Purpose: We sought a novel approach against
glioblastomas (GBM) focused on targeting signaling molecules localized in the
tumor extracellular matrix (ECM). We investigated fibulin-3, a
glycoprotein that forms the ECM scaffold of GBMs and promotes
tumor progression by driving Notch and NFκB signaling.Experimental Design: We used deletion constructs to identify a key signaling motif of fibulin-3. An mAb (mAb428.2) was generated against this
epitope and extensively validated for specific detection of human fibulin-3. mAb428.2 was tested in cultures to measure its inhibitory effect on fibulin-3 signaling. Nude mice carrying subcutaneous and intracranial GBM xenografts were treated with the maximum achievable dose of mAb428.2 to measure target engagement and antitumor efficacy.Results: We identified a critical 23-amino
acid sequence of fibulin-3 that activates its signaling mechanisms. mAb428.2 binds to that
epitope with nanomolar affinity and blocks the ability of fibulin-3 to activate ADAM17, Notch, and NFκB signaling in GBM cells. mAb428.2 treatment of subcutaneous GBM xenografts inhibited fibulin-3, increased
tumor cell apoptosis, and enhanced the infiltration of inflammatory macrophages. The antibody reduced
tumor growth and extended survival of mice carrying GBMs as well as other fibulin-3-expressing
tumors. Locally infused mAb428.2 showed efficacy against intracranial GBMs, increasing
tumor apoptosis and reducing
tumor invasion and vascularization, which are enhanced by
fibulin-3.Conclusions: To our knowledge, this is the first rationally developed, function-blocking antibody against an ECM target in GBM. Our results offer a proof of principle for using "anti-ECM" strategies toward more efficient targeted
therapies for
malignant glioma. Clin
Cancer Res; 24(4); 821-33. ©2017 AACR.