STRING: 7955.ENSDARP00000065494
UniGene: Dr.76385
EMP2 is a tetraspan protein that has gained attention as a novel therapeutic target due to its selective expression pattern in cancer tissues. It shows minimal expression in normal tissues such as mammary tissue and brain, but is significantly upregulated in multiple cancer types. EMP2 has been found to be overexpressed in 63% of invasive breast cancer tumors and in 73% of triple-negative breast cancers, making it an attractive target for antibody-based therapies . Similarly, in glioblastoma (GBM), 95% of patients show some level of EMP2 expression while normal brain tissue exhibits low or undetectable levels . This differential expression provides a potential therapeutic window where anti-EMP2 therapies could target cancer cells while sparing normal tissues.
EMP2 functions as an oncogenic protein that promotes tumor progression through multiple mechanisms. At the molecular level, EMP2 activates critical signaling pathways including focal adhesion kinase (FAK) and Src kinases . This activation enhances cellular migration and invasion capabilities. In GBM cells, EMP2 has been shown to upregulate αvβ3 integrin surface expression, which further promotes the activation of these signaling cascades . The correlation between EMP2 expression and activated Src kinase has been confirmed in patient samples, demonstrating its clinical relevance. Additionally, EMP2 appears to play a role in the formation of breast cancer stem cells, which may contribute to therapy resistance and disease recurrence .
Several types of anti-EMP2 antibodies have been developed for research purposes, each with distinct structural and functional characteristics:
Anti-EMP2 diabodies (Dbs): These antibody fragments, such as KS83 and KS49, were among the first anti-EMP2 reagents developed .
Fully human anti-EMP2 IgG1 antibodies: These were constructed by cloning the variable (V) region sequences from anti-EMP2 diabodies into human IgG1 frameworks. One example is PG-101, which has shown efficacy against Trastuzumab and docetaxel-resistant tumors .
89Zr-labeled anti-EMP2 antibodies: These conjugates enable immunoPET imaging of EMP2-positive tumors, allowing for the detection and monitoring of target engagement .
Each of these antibody formats offers specific advantages depending on the research application, whether it be therapeutic intervention, imaging, or mechanistic studies.
Construction of anti-EMP2 IgG1 antibodies follows a systematic approach that begins with obtaining the variable region sequences. According to the methodology described in the literature:
PCR amplification of variable (V) region sequences from existing anti-EMP2 diabodies (such as KS49) .
Cloning of these V region sequences into an appropriate vector (such as pCR-II-TOPO vector) and confirmation by sequencing .
Subcloning of confirmed V region sequences into human IgG1 expression vectors containing the appropriate constant regions.
Expression of the recombinant antibody in mammalian cell lines such as CHO or HEK293 cells.
Purification of the antibody from cell culture supernatants using protein A/G affinity chromatography.
Validation of the purified antibody by techniques such as SDS-PAGE, Western blotting, and functional assays.
This process allows for the generation of fully human anti-EMP2 IgG1 antibodies that can be used in both in vitro and in vivo applications with reduced immunogenicity concerns.
Several complementary methods have been employed to assess EMP2 expression in tumor samples:
Immunohistochemistry (IHC): This technique has been widely used on tissue tumor arrays to measure EMP2 protein expression in various cancer types. This approach revealed minimal expression in normal mammary tissue but upregulation in 63% of invasive breast cancer tumors .
Western blotting: This provides quantitative assessment of EMP2 protein levels and can be used to compare expression across different cell lines or patient samples.
Quantitative RT-PCR: Studies have identified upregulation of EMP2 mRNA in breast cancers, which correlated with advanced disease stages and circulating tumor cells .
ELISA: Used to detect EMP2 in solution, particularly when testing antibody binding specificity. In one approach, biotinylated 24 amino acid peptides corresponding to the extracellular loop of human EMP2 were coated onto streptavidin-coated 96-well plates for antibody binding assessment .
Flow cytometry: This can be used to assess EMP2 surface expression on living cells, particularly useful for determining whether tumor cells might be susceptible to anti-EMP2 therapy.
Each method offers specific advantages depending on the research question, with IHC being particularly valuable for clinical correlation studies.
The process of generating 89Zr-labeled anti-EMP2 antibodies for immunoPET imaging involves several critical steps:
Conjugation to chelator: The anti-EMP2 monoclonal antibody is first conjugated to p-SCN-Bn-deferoxamine (DFO), which serves as a chelator for the radioisotope .
Radiolabeling: The DFO-conjugated antibody is then radiolabeled with 89Zr, a positron-emitting radioisotope with a relatively long half-life (78.4 hours), which is suitable for antibody-based imaging .
Purification: The radiolabeled antibody is purified to remove unbound radioisotope.
Quality control: The radiolabeled antibody is assessed for radiochemical purity, immunoreactivity, and stability.
When applied in preclinical models, 89Zr-labeled anti-EMP2 antibodies demonstrated specific accumulation in EMP2-positive tumors within 24 hours post-injection, with signal retention for up to 5 days. Tumors with high EMP2 expression (such as 4T1, CT26, HEC-1-A, and U87MG/EMP2) showed higher uptake compared to those with low EMP2 expression (Panc02 and Ramos), with tumor uptake ranging from 2 to approximately 16%ID/cc after 5 days .
EMP2 modulates several key signaling pathways that contribute to cancer progression:
FAK/Src Signaling: EMP2 activates focal adhesion kinase (FAK) and Src kinases, which are critical for cell adhesion, migration, and invasion. Treatment with anti-EMP2 IgG1 has been shown to block this signaling axis .
Integrin Signaling: In GBM cells, EMP2 enhances αvβ3 integrin surface expression, which is known to promote tumor cell migration and invasion .
These pathways can be monitored experimentally through several techniques:
Western blotting for phosphorylated forms of FAK (pFAK) and Src (pSrc) to assess activation status
Immunoprecipitation to detect protein-protein interactions in the signaling complex
Cell migration and invasion assays to measure functional consequences
Immunohistochemistry for pSrc in patient samples to establish clinical correlation
In patient samples, EMP2 expression significantly correlated with activated Src kinase, underscoring the clinical relevance of this signaling mechanism . This correlation provides a potential biomarker for patient selection in clinical trials of anti-EMP2 therapies.
Based on published studies, the following experimental design considerations are recommended for in vivo evaluation of anti-EMP2 antibodies:
Model Selection:
Experimental Groups and Controls:
Treatment group receiving anti-EMP2 antibody
Control group receiving isotype-matched control antibody
Vehicle control group
For combination studies, include groups receiving standard-of-care agents alone and in combination
Dosing and Administration:
Outcome Measures:
Using these approaches, studies have demonstrated that anti-EMP2 IgG1 can retard tumor growth in multiple models without detectable systemic toxicity .
Anti-EMP2 therapy has shown promising efficacy in models of therapy-resistant cancers:
Trastuzumab-Resistant Models:
Docetaxel-Resistant Models:
These findings are particularly significant for triple-negative breast cancer (TNBC) and other aggressive subtypes with limited treatment options. EMP2 is upregulated in 73% of triple-negative tumors tested, highlighting its potential as a therapeutic target in this difficult-to-treat population .
The research suggests that EMP2 expression may be associated with the formation of breast cancer stem cells, which are often implicated in therapy resistance . This provides a mechanistic rationale for the efficacy of anti-EMP2 antibodies in resistant tumors and suggests potential for addressing an unmet clinical need.
Current anti-EMP2 antibody formats present several limitations that researchers should consider:
Penetration into Solid Tumors:
Full-sized IgG1 antibodies (~150 kDa) may have limited tumor penetration due to their large size
Research suggests that "the development of improved anti-EMP2 Ab fragments may be useful to track EMP2-positive tumors for subsequent therapeutic interventions"
Potential solutions include developing smaller antibody formats such as Fab fragments, single-chain variable fragments (scFvs), or nanobodies
Blood-Brain Barrier (BBB) Penetration:
For GBM applications, limited BBB penetration could reduce efficacy
Strategies to address this include development of bispecific antibodies targeting BBB transporters or using focused ultrasound to temporarily disrupt the BBB
Heterogeneous Target Expression:
Variable EMP2 expression within tumors may limit efficacy
Patient selection based on EMP2 expression levels will be crucial
Combination approaches may be needed for tumors with heterogeneous expression
Manufacturing Challenges:
Complex glycosylation patterns and post-translational modifications can affect antibody function
Rigorous quality control and characterization of antibody preparations are essential
Standardized production systems should be established to ensure reproducibility
Addressing these limitations will require interdisciplinary approaches combining antibody engineering, drug delivery systems, and advanced imaging technologies to monitor target engagement.
Optimizing protocols for evaluating anti-EMP2 antibody binding specificity requires a comprehensive approach:
ELISA-Based Methods:
The literature describes using "biotinylated 24 amino acid peptides corresponding to the extracellular loop of human EMP2" coated onto streptavidin plates
Detection of bound antibodies can be performed with HRP-conjugated secondary antibodies
Including both positive controls (known anti-EMP2 antibodies) and negative controls (isotype-matched irrelevant antibodies) is essential
Concentration gradients should be used to determine EC50 values
Cell-Based Assays:
Flow cytometry using cell lines with varying levels of EMP2 expression
Competition assays with unlabeled antibody to demonstrate specificity
Antibody internalization assays to assess potential for antibody-drug conjugate development
Tissue Cross-Reactivity Studies:
Immunohistochemistry on tissue microarrays containing multiple normal and tumor tissues
Assessment of staining intensity and pattern
Correlation with other EMP2 detection methods (e.g., RT-PCR, Western blotting)
Surface Plasmon Resonance (SPR):
Determination of binding kinetics (kon, koff) and affinity (KD)
Epitope binning to map the binding sites of different antibodies
These complementary approaches provide robust validation of antibody specificity and help identify the most promising candidates for further development.
Beyond cancer, anti-EMP2 antibody therapy shows promise in several other pathological conditions:
Corneal Neovascularization:
Anti-EMP2 antibody treatment significantly reduced neovascularization in an alkali burn model of corneal injury
The treatment decreased clinical neovascularization score, central cornea thickness, and histological markers of neovascularization
Mechanistically, anti-EMP2 antibody treatment decreased EMP2 expression, VEGF expression and secretion, and cell migration in corneal limbal cells
This represents a potential therapeutic approach for a major cause of blindness worldwide, where current anti-VEGF therapies have shown limited efficacy
Other Potential Applications:
Given EMP2's role in integrin signaling and cell migration, anti-EMP2 antibodies might have applications in:
Inflammatory disorders
Fibrotic diseases
Endometriosis
Other diseases characterized by pathological angiogenesis
These emerging applications highlight the versatility of EMP2 as a therapeutic target across multiple disease states and suggest that insights gained from cancer research may translate to other clinical contexts.
Combination approaches show significant promise for enhancing anti-EMP2 therapy efficacy:
Combination with Conventional Chemotherapy:
Combining Therapeutic and Diagnostic Applications:
Targeting Multiple Mechanisms:
Combining anti-EMP2 therapy with agents targeting complementary pathways (e.g., anti-angiogenic agents, immune checkpoint inhibitors)
Targeting both EMP2 and downstream effectors (e.g., FAK/Src inhibitors) could provide more complete pathway inhibition
Novel Antibody Formats:
Bispecific antibodies targeting both EMP2 and another relevant target
Antibody-drug conjugates to deliver cytotoxic payloads specifically to EMP2-expressing cells
Several emerging technologies could significantly accelerate the development of EMP2-targeted therapeutics:
Advanced Antibody Engineering:
Development of novel antibody formats with improved tumor penetration
Site-specific conjugation technologies for more homogeneous antibody-drug conjugates
pH-sensitive antibodies that release their cargo in the acidic tumor microenvironment
Improved Imaging Technologies:
Higher resolution PET-CT or PET-MRI for better visualization of target engagement
Development of optical imaging probes for intraoperative visualization of EMP2-positive tumors
Multimodal imaging approaches combining anatomical and functional information
Computational Approaches:
In silico modeling of antibody-antigen interactions to optimize binding properties
Artificial intelligence for predicting patient response based on EMP2 expression patterns
Systems biology approaches to understand the network effects of EMP2 inhibition
Precision Medicine Integration:
Development of companion diagnostics for patient selection
Integration of EMP2 status into comprehensive molecular profiling
Liquid biopsy approaches to monitor treatment response and resistance development
These technological advances, combined with deeper biological understanding of EMP2 function, will enable more effective and personalized EMP2-targeted therapies in the future.