Antibodies are therapeutic workhorses of the pharmaceutical industry, and have been generated against ligands and receptors to inhibit tumor cell signaling, growth, and metastasis. Instead, we engineer the ligands and receptors themselves as therapeutics to overcome inherent limitations of antibodies and offer novel therapeutic approaches for cancer. As examples, we have used rational and combinatorial methods to engineer natural ligands, including VEGF, HGF, CLCF1, HAI-1, and PDGF as high affinity, potent inhibitors of cancer cell function. In addition, we have engineered designer versions of soluble receptors (aka receptor ‘decoys’) to bind to and sequester ligands that would otherwise drive cell signaling and cancer progression. These engineered receptor decoys overcome inherent high affinity and complexity of natural ligand-receptor interactions. Examples include an engineered Axl receptor decoy that binds with ultra-high affinity (fM) to Gas6 and inhibits metastatic spread of aggressive cancers (currently in Phase Ib/II trials for ovarian and clear cell renal cancer), and engineered CNTFR and LIFR decoys that bind with high affinity and inhibit activity of CLCF1 and LIF ligands, respectively, for treatment of lung and pancreatic cancers.
*VEGF= vascular endothelial growth factor; HGF= hepatocyte growth factor; CLCF1= cardiotrophin like cytokine factor 1; HAI-1= hepatocyte growth factor activator inhibitor type-1; PDGF= platelet-derived growth factor; Axl= Axl receptor tyrosine kinase; Gas6= growth arrest specific 6; CNTFR= ciliary neurotrophin factor receptor; LIFR= leukemia inhibitory factor receptor; LIF= leukemia inhibitory factor.