LRRC15 is a 581 amino acid type I membrane protein with leucine-rich repeat domains and no obvious intracellular signaling domains. It has emerged as a critical marker in cancer research for several reasons:
It shows high expression in multiple solid tumor indications with limited normal tissue expression
It is expressed on cancer-associated fibroblasts (CAFs) in the tumor stroma of many solid tumors (breast, head and neck, lung, pancreatic)
It is directly expressed on a subset of cancer cells with mesenchymal origin (sarcoma, melanoma, glioblastoma)
Its expression is induced by TGFβ on activated fibroblasts (αSMA+) and mesenchymal stem cells
It functions by regulating cell-cell and cell-extracellular matrix interactions
These properties make LRRC15 a novel CAF and mesenchymal marker with significant therapeutic potential for cancers with LRRC15-positive stromal desmoplasia or mesenchymal-origin cancers.
Several validated techniques for detecting LRRC15 expression in research samples include:
For immunohistochemistry, protocols typically involve:
FFPE slide preparation and deparaffinization
Antigen retrieval with high pH target retrieval buffer (125°C for 1 minute)
Protein blocking followed by primary antibody incubation (1 μg/mL for 60 minutes)
Detection using HRP secondary reagents and DAB visualization
Quantification of LRRC15 expression depends on the experimental context:
For IHC analyses:
H-score method: multiply the percentage of positive cells by staining intensity (0-3), with a maximum score of 300
Qualitative scoring from 0 to 3+ based on staining intensity and frequency
Digital image analysis using platforms like Zeiss Axio Scanner Z1 and Indica HALO AI
For flow cytometry quantification:
Cell surface copy number can be determined using LRRC15 antibodies (e.g., Ab3-AF488) relative to isotype controls
Quantum Simply Cellular Bead Kit can provide absolute quantification of receptors per cell
Mean fluorescence intensity (MFI) comparisons between samples
For robust tumor-stroma differentiation:
Multiplex immunohistochemistry with LRRC15 and epithelial markers (pan-cytokeratin)
Tumor and stroma area classification using AI tools (e.g., Densenet v2)
Automated quantification of LRRC15 expression intensity in distinct compartments
LRRC15 expression in tumor stroma shows significant correlations with patient outcomes, though these associations appear to be cancer-type dependent:
In lung adenocarcinoma:
Higher LRRC15 stromal expression is associated with better 5-year survival
Patients with high stromal LRRC15 expression show 67% lower risk of death (HR: 0.33, 95% CI: 0.16-0.68, P < 0.01)
This suggests LRRC15 may impact immune cell function in ways that influence clinical outcomes
The mechanism behind this favorable prognostic association may involve:
Modulation of the tumor microenvironment
Altered immune infiltration
LRRC15's role in mediating cell-extracellular matrix interactions
Several advanced methodological approaches are available for investigating LRRC15's functions in the tumor microenvironment:
Multiplex immunostaining approaches:
TGFβ-mediated regulation studies:
Functional studies using LRRC15 antibodies:
In vivo models for LRRC15 investigation:
Developing therapeutic antibodies against LRRC15 requires several specific considerations:
Antibody binding characteristics:
Payload selection for antibody-drug conjugates:
Mechanism of action considerations:
Preclinical efficacy models:
Research indicates that ABBV-085 (LRRC15-targeted MMAE-ADC) demonstrated efficacy in preclinical models and entered clinical development , while the LRRC15-PNU ADC showed superior efficacy with 40-100% cure rates in osteosarcoma xenograft models .
Recent research has uncovered LRRC15's unexpected role in SARS-CoV-2 infection, providing new applications for LRRC15 antibodies:
Spike protein binding assays:
LRRC15-mediated virion sequestration studies:
Protein interaction analyses:
Key findings indicate LRRC15 doesn't function as a SARS-CoV-2 entry receptor but rather sequesters virions and antagonizes infection of ACE2-positive cells when expressed on nearby cells . This presents a novel research area where LRRC15 antibodies can help elucidate accessory interactions in SARS-CoV-2 pathogenesis.
Researchers face several technical challenges when quantifying LRRC15 expression:
Heterogeneous expression patterns:
Inducible expression considerations:
Quantification method standardization:
Various scoring methods (H-score, 0-3+ qualitative scoring, digital analysis)
Need for consistent thresholds for defining "high" versus "low" expression
Validation across multiple antibody clones and detection methods
Technical recommendations:
Recent advances in antibody engineering offer opportunities for creating LRRC15 antibodies with tailored specificity profiles:
Computational design approaches:
Biophysics-informed modeling combined with phage display selection experiments
Optimization of energy functions to generate antibodies with predefined binding profiles
Development of both cross-specific antibodies (interacting with multiple ligands) and highly specific antibodies (single ligand interaction)
Selection strategy considerations:
Validation approaches:
These approaches can be applied to LRRC15 antibody development, potentially creating reagents that discriminate between different conformational states or binding partners of LRRC15 in the tumor microenvironment.
Comparing LRRC15 antibody development with other therapeutic antibodies reveals instructive parallels:
Parallels with CCR5-targeting antibodies (leronlimab):
Mechanism insights from leronlimab studies:
Technical approaches with broader applicability:
As seen with leronlimab in "long COVID" treatment, where it normalized abnormal immune downmodulation , LRRC15-targeting antibodies might similarly reveal unexpected immunomodulatory mechanisms in the tumor microenvironment.
LRRC15 shows apparent contradictions in its prognostic associations across cancer types. Strategic experimental approaches to resolve these include:
Comprehensive tissue-specific expression profiling:
Functional characterization approaches:
Co-culture systems with LRRC15+ fibroblasts and cancer cells
Assessment of immune cell recruitment and function
Analysis of extracellular matrix remodeling and cancer cell invasion
Context-dependent signaling investigation:
Experimental design recommendations:
This comprehensive approach can help resolve the apparent contradiction between LRRC15's association with better survival in lung adenocarcinoma versus its general association with aggressive cancer phenotypes.