Platelet-derived growth factor receptor beta (PDGFRbeta) is upregulated in most of solid
tumors. It is expressed by pericytes/smooth muscle cells, fibroblast, macrophage, and certain
tumor cells. Several
PDGF receptor-related antagonists are being developed as potential
antitumor agents and have demonstrated promising antitumor activity in both preclinical and clinical settings. Here, we produced a fully human
neutralizing antibody, IMC-2C5, directed against PDGFRbeta from an antibody phage display library. IMC-2C5 binds to both human and mouse PDGFRbeta and blocks PDGF-B from binding to the receptor. IMC-2C5 also blocks
ligand-stimulated activation of PDGFRbeta and downstream signaling molecules in
tumor cells. In animal studies, IMC-2C5 significantly delayed the growth of OVCAR-8 and NCI-H460 human
tumor xenografts in nude mice but failed to show antitumor activities in OVCAR-5 and Caki-1 xenografts. Our results indicate that the antitumor efficacy of IMC-2C5 is primarily due to its effects on
tumor stroma, rather than on
tumor cells directly. Combination of IMC-2C5 and DC101, an anti-mouse
vascular endothelial growth factor receptor 2 antibody, resulted in significantly enhanced antitumor activity in BxPC-3, NCI-H460, and HCT-116 xenografts, compared with DC101 alone, and the trend of additive effects to DC101 treatment in several other
tumor models. ELISA analysis of NCI-H460
tumor homogenates showed that IMC-2C5 attenuated
protein level of
vascular endothelial growth factor and
basic fibroblast growth factor elevated by DC101 treatment. Finally, IMC-2C5 showed a trend of additive effects when combined with DC101/
chemotherapy in MIA-PaCa-2 and NCI-H460 models. Taken together, these results lend great support to the use of PDGFRbeta antagonists in combination with other
antiangiogenic agents in the treatment of a broad range of human
cancers.