1. Academic Validation
  2. De novo design of a two-step approach targeting Claudin-6 for enhanced drug delivery to solid tumors

De novo design of a two-step approach targeting Claudin-6 for enhanced drug delivery to solid tumors

  • J Transl Med. 2025 Nov 20;23(1):1323. doi: 10.1186/s12967-025-07316-2.
Jiayao Yan # 1 Liqing Zhong # 1 Xiaotong Chen 1 Lin Li 2 Fangcen Liu 2 Lei Lei 3 Mengchao An 4 Xiao Wei 2 Ying Wang 1 Tianran Chen 1 Jingyi Guo 5 Jie Shao 1 Xiaoxiao Yu 6 Yingjie Zhao 7 Rutian Li 8 Qin Liu 9 10 Baorui Liu 11 12 13 14
Affiliations

Affiliations

  • 1 Department of Oncology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
  • 2 Department of Pathology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
  • 3 Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
  • 4 The Comprehensive Cancer Center, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China.
  • 5 Department of Oncology, Nanjing Drum Tower Hospital, China Pharmaceutical University, Nanjing, China.
  • 6 School of Life Sciences, Nanjing University, Nanjing, China.
  • 7 Department of Biology, Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
  • 8 Department of Oncology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. [email protected].
  • 9 Department of Oncology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. [email protected].
  • 10 Department of Oncology, Nanjing Drum Tower Hospital & Group's Suqian Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. [email protected].
  • 11 Department of Oncology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. [email protected].
  • 12 The Comprehensive Cancer Center, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, China. [email protected].
  • 13 Department of Oncology, Nanjing Drum Tower Hospital, China Pharmaceutical University, Nanjing, China. [email protected].
  • 14 Department of Oncology, Nanjing Drum Tower Hospital & Group's Suqian Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China. [email protected].
  • # Contributed equally.
Abstract

Background: Although antibody-conjugated drugs have achieved success in clinical practice for Cancer treatment, challenges remain in developing a highly efficient drug delivery system with specific accumulation in tumors and reduction in side effects. With improved pharmacokinetics, strong covalent bonding and quick binding reactions, a pre-targeting approach via molecular pairs represents an attractive platform for two-step delivery system construction.

Methods: Bioinformatics and immunohistochemistry assays were performed to assess Claudin-6 (CLDN6) as a highly specific tumor target in solid tumors. A phage-displayed library was used to screen and optimize anti-CLDN6 designed ankyrin repeat proteins (DARPins), which were incorporated into a two-step delivery system based on SpyTag/SpyCatcher. Fluorescent staining, flow cytometry and near-infrared imaging were performed to assess the tumor-targeting ability and biodistribution of this delivery system. The cytotoxic drug, Monomethyl Auristatin E (MMAE), was conjugated with the delivery system to evaluate its anti-tumor efficacy and safety profile.

Results: Anti-CLDN6 DARPins exhibited specific binding to CLDN6+ Cancer cells with high affinity instead of negative cells in vitro, ex vivo and in vivo. The DARPins-based two-step delivery system improved background clearance with a high signal-to-noise ratio, enhancing the specific accumulation of payloads in tumors. The cytotoxic drug delivered via the two-step system appeared superior to the one-step approach in IC50, biodistribution, and tumor growth inhibition.

Conclusions: Our study presented the de novo design of a two-step drug delivery system targeting Claudin-6 with enhanced anti-tumor efficacy and improved biosafety. These findings highlighted the potential of this approach to enhance the efficacy of tumor-targeting therapies and reduce adverse effects, paving the way for more effective Cancer treatments.

Keywords

CLDN6; DARPins; Phage display; Pre-targeting.

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