Volume 13, Issue 9b pp. 3993-4001

Targeting a unique EGFR epitope with monoclonal antibody 806 activates NF-κB and initiates tumour vascular normalization

Hui K. Gan

Hui K. Gan

Oncogenic Signalling Laboratory, Ludwig Institute for Cancer Research, Austin Health, Heidelberg, Australia

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Martha Lappas

Martha Lappas

Department of Obstetrics and Gynaecology, Mercy Hospital for Women, University of Melbourne, Heidelberg, Australia

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Diana X. Cao

Diana X. Cao

Tumour Targeting Laboratory, Ludwig Institute for Cancer Research, Austin Health, Heidelberg, Australia

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Anna Cvrljevdic

Anna Cvrljevdic

Oncogenic Signalling Laboratory, Ludwig Institute for Cancer Research, Austin Health, Heidelberg, Australia

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Andrew M. Scott

Andrew M. Scott

Tumour Targeting Laboratory, Ludwig Institute for Cancer Research, Austin Health, Heidelberg, Australia

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Terrance G. Johns

Corresponding Author

Terrance G. Johns

Oncogenic Signalling Laboratory, Monash Institute of Medical Research, Monash University, Clayton, Victoria, Australia

Correspondence to: Terrance JOHNS, Monash Institute of Medical Researcc, C/- Monash Medical Centre, 246 Clayton Rd, Clayton 3168 Victoria, Australia.
Tel.: +61 3 9594 7247
Fax: +61 3 9594 7114
E-mail: [email protected]Search for more papers by this author
First published: 29 January 2010
Citations: 18

Abstract

Monoclonal antibodies (mAbs) and tyrosine kinase inhibitors targeting the epidermal growth factor receptor (EGFR), which is often pathogenetically overexpressed or mutated in epithelial malignancies and glioma, have been modestly successful, with some approved for human use. MAb 806 was raised against de2–7EGFR (or EGFRvIII), a constitutively active mutation expressed in gliomas, but also recognizes a subset (<10%) of wild-type (wt) EGFR when it is activated by autocrine loop, overexpression or mutation. It does not bind inactive EGFR in normal tissues like liver. Glioma xenografts expressing the de2–7EGFR treated with mAb 806 show reduced receptor autophosphorylation, increased p27KIP1 and reduced cell proliferation. Xenografts expressing the wtEGFR activated by overexpression or autocrine ligand are also inhibited by mAb 806, but the mechanism of inhibition has been difficult to elucidate, especially because mAb 806 does not prevent wtEGFR phosphorylation or downstream signalling in vitro. Thus, we examined the effects of mAb 806 on A431 xenograft angiogenesis. MAb 806 increases vascular endothelial growth factor (VEGF) and interleukin-8 production by activating NF-κB and normalizes tumour vasculature. Pharmacological inhibition of NF-κB completely abrogated mAb 806 activity, demonstrating that NF-κB activation is necessary for its anti-tumour function in xenografts. Given the increase in VEGF, we combined mAb 806 with bevacizumab in vivo, resulting in additive activity.

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