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Antixenograft tumor activity of a humanized anti-insulin-like growth factor-I receptor monoclonal antibody is associated with decreased AKT activation and glucose uptake.

Abstract
The insulin-like growth factor (IGF) system consists of two ligands (IGF-I and IGF-II), which both signal through IGF-I receptor (IGF-IR) to stimulate proliferation and inhibit apoptosis, with activity contributing to malignant growth of many types of human cancers. We have developed a humanized, affinity-matured anti-human IGF-IR monoclonal antibody (h10H5), which binds with high affinity and specificity to the extracellular domain. h10H5 inhibits IGF-IR-mediated signaling by blocking IGF-I and IGF-II binding and by inducing cell surface receptor down-regulation via internalization and degradation, with the extracellular and intracellular domains of IGF-IR being differentially affected by the proteasomal and lysosomal inhibitors. In vitro, h10H5 exhibits antiproliferative effects on cancer cell lines. In vivo, h10H5 shows single-agent antitumor efficacy in human SK-N-AS neuroblastoma and SW527 breast cancer xenograft models and even greater efficacy in combination with the chemotherapeutic agent docetaxel or an anti-vascular endothelial growth factor antibody. Antitumor activity of h10H5 is associated with decreased AKT activation and glucose uptake and a 316-gene transcription profile with significant changes involving DNA metabolic and cell cycle machineries. These data support the clinical testing of h10H5 as a biotherapeutic for IGF-IR-dependent human tumors and furthermore illustrate a new method of monitoring its activity noninvasively in vivo via 2-fluoro-2-deoxy-d-glucose-positron emission tomography imaging.
AuthorsYonglei Shang, Yifan Mao, Jennifer Batson, Suzie J Scales, Gail Phillips, Mark R Lackner, Klara Totpal, Simon Williams, Jihong Yang, Zhijun Tang, Zora Modrusan, Christine Tan, Wei-Ching Liang, Siao Ping Tsai, Alexander Vanderbilt, Kenji Kozuka, Klaus Hoeflich, Janet Tien, Sarajane Ross, Congfen Li, Sang Hoon Lee, An Song, Yan Wu, Jean-Philippe Stephan, Avi Ashkenazi, Jiping Zha
JournalMolecular cancer therapeutics (Mol Cancer Ther) Vol. 7 Issue 9 Pg. 2599-608 (Sep 2008) ISSN: 1535-7163 [Print] United States
PMID18790743 (Publication Type: Journal Article)
Chemical References
  • Antibodies, Monoclonal
  • Biomarkers
  • Proteasome Inhibitors
  • Protein Subunits
  • Insulin-Like Growth Factor I
  • Receptor, IGF Type 1
  • Proto-Oncogene Proteins c-akt
  • Glucose
Topics
  • Animals
  • Antibodies, Monoclonal (pharmacology)
  • Biomarkers (metabolism)
  • Cell Line, Tumor
  • Cell Proliferation (drug effects)
  • Down-Regulation (drug effects)
  • Drug Synergism
  • Endocytosis (drug effects)
  • Enzyme Activation (drug effects)
  • Female
  • Gene Expression Profiling
  • Glucose (metabolism)
  • Humans
  • Insulin-Like Growth Factor I (metabolism)
  • Lysosomes (drug effects, metabolism)
  • Mice
  • Mice, Inbred BALB C
  • Mice, SCID
  • Neoplasms (enzymology, genetics, pathology)
  • Proteasome Inhibitors
  • Protein Subunits (metabolism)
  • Proto-Oncogene Proteins c-akt (metabolism)
  • Receptor, IGF Type 1 (antagonists & inhibitors)
  • Signal Transduction (drug effects)
  • Xenograft Model Antitumor Assays

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