Identification of immunotherapy and radioimmunotherapy targets on desmoplastic small round cell tumors Journal Article


Authors: Espinosa-Cotton, M.; Guo, H. F.; Tickoo, S. K.; Cheung, N. K. V.
Article Title: Identification of immunotherapy and radioimmunotherapy targets on desmoplastic small round cell tumors
Abstract: Background: Development of successful antibody-based immunotherapeutic and radioimmunotherapeutic strategies rely on the identification of cell surface tumor-associated antigens (TAA) with restricted expression on normal tissues. Desmoplastic small round cell tumor (DSRCT) is a rare and generally neglected malignancy that primarily affects adolescent and young adult males. New therapies capable of treating disseminated disease are needed for DSRCT, which is often widespread at diagnosis. Methods: We used immunohistochemistry (IHC) on fresh frozen surgical specimens and patient-derived xenograft (PDX) tumors and flow cytometry on DSRCT cell lines to evaluate expression of TAAs in these tumors. In vitro cytotoxicity assays were used to evaluate the efficacy of T cell-engaging bispecific antibodies (T-BsAbs) directed at these targets. In vivo, we used an intraperitoneal xenograft mouse model of DSRCT to test T-BsAbs against several TAAs. Results: In DSRCT specimens we found widespread expression of B7-H3, EGFR, GD2, HER2, mesothelin, and polysialic acid, clinical targets for which specific antibody therapeutics are available. The expression of B7-H3, EGFR, HER2, and mesothelin was confirmed on the cell surface of DSRCT cell lines. In vitro cytotoxicity assays confirmed the efficacy of T cell-engaging bispecific antibodies (T-BsAbs) directed at these targets against DSRCT cells. Remarkably, a HER2xCD3 T-BsAb was capable of completely shrinking established tumors in an intraperitoneal mouse model of DSRCT. Conclusions: We propose that these TAAs should be further investigated in preclinical models as targets for immunotherapy and radioimmunotherapy with the hope of providing a rationale to extend these therapies to patients with advanced DSRCT. Copyright © 2023 Espinosa-Cotton, Guo, Tickoo and Cheung.
Keywords: immunotherapy; radioimmunotherapy; desmoplastic small round cell tumor; t cell engaging bispecific antibodies; bispecific antibodies (bsabs); tumor-associated antigen (taa)
Journal Title: Frontiers in Oncology
Volume: 13
ISSN: 2234-943X
Publisher: Frontiers Media S.A.  
Date Published: 2023-04-05
Start Page: 1104693
Language: English
DOI: 10.3389/fonc.2023.1104693
PROVIDER: scopus
PMCID: PMC10119788
PUBMED: 37091153
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF (as a typo - P30 CA8748) -- MSK corresponding authors is Nai-Kong Cheung -- Export Date: 1 May 2023 -- Source: Scopus
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MSK Authors
  1. Nai-Kong Cheung
    628 Cheung
  2. Satish K Tickoo
    461 Tickoo
  3. Hong-Fen Guo
    68 Guo