Title |
Harnessing Androgen Receptor Pathway Activation for Targeted Alpha Particle Radioimmunotherapy of Breast Cancer
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Published in |
Clinical Cancer Research, January 2019
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DOI | 10.1158/1078-0432.ccr-18-1521 |
Pubmed ID | |
Authors |
Daniel L.J. Thorek, Anson T. Ku, Nicholas Mitsiades, Darren Veach, Philip A. Watson, Dipti Metha, Sven-Erik Strand, Sai Kiran Sharma, Jason S. Lewis, Diane S. Abou, Hans G. Lilja, Steven M. Larson, Michael R. McDevitt, David Ulmert |
Abstract |
The impact of androgen receptor (AR) activity in breast cancer (BCa) biology is unclear. We characterized and tested a novel therapy to an AR-governed target in BCa. We evaluated the expression of prototypical AR-gene products human kallikrein 2 (hK2) and Prostate Specific Antigen (PSA) in BCa models. We screened 13 well-characterized BCa cell lines for hK2 and PSA production upon in-vitro hormone stimulation by testosterone (DHT). AR-positive lines were further evaluated by exposure to estrogen (17β-Estradiol) and the synthetic progestin D-Norgestrel. We then evaluated an anti-hK2 targeted radiotherapy platform (hu11B6), labeled with alpha (a)-particle emitting Actinium-225, to specifically treat AR-expressing BCa xenografts under hormone stimulation. D-Norgestrel and DHT activated the AR-pathway, while 17β-Estradiol did not. Competitive binding for AR protein showed similar affinity between DHT and D-Norgestrel; indicating direct AR-ligand interaction. In vivo production of hK2 was sufficient to achieve site-specific delivery of therapeutic radionuclide to tumor tissue at >20-fold over background muscle uptake; effecting long-term local tumor control. [225Ac]hu11B6 targeted radiotherapy was potentiated by DHT and by D-Norgestrel in murine xenograft models of BCa. AR activity in BCa correlates with kallikrein related peptidase-2 and can be activated by D-Norgestrel, a common contraceptive, and AR-induction can be harnessed for hK2-targeted BCa a-emitter radiotherapy. |
X Demographics
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United States | 5 | 56% |
Norway | 2 | 22% |
Unknown | 2 | 22% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 7 | 78% |
Scientists | 1 | 11% |
Unknown | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 47 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 5 | 11% |
Student > Bachelor | 4 | 9% |
Student > Ph. D. Student | 3 | 6% |
Student > Postgraduate | 3 | 6% |
Student > Master | 3 | 6% |
Other | 7 | 15% |
Unknown | 22 | 47% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 5 | 11% |
Biochemistry, Genetics and Molecular Biology | 4 | 9% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 6% |
Agricultural and Biological Sciences | 2 | 4% |
Engineering | 2 | 4% |
Other | 6 | 13% |
Unknown | 25 | 53% |