Mesothelin, a novel immunotherapy target for triple negative breast cancer.

Journal Article (Journal Article)

Mesothelin is a cell-surface glycoprotein present on mesothelial cells and elicits T cell responses in a variety of cancers including pancreatic, biliary and ovarian cancer. Breast cancer is not known to express mesothelin. We postulated that mesothelin may be a unique tumor-associated antigen in triple negative breast cancer (TNBC), a less common breast cancer subtype which may have been under-represented in prior studies that characterized mesothelin expression. Therefore, we screened 99 primary breast cancer samples by immunohistochemistry analysis using formalin-fixed paraffin-embedded archival tumor tissues and confirmed that mesothelin was overexpressed in the majority of TNBC (67 %) but only rarely in <5 % ER(+) or Her2-neu(+) breast cancer, respectively. To determine whether mesothelin may be exploited as a novel immunotherapy target in breast cancer, an in vitro cell killing assay was performed to compare the ability of genetically modified T cells expressing a chimeric antibody receptor (CAR) specific for mesothelin (mesoCAR T cells) or non-transduced T cells to kill mesothelin-expressing primary breast cancer cells. A significantly higher anti-tumor cytotoxicity by mesoCAR T cells was observed (31.7 vs. 8.7 %, p < 0.001). Our results suggest that mesothelin has promise as a novel immunotherapy target for TNBC for which effective targeted therapy is lacking to date.

Full Text

Duke Authors

Cited Authors

  • Tchou, J; Wang, L-C; Selven, B; Zhang, H; Conejo-Garcia, J; Borghaei, H; Kalos, M; Vondeheide, RH; Albelda, SM; June, CH; Zhang, PJ

Published Date

  • June 2012

Published In

Volume / Issue

  • 133 / 2

Start / End Page

  • 799 - 804

PubMed ID

  • 22418702

Pubmed Central ID

  • PMC4964602

Electronic International Standard Serial Number (EISSN)

  • 1573-7217

Digital Object Identifier (DOI)

  • 10.1007/s10549-012-2018-4


  • eng

Conference Location

  • Netherlands