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Supuran CT. Targeting carbonic anhydrases for the management of hypoxic metastatic tumors. Expert Opin Ther Pat 2023; 33:701-720. [PMID: 37545058 DOI: 10.1080/13543776.2023.2245971] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 07/31/2023] [Accepted: 08/04/2023] [Indexed: 08/08/2023]
Abstract
INTRODUCTION Several isoforms of the metalloenzyme carbonic anhydrase (CA, EC 4.2.1.1) are connected with tumorigenesis. Hypoxic tumors overexpress CA IX and XII as a consequence of HIF activation cascade, being involved in pH regulation, metabolism, and metastases formation. Other isoforms (CA I, II, III, IV) were also reported to be present in some tumors. AREAS COVERED Some CA isoforms are biomarkers for disease progression or response to therapy. Inhibitors, antibodies, and other procedures for targeting these enzymes for the treatment of tumors/metastases are discussed. Sulfonamides and coumarins represent the most investigated classes of inhibitors, but carboxylates, selenium, and tellurium-containing inhibitors were also investigated. Hybrid drugs of CA inhibitors with other antitumor agents for multitargeted therapy were reported. EXPERT OPINION Targeting CAs present in solid or hematological tumors with selective, targeted inhibitors is a validated approach, which has been consolidated in the last years. A host of new preclinical data and several clinical trials of antibodies and small-molecule inhibitors are ongoing, which connected with the large number of new chemotypes/procedures discovered to be effective, may lead to a breakthrough in this therapeutic area. The scientific/patent literature has been searched for on PubMed, ScienceDirect, Espacenet, and PatentGuru, from 2018 to 2023.
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Affiliation(s)
- Claudiu T Supuran
- Department of NEUROFARBA, Pharmaceutical and Nutraceutical Section, University of Florence, Sesto Fiorentino, Firenze, Italy
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Ni F, Wu C, Xu P, Wang P, Fortin Y, Arbour M, Masson L, L’Abbé D, Acel A, Gosselin M, Lenferink AE. Unique epitope-antibody interactions in the intrinsically disordered proteoglycan-like domain of human carbonic anhydrase IX defined by high-resolution NMR combined with yeast surface display. MAbs 2023; 15:2248672. [PMID: 37622732 PMCID: PMC10461516 DOI: 10.1080/19420862.2023.2248672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 08/10/2023] [Accepted: 08/11/2023] [Indexed: 08/26/2023] Open
Abstract
Carbonic anhydrase (CA)-IX is an extracellular enzyme that is essential in the adaptation of tumor cells to their increasingly more hypoxic and acidic microenvironment. Within the family of carbonic anhydrases, CA-IX is unique in that it is the only CA with an N-terminal intrinsically disordered region (IDR) containing a proteoglycan (PG)-like domain. This PG-like IDR has been described to be instrumental in CA-IX's enzyme activity, as well as tumor cell motility and invasion. We have characterized the antibody-epitope interactions of two novel and unique antibodies (11H9 and 12H8) that are specific for the human CA-IX's IDR. Binding interactions of these antibodies to the intact IDR were studied by surface plasmon resonance and high-resolution nuclear magnetic resonance (NMR) spectroscopy, while the specific epitopes were determined by both NMR and yeast surface display (YSD). Our data show that 12H8 binds to the N-terminus of CA-IX, while 11H9 has a high affinity for an epitope located in the central region of the IDR containing three GEEDLP repeats in a manner that is different from the previously described M75 antibody. Titration NMR spectroscopy using CA-IX's entire IDR in addition identified a secondary epitope of 11H9 at the beginning of the PG-like domain that remains exposed and available for further binding events after the engagement at its primary epitope at the center of the PG-like domain. Transverse relaxation optimized NMR spectroscopy of 11H9-F(Ab) in complex with the CA-IX IDR outlines structural rigidification of a linear epitope, while the rest of the IDR remains largely unstructured upon complex formation. This study illustrates how high-resolution NMR and YSD are used as complementary tools for a comprehensive characterization of antibody-epitope interactions involving intrinsically unstructured antigen domains with highly repetitive sequences.
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Affiliation(s)
- Feng Ni
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Cunle Wu
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Ping Xu
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Ping Wang
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Yves Fortin
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Melanie Arbour
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Luke Masson
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Denis L’Abbé
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Andrea Acel
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Mylene Gosselin
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
| | - Anne E.G. Lenferink
- Human Health Therapeutics Research Centre, National Research Council Canada, Montreal, Quebec, Canada
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Cancer Therapeutic Targeting of Hypoxia Induced Carbonic Anhydrase IX: From Bench to Bedside. Cancers (Basel) 2022; 14:cancers14143297. [PMID: 35884358 PMCID: PMC9322110 DOI: 10.3390/cancers14143297] [Citation(s) in RCA: 49] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 07/04/2022] [Indexed: 02/01/2023] Open
Abstract
Simple Summary Tumor hypoxia remains a significant problem in the effective treatment of most cancers. Tumor cells within hypoxic niches tend to be largely resistant to most therapeutic modalities, and adaptation of the cells within the hypoxic microenvironment imparts the cells with aggressive, invasive behavior. Thus, a major goal of successful cancer therapy should be the eradication of hypoxic tumor cells. Carbonic Anhydrase IX (CAIX) is an exquisitely hypoxia induced protein, selectively expressed on hypoxic tumor cells, and thus has garnered significant attention as a therapeutic target. In this Commentary, we discuss the current status of targeting CAIX, and future strategies for effective, durable cancer treatment. Abstract Carbonic Anhydrase IX (CAIX) is a major metabolic effector of tumor hypoxia and regulates intra- and extracellular pH and acidosis. Significant advances have been made recently in the development of therapeutic targeting of CAIX. These approaches include antibody-based immunotherapy, as well as use of antibodies to deliver toxic and radioactive payloads. In addition, a large number of small molecule inhibitors which inhibit the enzymatic activity of CAIX have been described. In this commentary, we highlight the current status of strategies targeting CAIX in both the pre-clinical and clinical space, and discuss future perspectives that leverage inhibition of CAIX in combination with additional targeted therapies to enable effective, durable approaches for cancer therapy.
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Lenferink AEG, McDonald PC, Cantin C, Grothé S, Gosselin M, Baardsnes J, Banville M, Lachance P, Robert A, Cepero-Donates Y, Radinovic S, Salois P, Parat M, Oamari H, Dulude A, Patel M, Lafrance M, Acel A, Bousquet-Gagnon N, L'Abbé D, Pelletier A, Malenfant F, Jaramillo M, O'Connor-Mccourt M, Wu C, Durocher Y, Duchesne M, Gadoury C, Marcil A, Fortin Y, Paul-Roc B, Acchione M, Chafe SC, Nemirovsky O, Lau J, Bénard F, Dedhar S. Isolation and characterization of monoclonal antibodies against human carbonic anhydrase-IX. MAbs 2021; 13:1999194. [PMID: 34806527 PMCID: PMC8632296 DOI: 10.1080/19420862.2021.1999194] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
The architectural complexity and heterogeneity of the tumor microenvironment (TME) remains a substantial obstacle in the successful treatment of cancer. Hypoxia, caused by insufficient oxygen supply, and acidosis, resulting from the expulsion of acidic metabolites, are prominent features of the TME. To mitigate the consequences of the hostile TME, cancer cells metabolically rewire themselves and express a series of specific transporters and enzymes instrumental to this adaptation. One of these proteins is carbonic anhydrase (CA)IX, a zinc-containing extracellular membrane bound enzyme that has been shown to play a critical role in the maintenance of a neutral intracellular pH (pHi), allowing tumor cells to survive and thrive in these harsh conditions. Although CAIX has been considered a promising cancer target, only two antibody-based therapeutics have been clinically tested so far. To fill this gap, we generated a series of novel monoclonal antibodies (mAbs) that specifically recognize the extracellular domain (ECD) of human CAIX. Here we describe the biophysical and functional properties of a set of antibodies against the CAIX ECD domain and their applicability as: 1) suitable for development as an antibody-drug-conjugate, 2) an inhibitor of CAIX enzyme activity, or 3) an imaging/detection antibody. The results presented here demonstrate the potential of these specific hCAIX mAbs for further development as novel cancer therapeutic and/or diagnostic tools.
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Affiliation(s)
- Anne E G Lenferink
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Paul C McDonald
- Department of Integrative Oncology, Bc Cancer Research Institute, Vancouver, Canada
| | - Christiane Cantin
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Suzanne Grothé
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Mylene Gosselin
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Jason Baardsnes
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Myriam Banville
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Paul Lachance
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Alma Robert
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Yuneivy Cepero-Donates
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Stevo Radinovic
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Patrick Salois
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Marie Parat
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Hafida Oamari
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Annie Dulude
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Mehul Patel
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Martin Lafrance
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Andrea Acel
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Nathalie Bousquet-Gagnon
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Denis L'Abbé
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Alex Pelletier
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Félix Malenfant
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Maria Jaramillo
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Maureen O'Connor-Mccourt
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Cunle Wu
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Yves Durocher
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Mélanie Duchesne
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Christine Gadoury
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Anne Marcil
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Yves Fortin
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Beatrice Paul-Roc
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Maurizio Acchione
- Human Health Therapeutics Research Center, National Research Council of Canada, Montréal, Canada
| | - Shawn C Chafe
- Department of Integrative Oncology, Bc Cancer Research Institute, Vancouver, Canada
| | - Oksana Nemirovsky
- Department of Integrative Oncology, Bc Cancer Research Institute, Vancouver, Canada
| | - Joseph Lau
- Department of Molecular Oncology, Bc Cancer Research Institute, Vancouver, Canada
| | - Francois Bénard
- Department of Molecular Oncology, Bc Cancer Research Institute, Vancouver, Canada
| | - Shoukat Dedhar
- Department of Integrative Oncology, Bc Cancer Research Institute, Vancouver, Canada
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