ANXA1 Monoclonal Antibody

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Description

Definition and Development

ANXA1 Monoclonal Antibodies are engineered therapeutic agents designed to target Annexin A1 (ANXA1), an immunomodulatory protein involved in inflammation, cell proliferation, and immune regulation. These antibodies are typically humanized or chimeric IgG1 variants, such as MDX-124 (Medannex Ltd.), which binds to ANXA1 and disrupts its interaction with formyl peptide receptors 1 and 2 (FPR1/2) . ANXA1 is overexpressed in aggressive cancers (e.g., pancreatic, triple-negative breast cancer) and linked to poor clinical outcomes .

Target Engagement

ANXA1 antibodies block ANXA1’s binding to FPR1/2, inhibiting downstream signaling pathways that promote:

  • Cell proliferation: Via G1-phase cell cycle arrest .

  • Tumor microenvironment modulation: Suppression of pro-angiogenic and pro-metastatic factors .

  • Immune evasion: Reduction in regulatory T-cell (Treg) activity and M2 macrophage polarization .

Key Pathways Affected

PathwayEffect of ANXA1 Antibody Targeting
Cell cycleG1-phase arrest (e.g., in TNBC/pancreatic cancer)
Immune responseReduced Treg infiltration, enhanced CD8+ T-cell activity
AngiogenesisInhibition of VEGF and FPR1/2-driven vascularization

In Vitro Efficacy

Cancer TypeCell LineOutcome (MDX-124 vs. Control)P-value
Triple-negative breast cancerMDA-MB-23150–70% reduced proliferation<0.013
Pancreatic cancerPan02Dose-dependent viability loss<0.0001
Ovarian cancerSKOV-3G1 arrest confirmed via flow cytometry

MDX-124 showed no activity in ANXA1-negative lung cancer lines (e.g., COR-L23), confirming target dependency .

In Vivo Efficacy

ModelDosing RegimenTumor Growth InhibitionP-value
4T1-luc TNBC1 mg/kg (2x weekly)60–70% reduction<0.0001
Pan02 pancreatic1 mg/kg (2x weekly)50% reduction<0.0001

Syngeneic models revealed immune-mediated effects, including reduced Tregs and enhanced CD8+ T-cell infiltration .

Applications in Inflammatory Diseases

ANXA1 antibodies also show promise in non-cancer contexts:

Microvascular Protection

  • Diabetes: ANXA1 therapy prevents diabetic cardiomyopathy and nephropathy by restoring Akt/MAPK signaling .

  • Atherosclerosis: Reduces plaque formation via FPR2/ALX axis modulation .

Neuroinflammation

  • Blood-brain barrier integrity: ANXA1 antibodies may stabilize tight junctions (e.g., occludin, VE-cadherin) .

Comparative Analysis of ANXA1 Antibodies

AntibodyHostApplicationsSource
MDX-124HumanizedCancer therapyNature, PMC
M01451-1MouseELISA, WBBoster Bio
ZM211MouseHairy cell leukemiaThermofisher
NBP3-07717RabbitIHC, WBBio-Techne

Clinical Relevance and Future Directions

  • Ongoing Trials: MDX-124 is under evaluation in a First-In-Human trial for ANXA1-overexpressing solid tumors .

  • Biomarker Development: ANXA1 expression levels and FPR1/2 status may guide patient selection.

  • Combination Therapies: Synergy with checkpoint inhibitors (e.g., anti-PD-1) is being explored .

Challenges and Considerations

  • Tumor Heterogeneity: ANXA1’s dual role (pro-tumor vs. anti-tumor) necessitates context-specific targeting .

  • Toxicity: Monitoring for immune-related adverse events (e.g., cytokine release) is critical.

Product Specs

Buffer
Liquid in PBS containing 50% glycerol, 0.5% BSA and 0.02% sodium azide.
Form
Liquid
Lead Time
Typically, we can ship products within 1-3 business days after receiving your order. Delivery times may vary depending on the purchase method and location. Please consult your local distributors for specific delivery timeframes.
Synonyms
Annexin 1 antibody; Annexin A1 antibody; Annexin I (lipocortin I) antibody; Annexin I antibody; Annexin-1 antibody; AnnexinA1 antibody; AnnexinI antibody; ANX 1 antibody; ANX A1 antibody; ANX1 antibody; ANXA 1 antibody; ANXA1 antibody; ANXA1 protein antibody; ANXA1_HUMAN antibody; Calpactin 2 antibody; Calpactin II antibody; Calpactin-2 antibody; CalpactinII antibody; Chromobindin 9 antibody; Chromobindin-9 antibody; Chromobindin9 antibody; HGNC:533 antibody; Lipocortin 1 antibody; Lipocortin I antibody; Lipocortin1 antibody; LipocortinI antibody; LPC 1 antibody; LPC1 antibody; p35 antibody; Phospholipase A2 inhibitory protein antibody
Target Names
Uniprot No.

Target Background

Function
Annexin A1 plays a crucial role in the innate immune response, acting as an effector of glucocorticoid-mediated responses and a regulator of the inflammatory process. It exhibits anti-inflammatory activity and participates in glucocorticoid-mediated downregulation of the early phase of the inflammatory response. Additionally, Annexin A1 promotes the resolution of inflammation and wound healing. Its function is partially attributed to the activation of formyl peptide receptors and downstream signaling cascades, promoting chemotaxis of granulocytes and monocytes through formyl peptide receptor activation. Furthermore, Annexin A1 contributes to the adaptive immune response by enhancing signaling cascades triggered by T-cell activation, regulating the differentiation and proliferation of activated T-cells. It promotes the differentiation of T-cells into Th1 cells and negatively regulates their differentiation into Th2 cells. Notably, Annexin A1 has no effect on unstimulated T cells. It promotes rearrangement of the actin cytoskeleton, cell polarization, and cell migration. Annexin A1 negatively regulates hormone exocytosis via activation of formyl peptide receptors and reorganization of the actin cytoskeleton. It exhibits high affinity for Ca(2+) and can bind up to eight Ca(2+) ions. Annexin A1 displays Ca(2+)-dependent binding to phospholipid membranes, playing a role in the formation of phagocytic cups and phagosomes. It further contributes to phagocytosis by mediating the Ca(2+)-dependent interaction between phagosomes and the actin cytoskeleton.
Gene References Into Functions
  1. Research indicates high expression of AnxA1 in triple-negative breast cancer (TNBC) and in lymph node metastasis. A positive correlation is observed between the expression levels of AnxA1 and its receptor, FPR1, in primary tumors. The autocrine activation of FPR1 by AnxA1 could be a crucial target for TNBC. PMID: 29932988
  2. These findings could provide further insights into the intracellular role of ANXA1 in pancreatic cancer, shedding light on aspects beyond its tumorigenic behavior. PMID: 29986379
  3. An inverse correlation was observed between the expressions of miR-196a and ANXA1 in serum (Pearson's correlation of -0.54, P = 0.021). Our data indicate that the expression of serum ANXA1 in esophageal squamous cell carcinoma (ESCC) patients increases after chemoradiotherapy, and the increased fold change in serum ANXA1 independently confers negative prognostic impact in ESCC. PMID: 30249885
  4. The results highlight the protective effects of ANXA1 on bronchial epithelium injury, likely mediated via the PTEN/FAK/PI3K/Akt signaling pathway. This study contributes to a potential therapeutic strategy for asthma patients. PMID: 29749523
  5. Enhanced levels of Annexin A1 were observed in the serum and adipose tissue of individuals with obesity and type 2 diabetes mellitus. PMID: 29677533
  6. Annexin A1 expression is upregulated in patients with COPD and affects lung fibroblast function. PMID: 29440885
  7. The research indicated that the actions of ANXA1 in the inflammatory and neoplastic processes of the esophagus and stomach are specifically mediated by the formylated peptides receptor 1. PMID: 29254791
  8. Annexin A1 exhibits a similar immunogenic expression and correlation with its analog Annexin A2, and their association may represent a novel immune target of BD in the Han Chinese population. PMID: 28963375
  9. We further identified that this underlying mechanism also involved a PPARgamma-induced ANXA1-dependent autoubiquitination of cIAP1, the direct E3 ligase of RIP1, shifting cIAP1 toward proteosomal degradation. Our study provides the first insight into the suitability of using drug-induced expression of ANXA1 as a new player in RIP1-induced death machinery in triple-negative breast cancer. PMID: 29021293
  10. This review elaborates on the therapeutic relevance of ANXA1 and its derived peptides in cardiovascular diseases, with atherosclerosis standing out as a chronic inflammatory disease with impaired resolution and continuous leukocyte recruitment. PMID: 27860536
  11. Our results suggest that ANXA1 may be a key mediator of hypoxia-related metastasis-associated processes in prostate cancer. PMID: 27834582
  12. Data suggest a regulatory circuit between ANXA1, NF-kB, c-myc, and miR-196a that regulates breast cancer cell proliferation and tumor growth. PMID: 27105503
  13. In colorectal cancer, miR-196a overexpression was negatively correlated with annexin A1 protein expression (r = -0.738, p < 0.001), and both were indicators of unfavorable prognosis in terms of poor differentiation, larger tumor size, and advanced clinical stage. PMID: 29091952
  14. The data from this study support a potential role of ANXAl in AD by reducing Abeta levels and decreasing neuroinflammation, suggesting a novel perspective that ANXAl may play a protective role in AD progression. PMID: 27590054
  15. These data indicate that AnxA1 is actively expressed during L. braziliensis infection. PMID: 28289158
  16. Data, including data from studies using knockout mice, suggest that cAMP-elevating agents increase levels of ANXA1, which is involved in the role of cAMP in resolving acute inflammation (here, the ability of cAMP-elevating agents to treat LPS-induced neutrophilic pleurisy). These results reinforce the hypothesis that ANXA1 acts in multiple cell types (neutrophils, macrophages) and at multiple levels to promote resolution of inflammation. PMID: 28655761
  17. Circulating IgG antibodies to ANXA1 could be used as a biomarker for the early diagnosis of non-small cell lung carcinoma. PMID: 28551657
  18. Down-regulation of Annexin A1 in nasopharyngeal carcinoma may lead to the overexpression of S100A9/Vimentin, which could potentially increase the invasive ability of NPC cells by adjusting the function of cytoskeleton proteins. PMID: 28355254
  19. ANXA1 is down-regulated and differentially expressed within the SCD genotypes. PMID: 27802331
  20. Annexin A1-regulated contacts function in the transfer of endoplasmic reticulum-derived cholesterol to the multivesicular endosomes/bodies when low-density lipoprotein-cholesterol in endosomes is low. PMID: 27270042
  21. This review explores the diverse actions of annexin A1 on breast tumor cells and various host cell types, including stromal immune and structural cells, particularly in the context of cancer immunoediting. PMID: 28212890
  22. ANXA1 restores Abeta42-induced blood-brain barrier disruption through inhibition of the RhoA-ROCK signaling pathway. PMID: 27633771
  23. High ANXA1 expression is associated with lymphatic invasion and malignant progression of lung cancer. PMID: 28009433
  24. Annexin A1 plays a role in colon cancer cells' drug resistance to 5-fluorouracil. PMID: 27840982
  25. ANXA1 promotes the proliferation of Eca109 cells and increases the expression of Snail, while inhibiting E-cadherin expression, thus enhancing the migration and invasion of ESCC cells. miRNA-196a negatively regulates the expression of ANXA1. PMID: 28035369
  26. This study provides evidence suggesting that ANXA1 may contribute to the growth and invasion of NSCLC cell lines. PMID: 27035116
  27. Simultaneous knock-down of HIF-1alpha and Annexin A1 (ANXA1), one of the identified genes, resulted in complete cessation of proliferation of gastric cancer. PMID: 26760764
  28. ANXA1 and CALD1 proteins are independent markers for tamoxifen therapy outcome and are associated with rapid tumor progression. PMID: 26657294
  29. High ANXA1 expression is associated with Colorectal Cancer. PMID: 26687139
  30. Results show that ANXA1 and ANXA10 are highly expressed in pancreatic ductal adenocarcinoma and its metastases to the liver compared to intrahepatic cholangiocellular carcinoma. PMID: 26644413
  31. We conclude that ANX-A1 is an important regulator of mast cell reactivity to compound 48/80, exerting a negative feedback effect through a mechanism that depends, at least partly, on the FPR receptor. PMID: 26803520
  32. AnxA1 and its mimetic peptides inhibit neutrophil tissue accumulation by reducing leukocyte infiltration and activating neutrophil apoptosis. PMID: 26885535
  33. Results suggest that overexpression of CRISP-3 in prostate tumor may maintain higher PSA expression and lower ANXA1 expression. PMID: 26369530
  34. Data show that high-density lipoprotein (HDL) up-regulated expression of annexin A1 (ANXA1) in HUVEC vascular endothelial cells in a dose-dependent (Fig. 1A-B) and time-dependent manner. PMID: 27012521
  35. Annexin A1 is involved in the acquisition and maintenance of a stem cell-like/aggressive phenotype in prostate cancer cells with acquired resistance to zoledronic acid. PMID: 26312765
  36. Increased AnxA1 levels were associated with a systemic inflammatory phenotype in preeclampsia. PMID: 26398190
  37. Data show that elevated levels of annexin A1 are associated with small cell lung cancer (SCLC) brain metastasis. PMID: 26135980
  38. Within the basal subtype of breast cancer, patients exhibit significantly poorer overall survival associated with higher expression of annexin A1. PMID: 26000884
  39. ANXA1 negatively regulated the step of viral RNA replication rather than that of viral entry in human hepatocytes. PMID: 25899628
  40. Loss of ANXA1 is associated with lymphatic metastasis in pancreatic ductal adenocarcinoma. PMID: 25854353
  41. ANXA1 is overexpressed in familial breast cancer patients with BRCA1/2 mutations and correlated with poor prognosis features: triple-negative and poorly differentiated tumors. PMID: 26137966
  42. Cardioprotective potential of annexin-A1 mimetics in myocardial infarction. PMID: 25460034
  43. Data indicate the involvement of ANXA1Ac2-26 in the altered expression of genes involved in tumorigenic processes, which could potentially be applied as a therapeutic indicator of cervical cancer. PMID: 26072160
  44. These results suggested that ANXA1, which enhanced breast cancer invasion and metastasis under hypoxia, were significantly associated with the worst patient outcome in triple-negative breast cancer. PMID: 25592491
  45. Increased expression of ANXA1 protein is associated with aggressive progression and poor prognosis in hepatocellular carcinoma patients. PMID: 25412936
  46. Overexpression of ANXA1 induced by low-concentration Arsenic Trioxide (ATO) makes cancer cells more resistant to the agent via activated ERK MAPKs. Specific silencing of ANXA1 increased the sensitivity of cancer cells to ATO treatment. PMID: 25983101
  47. ANXA1 may contribute to the regulation of tumor growth and metastasis through paracrine mechanisms that are mediated by FPR2/ALX. PMID: 25490767
  48. The co-upregulated expression of mast cell chymase and the ANXA1-FPR1 system in ectopic endometrium suggests their involvement in the development of endometriotic lesions. PMID: 25201101
  49. This data suggests that ANXA1-regulated miR26b* and miR562 may play a role in wound healing and tumor-induced endothelial cell tube formation by targeting NF-kappaB expression and point towards a potential therapeutic target for breast cancer. PMID: 25536365
  50. The study provides new insights into the role of ANXA1 protein in pancreatic cancer progression and suggests that ANXA1 protein could regulate metastasis by favoring cell migration/invasion. PMID: 25510623

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Database Links

HGNC: 533

OMIM: 151690

KEGG: hsa:301

STRING: 9606.ENSP00000257497

UniGene: Hs.494173

Protein Families
Annexin family
Subcellular Location
Nucleus. Cytoplasm. Cell projection, cilium. Cell membrane. Membrane; Peripheral membrane protein. Endosome membrane; Peripheral membrane protein. Basolateral cell membrane. Apical cell membrane. Lateral cell membrane. Secreted. Secreted, extracellular space. Cell membrane; Peripheral membrane protein; Extracellular side. Secreted, extracellular exosome. Cytoplasmic vesicle, secretory vesicle lumen. Cell projection, phagocytic cup. Early endosome. Cytoplasmic vesicle membrane; Peripheral membrane protein.
Tissue Specificity
Detected in resting neutrophils. Detected in peripheral blood T-cells. Detected in extracellular vesicles in blood serum from patients with inflammatory bowel disease, but not in serum from healthy donors. Detected in placenta (at protein level). Detected

Q&A

What is the structural and functional basis for ANXA1 detection using monoclonal antibodies?

ANXA1 (Annexin A1) belongs to the annexin protein superfamily characterized by calcium-dependent phospholipid binding. The protein contains four annexin repeats, where pairs of these repeats can form binding sites for calcium and phospholipids. This structural arrangement is critical for antibody development since monoclonal antibodies must target accessible epitopes while preserving functional recognition. In its native state, ANXA1 resides primarily in the cytoplasm but translocates to the membrane upon activation, which can affect epitope accessibility depending on cellular conditions. This translocation property is significant for immunohistochemical (IHC) detection protocols, requiring optimization of fixation and retrieval methods to ensure consistent antibody binding regardless of ANXA1's subcellular localization .

How do researchers differentiate between specific and non-specific binding when using ANXA1 monoclonal antibodies?

Distinguishing specific from non-specific binding requires rigorous validation protocols. When working with ANXA1 monoclonal antibodies, researchers should implement multiple controls including:

  • Positive tissue controls: Hairy cell leukemia samples are particularly valuable as positive controls due to well-documented ANXA1 upregulation in this cancer type .

  • Negative controls: Using isotype-matched irrelevant antibodies at equivalent concentrations.

  • Competitive inhibition: Pre-incubation of the antibody with purified ANXA1 protein should eliminate specific staining.

  • Cross-reactivity assessment: Testing against tissues known to lack ANXA1 expression.

IHC optimization requires careful titration of antibody concentrations and meticulous attention to antigen retrieval methods. Heat-induced epitope retrieval is generally recommended for ANXA1 detection in formalin-fixed, paraffin-embedded (FFPE) tissues, as this method effectively exposes epitopes that may be masked during fixation processes .

What are the key experimental considerations when using ANXA1 antibodies for cancer diagnostics?

When implementing ANXA1 antibodies for cancer diagnostics, researchers must address several methodological considerations:

How does ANXA1 expression impact cancer progression, and how can this be studied using monoclonal antibodies?

To study ANXA1's impact on cancer progression using monoclonal antibodies, researchers should:

  • Implement multi-method validation: Combine IHC with western blotting and qPCR to confirm expression patterns.

  • Establish cell line models: Use antibodies to screen and verify ANXA1 expression levels across candidate cell lines before functional studies.

  • Conduct pathway analysis: Investigate ANXA1's interactions with formyl peptide receptors 1 and 2 (FPR1/2), as these interactions appear critical to cancer progression mechanisms .

  • Correlate with clinical outcomes: ANXA1 expression detected by monoclonal antibodies should be analyzed in relation to patient survival data, treatment response, and clinicopathological parameters to establish prognostic value.

Research findings demonstrate that targeting ANXA1 with humanized monoclonal antibodies like MDX-124 can reduce cell growth in ANXA1-expressing cancer cells both in vitro and in vivo, supporting ANXA1 as a valid therapeutic target in specific cancer contexts .

What experimental controls and validation steps are essential when investigating ANXA1's role in treatment resistance?

When investigating ANXA1's role in treatment resistance, robust experimental design with appropriate controls is critical:

  • Expression validation across resistant and sensitive models:

    • Use multiple ANXA1 antibody clones to confirm expression differences

    • Implement siRNA knockdown controls to verify antibody specificity

    • Quantify expression levels using calibrated standards

  • Functional validation experiments:

    • Paired isogenic cell lines (ANXA1 high vs. low) treated with identical therapeutic regimens

    • Dose-response curves across multiple treatment timepoints

    • Recovery assays following treatment withdrawal

  • Mechanistic investigation controls:

    • Pathway inhibitors to validate proposed resistance mechanisms

    • Phosphorylation-specific antibodies to assess activation states

    • Subcellular fractionation controls to confirm localization changes

Research has shown that ANXA1 provides protection against DNA damage induced by heat in breast cancer cells, suggesting its involvement in tumor protective activities and treatment resistance mechanisms . These findings highlight the importance of exploring both expression levels and functional activation states when studying ANXA1-mediated treatment resistance.

How can researchers effectively design experiments to investigate the therapeutic potential of anti-ANXA1 monoclonal antibodies?

Designing robust experiments to evaluate anti-ANXA1 therapeutic antibodies requires systematic approach:

  • Target validation phase:

    • Confirm ANXA1 overexpression in target cancer types using tissue microarrays

    • Validate antibody specificity through western blotting, immunoprecipitation, and mass spectrometry

    • Establish correlation between ANXA1 expression and clinical outcomes

  • In vitro efficacy assessment:

    • Cell viability assays across multiple ANXA1-expressing and non-expressing cell lines

    • Cell cycle analysis to determine mechanism of action

    • Combination studies with standard-of-care therapies

  • In vivo model selection and design:

    • Syngeneic models expressing appropriate levels of ANXA1

    • Patient-derived xenografts representing clinical heterogeneity

    • Dosing regimens that achieve pharmacologically relevant exposures

Recent research with MDX-124, a humanized IgG1 monoclonal antibody against ANXA1, has demonstrated significant anti-proliferative effects in vitro and tumor growth inhibition in vivo. This antibody specifically binds ANXA1, disrupting its interaction with formyl peptide receptors (FPR1/2). Studies showed dose-dependent reduction in cellular proliferation across multiple cancer cell lines and significant inhibition of tumor growth in both triple-negative breast and pancreatic cancer mouse models (p < 0.0001) .

What are the optimal protocols for detecting ANXA1 in different subcellular compartments, and how do they impact data interpretation?

ANXA1 exhibits dynamic subcellular localization, transitioning between cytoplasm, membrane, and extracellular space depending on activation state. This mobility creates unique challenges for detection that require specialized protocols:

  • Membrane vs. cytoplasmic detection:

    • For cytoplasmic ANXA1: Permeabilization with 0.1-0.5% Triton X-100 is essential

    • For membrane-associated ANXA1: Gentler fixation (2-4% paraformaldehyde) preserves membrane association

    • For secreted ANXA1: Conditioned media concentration protocols require careful standardization

  • Subcellular fractionation considerations:

    • Pure nuclear, cytoplasmic, and membrane fractions require verification with compartment-specific markers

    • Western blotting of fractions should include loading controls specific to each compartment

  • Calcium dependence of localization:

    • Calcium concentration during fixation affects ANXA1 distribution

    • Calcium chelators (EGTA/EDTA) can artificially redistribute ANXA1 during sample preparation

Studies indicate that in resting conditions, ANXA1 is primarily localized to the cytoplasm, but upon activation, it mobilizes to the membrane and can be secreted into the extracellular environment . This translocation is functionally significant as it enables ANXA1 to interact with cell surface receptors in an autocrine, paracrine, or juxtacrine manner through activation of formyl peptide receptors, influencing cellular responses .

How can researchers address epitope masking challenges when detecting ANXA1 in different conformational states?

ANXA1 undergoes significant conformational changes upon calcium binding and membrane association, which can mask or expose different epitopes. This conformational dynamism creates specific challenges for antibody-based detection:

  • Epitope accessibility strategies:

    • Multiple antibody clones targeting different regions allow detection across conformational states

    • Epitope mapping experiments identify which antibodies recognize calcium-bound vs. calcium-free forms

    • Sequential immunoprecipitation can capture conformational subpopulations

  • Retrieval optimization for different conformations:

    • Calcium-bound conformation: EDTA-based antigen retrieval buffers may alter epitope exposure

    • N-terminal domain exposure: Trypsin pre-treatment can enhance detection of cryptic N-terminal epitopes

    • Heat-induced retrieval: Different pH conditions selectively expose different conformational epitopes

  • Validation across conformational states:

    • Recombinant ANXA1 with calcium vs. calcium-free conditions

    • Mutants locked in specific conformations serve as conformational controls

    • Cross-validation with domain-specific antibodies

Research indicates that binding specificity is critical when developing therapeutic antibodies against ANXA1. For example, MDX-124 demonstrates specificity and anti-cancer activity, making it a promising therapeutic candidate for patients with tumors expressing high levels of ANXA1 .

What are the most effective techniques for studying ANXA1 interactions with formyl peptide receptors using monoclonal antibodies?

Investigating ANXA1-FPR interactions requires specialized techniques that preserve the integrity of both interaction partners while providing sensitive detection:

  • Proximity-based interaction assays:

    • Proximity ligation assay (PLA): Allows visualization of ANXA1-FPR interactions in situ with <40nm resolution

    • FRET/BRET approaches: Quantify interaction dynamics in live cells

    • Co-immunoprecipitation: Requires careful buffer optimization to preserve calcium-dependent interactions

  • Receptor blockade strategies:

    • Selective antibodies against different FPR domains

    • Competitive binding assays with synthetic peptides

    • Domain-specific blocking antibodies to map interaction interfaces

  • Functional validation approaches:

    • Calcium flux assays following antibody-mediated disruption

    • Migration and invasion assays with receptor-selective antagonists

    • Signaling pathway phosphorylation status assessment

Recent research demonstrates that MDX-124, a humanized monoclonal antibody, specifically binds to ANXA1 and disrupts its interaction with formyl peptide receptors 1 and 2 (FPR1/2). This disruption leads to significant reduction in proliferation in cancer cell lines expressing ANXA1 and inhibits tumor growth in vivo . These findings highlight the critical role of ANXA1-FPR interactions in cancer progression and provide a methodological framework for studying these interactions.

How should researchers interpret contradictory findings regarding ANXA1's role as tumor suppressor versus promoter?

The contradictory literature on ANXA1's role presents significant interpretive challenges requiring nuanced analysis approaches:

  • Cancer-type specific analysis framework:

    • Stratify findings by tissue of origin and genetic background

    • Consider histological subtypes within each cancer type

    • Examine patterns across embryonic lineages (mesenchymal vs. epithelial origins)

  • Expression level threshold considerations:

    • Establish quantitative thresholds where function shifts from suppressive to promotional

    • Analyze dose-response relationships in functional assays

    • Consider non-linear relationships between expression and function

  • Post-translational modification impact:

    • Phosphorylation status alters function independently of expression level

    • N-terminal cleavage generates fragments with distinct activities

    • Glycosylation patterns may vary between cancer types

Published research suggests that ANXA1's role may be specific to each tumor type due to post-translational modifications of the protein impacting expression across cell types or cancer indications . This differential function is evidenced by findings showing ANXA1 can promote cell proliferation and cell cycle transition in triple-negative breast cancer while also demonstrating tumor suppressive properties in other contexts .

What statistical approaches are most appropriate for analyzing ANXA1 expression data in relation to clinical outcomes?

Analyzing ANXA1 expression in relation to clinical outcomes requires sophisticated statistical approaches:

  • Survival analysis methodologies:

    • Kaplan-Meier analyses with optimized cutpoints for ANXA1 expression

    • Cox proportional hazards models adjusting for relevant clinical covariates

    • Competing risk models when multiple outcome events are possible

  • Expression pattern quantification:

    • H-score calculation incorporating both staining intensity and percentage of positive cells

    • Automated image analysis with supervised machine learning algorithms

    • Spatial distribution analysis within tumor microenvironment

  • Multi-marker integration strategies:

    • Principal component analysis to identify correlated biomarker patterns

    • Random forest models for biomarker importance ranking

    • Nomogram development integrating ANXA1 with established prognostic factors

How can researchers effectively design functional validation experiments to confirm antibody-mediated effects on ANXA1 activity?

Confirming that observed effects are specifically due to antibody-mediated ANXA1 neutralization requires rigorous functional validation:

  • Specificity validation hierarchy:

    • Genetic knockdown/knockout parallel experiments

    • Rescue experiments with antibody-resistant ANXA1 variants

    • Dose-response relationships with varying antibody concentrations

  • Mechanism delineation experiments:

    • Phosphorylation status of downstream signaling nodes

    • Receptor occupancy measurements at different antibody concentrations

    • Protein-protein interaction network alterations

  • Off-target effect exclusion strategies:

    • Transcriptome analysis to identify unexpected pathway perturbations

    • Fc receptor blocking experiments to rule out effector function contributions

    • Cross-reactivity assessment against related annexin family members

Research with MDX-124 demonstrates how functional validation experiments should be structured. Studies confirmed that the anti-proliferative activity occurred in a dose-dependent manner across a concentration range of 0–10 μM and was specifically caused by G1 phase cell cycle arrest rather than apoptosis induction. These findings were further validated using in vivo syngeneic mouse models of both triple-negative breast and pancreatic cancer .

What are the most promising approaches for developing next-generation anti-ANXA1 therapeutic antibodies with enhanced specificity and efficacy?

Developing improved anti-ANXA1 therapeutic antibodies requires innovative approaches:

  • Structure-guided optimization strategies:

    • Epitope mapping of critical functional domains

    • Molecular dynamics simulations to identify conformational epitopes

    • Affinity maturation focused on calcium-bound conformations

  • Format innovations:

    • Bispecific antibodies targeting ANXA1 and FPR simultaneously

    • Antibody-drug conjugates for enhanced tumor-selective delivery

    • pH-dependent binding antibodies that selectively target tumor microenvironment

  • Functional screening paradigms:

    • Phenotypic screening in 3D organoid models

    • In vivo screening with patient-derived xenografts

    • Multi-parameter optimization balancing affinity, selectivity, and tissue penetration

Current research with MDX-124, a humanized IgG1 monoclonal antibody, has demonstrated promising results by specifically binding to ANXA1 and disrupting its interaction with formyl peptide receptors. This approach has shown significant anti-proliferative effects across multiple cancer cell lines and inhibited tumor growth in animal models, suggesting that targeting the ANXA1-FPR interaction is a viable therapeutic strategy .

How can researchers integrate ANXA1 monoclonal antibody data with multi-omics approaches to better understand its role in cancer biology?

Integration of antibody-based ANXA1 studies with multi-omics data enables systems-level understanding:

  • Multi-modal data integration frameworks:

    • Correlation of ANXA1 protein levels with transcriptomic profiles

    • Phosphoproteomics to capture activation state across tumor samples

    • Spatial transcriptomics to map ANXA1 expression patterns within tumor architecture

  • Network analysis approaches:

    • Protein-protein interaction networks centered on ANXA1

    • Pathway enrichment analysis stratified by ANXA1 expression levels

    • Bayesian network inference to identify causal relationships

  • Single-cell multi-omics integration:

    • Correlation of ANXA1 protein with single-cell transcriptomics

    • Trajectory analysis to map ANXA1 dynamics during cellular state transitions

    • Cellular neighborhood analysis in spatial proteomics data

Research findings indicate that ANXA1 functions through multiple signaling pathways that promote tumor initiation and progression, and its role may be tissue-specific due to post-translational modifications affecting expression across different cell types or cancer indications . Multi-omics approaches can help elucidate these complex relationships.

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