Cancer Treatment

Cancer Treatment with Red Pills, Injections and Syringe. (© tashatuvango - stock.adobe.com)

UPPSALA, Sweden — Swedish scientists have developed a groundbreaking cancer treatment that works like a precision-guided missile with a powerful immune-boosting payload. This novel approach could transform how we treat various types of cancer by delivering personalized medicine directly to tumor cells while simultaneously activating the body’s natural defenses.

The innovative treatment, developed by researchers at Uppsala University and KTH Royal Institute of Technology, combines three critical functions in a single antibody – think of it as a Swiss Army knife for fighting cancer. The antibody not only seeks out cancer cells but also delivers cancer-fighting drugs and rallies the immune system to join the battle.

“We have been researching precision medicine for close to 15 years now, as well as how we can use antibodies to influence an important key protein (CD40) in the immune system,” explains Sara Mangsbo, professor at Uppsala University’s Department of Pharmacy and one of the study’s lead authors, in a media release.

Illustration of a new form of precision medicine, an antibody, with the potential to treat several types of cancer. Researchers have managed to combine three different functions in the antibody, which together strongly amplify the effect of T cells on the cancer tumor.
Illustration of a new form of precision medicine, an antibody, with the potential to treat several types of cancer. Researchers have managed to combine three different functions in the antibody, which together strongly amplify the effect of T cells on the cancer tumor. (Credit: Sara Mangsbo/Johan Rockberg)

What makes this treatment particularly exciting is its ability to target neoantigens – specific mutations found only in cancer cells, leaving healthy cells unharmed. It’s like giving the immune system a detailed map of exactly what to attack, along with the weapons to do so.

The research team, who published their work in the journal Nature Communications, tested their approach both in laboratory settings using human blood samples and in animal studies. The results were promising: mice treated with the antibody showed increased survival rates, and at higher doses, some were even cured of their cancer. Importantly, this new method proved safer than previous cancer treatments the team had studied.

One of the biggest challenges in cancer treatment has been developing personalized therapies that are both effective and accessible. The new treatment addresses this problem with a clever two-part design.

“The medicine consists of two parts that are combined, a targeting bispecific antibody – which can be produced in large quantities in advance – and a custom peptide part, which is produced rapidly synthetically on a small scale for a desired type of cancer,” Professor Johan Rockberg from KTH Royal Institute of Technology explains.

Think of it as having a universal delivery system (the antibody) that can be quickly loaded with a personalized cargo (the peptide) designed specifically for each patient’s type of cancer. This approach could significantly reduce both the time and cost typically associated with personalized cancer treatments.

The next phase of research will focus on optimizing the production process and conducting safety studies before moving on to human clinical trials. If successful, this innovative treatment could offer new hope for cancer patients by providing a faster, safer, and more personalized approach to fighting their disease.

Paper Summary

Methodology

This study focused on developing a bispecific antibody, called BiA9*2_HF, designed to target CD40, a receptor essential for immune responses. The researchers created an antibody that could both activate CD40 and carry cancer-specific peptides to immune cells.

The study involved multiple steps: screening for potential antibodies, optimizing the best candidates for strength and precision, and testing them in mice models. The antibody was engineered to bind well with human and animal versions of the CD40 receptor and was tested for compatibility with cancer-specific peptides. To gauge its effectiveness, the team tracked the immune responses and cancer cell growth in various test groups.

Key Results

The study’s findings showed that BiA92_HF effectively boosted T-cell activity in mice, an essential response for targeting cancer cells. This antibody caused a significant increase in immune cell proliferation and, in some cases, completely stopped tumor growth. In tests involving different cancer models, BiA92_HF demonstrated safety and effectiveness, providing a promising pathway for targeted immunotherapy. Additionally, it displayed fewer side effects than some existing treatments, with low toxicity levels even when administered at higher doses.

Study Limitations

The study was conducted on mice, which means that while the results are promising, they may not fully translate to humans. Another limitation was the controlled lab environment, which differs from the complexity of human biology. Also, as an experimental antibody, BiA9*2_HF has not been evaluated for long-term effects or its efficiency in combination with other treatments, which are both crucial factors for clinical applications.

Discussion & Takeaways

This study suggests that BiA9*2_HF could offer a new way to deliver targeted immunotherapy against cancer. By focusing on activating immune cells while delivering cancer-specific peptides, this approach has the potential to bypass some limitations of current treatments, such as reliance on pre-existing immune responses. If successful in humans, this strategy might allow for personalized treatment options based on patient-specific cancer markers, providing a more efficient and less toxic therapy.

Funding & Disclosures

The research was primarily funded by the Swedish innovation agency Vinnova, the Knut and Alice Wallenberg Foundation, Cancerfonden, and several other Swedish research institutions. The study, published with open access funding from Uppsala University, was conducted through collaboration between multiple institutions including KTH Royal Institute of Technology, Uppsala University, and Strike Pharma AB, with support from international partners at Johns Hopkins University, Fondazione IRCCS Istituto Nazionale Tumori, and the University of Southampton.

In terms of disclosures, several of the study’s authors, including lead researchers Sara Mangsbo and Johan Rockberg, hold private stakes in Strike Pharma AB, which partially funded the study and whose value could be influenced by the publication’s findings. Some researchers were also current or former employees of Strike Pharma AB during the study’s execution.

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