An antibody to amphiregulin, an abundant growth factor in patients' fluids, inhibits ovarian tumors

Oncogene. 2016 Jan 28;35(4):438-47. doi: 10.1038/onc.2015.93. Epub 2015 Apr 27.

Abstract

Growth factors of the epidermal growth factor (EGF)/neuregulin family are involved in tumor progression and, accordingly, antibodies that intercept a cognate receptor, epidermal growth factor receptor (EGFR)/ERBB1, or a co-receptor, HER2, have been approved for cancer therapy. Although they might improve safety and delay onset of chemoresistance, no anti-ligand antibodies have been clinically approved. To identify suitable ligands, we surveyed fluids from ovarian and lung cancer patients and found that amphiregulin (AREG) is the most abundant and generalized ligand secreted by advanced tumors. AREG is a low affinity EGFR ligand, which is upregulated following treatment with chemotherapeutic drugs. Because AREG depletion retarded growth of xenografted ovarian tumors in mice, we generated a neutralizing monoclonal anti-AREG antibody. The antibody inhibited growth of ovarian cancer xenografts and strongly enhanced chemotherapy efficacy. Taken together, these results raise the possibility that AREG and other low- or high-affinity binders of EGFR might serve as potential targets for cancer therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphiregulin
  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / pharmacology*
  • Antineoplastic Agents / pharmacology
  • Culture Media, Conditioned / analysis
  • EGF Family of Proteins / genetics*
  • EGF Family of Proteins / immunology
  • EGF Family of Proteins / metabolism*
  • ErbB Receptors / metabolism
  • Female
  • Gene Expression Regulation, Neoplastic / drug effects
  • Humans
  • Mice, Nude
  • Molecular Targeted Therapy / methods
  • Ovarian Neoplasms / drug therapy*
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / pathology*
  • Transforming Growth Factor alpha / metabolism
  • Transforming Growth Factor alpha / pharmacology
  • Tumor Cells, Cultured
  • Ubiquitination
  • Xenograft Model Antitumor Assays

Substances

  • AREG protein, human
  • Amphiregulin
  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Culture Media, Conditioned
  • EGF Family of Proteins
  • Transforming Growth Factor alpha
  • EGFR protein, human
  • ErbB Receptors