Patent Application
20160327560
This invention is related to the area of cancer diagnostics, prognostics, and therapeutics. Moreover, it relates to the area of immunotherapeutics.
Pancreatic ductal adenocarcinoma is the fourth leading cause of cancer-related death in the U.S. (1). It is notably the most aggressive and debilitating malignant disease with a median survival of less than 6 months. Only 1% to 4% of patients have an overall survival of more than 5 years (1). Inadequate early diagnosis, resistance to current therapies, and ineffective treatment account for these low survival statistics. Alternative treatment approaches are desperately needed for this disease; the compelling need for superior treatment options has propelled the development of new, better-targeted therapies. We have developed an allogeneic, granulocyte-macrophage colony-stimulating factor (GM-CSF)-secreting pancreatic cancer vaccine, which has recently completed phase II clinical trial (2). This promising vaccine is used in combination with chemoradiation. The observation of favorable clinical and immunological responses in patients has testified to the success of the vaccine (2-4). It was shown that the induction of mesothelin-specific T cell responses only in patients with a DFS>3 years, which suggests the vaccine induces immunologically relevant T cell responses (2). Functional genomic approaches were utilized to identify antigens recognized by T cells (5). However, finding T cell antigens is limited by the need for large amounts of patient lymphocytes and the lack of reagents for each patient-specific HLA (6).
In contrast to T cells, antibodies hold potential as a high throughput way of identifying antigens. Antibodies can also mount an effective response against cancer cells through opsonizing, antigen presentation to T-cells, and mediating cell toxicity via natural killer cells or the complement system (7). Thus, the application of seroproteomic approaches has recently gained ground in the identification of new cancer biomarkers. These cancer biomarkers are beneficial for both early detection and the determination of new targets for the development of biologically relevant therapies (7-12). The most well-known proteomic approaches utilize sera from untreated cancer patients or individuals with known genetic susceptibilities for cancer, to screen for cancer-associated proteins that elicit an antibody response. These approaches identify oncoproteins that elicit an antibody response due to differences in expression levels or post-translational modifications (11). GM-CSF secreting cancer vaccines can also instigate a broad range of antibody responses, as seen in early clinical studies (13). Through the study of the immunological responses in vaccinated patients, we can discover the mechanisms behind favorable vaccine-induced clinical responses. Identifying cancer associated proteins will enhance our efforts of identifying biologically relevant proteins. These proteins have high potential as future targets for effective pancreatic cancer treatment. This translational approach will advance the development of new drugs, vaccines and antibody-based therapies that will halt the progression and metastasis of the disease. This approach can also help characterize new proteins that will serve as surrogate biomarkers, prediction tools of the vaccine's success, and biomarkers for early diagnosis of pancreatic cancer.
Common proteomic approaches to identify immunogenic proteins are: Serological Screening of cDNA Expression Library (SEREX), 2-dimensional electrophoresis (2-DE) followed by mass-spectrometry analysis and protein arrays (7). Proteins found using SEREX and 2-DE approaches are now shown to also elicit T cell responses (6, 13, 14). This provides evidence that antibodies can aid in the identification of T cell antigens, which further testifies to the advantages in studying antibodies. SEREX, however, utilizes proteins expressed in Escherichia coli, which does not account for human post-translational modifications (12). Contrastingly, the approach utilizing 2-DE analysis can use human proteins as the proteome. However, this process has an inherent bias towards identifying proteins that are abundantly expressed (11). 2D-PAGE has a lower threshold out of the throughput methods and does not effectively identify proteins that are very acidic, very basic, small in size (<15 kDa), or hydrophobic (15). Therefore, this process is inadequate for detecting membrane-associated proteins, the most relevant category of proteins as potential biomarkers. Membrane proteins constitute about 30% of all cellular proteins and are functionally key regulators (16). In addition, in 2D-PAGE, each band cut holds several similar molecular weight proteins. This process is inefficient in separating single proteins, which obscures which protein instigates the antibody response. Furthermore, low abundant antigens are generally overshadowed by high abundant proteins with the same molecular weight in this process. Both SEREX and SERPA identify linear epitopes, are relatively low throughput and semi-quantitative (11).
Protein arrays come in many forms. Some protein arrays use tumor cell lysate fractions, which identify proteins in their native conformation (11). However, these arrays do not identify which specific protein in the fraction instigates the immune response and there also issues with fractionation. The protein arrays with printed recombinant proteins do not contain human post-translational modifications because the proteins are expressed in E. coli or yeast (12). In addition, if a known protein panel is printed, tumor antigen discovery can be prevented because the proteome is biased. The protein arrays utilizing printed monoclonal antibodies are potentially limited by reagent availability thereby preventing an unbiased proteome being used because a high affinity and highly specific monoclonal antibody is needed for each protein to be probed.
There is a continuing need in the art to provide better methods of early diagnosis, monitoring, prognosing, and treating pancreatic cancer.
According to one embodiment of the invention a method detects pancreatic cancer in a body sample from a human. A body sample is contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected or cellular localization of the antigen is detected. An increased amount of antigen bound to the antibody relative to an amount bound to a control sample or an altered cellular localization indicates the presence of a pancreatic cancer.
According to another embodiment a method monitors progression of pancreatic cancer in a body sample from a human. A body sample is contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected. An increased amount of antigen bound to the antibody relative to an amount bound to a sample taken at a prior time indicates progression of the pancreatic cancer. A decreased amount of antigen bound to the antibody relative to amount bound to a sample taken at a prior time indicates responsiveness to an anti-cancer treatment.
According to another embodiment a method predicts response to a pancreatic cancer vaccine in a human. A body sample of the human is contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected. A decreased amount of antigen bound to the antibody relative to an amount bound to a control sample prior to vaccination predicts long term disease-free survival.
According to another embodiment a kit is provided for detecting or monitoring pancreatic cancer disease or therapy. The kit contains at least one antibody that specifically binds to an antigen selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The kit further contains a detection means for detecting binding complexes of the antibody and antigens in a test sample.
According to another embodiment a method predicts response to a pancreatic cancer vaccine in a human A sample of the human comprising antibodies is contacted with at least one protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antibody bound to the at least one protein is detected. An increased amount of antibody bound to the at least one protein relative to an amount bound to a control sample obtained prior to vaccination predicts long term disease-free survival.
According to another embodiment a kit is provided for detecting or monitoring pancreatic cancer disease or therapy. The kit comprises at least one protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The kit further comprises a detection means for detecting binding complexes of the protein with an antibody in a test sample.
According to one embodiment of the invention a method tests a body sample from a human A body sample is contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected or cellular localization of the antigen is detected. An increased amount of antigen bound to the antibody relative to an amount bound to a control sample or an altered cellular localization is detected.
According to another embodiment a method tests a body sample of a human with pancreatic cancer. A first body sample is contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected. The amount detected in the first body sample is compared to the amount detected in a second body sample taken from the human at a second time.
According to another embodiment a method tests a body sample of a human. A first and second body samples of the human are contacted with at least one antibody that specifically binds to a protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antigen bound to the antibody is detected in each sample. The amount detected in each sample is compared to the other. The first and second body samples of the human are collected at a first and second time, wherein the first time is before and the second time is after the human is vaccinated with a pancreatic cancer vaccine composition.
According to another embodiment a method tests a body sample of a human who has received a pancreatic cancer vaccine. A sample of the human which comprises antibodies is contacted with at least one protein selected from the group consisting of: Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5). The amount of antibody bound to the at least one protein is detected. The amount of antibody detected in the sample of the human who has received a pancreatic cancer vaccine is compared to the amount detected in a sample of the human before he or she received the vaccine.
These and other embodiments which will be apparent to those of skill in the art upon reading the specification provide the art with methods and kits for better managing pancreatic cancer.
The inventors have identified three different proteins that are strongly overexpressed in pancreatic cancer whereas they are either weakly or not expressed at all in pancreatic normal duct cells. These proteins are also shown to be targets of a clinically relevant antibody response induced with a vaccination. Thus, we have identified candidate proteins as new biomarkers for screening, and as new targets for therapeutic intervention. Samples which can be tested include any body sample in which pancreatic cancer proteins are expressed or shed. These include without limitation blood, urine, stool, pancreatic tissue samples, metastatic tissue samples, lymph, lymph nodes.
Any immunological detection technique can be used as is convenient. These include without limitation ELISA, immunoprecipitation, immunonblots, radioimmunoassays, protein arrays, and antibody arrays.
Amounts of antigen can be detected by preparing and comparing to a standard curve, for example. Amounts may also be determined relatively, by comparing to a relevant control sample, such as a sample of the same type obtained from the patient at a different time, or obtained from a tissue known to be non-cancerous, or a sample obtained from one or a population of normal patients.
One, two, or three of the identified markers (Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5)) may be used as a panel. Additional markers including mesothelin, annexin A2, and galectin 3 may be used. Other clinical parameters may be used and combined to render a diagnosis or prognosis or assessment of current or future response to a therapy.
The amount of protein (Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5)) in a sample can be used as a measure of the disease. Alternatively, the amount of antibody that a patient is producing to these proteins can be determined as a measure of a specific and clinically relevant immune response.
Any type of antibody can be used for measurement of protein in a sample. L Antibodies which can be used to measure proteins may be polyclonal, monoclonal, single chain, chimeric, or hybrid, for example. Antibodies can be conjugated to other functionalities to aid in the detection of the antibodies in an antigen-antibody complex. Secondary antibodies or radiolabels can be used to detect antibodies, for example.
Kits can be made with the antibodies or proteins (Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5)) useful in carrying out the various described methods. The kits may have one, two, or three of the described antibodies or proteins. Additional antibodies or proteins can also be included for further refinements. Detection means such as enzymes or radiolabels or secondary antibodies may also be included. Buffers and other necessary reagents may be included. Instructions may be included in the kits. The kits' components may be in a divided or undivided container. A main container may contain sub-containers.
For detection of antibodies in patient samples, preferably the reagents used will be purified proteins (e.g., Transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A), and regulatory subunit 8 of the 26S proteasome (PSMC5)), although they need not be. The proteins may be made in recombinant cells or purified from a natural source. The proteins or portions thereof may be made sythetically.
To overcome the drawbacks of current seroproteomic technologies, we developed a novel functional proteomic approach that utilizes high-throughput immunoprecipitation instead of traditional immunoprecipitation which only utilizes monoclonal antibodies. The Serum Antibodies based SILAC-Immunoprecipitation (SASI) approach utilizes immunoprecipitation by serum antibodies, which is then coupled to quantitative stable isotope labeling by amino acids in cell culture (SILAC) to identify proteins that elicit a changed antibody response. Despite the aggressive nature of pancreatic cancer, seroproteomic approaches have not yet been extensively applied to studying pancreatic ductal adenocarcinomas (PDA) (9, 10). We utilized a vaccine tumor cell line as the proteome to analyze immunized sera from pancreatic cancer patients vaccinated with the GM-CSF vaccine (2). Our study focuses on immunized sera from patients showing a mesothelin-specific post-vaccination T cell response correlated with post-vaccination prolonged disease free survival (2). Using mass spectrometric analysis, the SASI approach comprehensively identified >45 proteins that elicited at least a 2-fold increase in antibody response post-vaccination. We present the first large scale study to identify and categorize proteins that are targeted by antibodies in the human body. The high-throughput SASI approach identifies both proteins that are of low abundance as well as in their native state (conformational epitopes), and provides quantitative measure of the antibody response, including all changes that would not be apparent by traditional western blots.
This approach successfully identified a panel of 13 proteins. Three of these proteins were previously identified by us using the more crude 2-D gel approach followed by mass spectrometry analysis. This older approach identified 17 proteins, but only 2 were found to have biologic importance (Annexin A2 and Galectin-3). As an example, Annexin A2, was found to be differentially expressed by pancreatic cancers (6, 18). In addition, we showed that this protein translocates from the cytosol to the transmembrane through a tyrosine phosphorylation mechanism that confers metastatic potential to pancreatic cancer cells (18). Finally, the antibodies induced by this protein halted metastases. This data provides evidence that antibody targets have biologic importance to cancer (6, 18).
The SASI approach was able to identify proteins that were not found by our prior analysis. Of these proteins, transferrin receptor (TFRC), regulatory subunit 12A of protein phosphatase 1 (PPP1R12A) and regulatory subunit 8 of the 26S proteasome (PSMC5) were shown to be pancreatic cancer associated antigens that are recognized by antibodies in the sera of vaccinated patients who have demonstrated favorable disease free survival. We further analyzed PSMC5, TFRC and PPP1R12A for tissue expression in normal, pre-malignant and pancreatic tumor specimens and found these proteins increase in expression with tumor development. Overall, our data demonstrates that the novel SASI approach can enable identification of candidate proteins as new biomarkers for screening, prediction tools of the vaccine's success, and novel targets for therapeutic intervention.
The above disclosure generally describes the present invention. All references disclosed herein are expressly incorporated by reference. A more complete understanding can be obtained by reference to the following specific examples which are provided herein for purposes of illustration only, and are not intended to limit the scope of the invention.
Patients were enrolled in a phase II study of an allogeneic GM-CSF secreting whole cell pancreatic cancer vaccine in compliance with the Johns Hopkins Medical Institution Institutional Review Board (IRB)-approved J9988 protocol. Blood samples were collected pre-vaccination, 14 days after 1St vaccination and 28 days after each subsequent vaccination. Sera was collected by centrifugation, aliquoted and stored at −80° C. Pancreatic tumor tissue samples were obtained from patients prior to vaccination.
Antibodies were purified from pre- and post-3rd vaccination sera using a protein G column (GE Healthcare, Piscataway, N.J., USA) as per manufacturer's protocol. Quantification of purified antibodies was done using NanoDrop spectrophotometer (Thermo Fisher Scientific, Waltham, Mass., USA).
The human pancreatic cancer cell line, Panc 10.05 was grown as previously described. For the SILAC procedure, Panc 10.05 cells were grown in either light (12C6-Lys, 12C6-Arg) or heavy (13C6-Lys, 13C6-Arg) RPMI1640 media containing 10% fetal bovine serum and antibiotics in a humidified incubator at 37° C. with 5% CO2. Stable isotope containing amino acids, 13C6-arginine and 13C6-lysine, were purchased from Cambridge Isotope Laboratories (Andover, Mass., USA). Arginine and lysine-free RPMI1640 media, fetal bovine serum (FBS) and antibiotics (penicillin and streptomycin) were purchased from Invitrogen (Carlsbad, Calif., USA). The light and heavy cells were washed with phosphate buffered saline and were harvested using M-PER buffer (Thermo Fisher Scientific) in the presence of cocktail protease inhibitors (Thermo Fisher Scientific). Protein was quantified using the Lowry method.
Equal amounts of light and heavy cell lysates were incubated overnight with purified pre- and post-vaccination antibodies, respectively. On the following day, the two sets of lysate:antibody mixture were each incubated with protein G beads (Invitrogen) and washed using M-PER buffer. The immunoprecipitates were eluted by boiling in NuPAGE® LDS sample buffer (Invitrogen). The light and heavy eluted lysates were mixed 1:1. The mixture was concentrated and resolved by 10% SDS-PAGE. The gel was stained using a coomassie dye staining kit (Invitrogen).
The stained gel was excised into 18 bands and each band was destained in 40 mM ammonium bicarbonate/40% acetonitrile solution. The samples were reduced with 5 mM dithiothreitol/20% acetonitrile solution, alkylated with 100 mM iodoacetamide and digested with trypsin. Sequencing grade modified porcine trypsin was purchased from Promega (Madison, Wis., USA). The peptides were extracted, desalted, dried and reconstituted in 0.1% formic acid. The peptides were analyzed by reversed phase liquid chromatography tandem mass spectrometry (LC-MS/MS). Briefly, the peptides in solution were separated using an on-line reverse phase nano high-performance liquid chromatography using a C18 column and the Eksigent Nano 2D high-performance liquid chromatography (HPLC) pumping system (Eksigent). The nano-HPLC is interfaced directly with the LTQ-Orbitrap-XL (Thermo Electron) allowing for introduction of the separated peptide solution into the mass spectrometer for tandem mass spectrometric analysis. Isolated proteins from each band were identified using an automated database search algorithm, MASCOT, within the Proteome Discoverer software platform (Thermo Electron) and processed by MaxQuant. Our data was searched at a mass tolerance of 10 ppm for MS species and 1 Da for MS/MS with carbamidomethylation of cysteine as a fixed modification and oxidation of methionine as a variable modification. The proteolytic enzyme indicated was trypsin and we allowed up to two missed cleavage events.
Panc 10.05 cells grown in light RPMI1640 media were lysed in M-PER buffer supplemented with protease inhibitor cocktail. The lysate was immunoprecipitated with either the pre- or post-vaccination purified antibodies using protein G beads. The immunoprecipitates were eluted by boiling in NUPAGE LDS sample buffer and resolved on a NuPAGE 4-12% Bis-Tris gel (Invitrogen). Proteins in the gel were transferred onto nitrocellulose membrane using a semi-dry apparatus (Invitrogen). The membrane was blocked in 5% bovine serum albumin (BSA, Invitrogen) in 0.1% Tween 20-PBS (PBS-T) buffer for 1 hour at room temperature and probed with the relevant primary antibody overnight at 4° C. Antibodies against galectin-3 (sc-19283), E3 ubiquitin protein ligase (sc-9561), mesencephalic astrocyte-derived neurotrophic factor (sc-34560), epidermal growth factor receptor kinase substrate 8-like protein 2 (sc-100722), calpain-1 (sc-81171) were purchased from Santa Cruz Biotechnology (Santa Cruz, Calif., USA). The membrane was incubated with the corresponding peroxidase conjugated secondary antibodies (A8419, Sigma) and then ECL Western Blotting Detection Reagents (GE Healthcare) was used for 1 minute at room temperature for developing.
Purified recombinant proteins, PSMC5 (TP301251), PPP1R12A (TP323540) and TFRC (TP300980) expressed in human HEK293 cells were purchased from Origene (Rockville, Md., USA). One microgram of purified protein was denatured by boiling in SDS-PAGE sample buffer and resolved on a NuPAGE 4-12% Bis-Tris gel (Invitrogen). Proteins in the gel were transferred onto nitrocellulose membrane using a semi-dry apparatus (Invitrogen). The membrane was cut into individual lanes and was blocked in 5% bovine serum albumin (BSA, Invitrogen) in 0.1% Tween 20-PBS (PBS-T) buffer for 1 hour at room temperature. After blocking, each individual lane was probed with either pre-vaccination or post-vaccination serum of the various patients at 1:1000 dilution. A lane was used as a control and probed with mouse anti-DDK antibody (TA150030, Origene) overnight at 4° C. The membrane was incubated with the peroxidase conjugated secondary antibodies; goat anti-human IgG antibody (A8419, Sigma) for patient serum lanes or rabbit anti-mouse IgG (A9044, Sigma) for control lane. ECL Western Blotting Detection Reagents (GE Healthcare) was used for 1 minute at room temperature for developing.
Immunohistochemistry was performed on formalin-fixed paraffin-embedded embedded 5 μm thick sections of pancreatic tumor tissue samples for the available 46 of the 60 patients enrolled in the study was obtained from the Department of Pathology at Johns Hopkins Medical Institutions. Standard IHC protocol was applied using Bond-Leica autostainer (Leica Microsystems, Bannockburn, Ill.). Briefly, tissue sections were baked for 20 minutes at 65° C. followed by deparaffinization, antigen retrieval and primary antibody incubation at optimal conditions. Bond polymer detection system was applied to develop the reaction. 3′,3′ diaminobenzidin (DAB) chromogen-substrate was utilized for visualization of reaction as per manufacturer's instructions (Leica Microsystems, Bannockburn, Ill.). All sections were then counterstained with hematoxylin, dehydrated and cover slipped. Antibody information is detailed in the table below.
60 pancreatic cancer patients, who had their pancreas surgically removed, were involved in the study (
To identify the proteins in the post-vaccination sera of patients in Group A (DFS>3 years), we used the immunized sera from three patients (patients 9, 27 and 52) who demonstrated other evidence of post-vaccination immune responses. We identified a total of 976 proteins for patient 9, 811 proteins for patient 27 and 727 proteins for patient 52 (
Pre-vaccination and post-4th vaccination sera from 3 patients, 3.009, 3.027 and 3.052 from Group A was used in the development of the SASI approach.
The SASI approach consists of 4 key components: (a) Antibody purification, (b) SILAC labeling, (c) Immunoprecipitation, and (d) Downstream Analysis.
Using a Protein G column, we isolated immunoglobulin G (IgG) from the serum (
Table 1 shows a partial list of proteins determined to be biologically relevant in our study. Fold change is defined as the ratio of post-vaccination to pre-vaccination antibody response.
Of these proteins, galectin-3, annexin A2 and pyruvate kinase were identified previously by a 2-D proteomic approach (17). Galectin-3 and annexin A2 are currently under investigation for their role in pancreatic ductal adenocarcinomas pathogenesis and progression (18). In our studies to discover biologically relevant proteins in pancreatic cancer, we have identified the same proteins through two different proteomic methods. Ongoing research has already shown these proteins are promising targets involved in signaling pathways important to the biology of pancreatic cancer progression and metastasis (17, 18). Therefore, we essentially have ascertained that our approach determines biologically relevant proteins. Overall, the SASI approach comprehensively identified more than 2500 proteins.
The Panc10.05 cell line was utilized in SILAC labeling experiments. Panc 10.05 is one of the two vaccine tumor cell lines (the proteome), and its use for SILAC labeling would ensure the antibody response is specific to human proteins and would contain the correct post-translational modifications, including glycosylation. Panc 10.05 was grown in both a heavy version form and a light version form. Stable isotope labeling with amino acids in cell culture (SILAC) is a quantitative proteomics method that involves in vivo labeling of proteins followed by mass spectrometric analysis. In this method, Panc 10.05 cells incorporate nonradioactive heavy isotopes of lysines (13C6-Lys) and arginines (13C6-Arg) into its proteome instead of the “light” versions (12C6-Lys and 12C6-Arg) present in the commercially available media. Panc 10.05 cells were grown in either “heavy” media containing heavy amino acids or in “light” media containing normal amino acids. After 9 passages, cells grown in heavy and light media were lysed to give heavy and light lysates, respectively.
The light and heavy lysates were subjected to overnight immunoprecipitation, using purified pre- and post-vaccination antibodies, respectively (
The 1:1 heavy and light mixed samples were separated by gel electrophoresis and stained with coomassie dye. 18 protein bands were excised and digested with trypsin. The extracted peptides were analyzed by LTQ-Orbitrap mass spectrometer. The proteins were identified and quantified using Mascot and MaxQuant, respectively.
We wanted to further validate the SILAC data derived from mass-spectrometry analysis. We used pre-vaccination and post-vaccination antibodies of patient 3.052 for immunoprecipitation with light cell lysates in both cases (
Our interest focused on proteins that had greater than 1.5 fold change response. Previous proteomic approaches had identified annexin A2 as biologically relevant. In the SASI approach, annexin A2 revealed a 1.4 fold change in response post vaccination. From there, we set an average 1.5 fold change post-vaccination with at least one of the 3 sera tested showing a 2 fold change as our benchmark for a biologically relevant response. However, some of these proteins had an increased post-vaccination response in 2 or all of the sera tested by the SASI approach. We further decided to test if there was a correlation between the increased post-vaccination antibody response and disease free status.
Using purified recombinant proteins, we examined the post-vaccination response in patients with favorable DFS. For this experiment, we used the serum before the first vaccination as the pre-vaccination serum, while the serum after the 3rd vaccination was designated the post-vaccination serum. PSMC5, PPP1R12A and TFRC showed elevated antibody titers in patients with favorable DFS (
We then wanted to compare the patients with DFS>3 years to those with DFS<3 years (
Next, we wanted to examine the cause behind the antibody response. There are 3 main reasons for how these self proteins could induce an altered antibody response in the patients: difference in expression levels, difference in localization, or post-translational modifications. The reports on levels of PSMC5 and PPP1R12A in pancreatic cancer or other cancers are very preliminary with no extensive information.
First, we analyzed the expression levels and localization of PSMC5 (
PPP1R12A or MYPT1 is part of the Rho Kinase pathway component. We analyzed the expression levels as well as localization of PPP1R12A (
Thus, the SASI approach has been able to successfully identify biologically relevant proteins, all 3 of which could be extensively validated. We saw that each of the 3 markers, PSMC5, PPP1R12A and TFRC, increases in expression when we compare normal to cancer cells. Furthermore, there is evidence of mislocalization of these proteins in cancer. In cancer, PSMC5 is found abnormally in the nucleus, and PPP1R12A and TFRC are also found on the cell membrane. Both overexpression and mislocalization in the cancer cells help explain why an antibody response was targeted towards these proteins. PSMC5, PPP1R12A, and TFRC have great potential, both as immunologic targets as well as diagnostic biomarkers. The heterogeneous nature of both the cancer as well as the antibody responses illustrates a need for a biomarker panel in order not only to cover more patients but also retain high specificity.
Background: Developing targets that identify patients for appropriate therapies is a key goal of cancer research. A high throughput proteomic screen identified two proteins, PPP1R12A and PSMC5, which were found to enhance antibody responses in pancreatic cancer patients participating in a phase II trial of an allogeneic, GMCSF-secreting vaccine. Responses to these proteins correlated with increased disease free survival in trial patients. We sought to define PPP1R12A and PSMC5 expression in pancreatic and other common solid malignancies.
Design: Tissue microarrays (TMA) of pancreatic, breast, biliary, lung, liver, and colon carcinomas were stained for PPP1R12A and PSCM5. The intensity of tumor cell expression was scored for each protein from no specific (0); greater than background (1) or strong (2) staining. The percentage of tumor cells expressing each protein and the cellular compartment (cytoplasmic, membranous) was recorded. Positive staining=a score of 1-2 in >25% of cells.
Results: Expression of PPP1R12A was seen in pancreatic (97%), biliary (58%), colon (46%) ER+ breast (37%) and HER-2+ breast (17%) adenocarcinomas. Minimal expression was seen in lung (8%) and basal breast (4%) adenocarcinomas. A higher percentage of pancreatic cancer expressed PPP1R12A compared to other tumors (p<0.0001). Significantly more ER+ breast carcinomas expressed PPP1R12A than HER-2+ or basal type (p<0.001). Membranous PPP1R12A staining was observed only in pancreas (45%) and colon (30%) cancers. PSMC5 expression was present in all tumors types: pancreatic (57%), ER+ breast (97%), HER-2+ breast (82%), basal breast (86%), liver (69%), biliary (24%), colon (58%), and lung (74%). Breast tumors showed particularly high expression of PSMC5. Additionally, HER-2+ tumors consistently showed expression by 100% of cells within an individual TMA, which was significantly more than either ER+ or basal type breast tumors (p<0.01).
Conclusions: Our study confirms strong expression of both PPP1R12A and PMSC5 in pancreatic cancer. In addition, we identify a range of adenocarcinomas with expression of PPP1R12A and/or PMSC5 including breast, biliary, lung, colon, and liver. This identifies tumor types that might respond to GVAX immunotherapy and provides rationale to direct therapy based on these proteins expression patterns. Membranous expression of PPP121RA in pancreatic and colon cancers is particularly attractive for therapeutic targeting. Additional studies are needed to evaluate the relationship between tumor evolution in these adenocarcinomas and the expression of PPP1R12A and PMSC5.
The disclosure of each reference cited is expressly incorporated herein.
This application is a continuation of U.S. application Ser. No. 14/649,248, filed on Jun. 3, 2015, which is a national stage entry of International Application No. PCT/US2013/072592, filed on Dec. 2, 2013, which claims priority to U.S. Provisional Patent Application No. 61/732,402, filed on Dec. 3, 2012, each of which is incorporated herein by reference in its entirety.
This invention was made with government support under Grant No. P50CA62924 awarded by the National Institutes of Health/National Cancer Institute. The government has certain rights in the invention.
| Number | Date | Country | |
|---|---|---|---|
| 61732402 | Dec 2012 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 14649248 | Jun 2015 | US |
| Child | 15148674 | US |
