TM4SF1 antibodies exert antitumor effects through multiple pathways:
Antibody-Dependent Cellular Cytotoxicity (ADCC): Enhances immune cell-mediated tumor cell lysis .
Complement-Dependent Cytotoxicity (CDC): Activates the complement system to destroy cancer cells .
CAR-T Cell Therapy: TM4SF1-specific chimeric antigen receptor T cells (CAR-T) induce cytotoxicity in TM4SF1-positive tumors, releasing IFN-γ and TNF-α .
Internalization: Anti-TM4SF1 antibodies are internalized via dynamin-dependent, clathrin-independent vesicles, enabling targeted toxin delivery .
TM4SF1-CAR-T cells achieved 90% remission rates in SKOV3 ovarian cancer xenografts .
Antibody treatment reduced angiogenesis by 64% in VEGF-A-induced models .
Silencing TM4SF1 inhibited metastasis in hepatocellular carcinoma (HCC) and pancreatic cancer .
| Trial Phase | Cancer Types | Outcome | Source |
|---|---|---|---|
| Phase I | Breast, colon, lung, ovarian | Partial/complete remission in some patients | |
| Preclinical | Solid tumors | Reduced tumor growth and invasion |
TM4SF1 antibodies counteract the protein’s protumorigenic effects:
Migration/Invasion: TM4SF1 promotes metastasis via MMP-2/9 upregulation and integrin α5/β1 interactions .
Drug Resistance: TM4SF1 upregulates PI3K/AKT/mTOR and ROS pathways, enhancing chemoresistance .
Angiogenesis: Facilitates endothelial cell filopodia formation and VEGF-A signaling .
Four TM4SF1-targeted drugs are in development:
Anti-TM4SF1 ADC: Preclinical antibody-drug conjugate for toxin delivery .
TM4SF1-CAR-T Cells: Phase I trials showing cytotoxicity in solid tumors .
Anti-TM4SF1-CAR-T-Cell Therapy: Targets digestive system tumors .
TM4SF1, also known as L6 antigen or transmembrane 4 L six family member 1, is a cell surface protein that has been implicated in various cellular processes, including cell migration, invasion, proliferation, and apoptosis. Its role in cancer has been extensively studied, with numerous studies suggesting its involvement in cancer progression and metastasis.
Here's a summary of key findings from research related to TM4SF1 and cancer:
These studies highlight the multifaceted nature of TM4SF1 and its potential as a therapeutic target in various cancers. Further research is ongoing to elucidate its precise role in cancer development and to explore its potential as a diagnostic and therapeutic marker.
TM4SF1 is a small plasma membrane glycoprotein belonging to the tetraspanin family. It has four transmembrane domains and two extracellular loops (EL1 and EL2). TM4SF1 has gained significant research attention because it is highly expressed on the plasma membranes of many human cancer cells and on the vascular endothelium of several human cancers, while showing minimal expression in normal cells. Immunohistochemistry staining of 16 types of cancers and adjacent normal tissues demonstrated that TM4SF1 is highly expressed on cancer cell membranes but undetectably expressed on normal cells . TM4SF1 functions as a cell membrane marker of cancer stem cells (CSCs) and regulates cell motility, proliferation, and angiogenesis . Importantly, TM4SF1 is internalized upon interaction with antibodies, making it an ideal target for antibody-drug conjugates .
TM4SF1 has a tetraspanin-like structure consisting of:
Four transmembrane domains
Two extracellular loops: EL1 (smaller) and EL2 (larger)
Intracellular N-terminal and C-terminal domains
The extracellular loop 1 (ECL1) of TM4SF1 has been identified as the interaction site with discoidin domain receptor tyrosine kinase 1 (DDR1) . Coimmunoprecipitation assays confirmed this interaction domain. Using ECL1 as an antigen, researchers have screened thousands of monoclonal antibodies and obtained functional antibodies that block the interaction between TM4SF1 and DDR1 . Among these, FC17-7 demonstrated the best blocking activity with dose-dependent binding capacity . Many antibodies also target the larger EL2 domain, as evidenced by the development of 13 antibodies that specifically reacted with this extracellular, lumen-facing domain .
To validate TM4SF1 antibody specificity, follow these methodological steps:
Cell line testing:
Test reactivity with cells known to highly express TM4SF1 (e.g., human umbilical vein endothelial cells - HUVEC)
Compare with TM4SF1-overexpressing cells (e.g., human dermal fibroblasts transduced to overexpress TM4SF1)
Use negative controls expressing extremely low levels of TM4SF1 (e.g., native human dermal fibroblasts with ~5 mRNA copies/cell)
Immunohistochemistry validation:
Specificity confirmation:
Functional validation:
Verify antibody's ability to block TM4SF1-DDR1 interactions if targeting the ECL1 domain
Confirm internalization properties following antibody binding
TM4SF1 antibodies provide valuable tools for studying cancer stem cells through these approaches:
Isolation and characterization:
Use antibodies to identify and sort TM4SF1high cell populations by flow cytometry
Compare TM4SF1high cells with established CSC markers (e.g., CD44high/CD24low in breast cancer)
Research has shown there are more CD44high/CD24low cells among TM4SF1high MDA-MB-231 human breast cancer cells than among TM4SF1low cells
Functional analysis:
In vivo studies:
Compare tumor-initiating capacity of TM4SF1high vs. TM4SF1low cells
Assess tumor growth rates, latency periods, and metastatic potential
Perform serial transplantation assays to evaluate CSC self-renewal
Studies show TM4SF1high cells exhibit more rapid tumor growth, higher tumor-initiating cell frequency, and shorter latency periods in mice
TM4SF1 sustains cancer stem cell traits through specific signaling mechanisms:
TM4SF1-DDR1-JAK2-STAT3 signaling axis:
TM4SF1 couples with discoidin domain receptor tyrosine kinase 1 (DDR1)
Under collagen I stimulation, this interaction activates JAK2-STAT3 signaling
This noncanonical DDR1 signaling pathway induces expression of pluripotency factors SOX2 and NANOG
This pathway drives the manifestation of CSC traits and promotes multiorgan metastases
Experimental evidence for functional significance:
Silencing TM4SF1 in TM4SF1high cells reduces sphere formation, tumor growth, tumor-initiating cell frequency, and metastasis
TM4SF1 depletion prolongs latency periods and survival times after orthotopic injection
Conversely, overexpressing TM4SF1 in TM4SF1low cells enhances stemness properties (sphere formation, tumor growth, tumor-initiating cell frequency, metastasis) and shortens latency periods and survival times
TM4SF1high cells maintain their expression level in primary tumors, indicating stable TM4SF1 expression in CSCs
Long-term maintenance of stemness:
Developing effective anti-TM4SF1 ADCs requires a methodical approach:
Antibody selection and engineering:
Payload selection and conjugation:
Validation in preclinical models:
Test selective killing of TM4SF1-expressing cancer cell lines and endothelial cells in vitro
Evaluate efficacy in tumor xenograft models
Research shows v1.10-LP2 induced complete regression of several TM4SF1-expressing tumor xenografts including non-small cell lung cancer, pancreas, prostate, and colon cancers
Addressing species cross-reactivity limitations:
Develop species-specific antibodies when needed
Example: When v1.10 did not react with mouse TM4SF1, researchers generated a surrogate anti-mouse TM4SF1 antibody (2A7A) and conjugated it to LP2
Combined therapy with both human-targeting and mouse-targeting ADCs proved more effective than either ADC alone, demonstrating the importance of targeting both tumor cells and tumor vasculature
TM4SF1 antibodies affect tumor angiogenesis through several mechanisms:
Expression pattern in tumor vasculature:
TM4SF1 is highly expressed on the vascular endothelium of several human cancers
A specific endothelial subpopulation (endothelial arterial type 2 [EA2]) is marked by Tm4sf1
This subpopulation has a distinct transcriptomic signature enriched for angiogenesis and CXCL12 signaling
Trajectory analysis suggests EA2 has a less differentiated state compared to other endothelial subpopulations
Functional significance in angiogenesis:
TM4SF1 regulates endothelial cell functions critical for angiogenesis
Knockdown experiments demonstrated that TM4SF1 depletion prevented filopodia formation, inhibited cell mobility, blocked cytokinesis, and inhibited maturation of VEGF-A-induced angiogenesis
TM4SF1+CD31+ rat lung endothelial cells were visualized in distal pulmonary arteries and formed tubules in coculture with lung fibroblasts
Therapeutic targeting approaches:
Anti-TM4SF1 antibody-drug conjugates can target both tumor cells and tumor vasculature
Combination therapy with antibodies targeting TM4SF1 on both tumor cells and tumor vasculature shows enhanced efficacy
This dual action represents a promising therapeutic approach with potential for higher efficacy than strategies targeting only tumor cells
When facing limited cross-reactivity of TM4SF1 antibodies across species, consider these methodological approaches:
Custom antibody development:
Engineered model systems:
Utilize Matrigel models with human endothelial cells to study human TM4SF1 in mice
In this approach, endothelial colony-forming cells (ECFC) cultured on collagen-I-coated dishes are mixed with human mesenchymal stem cells (MSC) in a ratio of 2:3
The cell mixture is incorporated into Matrigel plugs implanted subcutaneously in nude mice to generate human vessels
Combined targeting approaches:
For therapeutic studies, use both human-specific and mouse-specific antibodies
This combined approach targets both the human tumor cells and mouse tumor vasculature in xenograft models
Research shows combination therapy with v1.10-LP2 (human-targeting) and 2A7A-LP2 (mouse-targeting) was more effective than either ADC alone
Alternative detection methods:
For optimal immunohistochemical detection of TM4SF1:
Sample preparation:
Antibody selection:
Staining protocol optimization:
Optimize antigen retrieval method (heat-induced epitope retrieval)
Determine optimal antibody concentration through titration
Include appropriate negative controls (isotype control, blocking peptide)
Interpretation guidelines:
Optimizing flow cytometry for TM4SF1:
Sample preparation:
Prepare single-cell suspensions from cell cultures or tissue samples
Minimize cell clumping and optimize viability
For clinical samples, consider gentle enzymatic digestion methods
Antibody selection and staining:
Gating strategy:
Validation of sorted populations:
The following functional assays effectively demonstrate antibody effects on TM4SF1-expressing CSCs:
In vitro sphere formation assay:
Culture cells in low-attachment conditions with or without antibody treatment
Quantify sphere number and size after 7-14 days
Assess serial sphere-forming capacity over multiple passages
Studies show TM4SF1high cells form more tumor spheres upon serial passage, a property that can be targeted with antibodies
Cell migration and invasion assays:
Protein interaction studies:
In vivo limiting dilution assays:
Cytotoxicity assays for antibody-drug conjugates:
TM4SF1 expression across cancer types:
Expression pattern analysis:
Cancer stem cell populations:
Therapeutic implications:
The broad expression across multiple cancer types suggests antibody therapies could have wide applications
Anti-TM4SF1 ADCs have shown efficacy against multiple cancer types in xenograft models:
Cancer-specific optimization of antibody properties or conjugates may be required for maximum efficacy
Dual-targeting potential:
Understanding contradictory TM4SF1 expression patterns:
Cancer versus non-cancer contexts:
Tissue-specific versus cell-specific expression in PAH:
Disease severity correlation:
Methodological considerations:
Different detection methods (bulk RNA-seq vs. scRNA-seq vs. protein detection)
Species differences (human vs. rat models)
Cell type heterogeneity within tissues
Disease stage and progression
These contradictions highlight the importance of context-specific analysis of TM4SF1 expression and function when developing targeted therapies.
Combination strategies with TM4SF1 antibodies:
Multi-targeting antibody combinations:
Combine antibodies targeting different epitopes of TM4SF1
Use species-specific antibodies to target both tumor cells and tumor vasculature
Research demonstrates combination therapy with v1.10-LP2 (targeting human tumor cells) and 2A7A-LP2 (targeting mouse tumor vasculature) was more effective than either ADC alone
Pathway-based combinations:
Cancer stem cell-directed therapies:
Combine with other CSC-targeting approaches
Target multiple CSC markers simultaneously (TM4SF1 plus CD44/CD24 or CD133)
Integrate with therapies targeting the tumor microenvironment that supports CSCs
Conventional therapy enhancement:
Use TM4SF1 antibodies to sensitize tumors to chemotherapy or radiation
Target the CSC population that often survives conventional treatments
Exploit the dual-targeting of tumor cells and tumor vasculature to enhance drug delivery
Immunotherapy combinations:
Explore combinations with immune checkpoint inhibitors
Investigate whether targeting tumor vasculature through TM4SF1 might enhance immune cell infiltration
Consider development of TM4SF1-targeted bispecific antibodies engaging immune effector cells
Essential quality control measures for TM4SF1 antibodies:
Antibody characterization:
Application-specific validation:
Reproducibility measures:
Functional validation:
Confirm predicted biological effects (e.g., inhibition of sphere formation)
Verify downstream signaling pathway modulation
Test for expected outcomes in vivo (tumor growth inhibition, metastasis reduction)
These quality control measures ensure reliable and reproducible results when working with TM4SF1 antibodies in research applications.