Cervical carcinomas that overexpress human trophoblast cell-surface marker (Trop-2) are highly sensitive to the antibody-drug conjugate sacituzumab govitecan

Human trophoblast cell-surface marker (Trop-2) is a surface glycoprotein originally identified in human placental tissue and subsequently found to be highly expressed by various types of human epithelial solid tumors. We investigated the efficacy of sacituzumab govitecan, an antibody-drug conjugate...

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Veröffentlicht in:Scientific reports 2020-01, Vol.10 (1), p.973, Article 973
Hauptverfasser: Zeybek, Burak, Manzano, Aranzazu, Bianchi, Anna, Bonazzoli, Elena, Bellone, Stefania, Buza, Natalia, Hui, Pei, Lopez, Salvatore, Perrone, Emanuele, Manara, Paola, Zammataro, Luca, Altwerger, Gary, Han, Chanhee, Tymon-Rosario, Joan, Menderes, Gulden, Ratner, Elena, Silasi, Dan-Arin, Huang, Gloria S., Azodi, Masoud, Schwartz, Peter E., Santin, Alessandro
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container_title Scientific reports
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creator Zeybek, Burak
Manzano, Aranzazu
Bianchi, Anna
Bonazzoli, Elena
Bellone, Stefania
Buza, Natalia
Hui, Pei
Lopez, Salvatore
Perrone, Emanuele
Manara, Paola
Zammataro, Luca
Altwerger, Gary
Han, Chanhee
Tymon-Rosario, Joan
Menderes, Gulden
Ratner, Elena
Silasi, Dan-Arin
Huang, Gloria S.
Azodi, Masoud
Schwartz, Peter E.
Santin, Alessandro
description Human trophoblast cell-surface marker (Trop-2) is a surface glycoprotein originally identified in human placental tissue and subsequently found to be highly expressed by various types of human epithelial solid tumors. We investigated the efficacy of sacituzumab govitecan, an antibody-drug conjugate (ADC) comprised of a humanized anti- Trop-2 antibody, conjugated with active metabolite of irinotecan (SN-38), on Trop-2 positive cervical cancer cell lines and a xenograft model. Trop-2 expression was evaluated in 147 primary cervical tumors by immunohistochemistry, real-time polymerase chain reaction, and flow cytometry. For in vitro experiments, two Trop-2 positive (CVX-8, ADX-3), and one Trop-2 negative (ADX-2) cell lines were used. A cell line with a strong Trop-2 expression (CVX-8) was used to test in vivo antitumor activity in xenografts models. Out of 147 primary cervical cancers, 113 were squamous cell carcinomas (SCCs), and 34 were adenocarcinoma/adenosquamous carcinomas. Moderate to strong diffuse staining was seen in 95% (108/113) of SCCs, and 81% (29/34) of adenocarcinoma/adenosquamous cancers on immunohistochemistry. Trop-2 positive cell lines were highly sensitive to sacituzumab govitecan in vitro , with IC 50 values in the range of 0.18 to 0.26 nM (p = 0.02, and p = 0.04 for CVX-8, and ADX-3, respectively). In xenografts, a significant tumor growth inhibition was seen after twice-weekly intravenous administration of the drug for three weeks (p 
doi_str_mv 10.1038/s41598-020-58009-3
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We investigated the efficacy of sacituzumab govitecan, an antibody-drug conjugate (ADC) comprised of a humanized anti- Trop-2 antibody, conjugated with active metabolite of irinotecan (SN-38), on Trop-2 positive cervical cancer cell lines and a xenograft model. Trop-2 expression was evaluated in 147 primary cervical tumors by immunohistochemistry, real-time polymerase chain reaction, and flow cytometry. For in vitro experiments, two Trop-2 positive (CVX-8, ADX-3), and one Trop-2 negative (ADX-2) cell lines were used. A cell line with a strong Trop-2 expression (CVX-8) was used to test in vivo antitumor activity in xenografts models. Out of 147 primary cervical cancers, 113 were squamous cell carcinomas (SCCs), and 34 were adenocarcinoma/adenosquamous carcinomas. Moderate to strong diffuse staining was seen in 95% (108/113) of SCCs, and 81% (29/34) of adenocarcinoma/adenosquamous cancers on immunohistochemistry. Trop-2 positive cell lines were highly sensitive to sacituzumab govitecan in vitro , with IC 50 values in the range of 0.18 to 0.26 nM (p = 0.02, and p = 0.04 for CVX-8, and ADX-3, respectively). In xenografts, a significant tumor growth inhibition was seen after twice-weekly intravenous administration of the drug for three weeks (p &lt; 0.0001, and p = 0.001 for sacituzumab govitecan vs naked antibody, and sacituzumab govitecan vs control-ADC, respectively). Overall survival at 90 days was significantly improved in the sacituzumab govitecan group (p = 0.014). In conclusion, sacituzumab govitecan may represent a novel targeted therapy option in cervical cancer patients overexpressing Trop-2.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-58009-3</identifier><identifier>PMID: 31969666</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>13/1 ; 13/51 ; 692/4028 ; 692/420/755 ; Adenocarcinoma ; Adenocarcinoma - drug therapy ; Adenocarcinoma - genetics ; Adenocarcinoma - metabolism ; Adenosquamous ; Antibodies, Monoclonal, Humanized - pharmacology ; Antibodies, Monoclonal, Humanized - therapeutic use ; Antigens, Neoplasm - genetics ; Antigens, Neoplasm - metabolism ; Antineoplastic Agents - pharmacology ; Antineoplastic Agents - therapeutic use ; Antitumor activity ; Camptothecin - analogs &amp; derivatives ; Camptothecin - pharmacology ; Camptothecin - therapeutic use ; Carcinoma, Squamous Cell - drug therapy ; Carcinoma, Squamous Cell - genetics ; Carcinoma, Squamous Cell - metabolism ; Cell Adhesion Molecules - genetics ; Cell Adhesion Molecules - metabolism ; Cell Line, Tumor ; Cell surface ; Cell Survival - drug effects ; Cervical cancer ; Cervical carcinoma ; Cervix ; Female ; Flow cytometry ; Humanities and Social Sciences ; Humans ; Immunoconjugates - pharmacology ; Immunoconjugates - therapeutic use ; Immunohistochemistry ; Intravenous administration ; Irinotecan ; Metabolites ; Monoclonal antibodies ; multidisciplinary ; Placenta ; Polymerase chain reaction ; Science ; Science (multidisciplinary) ; Solid tumors ; Squamous cell carcinoma ; Surface markers ; Targeted cancer therapy ; Tumor cell lines ; Tumors ; Uterine Cervical Neoplasms - drug therapy ; Uterine Cervical Neoplasms - genetics ; Uterine Cervical Neoplasms - metabolism ; Xenografts</subject><ispartof>Scientific reports, 2020-01, Vol.10 (1), p.973, Article 973</ispartof><rights>The Author(s) 2020</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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We investigated the efficacy of sacituzumab govitecan, an antibody-drug conjugate (ADC) comprised of a humanized anti- Trop-2 antibody, conjugated with active metabolite of irinotecan (SN-38), on Trop-2 positive cervical cancer cell lines and a xenograft model. Trop-2 expression was evaluated in 147 primary cervical tumors by immunohistochemistry, real-time polymerase chain reaction, and flow cytometry. For in vitro experiments, two Trop-2 positive (CVX-8, ADX-3), and one Trop-2 negative (ADX-2) cell lines were used. A cell line with a strong Trop-2 expression (CVX-8) was used to test in vivo antitumor activity in xenografts models. Out of 147 primary cervical cancers, 113 were squamous cell carcinomas (SCCs), and 34 were adenocarcinoma/adenosquamous carcinomas. Moderate to strong diffuse staining was seen in 95% (108/113) of SCCs, and 81% (29/34) of adenocarcinoma/adenosquamous cancers on immunohistochemistry. Trop-2 positive cell lines were highly sensitive to sacituzumab govitecan in vitro , with IC 50 values in the range of 0.18 to 0.26 nM (p = 0.02, and p = 0.04 for CVX-8, and ADX-3, respectively). In xenografts, a significant tumor growth inhibition was seen after twice-weekly intravenous administration of the drug for three weeks (p &lt; 0.0001, and p = 0.001 for sacituzumab govitecan vs naked antibody, and sacituzumab govitecan vs control-ADC, respectively). Overall survival at 90 days was significantly improved in the sacituzumab govitecan group (p = 0.014). In conclusion, sacituzumab govitecan may represent a novel targeted therapy option in cervical cancer patients overexpressing Trop-2.</description><subject>13/1</subject><subject>13/51</subject><subject>692/4028</subject><subject>692/420/755</subject><subject>Adenocarcinoma</subject><subject>Adenocarcinoma - drug therapy</subject><subject>Adenocarcinoma - genetics</subject><subject>Adenocarcinoma - metabolism</subject><subject>Adenosquamous</subject><subject>Antibodies, Monoclonal, Humanized - pharmacology</subject><subject>Antibodies, Monoclonal, Humanized - therapeutic use</subject><subject>Antigens, Neoplasm - genetics</subject><subject>Antigens, Neoplasm - metabolism</subject><subject>Antineoplastic Agents - pharmacology</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Antitumor activity</subject><subject>Camptothecin - analogs &amp; derivatives</subject><subject>Camptothecin - pharmacology</subject><subject>Camptothecin - therapeutic 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carcinomas that overexpress human trophoblast cell-surface marker (Trop-2) are highly sensitive to the antibody-drug conjugate sacituzumab govitecan</title><author>Zeybek, Burak ; Manzano, Aranzazu ; Bianchi, Anna ; Bonazzoli, Elena ; Bellone, Stefania ; Buza, Natalia ; Hui, Pei ; Lopez, Salvatore ; Perrone, Emanuele ; Manara, Paola ; Zammataro, Luca ; Altwerger, Gary ; Han, Chanhee ; Tymon-Rosario, Joan ; Menderes, Gulden ; Ratner, Elena ; Silasi, Dan-Arin ; Huang, Gloria S. ; Azodi, Masoud ; Schwartz, Peter E. ; Santin, Alessandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-c4b71d431236e0eead8427c2d61a6ede29495f53c2ac76a60be3badc396f73873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>13/1</topic><topic>13/51</topic><topic>692/4028</topic><topic>692/420/755</topic><topic>Adenocarcinoma</topic><topic>Adenocarcinoma - drug therapy</topic><topic>Adenocarcinoma 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Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeybek, Burak</au><au>Manzano, Aranzazu</au><au>Bianchi, Anna</au><au>Bonazzoli, Elena</au><au>Bellone, Stefania</au><au>Buza, Natalia</au><au>Hui, Pei</au><au>Lopez, Salvatore</au><au>Perrone, Emanuele</au><au>Manara, Paola</au><au>Zammataro, Luca</au><au>Altwerger, Gary</au><au>Han, Chanhee</au><au>Tymon-Rosario, Joan</au><au>Menderes, Gulden</au><au>Ratner, Elena</au><au>Silasi, Dan-Arin</au><au>Huang, Gloria S.</au><au>Azodi, Masoud</au><au>Schwartz, Peter E.</au><au>Santin, Alessandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical carcinomas that overexpress human trophoblast cell-surface marker (Trop-2) are highly sensitive to the antibody-drug conjugate sacituzumab govitecan</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-01-22</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>973</spage><pages>973-</pages><artnum>973</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Human trophoblast cell-surface marker (Trop-2) is a surface glycoprotein originally identified in human placental tissue and subsequently found to be highly expressed by various types of human epithelial solid tumors. We investigated the efficacy of sacituzumab govitecan, an antibody-drug conjugate (ADC) comprised of a humanized anti- Trop-2 antibody, conjugated with active metabolite of irinotecan (SN-38), on Trop-2 positive cervical cancer cell lines and a xenograft model. Trop-2 expression was evaluated in 147 primary cervical tumors by immunohistochemistry, real-time polymerase chain reaction, and flow cytometry. For in vitro experiments, two Trop-2 positive (CVX-8, ADX-3), and one Trop-2 negative (ADX-2) cell lines were used. A cell line with a strong Trop-2 expression (CVX-8) was used to test in vivo antitumor activity in xenografts models. Out of 147 primary cervical cancers, 113 were squamous cell carcinomas (SCCs), and 34 were adenocarcinoma/adenosquamous carcinomas. Moderate to strong diffuse staining was seen in 95% (108/113) of SCCs, and 81% (29/34) of adenocarcinoma/adenosquamous cancers on immunohistochemistry. Trop-2 positive cell lines were highly sensitive to sacituzumab govitecan in vitro , with IC 50 values in the range of 0.18 to 0.26 nM (p = 0.02, and p = 0.04 for CVX-8, and ADX-3, respectively). In xenografts, a significant tumor growth inhibition was seen after twice-weekly intravenous administration of the drug for three weeks (p &lt; 0.0001, and p = 0.001 for sacituzumab govitecan vs naked antibody, and sacituzumab govitecan vs control-ADC, respectively). Overall survival at 90 days was significantly improved in the sacituzumab govitecan group (p = 0.014). In conclusion, sacituzumab govitecan may represent a novel targeted therapy option in cervical cancer patients overexpressing Trop-2.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31969666</pmid><doi>10.1038/s41598-020-58009-3</doi><orcidid>https://orcid.org/0000-0001-7705-3715</orcidid><orcidid>https://orcid.org/0000-0003-2024-8102</orcidid><oa>free_for_read</oa></addata></record>
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subjects 13/1
13/51
692/4028
692/420/755
Adenocarcinoma
Adenocarcinoma - drug therapy
Adenocarcinoma - genetics
Adenocarcinoma - metabolism
Adenosquamous
Antibodies, Monoclonal, Humanized - pharmacology
Antibodies, Monoclonal, Humanized - therapeutic use
Antigens, Neoplasm - genetics
Antigens, Neoplasm - metabolism
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Antitumor activity
Camptothecin - analogs & derivatives
Camptothecin - pharmacology
Camptothecin - therapeutic use
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - genetics
Carcinoma, Squamous Cell - metabolism
Cell Adhesion Molecules - genetics
Cell Adhesion Molecules - metabolism
Cell Line, Tumor
Cell surface
Cell Survival - drug effects
Cervical cancer
Cervical carcinoma
Cervix
Female
Flow cytometry
Humanities and Social Sciences
Humans
Immunoconjugates - pharmacology
Immunoconjugates - therapeutic use
Immunohistochemistry
Intravenous administration
Irinotecan
Metabolites
Monoclonal antibodies
multidisciplinary
Placenta
Polymerase chain reaction
Science
Science (multidisciplinary)
Solid tumors
Squamous cell carcinoma
Surface markers
Targeted cancer therapy
Tumor cell lines
Tumors
Uterine Cervical Neoplasms - drug therapy
Uterine Cervical Neoplasms - genetics
Uterine Cervical Neoplasms - metabolism
Xenografts
title Cervical carcinomas that overexpress human trophoblast cell-surface marker (Trop-2) are highly sensitive to the antibody-drug conjugate sacituzumab govitecan
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