Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer

Broad-spectrum therapeutics in non-small cell lung cancer (NSCLC) are in demand. Most human solid tumors express proteoglycans modified with distinct oncofetal chondroitin sulfate (CS) chains that can be detected and targeted with recombinant VAR2CSA (rVAR2) proteins and rVAR2-derived therapeutics....

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Main Authors: Htoo Zarni Oo, Zoltan Lohinai, Nastaran Khazamipour, Joey Lo, Gunjan Kumar, Jessica Pihl, Hans Adomat, Noushin Nabavi, Hakhamanesh Behmanesh, Beibei Zhai, Robert Dagil, Swati Choudhary, Tobias Gustavsson, Thomas M. Clausen, Jeffrey D. Esko, Jeffrey W. Allen, Michael A. Thompson, Nhan L. Tran, Judit Moldvay, Balazs Dome, Ali Salanti, Nader Al-Nakouzi, Glen J. Weiss, Mads Daugaard
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/17/4489
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author Htoo Zarni Oo
Zoltan Lohinai
Nastaran Khazamipour
Joey Lo
Gunjan Kumar
Jessica Pihl
Hans Adomat
Noushin Nabavi
Hakhamanesh Behmanesh
Beibei Zhai
Robert Dagil
Swati Choudhary
Tobias Gustavsson
Thomas M. Clausen
Jeffrey D. Esko
Jeffrey W. Allen
Michael A. Thompson
Nhan L. Tran
Judit Moldvay
Balazs Dome
Ali Salanti
Nader Al-Nakouzi
Glen J. Weiss
Mads Daugaard
spellingShingle Htoo Zarni Oo
Zoltan Lohinai
Nastaran Khazamipour
Joey Lo
Gunjan Kumar
Jessica Pihl
Hans Adomat
Noushin Nabavi
Hakhamanesh Behmanesh
Beibei Zhai
Robert Dagil
Swati Choudhary
Tobias Gustavsson
Thomas M. Clausen
Jeffrey D. Esko
Jeffrey W. Allen
Michael A. Thompson
Nhan L. Tran
Judit Moldvay
Balazs Dome
Ali Salanti
Nader Al-Nakouzi
Glen J. Weiss
Mads Daugaard
Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
Cancers
NSCLC
chondroitin sulfate
glycosaminoglycan
VDC-MMAE
drug conjugate
author_facet Htoo Zarni Oo
Zoltan Lohinai
Nastaran Khazamipour
Joey Lo
Gunjan Kumar
Jessica Pihl
Hans Adomat
Noushin Nabavi
Hakhamanesh Behmanesh
Beibei Zhai
Robert Dagil
Swati Choudhary
Tobias Gustavsson
Thomas M. Clausen
Jeffrey D. Esko
Jeffrey W. Allen
Michael A. Thompson
Nhan L. Tran
Judit Moldvay
Balazs Dome
Ali Salanti
Nader Al-Nakouzi
Glen J. Weiss
Mads Daugaard
author_sort Htoo Zarni Oo
title Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
title_short Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
title_full Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
title_fullStr Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
title_full_unstemmed Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung Cancer
title_sort oncofetal chondroitin sulfate is a highly expressed therapeutic target in non-small cell lung cancer
publisher MDPI AG
series Cancers
issn 2072-6694
publishDate 2021-09-01
description Broad-spectrum therapeutics in non-small cell lung cancer (NSCLC) are in demand. Most human solid tumors express proteoglycans modified with distinct oncofetal chondroitin sulfate (CS) chains that can be detected and targeted with recombinant VAR2CSA (rVAR2) proteins and rVAR2-derived therapeutics. Here, we investigated expression and targetability of oncofetal CS expression in human NSCLC. High oncofetal CS expression is associated with shorter disease-free survival and poor overall survival of clinically annotated stage I and II NSCLC patients (<i>n</i> = 493). Oncofetal CS qualifies as an independent prognosticator of NSCLC in males and smokers, and high oncofetal CS levels are more prevalent in EGFR/KRAS wild-type cases, as compared to mutation cases. NSCLC cell lines express oncofetal CS-modified proteoglycans that can be specifically detected and targeted by rVAR2 proteins in a CSA-dependent manner. Importantly, a novel VAR2-drug conjugate (VDC-MMAE) efficiently eliminates NSCLC cells in vitro and in vivo. In summary, oncofetal CS is a prognostic biomarker and an actionable glycosaminoglycan target in NSCLC.
topic NSCLC
chondroitin sulfate
glycosaminoglycan
VDC-MMAE
drug conjugate
url https://www.mdpi.com/2072-6694/13/17/4489
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spelling doaj-53bdcac7991a4b849db695f66547e9e12021-09-09T13:41:15ZengMDPI AGCancers2072-66942021-09-01134489448910.3390/cancers13174489Oncofetal Chondroitin Sulfate Is a Highly Expressed Therapeutic Target in Non-Small Cell Lung CancerHtoo Zarni Oo0Zoltan Lohinai1Nastaran Khazamipour2Joey Lo3Gunjan Kumar4Jessica Pihl5Hans Adomat6Noushin Nabavi7Hakhamanesh Behmanesh8Beibei Zhai9Robert Dagil10Swati Choudhary11Tobias Gustavsson12Thomas M. Clausen13Jeffrey D. Esko14Jeffrey W. Allen15Michael A. Thompson16Nhan L. Tran17Judit Moldvay18Balazs Dome19Ali Salanti20Nader Al-Nakouzi21Glen J. Weiss22Mads Daugaard23Department of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, HungaryDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USADepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaDepartment for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkDepartment for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkDepartment for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkDepartment of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USADepartment of Cellular and Molecular Medicine, University of California, La Jolla, San Diego, CA 92093, USAKootenai Health, Post Falls, ID 83854, USAAurora Cancer Care, Advocate Aurora Health, Milwaukee, WI 53215, USADepartment of Cancer Biology, Mayo Clinic, Scottsdale, AZ 85259, USADepartment of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, HungaryDepartment of Tumor Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, HungaryDepartment for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaMiRanostics Consulting, Oro Valley, AZ 85755, USADepartment of Urologic Sciences, University of British Columbia, Vancouver, BC V6H 3Z6, CanadaBroad-spectrum therapeutics in non-small cell lung cancer (NSCLC) are in demand. Most human solid tumors express proteoglycans modified with distinct oncofetal chondroitin sulfate (CS) chains that can be detected and targeted with recombinant VAR2CSA (rVAR2) proteins and rVAR2-derived therapeutics. Here, we investigated expression and targetability of oncofetal CS expression in human NSCLC. High oncofetal CS expression is associated with shorter disease-free survival and poor overall survival of clinically annotated stage I and II NSCLC patients (<i>n</i> = 493). Oncofetal CS qualifies as an independent prognosticator of NSCLC in males and smokers, and high oncofetal CS levels are more prevalent in EGFR/KRAS wild-type cases, as compared to mutation cases. NSCLC cell lines express oncofetal CS-modified proteoglycans that can be specifically detected and targeted by rVAR2 proteins in a CSA-dependent manner. Importantly, a novel VAR2-drug conjugate (VDC-MMAE) efficiently eliminates NSCLC cells in vitro and in vivo. In summary, oncofetal CS is a prognostic biomarker and an actionable glycosaminoglycan target in NSCLC.https://www.mdpi.com/2072-6694/13/17/4489NSCLCchondroitin sulfateglycosaminoglycanVDC-MMAEdrug conjugate