These antibodies exert anti-tumor effects through multiple pathways:
Angiogenesis Inhibition: Block VEGF-A-induced endothelial cell migration and filopodia formation, disrupting tumor blood vessel maturation .
Cell Cycle Arrest: Prevent cytokinesis and induce endothelial cell senescence .
Immune Activation: In CAR-T therapies, TM4SF1-targeted antibodies trigger IFN-γ and TNF-α release, enhancing cytotoxicity against tumor cells .
Internalization: Antibodies like 8G4 are internalized into tumor cells, reaching nuclear compartments to induce apoptosis (Fig. 5C–5F) .
Key findings from in vitro and in vivo studies:
Four TM4SF1-targeted therapies are under investigation:
Phase I trials report excellent tolerance and complete remission in some patients .
Validated uses in experimental settings:
While TM4SF1 antibodies show therapeutic promise, limitations include:
Unclear mechanisms underlying chemosensitization effects in pancreatic cancer
Need for Phase II/III trials to validate safety and efficacy
Current research focuses on optimizing antibody-drug conjugates (ADCs) and combination therapies with VEGF inhibitors .