EGFL6 is a secreted protein overexpressed in high-grade serous ovarian cancer and other solid tumors. It promotes angiogenesis, tumor cell proliferation, and metastasis by activating ERK signaling pathways . As a soluble factor, EGFL6 is an attractive target for antibody-based therapies to neutralize its oncogenic effects .
Humanized EGFL6 antibodies were engineered through CDR grafting and affinity maturation to improve binding efficacy and reduce immunogenicity . Key steps include:
Murine Antibody Selection: Initial murine antibodies were screened for EGFL6 binding.
Humanization: CDR regions were grafted onto human frameworks, generating 26 variants.
Affinity Maturation: FASEBA platform and NNK libraries optimized binding affinity (150 pM to 2.67 nM) .
| Parameter | Control (IgG) | Antibody #9 | Antibody #16 |
|---|---|---|---|
| Ki67+ Cells | 65% | 32% (p < 0.01) | 28% (p < 0.01) |
| CD31 Density | 100% | 75% (p < 0.05) | 50% (p < 0.001) |
| Cleaved Caspase-3 | 10% | 55.2% (p < 0.001) | 74.7% (p < 0.001) |
While preclinical data are promising, challenges remain:
Specificity Validation: Third-party testing is critical to avoid non-specific binding, as highlighted in antibody validation studies .
Therapeutic Window: EGFL6’s developmental role necessitates careful dosing to minimize off-target effects .
EGFL6 antibodies differ from approved therapies like sarilumab (IL-6R inhibitor) or nivolumab (PD-1 blocker) in targeting a novel angiogenic driver. Unlike checkpoint inhibitors, EGFL6 antibodies directly neutralize a secreted growth factor, offering a complementary mechanism in combination regimens .
EGFL6 (Epidermal growth factor EGF-like domain multiple-6) is a secreted factor highly expressed in high-grade serous ovarian cancer that promotes both endothelial cell proliferation/angiogenesis and cancer cell proliferation/metastasis. As a secreted factor, similar to EGF and VEGF, EGFL6 is an ideal target for antibody-based therapy. Research has demonstrated that antibodies targeting EGFL6 can reduce both cancer growth and metastasis. The secreted nature of EGFL6 makes it particularly accessible to antibody binding, offering potential therapeutic advantages over intracellular targets that are more difficult to access with conventional antibody approaches .
Humanized EGFL6 antibodies maintain the complementarity-determining regions (CDRs) from the original murine antibody while incorporating human framework regions to reduce immunogenicity. The antibody structure consists of variable heavy (VH) and light (VL) domains that each contribute three CDRs to form the antigen-binding site. The six CDR loops (CDR-L1, CDR-L2, CDR-L3, CDR-H1, CDR-H2, and CDR-H3) come into proximity to each other due to the orientation of VL and VH after formation of the Fv region. This configuration enables specific binding to EGFL6 with affinities ranging from 150 pM to 2.67 nM for affinity-matured variants .
Humanized affinity-matured EGFL6 antibodies are developed through a multi-step process:
Selection of murine antibody: A mouse monoclonal antibody with neutralizing activity against EGFL6 is selected as starting material.
Humanization using CDR grafting: The heavy and light chain CDRs of the selected mouse monoclonal antibody are grafted into human acceptor frameworks. In the reported study, five humanized light chains and five humanized heavy chains were created, resulting in 26 candidate humanized antibodies.
Initial screening: The humanized antibodies are expressed in HEK293 cells and assayed for binding affinity by enzyme-linked immunosorbent assay (ELISA).
Selection for affinity maturation: The humanized antibody with better binding affinity than the chimeric antibody is selected for affinity maturation.
Affinity maturation: Key residues affecting antibody expression and binding affinity are evaluated using platforms like GenScript's FASEBA (Fast Screening for Expression, Biophysical-properties and Affinity). NNK libraries (where N = A/C/G/T and K = G/T) for key residues are constructed and screened by ELISA.
Combinatorial library screening: Based on beneficial mutations identified, combinatory libraries are designed with desirable mutations randomly induced at 50% frequency. Approximately 400 clones are randomly selected, tested, ranked, and sequenced.
Final selection and purification: Lead clones are selected, expressed, and purified, with affinities measured by ELISA and surface plasmon resonance (SPR) .
Multiple analytical methods are employed to characterize EGFL6 antibodies:
Enzyme-linked immunosorbent assay (ELISA): Used for initial screening of antibody binding affinity and ranking of candidates.
Surface plasmon resonance (SPR): Applied to measure binding kinetics and affinity of purified antibodies to human EGFL6, using platforms like Biacore 8K.
Western blotting: Employed to confirm antibody reactivity to denatured EGFL6 protein. Humanized affinity-matured antibodies recognize EGFL6 as a band between 51 and 64 kDa in EGFL6-transfected cell lines.
Immunofluorescence staining: Used to test whether antibodies can bind to non-denatured EGFL6 in cultured cells and tumor tissues.
Functional assays: Including wound healing migration assays, proliferation assays, and Western blot analysis of ERK phosphorylation to assess the ability of antibodies to neutralize EGFL6 function.
In vivo tumor models: Used to evaluate therapeutic efficacy, including patient-derived xenografts (PDX) and intraperitoneal injection models .
Binding specificity of EGFL6 antibodies is assessed through multiple complementary approaches:
Western blotting with controls: Comparing antibody reactivity between EGFL6-transfected cells and mock-transfected controls to confirm specific detection of EGFL6.
Competitive blocking experiments: Testing whether antibody binding can be blocked by recombinant human EGFL6 protein. When antibody incubation is performed in the presence of EGFL6 fusion protein, binding is reduced or eliminated, confirming specificity.
Immunofluorescence staining: Evaluating antibody binding to native EGFL6 in EGFL6-expressing cells and tumor tissues to confirm recognition of the protein in its physiological context.
Cross-reactivity testing: Examining antibody binding to related proteins to ensure specificity for EGFL6 over other EGF family members .
These specificity assessments are critical for confirming that observed experimental effects are due to specific EGFL6 neutralization rather than off-target effects.
Several functional assays are used to evaluate the efficacy of EGFL6 antibodies in neutralizing EGFL6 function:
Wound healing migration assay: This assay measures the ability of antibodies to inhibit EGFL6-driven cancer cell migration. EGFL6 protein treatment increases "wound healing" in scratch assays, and effective antibodies reduce this EGFL6-mediated increase in migration by >90%.
Cancer cell proliferation assays: Cell proliferation of both EGFL6-expressing and non-EGFL6-expressing ovarian cancer cell lines is assessed when grown as tumor spheres in the presence of EGFL6 and antibodies. Effective antibodies abolish EGFL6-mediated cell number increases.
ERK phosphorylation analysis: Western blot analysis is used to assess the impact of antibodies on EGFL6-mediated increases in ERK phosphorylation (pERK). Effective antibodies completely block EGFL6-induced phosphorylation of ERK, reducing pERK levels below that of non-EGFL6 treated controls .
Optimizing affinity maturation for EGFL6 antibodies involves several advanced strategies:
Rational selection of key residues: Using structural knowledge of the antibody-antigen interaction to identify key residues likely to impact binding. This focused approach can be more efficient than random mutagenesis.
Partial randomization strategies: Rather than complete randomization, using NNK libraries for targeted positions allows for a more manageable screening process while still exploring sequence diversity.
High-throughput screening platforms: Utilizing platforms like FASEBA for comprehensive screening of expression, biophysical properties, and affinity simultaneously.
Combinatorial library design: Based on beneficial mutations identified in initial screens, designing combinatory libraries with mutations induced at specific frequencies (e.g., 50%) to explore synergistic effects between mutations.
Multiple validation methods: Confirming improved affinity using orthogonal techniques such as ELISA and SPR to ensure reliable results.
Structure-guided optimization: Using computational modeling to predict the effect of mutations on binding affinity and stability.
The reported EGFL6 antibody study achieved significant improvements in affinity through these approaches, with KD values improved from 3.97 nM (parental humanized antibody) to as low as 150 pM for the best affinity-matured variants .
Research has revealed multiple mechanisms through which EGFL6 antibodies suppress tumor growth:
These multiple mechanisms likely work synergistically to achieve the observed therapeutic effects.
Humanized EGFL6 antibodies offer several advantages over murine antibodies for therapeutic applications:
| Feature | Murine Antibodies | Humanized Antibodies |
|---|---|---|
| Immunogenicity | High - elicit significant HAMA (Human Anti-Mouse Antibody) responses | Low - reduced immunogenic responses due to human framework regions |
| Half-life in humans | Short (days) | Extended (weeks) |
| Effector function compatibility | Limited compatibility with human effector systems | Improved compatibility with human Fc receptors and complement |
| Affinity | Initial binding affinity | Can be further improved through affinity maturation |
| Clinical development potential | Limited by immunogenicity | Suitable for first-in-human clinical trials |
While murine antibodies targeting EGFL6 have demonstrated efficacy in reducing cancer growth and metastasis, they have major limitations related to immunogenic responses. Even chimeric antibodies consisting of rodent variable regions and human constant regions can still elicit significant immune responses. Humanization through CDR grafting, followed by affinity maturation, creates antibodies that maintain or improve target binding while minimizing immunogenicity, making them more suitable for clinical development .
Electrospray ionization time-of-flight liquid chromatography/mass spectrometry (ESI-TOF LC/MS) represents an effective approach for analyzing EGFL6 antibodies. This technique offers several advantages:
Accurate molecular weight determination: ESI-TOF LC/MS provides precise molecular weight measurements with accuracy better than 25 ppm, allowing detection of subtle modifications in antibody structure.
Resolution of antibody subpopulations: The technique can resolve various antibody subpopulations present in a sample, including different glycoforms.
Rapid analysis: Using appropriate columns like Poroshell C8, intact antibody analysis can be completed with retention times around 2-3 minutes and total analysis times under 10 minutes.
Detection of post-translational modifications: MS analysis can identify and quantify various post-translational modifications including glycosylation patterns that may affect antibody function.
Analysis of intact and reduced antibodies: Both whole antibodies and antibodies reduced with agents like DTT can be analyzed to study heavy and light chains separately .
For EGFL6 antibodies specifically, this approach would allow precise characterization of the humanized and affinity-matured variants, confirmation of their expected molecular weights, and assessment of their glycosylation patterns.
Single-cell technologies offer powerful approaches to enhance EGFL6 antibody development:
Antibody-secreting cell (ASC) analysis: Technologies like flow cytometry, mass cytometry, and single-cell RNA sequencing can identify and characterize the B cells producing EGFL6 antibodies, providing insights into their development and maturation.
Functional secretion analysis: Microfluidic-based assays can directly measure antibody secretion at the single-cell level, revealing secretory diversity that may vary by several orders of magnitude even within seemingly homogenous populations.
Paired heavy and light chain sequencing: Single-cell RNA sequencing enables the pairing of heavy and light chain sequences from individual B cells, allowing reconstruction of the complete antibody repertoire.
Ab-seq approaches: Mass spectrometry-based Ab-seq can assess the relative abundance of specific antibodies in serum or tissue samples, providing insights into the contribution of specific ASC clones to the polyclonal response.
Correlation of phenotype with function: Single-cell technologies can link surface marker expression with transcriptional and metabolic activity, and functional "quality" of the antibody (affinity, specificity, secretion rate).
These approaches could significantly accelerate EGFL6 antibody development by enabling deeper characterization of antibody-producing cells, more precise selection of candidates, and better understanding of the relationship between antibody sequence, structure, and function .
Advancing EGFL6 antibodies to first-in-human trials requires addressing several critical considerations:
Despite EGFL6 being a secreted factor, immunofluorescence studies show strong staining on tumor cell bodies, suggesting potential for EGFL6-targeted antibody-drug conjugates (ADCs). Key considerations for ADC development include:
Internalization assessment: While traditional targeting of secreted factors doesn't require internalization, effective ADCs typically need to be internalized. Studies to confirm whether EGFL6 antibodies are internalized after binding would be essential.
Linker-payload selection: Choosing appropriate linker chemistry and cytotoxic payload based on target biology, tumor type, and internalization kinetics.
Drug-to-antibody ratio (DAR) optimization: Determining the optimal number of drug molecules per antibody to balance potency with pharmacokinetic properties.
Specificity considerations: Given ADCs' potent cytotoxic payloads, ensuring high specificity of the antibody becomes even more critical to minimize off-target effects.
Bystander effect evaluation: Assessing whether membrane-permeable metabolites of the payload could affect neighboring cells, which might be advantageous in heterogeneous tumors.
Resistance mechanisms: Investigating potential resistance mechanisms specific to EGFL6-targeted ADCs to develop strategies for overcoming them .