Human hepatocellular carcinoma (HCC) is considered difficult to cure because it is resistant to radio-and chemotherapy and has a high recurrence rate after curative liver resection. Epidermal growth factor receptor variant III (EGFRvIII) has been reported to express in HCC tissues and cell lines. This article describes the efficacy of an anti-EGFRvIII monoclonal antibody (mAb CH12) in the treatment of HCC xenografts with EGFRvIII expression and the underlying mechanism of EGFRvIII as an oncogene in HCC. The results demonstrated that CH12 bound preferentially to EGFRvIII with a dissociation constant (K d ) of 1.346 nm/liter. In addition, CH12 induces strong antibody-dependent cellular cytotoxicity and complement-dependent cytotoxicity in Huh7-EGFRvIII (with exogenous expression of EGFRvIII) and SMMC-7721 (with endogenous expression of EGFRvIII) cells. Notably, CH12 significantly inhibited the growth of Huh7-EGFRvIII and SMMC-7721 xenografts in vivo with a growth inhibition ratio much higher than C225, a U. S. Food and Drug Administration-approved anti-EGFR antibody. Treatment of the two HCC xenografts with CH12 significantly suppressed tumor proliferation and angiogenesis. Mechanistically, in vivo treatment with CH12 reduced the phosphorylation of constitutively active EGFRvIII, Akt, and ERK. Down-regulation of the apoptotic protectors Bcl-x L , Bcl-2, and the cell cycle regulator cyclin D1, as well as up-regulation of the cell-cycle inhibitor p27, were also observed after in vivo CH12 treatment. Collectively, these results indicate that the monoclonal antibody CH12 is a promising therapeutic agent for HCC with EGFRvIII expression.
Hepatocellular carcinoma (HCC)3 is the fifth most common cancer and the third most common cause of cancer-related death in the world (1). The cancer is usually diagnosed at a stage when the disease is already advanced and incurable. Surgery is the most effective treatment for HCC. However, tumor recurrence after a curative liver resection is high (2, 3). Adjuvant chemotherapy has not significantly improved survival of HCC patients (3). Sorafenib is the only targeted therapy approved by the U. S. Food and Drug Administration to treat HCC. Although sorafenib showed good tolerance in the studied populations, most patients in clinical practice suffer from underlying liver cirrhosis with impaired metabolic function and experience dose-limiting toxicities with the need to reduce the overall dose of sorafenib subsequently (4).The epidermal growth factor receptor (EGFR) has been successfully targeted for cancer therapy (5). EGFR expression in HCC has been reported (6). EGFR expression has been suggested to contribute to the aggressive growth characteristics of HCC tumors (7-9). EGFR overexpression has been demonstrated to be positively correlated with early tumor recurrence and a negative prognostic factor in poorly differentiated HCCs (6, 10). Hence, EGFR represent a promising target for developing innovative HCC treatment strategies. However, despite the clinical success of several EGFR-targ...