Epidermal growth factor receptor (EGFR) and
insulin-like growth factor 1 receptor (IGF-1R) both overexpressed on
non-small cell lung cancer (NSCLC) and are known cooperatively to promote
tumor progression and drug resistance. This study was to construct a novel bispecific fusion
protein EGF-IGF-LDP-AE consisting of EGFR and IGF-IR specific
ligands (
EGF and IGF-1) and
lidamycin, an enediyne
antibiotic with potent antitumor activity, and investigate its antitumor efficacy against NSCLC. Binding and internalization assays showed that
EGF-IGF-LDP
protein could bind to NSCLC cells with high affinity and then internalized into cells with higher efficiency than that of monospecific
proteins. In vitro, the enediyne-energized analogue of bispecific fusion
protein (
EGF-IGF-LDP-AE) displayed extremely potent cytotoxicity to NSCLC cell lines with IC50<10-11 mol/L. Moreover, the bispecific
protein EGF-IGF-LDP-AE was more cytotoxic than monospecific
proteins (
EGF-LDP-AE and LDP-IGF-AE) and
lidamycin. In vivo,
EGF-IGF-LDP-AE markedly inhibited the growth of A549 xenografts, and the efficacy was more potent than that of
lidamycin and monospecific counterparts.
EGF-IGF-LDP-AE caused significant cell cycle arrest and it also induced cell apoptosis in a dosage-dependent manner. Pretreatment with
EGF-IGF-LDP-AE inhibited
EGF-, IGF-stimulated EGFR and IGF-1R phosphorylation, and blocked two main downstream signaling molecules AKT and ERK activation. These data suggested that
EGF-LDP-IGF-AE
protein would be a promising targeted agent for NSCLC patients with EGFR and/or IGF-1R overexpression.