基礎研究を最も進行性の乳がんの新しい治療法に変える(Turning Basic Research into a New Treatment for the Most Aggressive Forms of Breast Cancer)

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2024-01-08 タフツ大学

◆30年前、Gail Sonensheinはがんの研究をしていた際、New York Timesの記事に触発され、女性の健康向上を目指すプログラムに興味を抱き、研究を乳がんに転換。ADAM8と呼ばれるタンパク質を中心に最も悪性の乳がんに対する新たな診断法と治療法の開発に尽力。
◆彼女の研究室はADAM8が新しい血管形成を助け、がんを成長させることがわかり、その抗体治療法の開発を進めている。ADAM8の活性は他のがんでも見られ、この治療法が多くのがん患者に影響を与える可能性がある。

<関連情報>

ADAM8は乳癌に広く発現し、ホルモン受容体陽性、HER-2陰性患者の予後不良を予測する ADAM8 is expressed widely in breast cancer and predicts poor outcome in hormone receptor positive, HER-2 negative patients

Stefania Pianetti,Kathy D. Miller,Hannah H. Chen,Sandra Althouse,Sha Cao,Steven J. Michael,Gail E. Sonenshein & Nora D. Mineva
Cancer Cell International  Published:11 August 2023
DOI:https://doi.org/10.1186/s12935-023-03024-3

基礎研究を最も進行性の乳がんの新しい治療法に変える(Turning Basic Research into a New Treatment for the Most Aggressive Forms of Breast Cancer)

Abstract

Background
Breast malignancies are the predominant cancer-related cause of death in women. New methods of diagnosis, prognosis and treatment are necessary. Previously, we identified the breast cancer cell surface protein ADAM8 as a marker of poor survival, and a driver of Triple-Negative Breast Cancer (TNBC) growth and spread. Immunohistochemistry (IHC) with a research-only anti-ADAM8 antibody revealed 34.0% of TNBCs (17/50) expressed ADAM8. To identify those patients who could benefit from future ADAM8-based interventions, new clinical tests are needed. Here, we report on the preclinical development of a highly specific IHC assay for detection of ADAM8-positive breast tumors.

Methods
Formalin-fixed paraffin-embedded sections of ADAM8-positive breast cell lines and patient-derived xenograft tumors were used in IHC to identify a lead antibody, appropriate staining conditions and controls. Patient breast cancer samples (n = 490) were used to validate the assay. Cox proportional hazards models assessed association between survival and ADAM8 expression.

Results
ADAM8 staining conditions were optimized, a lead anti-human ADAM8 monoclonal IHC antibody (ADP2) identified, and a breast staining/scoring control cell line microarray (CCM) generated expressing a range of ADAM8 levels. Assay specificity, reproducibility, and appropriateness of the CCM for scoring tumor samples were demonstrated. Consistent with earlier findings, 36.1% (22/61) of patient TNBCs expressed ADAM8. Overall, 33.9% (166/490) of the breast cancer population was ADAM8-positive, including Hormone Receptor (HR) and Human Epidermal Growth Factor Receptor-2 (HER2) positive cancers, which were tested for the first time. For the most prevalent HR-positive/HER2-negative subtype, high ADAM8 expression identified patients at risk of poor survival.

Conclusions
Our studies show ADAM8 is widely expressed in breast cancer and provide support for both a diagnostic and prognostic value of the ADP2 IHC assay. As ADAM8 has been implicated in multiple solid malignancies, continued development of this assay may have broad impact on cancer management.

医療・健康
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