Targeted Cancer Therapy Illustration

Targeted Cancer Therapy Illustration (© Riz - stock.adobe.com)

SAN FRANCISCO — Imagine a cancer treatment so precise it could destroy tumors while leaving healthy tissue untouched. Researchers at the University of California-San Francisco (UCSF) have taken a major step toward making this dream a reality, developing a revolutionary approach that could transform how we fight cancer.

Traditional radiation therapy is like using a sledgehammer to kill a fly — effective but hugely destructive. It zaps cancer cells but also damages surrounding healthy tissue, leading to debilitating side-effects that can often be as challenging as the disease itself. Now, a team of innovative scientists has developed a microscopic missile system that could change everything.

The breakthrough comes from an ingenious combination of three key components: a special drug, a targeting antibody, and a radioactive payload. It’s a precision-guided treatment that turns cancer cells into glowing beacons, making them easy targets for destruction.

“This is a one-two punch,” says Dr. Charly Craik, one of the study’s co-senior authors, in a media release. “We could potentially kill the tumors before they can develop resistance.”

The journey began a decade ago with Dr. Kevan Shokat’s discovery of how to attack KRAS, a protein notorious for driving uncontrolled cell growth in up to a third of all cancers. Previous drugs could temporarily shrink tumors, but the cancer would inevitably return. The breakthrough came when researchers realized these drugs could do more than just suppress the protein — they could actually mark cancer cells for destruction.

In their groundbreaking experiments, the team tested the treatment on lung and bladder tumors in mice. Not only did the treatment eliminate tumors, but it did so without causing the typical side-effects like lethargy or weight loss that plague traditional radiation therapies.

Radiation is ruthlessly efficient in its ability to ablate cancer cells, and with this approach, we’ve shown that we can direct it exclusively to those cancers,” says Dr. Mike Evans, another lead researcher of the project.

Cancer patient receiving chemotherapy
Traditional radiation therapy is like using a sledgehammer to kill a fly — effective but hugely destructive. (© RFBSIP – stock.adobe.com)

The technique works like a microscopic assassination mission. First, a drug attaches to the KRAS protein in cancer cells, creating a distinctive marker. Then, an antibody specifically designed to recognize this marker swoops in, carrying a radioactive payload. When the antibody finds its marked target, it delivers a precise, lethal dose of radiation directly to the cancer cell.

“The drug bound to the KRAS peptide sticks out like a sore thumb, which the antibody then grabs,” explains Dr. Kliment Verba, who used advanced microscopy to visualize this process at the atomic level.

While the results are promising, the researchers acknowledge there’s still work to be done. The next challenge is developing antibodies that can work across different ways people’s cells display the KRAS protein, making the treatment universally applicable.

This research, published in the journal Cancer Research, represents more than just a scientific breakthrough. It offers hope and a glimpse into the future, where cancer treatment could be precise, personalized, and far less traumatic for patients.

As Dr. Verba optimistically notes, they’ve “taken a significant step toward patient-specific radiation therapies, which could lead to a new paradigm for treatment.”

Paper Summary

Methodology

The researchers worked with a type of cancer that has a specific mutation in a protein called KRAS, which is common in several cancers. They used a drug called Sotorasib, which chemically attaches to this mutated protein, allowing it to be displayed on the surface of cancer cells. This creates a target for immune or therapeutic agents.

The team developed an antibody, P1B7, that specifically recognizes and binds to this modified KRAS protein. The antibody was combined with radioactive isotopes (Actinium-225 or Lutetium-177) to deliver targeted radiation therapy directly to cancer cells. Tests were conducted using mice implanted with human cancer cells, with the goal of measuring the efficacy and specificity of this therapy.

Key Results

The study showed that the combination of Sotorasib and the radioactive antibody therapy effectively shrank tumors in mice, even in cases where the cancer was resistant to Sotorasib alone. When combined, the therapy worked better than either treatment by itself. Importantly, the antibody was very specific to the modified KRAS protein, meaning it didn’t harm other cells. This specificity helps reduce potential side effects.

Study Limitations

The experiments were conducted in mice, and it’s not guaranteed that the results will be the same in humans. The success of the therapy also relies on the presence of Sotorasib to create the target on cancer cells. The method might not work on cancers that don’t have the specific KRAS mutation or respond differently to Sotorasib.

Discussion & Takeaways

This study highlights an innovative approach to treating cancers with specific mutations by combining targeted drugs with radiotherapy. By turning a mutation into a therapeutic target, this method offers a way to improve outcomes in cancers that have limited treatment options. It also provides a strategy to overcome drug resistance, a common challenge in cancer therapy. However, further testing is needed in clinical trials to confirm its safety and efficacy in humans.

Funding & Disclosures

This research was supported by the National Institutes of Health (grants T32 GM 064337, P41-GM103393, S10OD020054, S10OD021741, and S10OD026881), the UCSF Innovation Ventures Philanthropy Fund, the UCSF Marcus Program in Precision Medicine, and the Howard Hughes Medical Institute.

The authors disclosed potential conflicts of interest: Craik, Evans, and Dr. Peter Rohweder are inventors on a patent application covering part of this work, which is owned by UCSF. Additionally, Craik, Dr. Chayanid Ongpipattanakul, and Rohweder are inventors on another patent application related to this technology, also owned by UCSF. Craik and Rohweder are co-founders and shareholders of Hap10Bio, while Evans and Bryce Paolella are shareholders of the same company. These disclosures ensure transparency and highlight potential financial interests associated with the research.

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