to its lung-specific splice variant and recognize the antigen on the surface of cancer cells.
Conclusions: Its highly restricted expression pattern in normal tissues, its frequent ectopic activation in a diversity of human cancers,
and the ability to specifically target this molecule at the cell surface of tumor cells qualify CLDN18.2 as a novel, highly
attractive pan-cancer target for the antibody therapy of epithelial tumors.