RT Journal Article T1 Preclinical Efficacy of Endoglin-Targeting Antibody-Drug Conjugates for the Treatment of Ewing Sarcoma. A1 Puerto-Camacho, Pilar A1 Amaral, Ana Teresa A1 Lamhamedi-Cherradi, Salah-Eddine A1 Menegaz, Brian A A1 Castillo-Ecija, Helena A1 Ordóñez, José Luis A1 Domínguez, Saioa A1 Jordan-Perez, Carmen A1 Diaz-Martin, Juan A1 Romero-Pérez, Laura A1 Lopez-Alvarez, Maria A1 Civantos-Jubera, Gema A1 Robles-Frías, María José A1 Biscuola, Michele A1 Ferrer, Cristina A1 Mora, Jaume A1 Cuglievan, Branko A1 Schadler, Keri A1 Seifert, Oliver A1 Kontermann, Roland A1 Pfizenmaier, Klaus A1 Simón, Laureano A1 Fabre, Myriam A1 Carcaboso, Ángel M A1 Ludwig, Joseph A A1 de Álava, Enrique AB Endoglin (ENG; CD105) is a coreceptor of the TGFβ family that is highly expressed in proliferating endothelial cells. Often coopted by cancer cells, ENG can lead to neo-angiogenesis and vasculogenic mimicry in aggressive malignancies. It exists both as a transmembrane cell surface protein, where it primarily interacts with TGFβ, and as a soluble matricellular protein (sENG) when cleaved by matrix metalloproteinase 14 (MMP14). High ENG expression has been associated with poor prognosis in Ewing sarcoma, an aggressive bone cancer that primarily occurs in adolescents and young adults. However, the therapeutic value of ENG targeting has not been fully explored in this disease. We characterized the expression pattern of transmembrane ENG, sENG, and MMP14 in preclinical and clinical samples. Subsequently, the antineoplastic potential of two novel ENG-targeting monoclonal antibody-drug conjugates (ADC), OMTX503 and OMTX703, which differed only by their drug payload (nigrin-b A chain and cytolysin, respectively), was assessed in cell lines and preclinical animal models of Ewing sarcoma. Both ADCs suppressed cell proliferation in proportion to the endogenous levels of ENG observed in vitro. Moreover, the ADCs significantly delayed tumor growth in Ewing sarcoma cell line-derived xenografts and patient-derived xenografts in a dose-dependent manner. Taken together, these studies demonstrate potent preclinical activity of first-in-class anti-ENG ADCs as a nascent strategy to eradicate Ewing sarcoma. YR 2018 FD 2018-11-12 LK http://hdl.handle.net/10668/13173 UL http://hdl.handle.net/10668/13173 LA en DS RISalud RD Apr 6, 2025