Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy

Abstract Background Endothelin 1 receptors are one of the drivers of tumor progression in many cancers. Inhibition of their signaling pathways with antagonist drugs has been the subject of numerous clinical trials, but the results have not met expectations probably due to the high endothelin concent...

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Main Authors: Amaury Herbet, Marie Hautière, Frédéric Jean-Alphonse, Delphine Vivier, Christophe Leboeuf, Narciso Costa, Aloïse Mabondzo, Guilhem Bousquet, Franck Denat, Eric Reiter, Didier Boquet
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:BJC Reports
Online Access:https://doi.org/10.1038/s44276-024-00109-y
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author Amaury Herbet
Marie Hautière
Frédéric Jean-Alphonse
Delphine Vivier
Christophe Leboeuf
Narciso Costa
Aloïse Mabondzo
Guilhem Bousquet
Franck Denat
Eric Reiter
Didier Boquet
author_facet Amaury Herbet
Marie Hautière
Frédéric Jean-Alphonse
Delphine Vivier
Christophe Leboeuf
Narciso Costa
Aloïse Mabondzo
Guilhem Bousquet
Franck Denat
Eric Reiter
Didier Boquet
author_sort Amaury Herbet
collection DOAJ
description Abstract Background Endothelin 1 receptors are one of the drivers of tumor progression in many cancers. Inhibition of their signaling pathways with antagonist drugs has been the subject of numerous clinical trials, but the results have not met expectations probably due to the high endothelin concentrations in the tumor microenvironment and their unusually high affinity for their receptors. Methods We previously reported the rendomab B49 antibody (RB49) exhibiting a preferential affinity for the activated conformation of human endothelin B receptor (ETB), not displaced by high endothelin levels, and without any pharmacological properties that could inhibit the division of melanoma cells. In this context, we have developed xiRB49-MMAE, a chimeric antibody-drug conjugated (ADC) to monomethyl auristatin E. We have characterized its physicochemical properties, studied its binding mechanisms, and evaluated its therapeutic potential in a preclinical model. Immunohistochemical analysis of metastatic melanoma lymph nodes evaluated RB49 as a diagnostic tool for patient stratification. Results xiRB49-MMAE showed high efficacy against melanoma cells and ETB + xenograft tumor models. IHC studies indicated that 100% of melanoma patient lymph node biopsies were RB49-positive. Conclusions xiRB49-MMAE is a promising drug candidate for clinical trials in ETB + tumors. RB49 could be used as a diagnostic tool for patient stratification.
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spelling doaj-art-d06a9531ab2749f082dfc5bdb1d399362025-01-26T12:18:20ZengNature PortfolioBJC Reports2731-93772025-01-013111110.1038/s44276-024-00109-yTargeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacyAmaury Herbet0Marie Hautière1Frédéric Jean-Alphonse2Delphine Vivier3Christophe Leboeuf4Narciso Costa5Aloïse Mabondzo6Guilhem Bousquet7Franck Denat8Eric Reiter9Didier Boquet10Université Paris-Saclay, CEA, INRAE, Médicaments et Technologies pour la Santé (MTS), SPI, Laboratoire d’Etude de l’Unité Neurovasculaire et Innovation Thérapeutique (LENIT)Université Paris-Saclay, CEA, INRAE, Médicaments et Technologies pour la Santé (MTS), SPI, Laboratoire d’Etude de l’Unité Neurovasculaire et Innovation Thérapeutique (LENIT)INRAE, CNRS, Université de Tours, PRCInstitut de Chimie Moléculaire de l’Université de Bourgogne, ICMUB UMR CNRS 6302, Université de BourgogneUniversité Paris Cité, INSERM, UMR_S942 MASCOTUniversité Paris-Saclay, CEA, INRAE, Médicaments et Technologies pour la Santé (MTS), SPI, Laboratoire d’Etude de l’Unité Neurovasculaire et Innovation Thérapeutique (LENIT)Université Paris-Saclay, CEA, INRAE, Médicaments et Technologies pour la Santé (MTS), SPI, Laboratoire d’Etude de l’Unité Neurovasculaire et Innovation Thérapeutique (LENIT)Université Paris Cité, INSERM, UMR_S942 MASCOTInria, Inria Saclay-Ile-de-FranceINRAE, CNRS, Université de Tours, PRCUniversité Paris-Saclay, CEA, INRAE, Médicaments et Technologies pour la Santé (MTS), SPI, Laboratoire d’Etude de l’Unité Neurovasculaire et Innovation Thérapeutique (LENIT)Abstract Background Endothelin 1 receptors are one of the drivers of tumor progression in many cancers. Inhibition of their signaling pathways with antagonist drugs has been the subject of numerous clinical trials, but the results have not met expectations probably due to the high endothelin concentrations in the tumor microenvironment and their unusually high affinity for their receptors. Methods We previously reported the rendomab B49 antibody (RB49) exhibiting a preferential affinity for the activated conformation of human endothelin B receptor (ETB), not displaced by high endothelin levels, and without any pharmacological properties that could inhibit the division of melanoma cells. In this context, we have developed xiRB49-MMAE, a chimeric antibody-drug conjugated (ADC) to monomethyl auristatin E. We have characterized its physicochemical properties, studied its binding mechanisms, and evaluated its therapeutic potential in a preclinical model. Immunohistochemical analysis of metastatic melanoma lymph nodes evaluated RB49 as a diagnostic tool for patient stratification. Results xiRB49-MMAE showed high efficacy against melanoma cells and ETB + xenograft tumor models. IHC studies indicated that 100% of melanoma patient lymph node biopsies were RB49-positive. Conclusions xiRB49-MMAE is a promising drug candidate for clinical trials in ETB + tumors. RB49 could be used as a diagnostic tool for patient stratification.https://doi.org/10.1038/s44276-024-00109-y
spellingShingle Amaury Herbet
Marie Hautière
Frédéric Jean-Alphonse
Delphine Vivier
Christophe Leboeuf
Narciso Costa
Aloïse Mabondzo
Guilhem Bousquet
Franck Denat
Eric Reiter
Didier Boquet
Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
BJC Reports
title Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
title_full Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
title_fullStr Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
title_full_unstemmed Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
title_short Targeting the activated allosteric conformation of the endothelin receptor B in melanoma with an antibody-drug conjugate: mechanisms and therapeutic efficacy
title_sort targeting the activated allosteric conformation of the endothelin receptor b in melanoma with an antibody drug conjugate mechanisms and therapeutic efficacy
url https://doi.org/10.1038/s44276-024-00109-y
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