Evidence map›Paper›PMID 36991316›Full record

ArticleMolecular medicine (Cambridge, Mass.)2023

Targeting CLDN6 in germ cell tumors by an antibody-drug-conjugate and studying therapy resistance of yolk-sac tumors to identify and screen specific therapeutic options.

Margaretha A Skowron, Mara Kotthoff, Felix Bremmer, Katja Ruhnke, Fatma Parmaksiz, Annika Richter, Stefan Küffer, Kirsten Reuter-Jessen, Stella Pauls, Anja Stefanski and 3 more

Abstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Margaretha A Skowron *Department of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.ORCID 0000-0003-2152-384X
Mara Kotthoff *Department of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.ORCID 0000-0002-3395-6530
Felix Bremmer *Institute of Pathology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0003-0367-6527
Katja RuhnkeDepartment of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Fatma ParmaksizDepartment of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.ORCID 0009-0003-3771-7128
Annika RichterInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.
Stefan KüfferInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0001-8443-601X
Kirsten Reuter-JessenInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0002-1772-8677
Stella PaulsMolecular Proteomics Laboratory, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Anja StefanskiMolecular Proteomics Laboratory, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-8532-954X
Philipp StröbelInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.
Kai StühlerMolecular Proteomics Laboratory, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-3111-9368
Daniel NettersheimDepartment of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany. Daniel.Nettersheim@med.uni-duesseldorf.de.ORCID 0000-0002-4483-845X

Funding

Deutsche Forschungsgemeinschaft NE 1861/8-1Wilhelm Sander-Stiftung 2016.041.1 / .2 / .3
6 · The paper itself

Abstract

backgroundBeing the standard-of-care for four decades, cisplatin-based chemotherapy is highly efficient in treating germ cell tumors (GCT). However, often refractory patients present with a remaining (resistant) yolk-sac tumor (YST(-R)) component, resulting in poor prognosis due to lack of novel treatment options besides chemotherapy and surgery. The aim of this study was to identify novel targets for the treatment of YST by deciphering the molecular mechanisms of therapy resistance. Additionally, we screened the cytotoxic efficacy of a novel antibody-drug-conjugate targeting CLDN6 (CLDN6-ADC), as well as pharmacological inhibitors to target specifically YST.

methodsProtein and mRNA levels of putative targets were measured by flow cytometry, immunohistochemical stainings, mass spectrometry of formalin-fixed paraffin-embedded tissues, phospho-kinase arrays, or qRT-PCR. Cell viability, apoptosis and cell cycle assays of GCT and non-cancerous cells were performed using XTT cell viability assays or Annexin V / propidium iodide flow cytometry, respectively. Druggable genomic alterations of YST(-R) tissues were identified by the TrueSight Oncology 500 assay.

resultsWe demonstrated that treatment with a CLDN6-ADC enhanced apoptosis induction specifically in CLDN6

conclusionsIn summary, this study offers a novel CLDN6-ADC to target GCT. Additionally, this study presents novel pharmacological inhibitors blocking FGF, VGF, PDGF, mTOR, CHEK1, AURKA, or PARP signaling for the treatment of (refractory) YST patients. Finally, this study shed light on the mechanisms of therapy resistance in YST.

Indexed as

ClaudinsEndodermal Sinus TumorNeoplasms, Germ Cell and EmbryonalHumansclaudin 6ClaudinsAntibody-drug-conjugateCLDN6Germ cell tumorsResistanceTherapyYolk-sac tumor

Identifiers

PMID36991316
PMCPMC10053054

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.