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      Utility of epirubicin‐incorporating micelles tagged with anti‐tissue factor antibody clone with no anticoagulant effect

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          Abstract

          Tissue factor ( TF), an initiator of the extrinsic blood coagulation cascade, is overexpressed in different types of cancer. Tissue factor overexpression is also known as a poor prognostic factor in pancreatic cancer. We recently developed anti‐ TF antibody (clone1849)‐conjugated epirubicin‐incorporating micelles ( NC‐6300), and reported that this anti‐ TF1849‐ NC‐6300 showed enhanced antitumor activity against TF‐high expressed human pancreatic cancer cells, when compared with NC‐6300 alone. However, clone 1849 antibody inhibited TF‐associated blood coagulation activity. We studied another anti‐ TF antibody, clone 1859, which had no effect on blood coagulation and prepared anti‐ TF1859‐ NC‐6300. In addition, to determine the optimum size of the antibody fragment to conjugate with NC‐6300, three forms of the 1859 antibody (whole IgG, F[ab’] 2, and Fab’) were conjugated to NC‐6300. The antitumor effect of each anti‐ TF1859‐ NC‐6300 was studied in vitro and in vivo, using two human pancreatic cancer cell lines, Bx PC3 with high‐expressed TF, and SUIT2 with low levels of TF. In vitro, all forms of anti‐ TF1859‐ NC‐6300 showed higher cytocidal effects than NC‐6300 in Bx PC3, whereas this enhanced effect was not observed in SUIT2. Likewise, all forms of anti‐ TF1859‐ NC‐6300 significantly suppressed tumor growth when compared to NC‐6300 in the Bx PC3, but not in the SUIT2, xenograft model. Among the three forms of conjugates, anti‐ TF1859‐IgG‐ NC‐6300 had a higher antitumor tendency in TF‐high expressed cells. Thus, we have confirmed an enhanced antitumor effect of anti‐ TF1859‐ NC‐6300 in a TF‐high expressing tumor; anti‐ TF1859‐IgG‐ NC‐6300 could be used to simplify the manufacturing process of the antibody–micelle conjugation for future clinical studies.

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          A new concept for macromolecular therapeutics in cancer chemotherapy: mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs.

          We previously found that a polymer conjugated to the anticancer protein neocarzinostatin, named smancs, accumulated more in tumor tissues than did neocarzinostatin. To determine the general mechanism of this tumoritropic accumulation of smancs and other proteins, we used radioactive (51Cr-labeled) proteins of various molecular sizes (Mr 12,000 to 160,000) and other properties. In addition, we used dye-complexed serum albumin to visualize the accumulation in tumors of tumor-bearing mice. Many proteins progressively accumulated in the tumor tissues of these mice, and a ratio of the protein concentration in the tumor to that in the blood of 5 was obtained within 19 to 72 h. A large protein like immunoglobulin G required a longer time to reach this value of 5. The protein concentration ratio in the tumor to that in the blood of neither 1 nor 5 was achieved with neocarzinostatin, a representative of a small protein (Mr 12,000) in all time. We speculate that the tumoritropic accumulation of these proteins resulted because of the hypervasculature, an enhanced permeability to even macromolecules, and little recovery through either blood vessels or lymphatic vessels. This accumulation of macromolecules in the tumor was also found after i.v. injection of an albumin-dye complex (Mr 69,000), as well as after injection into normal and tumor tissues. The complex was retained only by tumor tissue for prolonged periods. There was little lymphatic recovery of macromolecules from tumor tissue. The present finding is of potential value in macromolecular tumor therapeutics and diagnosis.
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            The relationship between tissue factor and cancer progression: insights from bench and bedside.

            It is now widely recognized that a strong correlation exists between cancer and aberrant hemostasis. Patients with various types of cancers, including pancreatic, colorectal, and gastric cancer, often develop thrombosis, a phenomenon commonly referred to as Trousseau syndrome. Reciprocally, components from the coagulation cascade also influence cancer progression. The primary initiator of coagulation, the transmembrane receptor tissue factor (TF), has gained considerable attention as a determinant of tumor progression. On complex formation with its ligand, coagulation factor VIIa, TF influences protease-activated receptor-dependent tumor cell behavior, and regulates integrin function, which facilitate tumor angiogenesis both in vitro and in mouse models. Furthermore, evidence exists that an alternatively spliced isoform of TF also affects tumor growth and tumor angiogenesis. In patient material, TF expression and TF cytoplasmic domain phosphorylation correlate with disease outcome in many, but not in all, cancer subtypes, suggesting that TF-dependent signal transduction events are a potential target for therapeutic intervention in selected types of cancer. In this review, we summarize our current understanding of the role of TF in tumor growth and metastasis, and speculate on anticancer therapy by targeting TF.
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              An antibody-drug conjugate that targets tissue factor exhibits potent therapeutic activity against a broad range of solid tumors.

              Tissue factor (TF) is aberrantly expressed in solid cancers and is thought to contribute to disease progression through its procoagulant activity and its capacity to induce intracellular signaling in complex with factor VIIa (FVIIa). To explore the possibility of using tissue factor as a target for an antibody-drug conjugate (ADC), a panel of human tissue factor-specific antibodies (TF HuMab) was generated. Three tissue factor HuMab, that induced efficient inhibition of TF:FVIIa-dependent intracellular signaling, antibody-dependent cell-mediated cytotoxicity, and rapid target internalization, but had minimal impact on tissue factor procoagulant activity in vitro, were conjugated with the cytotoxic agents monomethyl auristatin E (MMAE) or monomethyl auristatin F (MMAF). Tissue factor-specific ADCs showed potent cytotoxicity in vitro and in vivo, which was dependent on tissue factor expression. TF-011-MMAE (HuMax-TF-ADC) was the most potent ADC, and the dominant mechanism of action in vivo was auristatin-mediated tumor cell killing. Importantly, TF-011-MMAE showed excellent antitumor activity in patient-derived xenograft (PDX) models with variable levels of tissue factor expression, derived from seven different solid cancers. Complete tumor regression was observed in all PDX models, including models that showed tissue factor expression in only 25% to 50% of the tumor cells. In conclusion, TF-011-MMAE is a promising novel antitumor agent with potent activity in xenograft models that represent the heterogeneity of human tumors, including heterogeneous target expression.
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                Author and article information

                Journal
                Cancer Sci
                Cancer Sci
                10.1111/(ISSN)1349-7006
                CAS
                Cancer Science
                John Wiley and Sons Inc. (Hoboken )
                1347-9032
                1349-7006
                09 February 2016
                March 2016
                : 107
                : 3 ( doiID: 10.1111/cas.2016.107.issue-3 )
                : 335-340
                Affiliations
                [ 1 ] Division of Developmental Therapeutics Exploratory Oncology Research and Clinical Trial CenterNational Cancer Center KashiwaJapan
                [ 2 ] Department of Gastroenterology and Hepatology Institute of Clinical Medicine Graduate School of Comprehensive Human SciencesUniversity of Tsukuba TsukubaJapan
                [ 3 ] Research DivisionNanoCarrier Co., Ltd KashiwaJapan
                Author notes
                [*] [* ] Correspondence

                Yasuhiro Matsumura, Division of Developmental Therapeutics, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, 6‐5‐1 Kashiwanoha, Kashiwa, Chiba 277‐8577, Japan.

                Tel: +81‐4‐7133‐1111 (ext. 5400); Fax: +81‐4‐7134‐6866;

                E‐mail: yhmatsum@ 123456east.ncc.go.jp

                Article
                CAS12863
                10.1111/cas.12863
                4814265
                26676840
                f5970dae-522a-4060-8d23-1e7acfce29c2
                © 2015 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

                This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 27 October 2015
                : 03 December 2015
                : 14 December 2015
                Page count
                Pages: 6
                Funding
                Funded by: Ministry of Education, Culture, Sports, Science and Technology of Japan
                Funded by: Funding Program for World‐Leading Innovative R&D on Science and Technology
                Funded by: National Cancer Center Research and Development Fund
                Funded by: Japan Agency for Medical Research and Development
                Categories
                Original Article
                Original Articles
                Drug Discovery and Delivery
                Custom metadata
                2.0
                cas12863
                March 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.8.5 mode:remove_FC converted:30.03.2016

                Oncology & Radiotherapy
                drug delivery system (dds),epirubicin,nc‐6300,polymeric micelles,tissue factor (tf)

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