CD248 is a 757-amino-acid protein with EGF and thrombomodulin-like domains, facilitating interactions with extracellular matrix (ECM) proteins and other signaling molecules . It belongs to the C-type lectin family and is dynamically expressed during embryonic development, tumor neovascularization, and inflammation . While absent in most adult tissues, CD248 is overexpressed in cancer-associated pericytes, fibroblasts, and mesenchymal cells in fibrotic diseases .
Antibody-Drug Conjugates (ADCs): MORAb-004, a humanized anti-CD248 antibody, demonstrated anti-tumor efficacy by inducing pericyte apoptosis and disrupting tumor vasculature in preclinical models .
Immunotherapy: CD248-targeted vaccines and CAR-T therapies have shown promise in eliciting T-cell responses against tumor-associated antigens .
Immunohistochemistry (IHC): Used to detect CD248 in tumor stroma and fibrotic tissues, aiding in disease prognosis .
Flow Cytometry: Antibodies like B1/35 (BD Biosciences) enable quantification of CD248+ pericytes in blood and tissue samples .
CD248 expression correlates with tumor aggressiveness and poor prognosis in sarcomas and carcinomas .
Antibody-mediated targeting reduced tumor vascularity and metastasis in syngeneic mouse models .
CD248 has been implicated in a variety of biological processes, including:
CD248, also known as endosialin or tumor endothelial marker 1 (TEM1), is a C-type lectin-like transmembrane glycoprotein with a molecular weight of approximately 80.9 kilodaltons in its unmodified form, though the heavily glycosylated mature protein approaches 175 kDa . The protein contains a C-type lectin domain, a sushi domain, three epidermal growth factor repeats, a mucin domain, a transmembrane domain, and a short cytoplasmic tail .
The significance of CD248 as a research target lies in its restricted expression pattern and role in pathological processes. It serves as:
A biomarker for activated stromal cells in the tumor microenvironment
A potential therapeutic target for fibrotic diseases and cancer
A tool for understanding stromal-tumor interactions
Researchers targeting CD248 with antibodies can investigate mechanisms of fibrosis, tumor progression, and develop potential therapeutic interventions, making it a valuable target for both basic and translational research.
CD248 antibodies are versatile tools employed in multiple research applications, each offering unique insights into CD248 biology:
When selecting an application:
Consider the specific research question (protein quantification, localization, or cell identification)
Tissue or cell type (cancer biopsies, fibrotic tissue, cell cultures)
Available equipment and expertise
Need for quantitative vs. qualitative data
Most commercial CD248 antibodies have been validated for specific applications, and researchers should review validation data before proceeding with experiments .
CD248 expression exhibits a highly regulated pattern that changes dramatically between normal physiology and pathological states:
Normal Tissues:
Primarily expressed during embryonic development
Limited expression in adult tissues with detection only in:
Pathological Conditions:
Liver Fibrosis/Cirrhosis:
Cancer:
Highly expressed in tumor stroma (84% of invasive breast cancers show CD248+ pericytes, 67% show CD248+ CAFs)
Upregulated in stromal compartments of breast, colon, and ovarian cancers
Expression largely restricted to perivascular-like cells and CAFs with negligible expression on tumor cells
Single-cell sequencing reveals highest expression in CAF clusters that co-cluster with pericytes
This distinct expression pattern makes CD248 an excellent biomarker for activated stroma in pathological conditions and provides a rationale for targeted therapies that selectively affect disease-associated tissues while sparing normal tissues.
CD248 antibodies have emerged as promising tools for treating liver fibrosis through several innovative approaches:
Antibody-Drug Conjugates (ADCs):
Researchers have developed CD248-specific ADCs to selectively target and eliminate activated hepatic stellate cells (HSCs) that drive fibrosis progression. One notable example is IgG78-DM1, which consists of:
A CD248-specific antibody (IgG78)
The microtubule inhibitor mertansine (DM1)
This ADC demonstrated:
Selective binding to CD248+ activated HSCs
Effective killing of CD248+ HSCs in vitro
Significant reduction of liver fibrosis in CCl4-induced mice
Acceptable biosafety and reproductive safety profiles in vivo
Mechanism of Action:
The therapeutic efficacy derives from:
Selective targeting of CD248+ myofibroblasts (activated HSCs)
Internalization of the ADC complex
Release of the cytotoxic payload (DM1)
Elimination of fibrosis-driving cells
Translational Potential:
This approach offers several advantages over conventional anti-fibrotic strategies:
Cell-specific targeting (minimizing off-target effects)
Elimination rather than inhibition of myofibroblasts
Addresses the cellular source of fibrotic matrix production
The success of CD248-targeting ADCs in liver fibrosis models suggests this approach could be extended to other fibrotic diseases where CD248+ myofibroblasts contribute to pathology. Additionally, the biosafety data provided in these studies accelerates the path to potential clinical translation .
CD248-expressing CAFs serve as critical mediators in the tumor microenvironment, influencing cancer progression through multiple mechanisms:
Epithelial-Mesenchymal Transition (EMT) Promotion:
In non-small cell lung cancer (NSCLC), CD248+ CAFs promote EMT, a key process in metastasis, through:
Regulation of macrophage polarization toward the M2 phenotype
Indirect promotion of cancer cell invasiveness
Tumor Stroma Remodeling:
CD248+ CAFs contribute to matrix remodeling by:
Interacting with extracellular matrix components like fibronectin and collagen I/IV
Enhancing cellular migration and adhesion properties
Heterogeneity and Functional Specialization:
Single-cell sequencing has revealed that CD248 expression varies among CAF populations:
Five distinct CAF clusters exist in lung tumors
CD248 expression is elevated in most CAF clusters compared to normal fibroblasts
The CAF cluster with highest CD248 expression co-clusters with pericytes
Experimental Evidence:
Research using genetic models has demonstrated that:
CD248 knockout in fibroblasts reduces M2 macrophage polarization
This leads to decreased EMT in cancer cells both in vitro and in vivo
CD248+ CAFs influence the immune microenvironment to favor tumor progression
These findings highlight CD248+ CAFs as potential therapeutic targets, with strategies aimed at either eliminating these cells or reprogramming them to adopt anti-tumorigenic functions. Antibodies targeting CD248 could disrupt the pro-tumorigenic functions of CAFs, potentially limiting cancer progression and metastasis.
CD248 antibody staining has emerged as a valuable prognostic tool in cancer research, with several studies establishing correlations between CD248 expression patterns and clinical outcomes:
Expression Patterns and Clinical Significance:
Stromal Heterogeneity and Prognosis:
Single-cell sequencing studies have revealed distinct CD248-expressing stromal populations with different prognostic implications:
CAF clusters with high CD248 expression show distinct gene signatures
The perivascular-associated CAF cluster with highest CD248 expression may indicate more aggressive disease
Quantitative analysis of CD248+ cell density provides additional prognostic information beyond traditional histopathological parameters
Therapeutic Response Prediction:
CD248 antibody staining can potentially predict response to targeted therapies:
Tumors with high CD248 expression in the stroma may be more responsive to anti-stromal therapies
CD248 expression pattern helps identify patients who might benefit from therapies targeting the tumor microenvironment
Serial biopsies with CD248 staining can monitor stromal changes during treatment
Methodological Considerations:
When using CD248 antibody staining for prognostic purposes, researchers should:
Use validated antibodies with demonstrated specificity
Employ standardized staining protocols and scoring systems
Consider co-staining with other markers (α-SMA, pericyte markers) to identify specific stromal cell populations
Correlate findings with established clinical parameters and outcomes
These correlative studies underscore the potential of CD248 not only as a research tool but also as a clinically relevant biomarker that could inform personalized treatment strategies targeting the tumor microenvironment.
Achieving optimal staining with CD248 antibodies requires careful attention to sample preparation, antibody selection, and staining protocols:
Sample Preparation:
For Immunohistochemistry (IHC-P):
Fixation: 10% neutral buffered formalin (24-48 hours)
Processing: Standard paraffin embedding
Sectioning: 4-5 μm thick sections
Antigen retrieval: Critical step - typically heat-mediated in citrate buffer (pH 6.0) or EDTA buffer (pH 9.0)
Note: Some CD248 antibody clones (e.g., VI-71) are not suitable for formalin-fixed paraffin-embedded tissue
For Immunocytochemistry (ICC):
Fixation: Ice-cold methanol (10 minutes) often preserves CD248 epitopes better than formaldehyde for some clones
Alternative: 4% paraformaldehyde (10-15 minutes) works well for certain antibodies
Cells should be grown on coated coverslips for optimal adhesion
Antibody Selection and Dilution:
Detection Systems:
For brightfield IHC: HRP/DAB systems provide good signal with minimal background
For fluorescence: Secondary antibodies conjugated to Alexa Fluor dyes (particularly Alexa Fluor 557 or 647) have shown excellent results
Protocol Optimization:
Always include positive controls (tissues known to express CD248, such as tumor stroma)
Include negative controls (primary antibody omission, isotype controls)
Consider dual staining with α-SMA to confirm myofibroblast/pericyte localization
For quantitative analysis, standardize exposure settings and acquisition parameters
Troubleshooting Tips:
Weak signal: Increase antibody concentration, extend incubation time, or optimize antigen retrieval
High background: Increase blocking time, reduce antibody concentration, or include additional washing steps
Non-specific binding: Use more stringent blocking with 5% BSA or 10% normal serum from the secondary antibody species
Following these guidelines will help ensure consistent and specific staining of CD248 in both tissue sections and cell preparations.
Multi-color flow cytometry with CD248 antibodies requires careful panel design and optimization to achieve reliable results:
Panel Design Considerations:
Fluorochrome Selection for CD248:
CD248 is typically expressed at moderate levels, making it suitable for mid-brightness fluorochromes
Recommended fluorochromes include:
Avoid using fluorochromes that require compensation with markers used to identify the same cell populations
Complementary Markers for Stromal Cell Identification:
| Cell Type | Recommended Markers | Justification |
|---|---|---|
| Pericytes | CD248, PDGFRβ, NG2, CD146 | Complete pericyte identification panel |
| CAFs | CD248, α-SMA, FAP, PDGFRα | Distinguishes CAF subsets |
| HSCs | CD248, Desmin, GFAP, Vitamin A autofluorescence | Identifies activated vs. quiescent HSCs |
Staining Protocol Optimization:
Sample Preparation:
Cell suspensions from tissues require gentle enzymatic digestion to preserve CD248 epitopes
Recommended: Collagenase D (1 mg/mL) + DNase I (0.1 mg/mL) at 37°C for 30-45 minutes
Filter through 70-100 μm mesh to remove aggregates
Staining Conditions:
Controls:
Fluorescence Minus One (FMO) controls are essential for accurate gating
Isotype controls matched to CD248 antibody concentration
Positive controls (cell lines with known CD248 expression)
Gating Strategy for CD248+ Cells:
Initial exclusion gates:
FSC/SSC to identify cells of interest
Singlet selection
Viability dye exclusion
Specific CD248+ population identification:
First gate on stromal cell markers (e.g., PDGFRβ+)
Then identify CD248+ subpopulations
Confirm with additional markers for specific stromal cell types
For activated HSCs from liver:
Following these best practices will enable precise identification and isolation of CD248-expressing cell populations for further functional or molecular studies.
Evaluating CD248 antibodies for therapeutic potential requires systematic assessment of multiple parameters:
1. Binding Characteristics Assessment:
| Parameter | Method | Significance |
|---|---|---|
| Affinity | Surface plasmon resonance (SPR) | Higher affinity (low KD) generally correlates with better target engagement |
| Epitope mapping | Peptide arrays, HDX-MS, or alanine scanning | Identifies binding site and potential for blocking functional domains |
| Species cross-reactivity | ELISA against human/mouse/rat CD248 | Important for preclinical testing in animal models |
| Off-target binding | Tissue cross-reactivity studies | Predicts potential toxicity |
2. Functional Assays:
Cell-Based Assays:
Cell viability assays to assess direct cytotoxicity against CD248+ cells
Migration/invasion assays to evaluate effects on CD248-mediated motility
Adhesion assays to assess disruption of CD248-ECM interactions
Co-culture systems to evaluate effects on tumor-stroma interactions
Mechanism-Specific Assays:
For antibody-drug conjugates (ADCs): Internalization rate using pH-sensitive fluorophores
For blocking antibodies: Inhibition of CD248-ligand binding (fibronectin, collagen I/IV)
For immune-engaging antibodies: Antibody-dependent cellular cytotoxicity (ADCC) assays
3. In Vivo Efficacy Models:
Liver Fibrosis Models:
Cancer Models:
4. Comparative Analysis Framework:
For direct comparison between different CD248 antibodies:
Use standardized assays with the same concentrations across antibodies
Include both in vitro and in vivo assessments
Compare multiple parameters:
Target engagement in vivo (by tissue analysis)
Pharmacokinetic profiles
Efficacy in disease models
Safety profiles
5. Advanced Analysis Techniques:
Multiplex immunohistochemistry to assess effects on the tumor microenvironment
Single-cell RNA sequencing to evaluate transcriptional changes in CD248+ cells
Spatial transcriptomics to analyze antibody effects on stromal-parenchymal interactions
Intravital imaging to visualize antibody localization and effects in real-time
This comprehensive evaluation framework allows researchers to systematically compare different CD248 antibodies and select optimal candidates for further therapeutic development based on multiple efficacy and safety parameters.
Optimizing CD248 antibody-drug conjugates (ADCs) for targeting activated stromal cells requires careful consideration of multiple components and their interactions:
1. Antibody Selection and Engineering:
Isotype Selection:
IgG1 for potential immune effector engagement
IgG4 for minimal immune system interaction when using pure ADC mechanism
Binding Properties:
Optimize affinity (KD < 10 nM typically ideal)
Select antibodies targeting epitopes that facilitate internalization
Consider humanization/fully human antibodies to reduce immunogenicity
Engineering Strategies:
Site-specific conjugation using engineered cysteines or non-natural amino acids
Fc engineering to optimize half-life and reduce effector functions if needed
2. Linker-Drug Optimization:
Drug Selection:
Microtubule inhibitors (DM1, MMAE) - standard for most ADCs
DNA damaging agents (PBD dimers) - highly potent but may increase toxicity
Novel payloads (topoisomerase inhibitors) - may offer improved therapeutic window
Drug-to-Antibody Ratio (DAR):
Optimize between 2-4 for balanced efficacy/PK
Higher DAR increases potency but may reduce serum half-life and increase off-target toxicity
3. Preclinical Optimization Strategies:
In Vitro Screening:
Internalization assays using pH-sensitive dyes
Cytotoxicity against primary activated HSCs, CAFs, and pericytes
Specificity testing against CD248- cells
Pharmacokinetic Optimization:
Assess plasma stability of different linker chemistries
Measure ADC half-life in relevant animal models
Determine tumor/tissue penetration using imaging studies
Efficacy Models for Stromal Targeting:
4. Safety Considerations for CD248-Targeted ADCs:
On-Target, Off-Tumor Effects:
Comprehensive tissue cross-reactivity studies
Evaluate effects on normal CD248-expressing tissues (endometrium, bone marrow)
Consider conditional activation strategies if needed
Reproductive Safety:
5. Translational Considerations:
Patient Selection Biomarkers:
Develop IHC or other assays to quantify CD248 expression
Establish minimum threshold for likely response
Consider spatial distribution of CD248+ cells
Combination Strategies:
With anti-fibrotic agents for liver disease
With immune checkpoint inhibitors for cancer
With standard-of-care therapies for specific indications
By systematically optimizing each component of the CD248-targeted ADC, researchers can develop therapeutics with improved efficacy and safety profiles for treating fibrotic diseases and cancers characterized by CD248+ activated stromal cells.
Researchers investigating CD248 antibodies can benefit from these specialized resources:
Key Literature Resources:
Seminal Papers on CD248 Biology:
MacFadyen et al. (2005): Initial characterization of CD248 expression patterns
Wilhelm et al. (2016): CD248 role in liver fibrosis
Teicher (2019): Comprehensive review of CD248 as a therapeutic target
Technical Resources for CD248 Antibody Applications:
Single-cell sequencing data repositories containing CD248 expression (e.g., Lambrechts et al.)
Tissue microarray datasets with CD248 staining correlations
Antibody validation initiatives (e.g., The Antibody Registry)
Research Tools and Repositories:
| Resource Type | Examples | Utility |
|---|---|---|
| Gene Expression Databases | Human Protein Atlas, GTEx Portal | CD248 expression across tissues and conditions |
| Antibody Validation Resources | Antibodypedia, CiteAb | Independent validation data for commercial antibodies |
| Recombinant Proteins | Commercial CD248 ECD proteins | For binding studies and antibody characterization |
| Genetic Models | CD248 knockout mice, fibroblast-specific CD248 KO | For in vivo studies and antibody validation |
Collaborative Networks and Consortia:
Cancer-associated fibroblast research networks
Fibrosis research consortia
Tumor microenvironment focused working groups
Technology Platforms:
Multiplex imaging platforms for studying CD248 in spatial context
Single-cell analysis platforms for examining CD248+ cell heterogeneity
Humanized mouse models for testing CD248-targeted therapies
These resources collectively provide researchers with the tools, data, and collaborative opportunities to advance CD248 antibody research from basic characterization to therapeutic applications.
CD248 antibody research is rapidly evolving with several promising directions emerging:
1. Advanced Therapeutic Modalities:
Bispecific Antibodies:
CD248 x CD3 bispecifics to redirect T cells against stromal targets
CD248 x CD47 bispecifics to block "don't eat me" signals while targeting stroma
Immune-Modulating Conjugates:
CD248-targeted TLR agonist delivery to reprogram the tumor microenvironment
CD248-targeted cytokine delivery to activate local anti-tumor immunity
Engineered Cell Therapies:
CAR-T cells targeting CD248+ stromal cells
Macrophages engineered to recognize and reprogram CD248+ CAFs
2. Diagnostic and Monitoring Applications:
Liquid Biopsy Development:
Detection of CD248 in circulating tumor-derived extracellular vesicles
CD248 as part of multi-marker panels for fibrosis/cancer monitoring
Imaging Applications:
CD248-targeted PET imaging agents for non-invasive assessment of stromal activation
Intraoperative imaging to guide surgical resection of tumors with stromal invasion
3. Precision Medicine Approaches:
Patient Stratification:
CD248 expression patterns as predictive biomarkers for response to anti-stromal therapies
Integration of CD248 status into comprehensive tumor microenvironment profiles
Combinatorial Strategies:
Rational combinations of CD248-targeted therapies with:
Immune checkpoint inhibitors
Anti-fibrotic agents
Conventional chemotherapies
4. Target Biology Innovations:
Structural Biology:
High-resolution structures of CD248-ligand complexes to guide rational antibody design
Structure-based optimization of binding epitopes for therapeutic antibodies
Signaling Studies:
Further elucidation of CD248 signaling pathways to identify synergistic targets
Identification of context-dependent functions in different disease settings
5. Technical Innovations:
Next-Generation Antibody Formats:
Nanobodies and single-domain antibodies against CD248 for improved tissue penetration
pH-sensitive antibodies that selectively activate in the tumor microenvironment
Spatially Resolved Analysis:
Integration of CD248 antibody staining with spatial transcriptomics
AI-assisted image analysis for quantifying stromal patterns and CD248 expression