Eradication of melanomas by targeted elimination of a minor subset of tumor cells

P Schmidt, C Kopecky, A Hombach… - Proceedings of the …, 2011 - National Acad Sciences
P Schmidt, C Kopecky, A Hombach, P Zigrino, C Mauch, H Abken
Proceedings of the National Academy of Sciences, 2011National Acad Sciences
Proceeding on the assumption that all cancer cells have equal malignant capacities, current
regimens in cancer therapy attempt to eradicate all malignant cells of a tumor lesion. Using
in vivo targeting of tumor cell subsets, we demonstrate that selective elimination of a definite,
minor tumor cell subpopulation is particularly effective in eradicating established melanoma
lesions irrespective of the bulk of cancer cells. Tumor cell subsets were specifically
eliminated in a tumor lesion by adoptive transfer of engineered cytotoxic T cells redirected in …
Proceeding on the assumption that all cancer cells have equal malignant capacities, current regimens in cancer therapy attempt to eradicate all malignant cells of a tumor lesion. Using in vivo targeting of tumor cell subsets, we demonstrate that selective elimination of a definite, minor tumor cell subpopulation is particularly effective in eradicating established melanoma lesions irrespective of the bulk of cancer cells. Tumor cell subsets were specifically eliminated in a tumor lesion by adoptive transfer of engineered cytotoxic T cells redirected in an antigen-restricted manner via a chimeric antigen receptor. Targeted elimination of less than 2% of the tumor cells that coexpress high molecular weight melanoma-associated antigen (HMW-MAA) (melanoma-associated chondroitin sulfate proteoglycan, MCSP) and CD20 lastingly eradicated melanoma lesions, whereas targeting of any random 10% tumor cell subset was not effective. Our data challenge the biological therapy and current drug development paradigms in the treatment of cancer.
National Acad Sciences