A tale of two multi-focal therapies for glioblastoma: An antibody targeting ELTD1 and nitrone-based OKN-007

J Cell Mol Med. 2022 Jan;26(2):570-582. doi: 10.1111/jcmm.17133. Epub 2021 Dec 14.

Abstract

Glioblastoma (GBM) is the most common primary malignant brain tumour in adults. Despite a multimodal treatment response, survival for GBM patients remains between 12 and 15 months. Anti-ELTD1 antibody therapy is effective in decreasing tumour volumes and increasing animal survival in an orthotopic GBM xenograft. OKN-007 is a promising chemotherapeutic agent that is effective in various GBM animal models and is currently in two clinical trials. In this study, we sought to compare anti-ELTD1 and OKN-007 therapies, as single agents and combined, against bevacizumab, a commonly used therapeutic agent against GBM, in a human G55 xenograft mouse model. MRI was used to monitor tumour growth, and immunohistochemistry (IHC) was used to assess tumour markers for angiogenesis, cell migration and proliferation in the various treatment groups. OKN and anti-ELTD1 treatments significantly increased animal survival, reduced tumour volumes and normalized the vasculature. Additionally, anti-ELTD1 was also shown to significantly affect other pro-angiogenic factors such as Notch1 and VEGFR2. Unlike bevacizumab, anti-ELTD1 and OKN treatments did not induce a pro-migratory phenotype within the tumours. Anti-ELTD1 treatment was shown to be as effective as OKN therapy. Both OKN and anti-ELTD1 therapies show promise as potential single-agent multi-focal therapies for GBM patients.

Keywords: ELTD1; MRI; OKN-007; angiogenesis; blood perfusion rate (BPR); glioblastoma (GBM); monovalent monoclonal antibody (mmAb); orthotopic G55 xenograft model; tumorigenesis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Benzenesulfonates / pharmacology
  • Benzenesulfonates / therapeutic use
  • Brain Neoplasms* / drug therapy
  • Brain Neoplasms* / pathology
  • Cell Line, Tumor
  • Glioblastoma* / drug therapy
  • Glioblastoma* / pathology
  • Humans
  • Imines
  • Mice
  • Nitrogen Oxides
  • Receptors, G-Protein-Coupled

Substances

  • ADGRL4 protein, human
  • Antibodies, Monoclonal
  • Benzenesulfonates
  • Imines
  • Nitrogen Oxides
  • OKN 007
  • Receptors, G-Protein-Coupled
  • nitrones