Nectin-2 is a potential target for antibody therapy of breast and ovarian cancers
- Tsutomu Oshima†1,
- Shuji Sato†1,
- Junichi Kato1,
- Yuki Ito1,
- Takahiro Watanabe2,
- Isamu Tsuji1,
- Akira Hori1,
- Tomofumi Kurokawa1Email author and
- Toshio Kokubo1, 3
© Oshima et al.; licensee BioMed Central Ltd. 2013
Received: 21 December 2012
Accepted: 31 May 2013
Published: 12 June 2013
Nectin-2 is a Ca2+-independent cell-cell adhesion molecule that is one of the plasma membrane components of adherens junctions. However, little has been reported about the involvement of Nectin-2 in cancer.
To determine the expression of Nectin-2 in cancer tissues and cancer cell lines, we performed gene expression profile analysis, immunohistochemistry studies, and flow cytometry analysis. We also investigated the potential of this molecule as a target for antibody therapeutics to treat cancers by generating and characterizing an anti-Nectin-2 rabbit polyclonal antibody (poAb) and 256 fully human anti-Nectin-2 monoclonal antibodies (mAbs). In addition, we tested anti-Nectin-2 mAbs in several in vivo tumor growth inhibition models to investigate the primary mechanisms of action of the mAbs.
In the present study, we found that Nectin-2 was over-expressed in clinical breast and ovarian cancer tissues by using gene expression profile analysis and immunohistochemistry studies. Nectin-2 was over-expressed in various cancer cell lines as well. Furthermore, the polyclonal antibody specific to Nectin-2 suppressed the in vitro proliferation of OV-90 ovarian cancer cells, which express endogenous Nectin-2 on the cell surface. The anti-Nectin-2 mAbs we generated were classified into 7 epitope bins. The anti-Nectin-2 mAbs demonstrated antibody-dependent cellular cytotoxicity (ADCC) and epitope bin-dependent features such as the inhibition of Nectin-2-Nectin-2 interaction, Nectin-2-Nectin-3 interaction, and in vitro cancer cell proliferation. A representative anti-Nectin-2 mAb in epitope bin VII, Y-443, showed anti-tumor effects against OV-90 cells and MDA-MB-231 breast cancer cells in mouse therapeutic models, and its main mechanism of action appeared to be ADCC.
We observed the over-expression of Nectin-2 in breast and ovarian cancers and anti-tumor activity of anti-Nectin-2 mAbs via strong ADCC. These findings suggest that Nectin-2 is a potential target for antibody therapy against breast and ovarian cancers.
KeywordsNectin-2 Antibody Cancer Antibody-dependent cellular cytotoxicity
Antibody-dependent cellular cytotoxicity
Dulbecco’s phosphate- buffered saline
Enzyme-linked immunosorbent assay
Fetal bovine serum
Median fluorescent intensity
Peripheral blood mononuclear cells
Tumor growth inhibition.
Nectins are Ca2+-independent cell adhesion molecules that consist of 4 members: Nectin-1, Nectin-2, Nectin-3, and Nectin-4. Each member of the Nectin family except for Nectin-4 has 2 or 3 splicing variants . All members except for a secreted protein Nectin-1γ have an extracellular region that contains 3 immunoglobulin (Ig)-like domains, a transmembrane region, and a cytoplasmic region. Nectins form homo-cis-dimers on the cell surface via their Ig2-domain . The cis-dimers further form homo- and hetero-trans-dimers with other cis-dimers of Nectins on adjacent cells via the Ig1-domain [2–8].
Nectin-2 has been reported to regulate cell adhesion between epithelial cells through the formation of trans-dimers between adjacent cells . Nectin-2-mediated cell adhesion induces the formation of E-cadherin-based adherens junctions followed by the formation of claudin-based tight junctions [9–12]. In addition to its function as a cell adhesion molecule, previous studies have suggested that Nectin-2 acts as an organizer of Sertoli cell-spermatid junctions in the testis  and of synapse formation by neurons [14, 15] and as an entry receptor for viruses . Nectin-2 is also known to be one of the ligands of DNAM-1 and TIGIT [17–20]. Although anti-Nectin-2 antibodies have been examined from a functional perspective, such as for the inhibition of Nectin-2 binding to DNAM-1, in vitro cell aggregation, or HSV-1 virion-induced cell fusion into host cells [6, 18, 21, 22], there has been no report showing an anti-tumor effect of anti-Nectin-2 antibody. In the present study, we show that Nectin-2 is over-expressed in various cancers and that anti-Nectin-2 mAb can exert an in vivo anti-tumor effect on breast and ovarian cancer cells, which suggests the potential of Nectin-2 as a target for antibody therapy for cancer treatment.
Over-expression of Nectin-2 in breast and ovarian cancers
Over-expression of Nectin-2 protein in breast and ovarian cancer tissues (IHC)
Breast cancer tissue
Ovarian cancer tissue
Infiltrating ductal carcinoma
Infiltrating lobular carcinoma
Clear cell carcinoma
Mucinous adeno carcinoma
Theca cell carcinoma
Expression of Nectin-2 protein in normal tissues (IHC)
Effect of anti-Nectin-2 poAb on OV-90 cancer cell proliferation
Generation of fully human anti-Nectin-2 mAbs
We generated fully human anti-Nectin-2 mAbs by conventional hybridoma technology using KM mice that carried the complete locus for the human immunoglobulin heavy chain and a transgene for the human immunoglobulin kappa light chain . We immunized the KM mice with a recombinant protein of the Nectin-2 extracellular domain and/or recombinant Nectin-2 over-expressing cells. As a result of the immunization and screening by a cell enzyme-linked immunosorbent assay (ELISA) using Nectin-2/CHO cells, 256 hybridoma clones that secreted human anti-Nectin-2 mAbs were established. The IgG mAbs were purified from a small-scale culture of the hybridomas and were used for characterization.
Inhibitory activities of anti-Nectin-2 mAbs on the in vitro proliferation of OV-90 cancer cells
Inhibitory activity of anti-Nectin-2 mAbs on Nectin-2-Nectin-2 or Nectin-2-Nectin-3 interaction
ADCC of anti-Nectin-2 mAbs on OV-90 cancer cells
Anti-tumor effect of anti-Nectin-2 mAbs against OV-90 cancer cells in a mouse subcutaneous xenograft model
Anti-tumor effect of Y-443 against MDA-MB-231 breast cancer cells in a mouse lung metastasis model
Mechanism of action of the in vivo anti-tumor effect of Y-443
The over-expression of Nectin-2 in breast and ovarian cancer tissues and various cancer cell lines at the mRNA and protein levels (Figures 1 and 2; Tables 1 and 2) suggests the potential of Nectin-2 as a target for antibody therapeutics to treat patients that are afflicted with these cancers. In addition, the over-expression of Nectin-2 in cell lines derived from various types of cancers (Figure 3) and in neuroblastoma, myeloid and lymphoblastic leukemias, gastric cancer, and colon cancer [27–29] suggests the possibility for the application of anti-Nectin-2 antibody to treat various cancer types.
Since a partial growth inhibition of OV-90 ovarian cancer cells had been observed using anti-Nectin-2 poAb, we generated 256 Nectin-2-specific fully human mAbs from KM mice. The mAbs were classified into 7 epitope bins by a competitive binding inhibition method using recombinant CHO cells that over-expressed Nectin-2 (Figure 5). In this assay format, 2 antibodies were classified into the same epitope bin if they bound to epitopes that were close together but were not identical and could also competitively bind to Nectin-2 due to steric hindrance. Therefore, the number of epitope bins for our anti-Nectin-2 mAbs might have been underestimated.
In the Nectin-2 interaction assay, 73 out of the 78 neutralizing mAbs belonged to epitope bin V or VI (representative data are shown in Figure 7). Interestingly, these mAbs failed to bind to a Nectin-2 Ig1 domain deletion mutant, whereas they retained the ability to bind to a Nectin-2 Ig2 domain deletion mutant (data not shown). These results demonstrate that the epitopes of antibodies in epitope bins V and VI are located in the Ig1 domain, which has been reported to mediate Nectin-2-Nectin-2 and/or Nectin-2-Nectin-3 trans-binding [2–8], and suggest that the antibodies in these bins may inhibit these interactions. Moreover, it is noteworthy that the antibodies in epitope bin V inhibited Nectin-2-Nectin-2 interaction more strongly than Nectin-2-Nectin-3 interaction, whereas the antibodies in epitope bin VI inhibited Nectin-2-Nectin-3 interaction more strongly than Nectin-2-Nectin-2 interaction (Figure 7). These findings suggest that the interaction sites for the hetero interaction and homo interaction of the Ig1 domain of Nectin-2 are not completely identical, which may enable Nectin-2-Nectin-2 trans-dimer and Nectin-2-Nectin-3 trans-dimer to multimerize with each other.
Anti-Nectin-2 mAbs representing each epitope bin with similar antigen binding affinity showed varying ADCC activities, and the mAbs in epitope bin VII demonstrated the strongest ADCC (Figure 8).
As mentioned previously, we found 8 anti-Nectin-2 mAbs that showed inhibitory activities in the OV-90 cell proliferation assay. Interestingly, 7 of them belonged to epitope bin VI (Figure 4) and all 7 had a similar complementarity determining region (CDR) sequence (data not shown). The results suggest that we successfully screened a subset of anti-Nectin-2 mAbs that suppressed the proliferation of OV-90 cells even though their efficacies were not marked.
The anti-Nectin-2 mAb Y-443, representing epitope bins VII, showed in vivo anti-tumor effects on OV-90 and MDA-MB-231 cells (Figure 9 and 10), and all the experimental results suggested that ADCC is the main mechanism of action of Y-443.
This study demonstrated the over-expression of Nectin-2 in breast and ovarian cancer tissues and showed that the anti-Nectin-2 human mAb Y-443 exerts an in vivo anti-tumor effect on OV-90 and MDA-MB-231 cells via ADCC as the main mechanism of action. Thus, Nectin-2 was shown to be a promising target for antibody-based cancer therapies.
Nectin-2 was cloned from Marathon-Ready cDNA of the A549 human lung cancer cell line (BD Biosciences) into mammalian expression vectors pcDNA3.1 (Invitrogen), pEE12.4 (Lonza Biologics), and pEF1/myc-HisA (Invitrogen) to obtain pcDNA3.1-Nectin-2, pEE12.4-Nectin-2, and pEF1/myc-HisA-Nectin-2, respectively. The cDNA encoding human IgG1 and IgG4 Fc region and mouse IgG2a Fc region were cloned from human spleen-derived and mouse spleen-derived Marathon-Ready cDNA (BD Biosciences), respectively. The cDNA encoding Nectin-2 extracellular domain (a.a. 1–361) fused to the human IgG1 Fc region and Nectin-3 extracellular domain (a.a. 1–404) fused to the mouse IgG2a Fc region were inserted into pcDNA3.1 to obtain pcDNA3.1-Nectin-2-ED-hFc and pcDNA3.1-Nectin-3-ED-mFc plasmids, respectively. Similarly, the cDNA encoding C-terminal FLAG-tagged Nectin-2 extracellular domain (a.a. 1–361) and Nectin-3 extracellular domain (a.a. 1–404) were inserted into the pCMV-Tag4a plasmid (Stratagene) to obtain pCMV-Tag4-Nectin-2-ED-FLAG and pCMV-Tag4-Nectin-3-ED-FLAG plasmids, respectively. To obtain an expression plasmid encoding Y-443 with the human IgG4 Fc region, cDNA of the variable regions of the heavy chain or light chain of Y-443 were inserted into the GS expression vector pEE6.4 (Lonza Biologics) with human IgG4 Fc region cDNA or pEE12.4, respectively. The Y-443 IgG4 expression vector was constructed by ligation of the heavy and light chain vector.
OV-90 and MDA-MB-231 cells were purchased from the American Type Culture Collection (ATCC). OV-90 cells were grown in a 1:1 mixture of MCDB 105 medium and Medium 199 containing 15% fetal bovine serum (FBS). MDA-MB-231 cells were grown in Leibovitz’s L-15 medium containing 10% FBS. FM3A (Health Protection Agency Culture Collections (HPACC)) cells were grown in RPMI1640 containing 10% FBS. CHO (Lonza Biologics) and NS0 cells (Lonza Biologics) were cultured in DMEM containing 10% dialyzed FBS. The other cancer cell lines for Nectin-2 expression tests for FCM analysis were purchased from the ATCC, the German Collection of Microorganisms and Cell Cultures (DSMZ), the Japanese Collection of Research Bioresources Cell Bank (JCRB), and HPACC, and were cultured according to the provider’s instructions.
To obtain Nectin-2 stable transfectants, pEF1/myc-HisA-Nectin-2 was transfected into FM3A cells by using a Gene Pulser II (Bio-Rad). The cells were cultured in 96-well plates with selection medium containing Geneticin (Life Technologies). Likewise, pEE12.4/Nectin-2 was transfected into CHO and NS0 cells using a Gene Pulser II. The transfected cells were cultured in 96-well plates with selection medium containing methionine sulfoximine and L-glutamine-free selection medium, respectively. Single colonies grown in the selection media were expanded and the expression level of Nectin-2 on the cell surface was measured by FCM using anti-Nectin-2 poAb. Thus, recombinant cell lines expressing Nectin-2 (Nectin-2/FM3A, Nectin-2/CHO, and Nectin-2/NS0) were obtained.
Recombinant protein preparation
Recombinant proteins Nectin-2-ED-FLAG and Nectin-3-ED-FLAG were transiently expressed in FreeStyle 293 F cells (Life Technologies) by transfecting pCMV-Tag4-Nectin-2-ED-FLAG or pCMV-Tag4-Nectin-3-ED-FLAG using 293fectin (Life Technologies), respectively. The Nectin-2-ED-FLAG and Nectin-3-ED-FLAG proteins were then purified from the culture supernatant by anti-FLAG antibody column chromatography (Sigma-Aldrich) followed by a buffer exchange with Dulbecco’s phosphate-buffered saline (D-PBS) using an ultra-filtration system (Amicon). Similarly, recombinant Nectin-2-ED-hFc and Nectin-3-ED-mFc were obtained by the transfection of pcDNA3.1-Nectin-2-ED-hFc or pcDNA3.1-Nectin-3-ED-mFc, respectively. The Nectin-2-ED-hFc and Nectin-3-ED-mFc proteins were purified from the culture supernatant with Protein A Sepharose (GE Healthcare), followed by a buffer exchange with D-PBS using an ultra-filtration system.
Anti-Nectin-2 poAb was raised in New Zealand white rabbits by immunizing with recombinant Nectin-2-ED-FLAG protein emulsified with Freund’s adjuvant every 2 weeks for 3 months. The anti-Nectin-2 poAb was purified from the antiserum by affinity chromatography using a HiTrap NHS-Activated HP column (GE Healthcare) on which Nectin-2-ED-FLAG was immobilized. The purified antibodies were then passed through a Nectin-3-ED-FLAG-affinity column in order to remove antibodies that were cross-reactive to Nectin-3 or FLAG tag. The flow through fraction was used as a Nectin-2-specific poAb.
mRNA expression analysis
Expression levels of Nectin-2 mRNA in normal tissues and cancer tissues were quantified by analyzing Affymetrix U_133 array data from Gene Logic. Nectin-2 mRNA level was calculated by multiplying each expression intensity for a given experiment (a sample hybridized onto a chip) by a global scaling factor. The scaling factor was calculated as follows: (1) from all the non-normalized expression values in the experiment, the largest 2% and smallest 2% of the values were deleted; (2) the mean of the remaining values (trimmed mean) was calculated; (3) the scale factor was calculated as 100/(trimmed mean). The value of 100 used here is the standard target value used by Gene Logic. A genechip probe 232078_at for human Nectin-2 was used for the analysis. Primary cancer tissues were used in the analysis as cancer tissues.
The expression level of Nectin-2 protein in tissues was examined by IHC using paraffin-embedded normal tissue sections and cancer tissue sections from cancer patients (Cybrdi). The tissue sections were deparaffinized, blocked with goat serum (Vector Laboratories) for 20 min at room temperature, and incubated with 1 μg/mL anti-Nectin-2 rabbit poAb for 18 h at 4°C. After 3 washes with D-PBS, the tissue sections were incubated with ENVISION + Rabbit/HRP (Dako) for 30 min and then developed with 3, 3′-diaminobenzidine for 3 min at room temperature. The sections were counterstained with hematoxylin and mounted in Permount (Fisher Scientific). Cases with membranous staining in tumor cells were considered positive for Nectin-2 expression. The antigen-specificity of the positive samples was confirmed by staining without anti-Nectin-2 primary antibody.
Cancer cells were incubated with 3 μg/mL anti-Nectin-2 rabbit poAb for 1 h on ice followed by incubation with 2 μg/mL Alexa488-labeled anti-rabbit IgG (Life Technologies) for 1 h on ice. Cells were washed with D-PBS containing 2% FBS after each antibody incubation step. The fluorescence intensity was measured by using a Cytomics FC 500 instrument (Beckman Coulter). The MFI ratio of the Ab-treated sample to a control sample was used as a measure of the cell surface expression level of Nectin-2 in cancer cells. A control sample was prepared by incubating cells with a rabbit IgG control (Jackson ImmunoResearch Laboratories).
Generation of fully human anti-Nectin-2 mAbs
KM mice (10–12-weeks old, male; Kyowa Hakko Kirin) were immunized with Nectin-2-expressing cells (Nectin-2/NS0 or Nectin-2/FM3A), a recombinant protein of Nectin-2 extracellular domain (Nectin-2-ED-hFc or Nectin-2-ED-FLAG), or a combination of Nectin-2/FM3A and the recombinant protein. For cell immunization, Nectin-2/NS0 or Nectin-2/FM3A cells were pre-treated with 20 μg/mL Mitomycin C (Wako) for 30 min at 37°C, and then they were injected intraperitoneally into the mice with Ribi adjuvant at 1 × 107 cells per mouse weekly for 7 weeks. For protein immunization, an emulsion of 50 μg of Nectin-2-ED-hFc or Nectin-2-ED-FLAG and Freund’s complete adjuvant (Difco) was subcutaneously injected into the KM mice. The following immunizations were repeated twice using the same amount of immunogens emulsified with Freund’s incomplete adjuvant at 2-week intervals. Two weeks after the third immunization, 10 μg of Nectin-2-ED-hFc or Nectin-2-ED-FLAG was injected into the tail vein as a final boost. For combination immunization, the first immunization was conducted subcutaneously with Nectin-2-ED-hFc or Nectin-2-ED-FLAG emulsified with Freund’s complete adjuvant followed by the second immunization with the same amount of the proteins emulsified with Freund’s incomplete adjuvant at 2-weeks intervals. In parallel, Mitomycin C treated-Nectin-2/FM3A cells were intraperitoneally injected into the mice every week for 4-weeks after the first protein immunization. Three days after the final protein immunization or 7 days after the final cell immunization, splenocytes were collected from mice that showed a high serum titer against Nectin-2 in a cell ELISA using Nectin-2/CHO and they were fused with mouse myeloma P3X63Ag8U.1 cells (ATCC) using Polyethylene Glycol 1500 (Roche Diagnostics). The fused cells were cultured in a HAT (hypoxanthine-aminopterin-thymidine)-selection media to obtain hybridomas. Hybridomas that secreted anti-Nectin-2 mAb were screened in a Nectin-2/CHO cell ELISA using the culture supernatant. After the selected hybridomas were further sub-cloned, all of the hybridomas that secreted Nectin-2-specific antibody were expanded in medium containing 10% ultra-low IgG FBS (Life Technologies) on a scale of 10–50 mL. Then, each mAb was purified from the culture supernatant using Protein A-Sepharose resin. Antibody isotypes were determined by sandwich ELISA using a plate that was separately coated with 6 different antibodies specific to human IgG1, IgG2, IgG3, IgG4, IgM or the kappa chain.
Epitope binning study
Anti-Nectin-2 mAbs were biotinylated by using a Biotin Labeling Kit-NH2 (Dojindo). Nectin-2/CHO cells (3 × 103) were pre-incubated with 5 μg/mL unlabeled anti-Nectin-2 mAb and 330 ng/mL Streptavidin-Alexa Fluor 647 (Life Technologies) in a 384-well FMAT plate (Applied Biosystems) for 10 min at room temperature. After incubation, the biotinylated anti-Nectin-2 mAb was added to the plate at a final concentration of 100 ng/mL and the plate was further incubated for 1 h at room temperature.
where A represents the total fluorescence of the added unlabeled antibody and B represents the total fluorescence in an unlabeled antibody-free well. An epitope binning study was performed with the binding inhibition data by employing Ward’s hierarchical clustering method and using SpotFire DecisionSite for Lead Discovery (TIBCO Software).
Cell proliferation assay
Nectin-2-Nectin-2 and Nectin-2-Nectin-3 interaction inhibition assays
Nectin-2-Nectin-3 interaction inhibition was quantitatively assessed using a Biacore2000 (GE Healthcare). In brief, Nectin-3-ED-mFc protein was immobilized on sensor chip CM5 (GE Healthcare) by using an Amine Coupling Kit (GE Healthcare). A mixture of Nectin-2-ED-hFc at 40 μg/mL and anti-Nectin-2 mAb at 30 μg/mL was passed through the Nectin-3-ED-mFc immobilized chip. Nectin-2-Nectin-3 interaction inhibition was calculated as a percentage of the decrease in the maximum response unit compared to a human IgG control (Jackson ImmunoResearch Laboratories).
Nectin-2-Nectin-2 interaction inhibition was measured by using an ELISA-based time-resolved fluorescence spectroscopy assay. Nectin-2-ED-hFc protein was conjugated with europium N1 ITC chelate by using a DELFIA Eu-Labeling Kit (PerkinElmer). Unlabeled Nectin-2-ED-hFc protein was immobilized on to a Delfia Clear Strip Plate (PerkinElmer). After blocking with PBS containing 2% bovine serum albumin, the Eu-labeled Nectin-2-ED-hFc and anti-Nectin-2 mAb were simultaneously added at final concentrations of 3.2 μg/mL and 30 μg/mL, respectively, followed by incubation for 1.5 h at room temperature. After washing with D-PBS containing 0.05% Tween20, Enhancement Solution (PerkinElmer) was added to each well. The fluorescence intensity was measured at 615 nm with an excitation wavelength of 340 nm and a delayed time of 400 μs by using an ARVO1420 Multilabel Counter (PerkinElmer). Nectin-2-Nectin-2 interaction inhibition was calculated as a percentage of the decrease in the fluorescence signal compared to a human IgG control.
where A represents the radioactivity of the test supernatant, B represents the radioactivity of the target cells alone, and C represents the radioactivity of the maximum 51Cr release from the target cells that were lysed with 1% Triton X-100.
where A represents the number of PI-positive cells in the presence of mAb and human serum, B represents that in the absence of mAb, and C represents the number of PI-positive cells that were incubated with 0.1% Triton X-100.
Preparation of anti-Nectin-2 mAbs for in vivo study
The hybridomas that produced Y-187 and Y-443 were cultured in Daigo’s T medium (Nihon Pharmaceutical) containing 10% Ultra Low IgG FBS (Life Technologies). The culture supernatant was filtered, concentrated, and then purified with a Protein A-column. The antibody fraction was separated on a Superdex 200 26/60 column (GE Healthcare) to obtain the monomer fraction and endotoxins were removed by using an ActiClean Etox column (Sterogene). The recombinant IgG4 form of Y-443 was prepared as follows. CHOK1SV cells (Lonza Biologics) were maintained in CD-CHO medium (Life Technologies) containing 6 mM L-glutamine. Linearized Y-443 IgG4 expression vector was transfected into CHOK1SV cells with a Gene Pulser II. The cells were seeded into 96-well plates at 37°C in a humidified 8% CO2. After 1 day of culturing, methionine sulfoximine (MSX) was added at a final concentration of 25 μM. After selection of the culture, a recombinant CHOK1SV clone that produced high levels of Y-443 IgG4 was selected and the cells were expanded into T75 flasks in serum-free CD-CHO medium containing 25 μM MSX and then adapted into a suspension culture. Y-443 IgG4 was purified from the supernatant of a 1 L fed-batch culture by chromatography with Protein A Sepharose FF (GE Healthcare), followed by Superdex200 26/60.
In vivo study
where A is the average tumor volume for the Ab-treated group and B is the average tumor volume for the vehicle group.
The difference in the average tumor volume between the Ab-treated groups and the vehicle group was analyzed using the Steel test.
For the MDA-MB-231 subcutaneous xenograft model, 3 × 106 MDA-MB-231 cells were subcutaneously inoculated with Matrigel (Becton Dickinson) into BALB/cAJcl-nu/nu mice (6 weeks old, female) as described above. The mice were grouped 36 days after the inoculation when the average sizes of the tumors reached approximately 200 mm3 and then vehicle (D-PBS), Y-443 (0.3 and 1 mg/kg), or its IgG4 form antibody (0.3, 1, and 3 mg/kg) was intravenously injected once per week for 3 weeks. The tumor volumes were measured and the TGI for each treatment group was determined at day 57 as described above. The difference in the average tumor volume between the Ab-treated groups and the vehicle group was analyzed using Williams test.
The MDA-MB-231 lung metastasis model was carried out as follows. Briefly, 100 μL of 1 × 106 cultured MDA-MB-231 cancer cell suspension in Hank’s buffered salt solution was intravenously injected into the tail vein of SCID mice (5–6 weeks old). The mice were randomly grouped (n = 5) 33 days after the inoculation and were treated with vehicle (D-PBS) or Y-443 (0.001, 0.01, 0.1, 1, or 10 mg/kg) weekly on days 33, 40, 47, and 54. On day 61, the mice were sacrificed to excise the lungs, and 0.2% Evans blue dye was injected intratracheally to visualize their tumor colonies. The lungs were subsequently fixed with a mixture of picric acid, 10% neutral buffered formalin, and acetic acid (15:5:1), and the number of colonies on the diaphragmatic surface of the lungs was counted macroscopically in a blind manner. The difference between the colony numbers of the Ab-treated group and the vehicle group was analyzed using the one-tailed Shirley-Williams test.
All of the animal studies including immunization were carried out in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The protocol was approved by the Committee on the Ethics of Animal Experiments of Takeda Pharmaceutical Company Ltd. (Permit Numbers: 2802, 2701, and E1-0311).
We are very grateful to Shinsuke Araki, Masahiro Miwa, Yoko Tanaka, Hiroyuki Kajiwara, and Dr. Hideaki Miyashita for the vector construction, preparation of recombinant protein of the Nectin-2 extracellular domain and/or establishment of the Nectin-2 transfectant cells. We also thank Yoshimi Sato and Shuichi Miyakawa for the poAb purification, and Tatsuo Fujimoto, Norio Okutani, Hiroshi Ashida, and Hiroaki Omae for the mAb purification.
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