Probes for INS

The Prolactin Receptor (PRLR) is a type 1 cytokine receptor that is expressed in a subset of breast cancers and may contribute to its pathogenesis. It is relatively over-expressed in ~25% of human breast tumors while expressed at low levels in some normal human tissues including the mammary gland. We developed an anti-PRLR antibody-drug conjugate (ADC), to target PRLR positive breast cancer. REGN2878-DM1 is comprised of a fully human high affinity function-blocking anti-PRLR IgG1 antibody (REGN2878) conjugated via a non-cleavable SMCC linker to the cytotoxic maytansine derivative DM1. Both unconjugated REGN2878 and conjugated REGN2878-DM1 block PRL mediated activation in vitro and are rapidly internalized into lysosomes. REGN2878-DM1 induces potent cell cycle arrest and cytotoxicity in PRLR-expressing tumor cell lines. In vivo, REGN2878-DM1 demonstrated significant antigen-specific anti-tumor activity against breast cancer xenograft models. In addition, REGN2878-DM1 showed additive activity when combined with the anti-estrogen agent fulvestrant. These results illustrate promising anti-tumor activity against PRLR positive breast cancer xenografts and support the evaluation of anti-PRLR ADCs as potential therapeutic agents in breast cancer.

Primary mediastinal large B-cell lymphoma (PMLBCL) is recognized as a distinct clinicopathological entity in the current World Health Organization classification of lymphoid neoplasms (Swerdlow et al, 2016). Gene expression profiling studies have confirmed a distinct signature in PMLBCL that differs from diffuse large B-cell lymphoma, not otherwise specified (DLBCL, NOS) and partially overlaps with that found in classical Hodgkin lymphoma (Savage et al, 2003; Bea et al, 2005). In routine clinical practice, however, distinguishing between PMLBCL and DLBCL, NOS is frequently difficult, due partly to a paucity of sensitive and specific biomarkers (Martelli et al, 2008; Dorfman et al, 2012). Recent studies have shown that PMLBCL shows frequent copy number alterations or translocations involving the CD274 (PD-L1) or PDCD1LG2 (PD-L2) genes at chromosome 9p24.1, leading to overexpression of CD274 (PD-L1) and, especially, PDCD1LG (PD-L2) proteins (Shi et al, 2014; Twa & Steidl, 2015). Anti-PDCD1LG2 antibodies suitable for immunohistochemical analysis in formalin-fixed paraffin-embedded (FFPE) tissue are not currently commercially available, limiting the utility of this potential marker for routine diagnostic practice. In this study, we have performed RNA in situ hybridization (RISH) for CD274 and PDCD1LG2 RNA expression, using a standard automated immunohistochemistry (IHC) platform, and have compared the results to IHC using a commercially available anti-CD274 antibody.