Abstract
Death receptor agonist therapies have exhibited limited clinical benefit to date. Investigations into why Apo2L/TRAIL and AMG 655 preclinical data were not predictive of clinical response revealed that coadministration of Apo2L/TRAIL with AMG 655 leads to increased antitumor activity in vitro and in vivo. The combination of Apo2L/TRAIL and AMG 655 results in enhanced signaling and can sensitize Apo2L/TRAIL-resistant cells. Structure determination of the Apo2L/TRAIL-DR5-AMG 655 ternary complex illustrates how higher order clustering of DR5 is achieved when both agents are combined. Enhanced agonism generated by combining Apo2L/TRAIL and AMG 655 provides insight into the limited efficacy observed in previous clinical trials and suggests testable hypotheses to reconsider death receptor agonism as a therapeutic strategy.
Copyright © 2014 Elsevier Inc. All rights reserved.
MeSH terms
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Animals
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Antibodies, Monoclonal / chemistry
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Antibodies, Monoclonal / pharmacology*
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Antineoplastic Agents / chemistry
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Antineoplastic Agents / pharmacology*
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Cell Line, Tumor
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Cell Survival
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Crystallography, X-Ray
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Drug Resistance, Neoplasm
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Drug Synergism
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Humans
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Mice
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Models, Molecular
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Protein Multimerization
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Protein Structure, Quaternary
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Receptors, TNF-Related Apoptosis-Inducing Ligand / antagonists & inhibitors
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Receptors, TNF-Related Apoptosis-Inducing Ligand / chemistry
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Receptors, TNF-Related Apoptosis-Inducing Ligand / metabolism*
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Signal Transduction
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TNF-Related Apoptosis-Inducing Ligand / chemistry
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TNF-Related Apoptosis-Inducing Ligand / pharmacology*
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Xenograft Model Antitumor Assays
Substances
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Antibodies, Monoclonal
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Antineoplastic Agents
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Receptors, TNF-Related Apoptosis-Inducing Ligand
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TNF-Related Apoptosis-Inducing Ligand
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TNFSF10 protein, human
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conatumumab