Antibodies against Complement Factor H Selectively Destroy Tumor Cells

Patients with stage I NSCLC (non-small cell lung cancer) had a significantly higher incidence of anti-CFH antibody than those with late-stage NSCLC. This association led to the hypothesis that CFH antibodies that arise in lung cancer patients may promote anti-tumor cell activity and that CFH antibody administration might provide a unique way to stimulate a long-term immune response and treat cancer.

CFH prevents complement-mediated cytotoxicity (CDC) by inhibiting formation of cell-lytic membrane attack complexes on self-surfaces. CHF is a member of the regulators of complement activation family and is a complement control protein. It is a large (155 kilodaltons), soluble glycoprotein that circulates in human plasma (at typical concentrations of 200–300 micrograms per milliliter). Its principal function is to regulate the Alternative Pathway of the complement system, ensuring that the complement system is directed towards pathogens or other dangerous material and does not damage host tissue.

In the current study the investigators isolated and expressed DNA sequences encoding high-affinity human CFH antibodies directly from single, sorted B-cells obtained from patients with the antibody.

They reported in the May 5, 2016, online edition of the journal Cell Reports that the co-crystal structure of a CFH antibody-target complex showed a conformational change in the target relative to the native structure. This recombinant CFH antibody caused complement activation and release of anaphylatoxins, killed tumor cells in vitro, and inhibited tumor growth in vivo.

"This is the first completely human-derived antibody developed as an anti-cancer therapy, which is very different from other immunotherapy approaches," said senior author Dr. Edward F. Patz, Jr., professor of pharmacology and cancer biology at Duke University. "This could represent a whole new approach to treating cancer, and it is exciting because the antibody selectively kills tumor cells, so we do not have significant side effects to achieve tumor control. We believe we can modulate the immune response and let the body's own immune system take over to either kill the tumor or keep it from growing."

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