Discovery

Clinical Pharmacology & Therapeutics (2007) 82, 734–739. doi:10.1038/sj.clpt.6100369; published online 26 September 2007

Cancer Mucosa Antigens as a Novel Immunotherapeutic Class of Tumor-associated Antigen

A E Snook1, L C Eisenlohr2, J L Rothstein3 and S A Waldman1

  1. 1Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  2. 2Department of Microbiology and Immunology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  3. 3Inflammation Research, Amgen Inc., Seattle, Washington, USA

Correspondence: SA Waldman, (scott.waldman@jefferson.edu)

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Abstract

Colorectal cancer is a leading cause of cancer-related mortality worldwide. Surgery and chemoradiation exhibit incomplete efficacy and, ultimately, 50% of patients die of metastatic disease. In the context of that unmet clinical need, immunotherapeutic approaches have enjoyed limited success, partly because of a paucity of suitable antigen targets. However, exploitation of immune compartmentalization, employing antigens with expression restricted to normal intestinal mucosa and derivative colorectal tumors—cancer mucosa antigens (CMAs)—may represent a previously unrecognized class of immune targets supporting efficacious antitumor immunotherapy. Guanylyl cyclase C (GCC) is an intestine/colorectal cancer-restricted protein ideally suited as the first CMA for clinical evaluation.

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