Table 2.
A non-exhaustive list of antigen targets for pancreatic cancer immunotherapies, and notable therapies targeting these antigens.
Target | Expression | Notable immunotherapies against antigen target |
---|---|---|
Mesothelin | Highly overexpressed in virtually all pancreatic cancers and also expressed at lower levels in pleura, peritoneum, and pericardium (100). | CRS-207 (Aduro Biotech); live-attenuated listeria monocytogenes engineered to secrete mesothelin (99,121) Amatuximab (MORAb-009, Morphotek); monoclonal antibody (166) DMOT4039A (Genentech); antibody-drug conjugate (167) Anetumab ravtansine, (BAY 94-9343, Bayer); antibody-drug conjugate (168) Anti-mesothelin CAR-T cells (UPENN, NCI) (118) |
CEA | Glycosylated homotypic/heterotypic cell surface intracellular adhesion molecule, overexpressed in 56–98% of pancreatic cancers and also expressed on oncofetal tissues (169). | CEA peptide vaccine (CAP1-6D) emulsified in montanide and GM-CSF (170) TRICOM-CEA(6D); poxvirus-based vaccine expressing costimulatory molecules and CEA (171,172) AVX701 (Alphavax); poxvirus-based vaccine expressing costimulatory molecules and CEA (171,173) GI-6207 (GlobeImmune/Celgene); recombinant yeast-CEA vaccine (174) |
MUC1 | Transmembrane glycoprotein, overexpressed in ~90% of pancreatic tumors. Also low levels of expression on ductal and glandular epithelial cells. However, cancer-associated MUC1 is structurally different from normal MUC1 (hypoglycosylated) and may function as a tumor-specific antigen (175). | MUC1-peptide pulsed dendritic cells (176) Autologous dendritic cell vaccine (177) MUC1-peptide vaccine with SB-AS2 adjuvant (178) Adoptive transfer with MUC1 peptide-pulsed dendritic cells and activated T lymphocytes (179) |
HER/EGFR/ERBB family proteins (eg HER1, HER2, HER3) | Cell-surface receptors implicated in tumor growth. HER2/neu is overexpressed in approximately 50% and EGFR in approximately 70% of pancreatic cancers and expression correlates with poor survival (97,98). These proteins are also expressed at lower levels in normal tissues. | Cetuximab (Erbitux, Lilly); EGFR antibody previously failed in clinical trials alone or in combination with cytotoxic agents, but may induce innate and adaptive immune responses that could synergize with novel immunotherapies (180,181). MM-141 (Merrimack Pharmaceuticals); bispecific antibody targeting IGF-1R and ErbB3 (HER3) (182) |
Mutated KRAS | Intracellular GTPase important for cell growth and survival, mutated in up to 90% of pancreatic cancers (16,106). Mutated KRAS is a tumor-specific antigen. | GI-4000 (GlobeImmune); attenuated yeast expressing mutated RAS proteins (107) TG01 (Targovax); mutated RAS peptide vaccine co-administered with GM-CSF as an adjuvant (108) |