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Folate Receptor Beta as a Direct and Indirect Target for Antibody-Based Cancer Immunotherapy.

Abstract
Folate receptor beta (FRβ) is a folate binding receptor expressed on myeloid lineage hematopoietic cells. FRβ is commonly expressed at high levels on malignant blasts in patients with acute myeloid leukemia (AML), as well as on M2 polarized tumor-associated macrophages (TAMs) in the tumor microenvironment of many solid tumors. Therefore, FRβ is a potential target for both direct and indirect cancer therapy. We demonstrate that FRβ is expressed in both AML cell lines and patient-derived AML samples and that a high-affinity monoclonal antibody against FRβ (m909) has the ability to cause dose- and expression-dependent ADCC against these cells in vitro. Importantly, we find that administration of m909 has a significant impact on tumor growth in a humanized mouse model of AML. Surprisingly, m909 functions in vivo with and without the infusion of human NK cells as mediators of ADCC, suggesting potential involvement of mouse macrophages as effector cells. We also found that TAMs from primary ovarian ascites samples expressed appreciable levels of FRβ and that m909 has the ability to cause ADCC in these samples. These results indicate that the targeting of FRβ using m909 has the potential to limit the outgrowth of AML in vitro and in vivo. Additionally, m909 causes cytotoxicity to TAMs in the tumor microenvironment of ovarian cancer warranting further investigation of m909 and its derivatives as therapeutic agents in patients with FRβ-expressing cancers.
AuthorsAllison G Roy, J Michael Robinson, Prannda Sharma, Alba Rodriguez-Garcia, Mathilde A Poussin, Cheryl Nickerson-Nutter, Daniel J Powell Jr
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 22 Issue 11 (May 25 2021) ISSN: 1422-0067 [Electronic] Switzerland
PMID34070369 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents, Immunological
  • FOLR2 protein, human
  • Folate Receptor 2
  • Neoplasm Proteins
Topics
  • Animals
  • Antineoplastic Agents, Immunological (pharmacology)
  • CHO Cells
  • Cricetulus
  • Female
  • Folate Receptor 2 (antagonists & inhibitors, immunology)
  • HL-60 Cells
  • Humans
  • Immunotherapy
  • Leukemia, Myeloid, Acute (immunology, pathology, therapy)
  • Mice
  • Mice, Inbred NOD
  • Mice, Knockout
  • Mice, SCID
  • Neoplasm Proteins (antagonists & inhibitors, immunology)
  • Ovarian Neoplasms (immunology, pathology, therapy)
  • THP-1 Cells
  • Xenograft Model Antitumor Assays

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