DOI QR코드

DOI QR Code

Targeting cell surface glucose-regulated protein 94 in gastric cancer with an anti-GRP94 human monoclonal antibody

  • Hyun Jung Kim (Department of Biopharmaceutical Chemistry, Kookmin University) ;
  • Yea Bin Cho (Department of Chemistry, Kookmin University) ;
  • Kyun Heo (Department of Biopharmaceutical Chemistry, Kookmin University) ;
  • Ji Woong Kim (Department of Biopharmaceutical Chemistry, Kookmin University) ;
  • Ha Gyeong Shin (Department of Biopharmaceutical Chemistry, Kookmin University) ;
  • Eun-bi Lee (Department of Biopharmaceutical Chemistry, Kookmin University) ;
  • Seong-Min Park (Department of Cancer Biomedical Science, Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Jong Bae Park (Department of Cancer Biomedical Science, Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Sukmook Lee (Department of Biopharmaceutical Chemistry, Kookmin University)
  • Received : 2023.10.19
  • Accepted : 2024.02.14
  • Published : 2024.04.30

Abstract

Gastric cancer (GC), a leading cause of cancer-related mortality, remains a significant challenge despite recent therapeutic advancements. In this study, we explore the potential of targeting cell surface glucose-regulated protein 94 (GRP94) with antibodies as a novel therapeutic approach for GC. Our comprehensive analysis of GRP94 expression across various cancer types, with a specific focus on GC, revealed a substantial overexpression of GRP94, highlighting its potential as a promising target. Through in vitro and in vivo efficacy assessments, as well as toxicological analyses, we found that K101.1, a fully human monoclonal antibody designed to specifically target cell surface GRP94, effectively inhibits GC growth and angiogenesis without causing in vivo toxicity. Furthermore, our findings indicate that K101.1 promotes the internalization and concurrent downregulation of cell surface GRP94 on GC cells. In conclusion, our study suggests that cell surface GRP94 may be a potential therapeutic target in GC, and that antibody-based targeting of cell surface GRP94 may be an effective strategy for inhibiting GRP94-mediated GC growth and angiogenesis.

Keywords

Acknowledgement

The authors declare that financial support was received for the research, authorship, and/or publication of this article from the Bio & Medical Technology Development Program of the National Research Foundation of Korea (grant numbers: NRF-2019M3E5D5065844 and NRF-2020M3A9I2107093) and the Korea Health Technology R&D Project of the Korea Health Industry Development Institute (grant number: HI22C0360) funded by the Korean government. The schematic representations in Fig. 3A were created using BioRender (https://www.biorender.com/).

References

  1. Sung H, Ferlay J, Siegel RL et al (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 71, 209-249  https://doi.org/10.3322/caac.21660
  2. Hong YS, Song SY, Lee SI et al (2004) A phase II trial of capecitabine in previously untreated patients with advanced and/or metastatic gastric cancer. Ann Oncol 15, 1344-1347  https://doi.org/10.1093/annonc/mdh343
  3. Sastre J, Garcia-Saenz JA and Diaz-Rubio E (2006) Chemotherapy for gastric cancer. World J Gastroenterol 12, 204-213  https://doi.org/10.3748/wjg.v12.i2.204
  4. Li Y, Xie D, Chen X, Hu T, Lu S and Han Y (2020) Prognostic value of the site of distant metastasis and surgical interventions in metastatic gastric cancer: a population-based study. Technol Cancer Res Treat 19, 1533033820964131 
  5. Akbarali HI, Muchhala KH, Jessup DK and Cheatham S (2022) Chemotherapy induced gastrointestinal toxicities. Adv Cancer Res 155, 131-166  https://doi.org/10.1016/bs.acr.2022.02.007
  6. O'Reilly M, Mellotte G, Ryan B and O'Connor A (2020) Gastrointestinal side effects of cancer treatments. Ther Adv Chronic Dis 11, 2040622320970354 
  7. Bang YJ, Van Cutsem E, Feyereislova A et al (2010) Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a phase 3, open-label, randomised controlled trial. Lancet 376, 687-697  https://doi.org/10.1016/S0140-6736(10)61121-X
  8. Shimodaira Y, Elimova E, Wadhwa R et al (2015) Ramucirumab for the treatment of gastroesophageal cancers. Expert Opin Orphan Drugs 3, 737-746  https://doi.org/10.1517/21678707.2015.1040390
  9. Janjigian YY, Shitara K, Moehler M et al (2021) First-line nivolumab plus chemotherapy versus chemotherapy alone for advanced gastric, gastro-oesophageal junction, and oeso-phageal adenocarcinoma (CheckMate 649): a randomised, open-label, phase 3 trial. Lancet 398, 27-40  https://doi.org/10.1016/S0140-6736(21)00797-2
  10. Sexton RE, Hallak MNA, Uddin MH, Diab M and Azmi AS (2020) Gastric cancer heterogeneity and clinical outcomes. Technol Cancer Res Treat 19, 1533033820935477 
  11. Ho SWT and Tan P (2019) Dissection of gastric cancer heterogeneity for precision oncology. Cancer Sci 110, 3405-3414  https://doi.org/10.1111/cas.14191
  12. Marzec M, Eletto D and Argon Y (2012) GRP94: an HSP90-like protein specialized for protein folding and quality control in the endoplasmic reticulum. Biochim Biophys Acta 1823, 774-787  https://doi.org/10.1016/j.bbamcr.2011.10.013
  13. Ghosh S, Shinogle HE, Galeva NA, Dobrowsky RT and Blagg BSJ (2016) Endoplasmic reticulum-resident heat shock protein 90 (HSP90) isoform glucose-regulated protein 94 (GRP94) regulates cell polarity and cancer cell migration by affecting intracellular transport. JBC 291, 8309-8323  https://doi.org/10.1074/jbc.M115.688374
  14. Kim K, Lee HW, Lee EH et al (2019) Differential expression of HSP90 isoforms and their correlations with clinicopathologic factors in patients with colorectal cancer. Int J Clin Exp Pathol 12, 978-986 
  15. Cho YB, Kim JW, Heo K et al (2022) An internalizing antibody targeting of cell surface GRP94 effectively suppresses tumor angiogenesis of colorectal cancer. Biomed Pharmacother 150, 113051 
  16. Duan XF and Xin YW (2020) Overexpression of molecule GRP94 favors tumor progression in lung adenocarcinoma by interaction with regulatory T cells. Thorac Cancer 11, 704-712  https://doi.org/10.1111/1759-7714.13321
  17. Fu Z, Zhen H, Zou F, Wang X, Chen Y and Liu L (2014) Involvement of the Akt signaling pathway in ER-α36/GRP94-mediated signaling in gastric cancer. Oncol Lett 8, 2077-2080  https://doi.org/10.3892/ol.2014.2514
  18. Patel PD, Yan P, Seidler PM et al (2013) Paralog-selective Hsp90 inhibitors define tumor-specific regulation of HER2. Nat Chem Biol 9, 677-684  https://doi.org/10.1038/nchembio.1335
  19. Hou J, Li X, Li C et al (2015) Plasma membrane gp96 enhances invasion and metastatic potential of liver cancer via regulation of uPAR. Mol Oncol 9, 1312-1323  https://doi.org/10.1016/j.molonc.2015.03.004
  20. Wei PL, Huang CY, Tai CJ et al (2016) Glucose-regulated protein 94 mediates metastasis by CCT8 and the JNK pathway in hepatocellular carcinoma. Tumor Biol 37, 8219-8227  https://doi.org/10.1007/s13277-015-4669-3
  21. Fu Z, Deng H, Wang X, Yang X, Wang Z and Liu L (2013) Involvement of ER-α36 in the malignant growth of gastric carcinoma cells is associated with GRP94 overexpression. Histopathology 63, 325-333  https://doi.org/10.1111/his.12171
  22. Lin TY, Chang JT, Wang HM et al (2010) Proteomics of the radioresistant phenotype in head-and-neck cancer: Gp96 as a novel prediction marker and sensitizing target for radiotherapy. Int J Radiat Oncol Biol Phys 78, 246-256  https://doi.org/10.1016/j.ijrobp.2010.03.002
  23. Samuni Y, Ishii H, Hyodo F et al (2010) Reactive oxygen species mediate hepatotoxicity induced by the Hsp90 inhibitor geldanamycin and its analogs. Free Radic Biol Med 48, 1559-1563  https://doi.org/10.1016/j.freeradbiomed.2010.03.001
  24. Zheng HC, Takahashi H, Li XH et al (2008) Overexpression of GRP78 and GRP94 are markers for aggressive behavior and poor prognosis in gastric carcinomas. Hum Pathol 39, 1042-1049  https://doi.org/10.1016/j.humpath.2007.11.009
  25. Carter PJ (2006) Potent antibody therapeutics by design. Nat Rev Immunol 6, 343-357  https://doi.org/10.1038/nri1837
  26. Cornel AM, Mimpen IL and Nierkens S (2020) MHC class I downregulation in cancer: underlying mechanisms and potential targets for cancer immunotherapy. Cancers 12, 1760 
  27. Cheng J, Liang M, Carvalho MF et al (2020) Molecular mechanism of HER2 rapid internalization and redirected trafficking induced by anti-HER2 biparatopic antibody. Antibodies 9, 49