COMPOSITIONS AND METHODS FOR DETECTING AND TREATING OVARIAN CANCER

Abstract

The present invention relates to methods for the in vitro diagnosis of ovarian cancer, and to compositions and methods for the prevention or the treatment of ovarian cancer. Disclosed are compositions that include an antibody binding to progastrin and disclosed are methods that include the use of an antibody binding to progastrin.

Claims

1.-15. (canceled)

16. A method for diagnosing ovarian cancer in a subject, comprising the steps of: a) contacting a biological sample from the subject with at least one progastrin-binding antibody, b) detecting the binding of the progastrin-binding antibody to progastrin in the sample, wherein the binding indicates the presence of ovarian cancer in the subject; and wherein the progastrin-binding antibody is a monoclonal antibody or an antigen-binding fragment thereof; and wherein the progastrin-binding antibody does not bind gastrin-17 (G17), gastrin-34 (G34), glycine-extended gastrin-17 (G17-Gly), or glycine-extended gastrin-34 (G34-Gly).

17. The method of claim 16, wherein the antibody, or antigen-binding fragment thereof, is an N-terminal anti-progastrin monoclonal antibody or a C-terminal anti-progastrin monoclonal antibody.

18. The method of claim 16, wherein the antibody or antigen-binding fragment thereof, binds an epitope comprised in SEQ ID NO: 2 or SEQ ID NO: 3.

19. The method of claim 16, wherein the antibody binding to progastrin is a monoclonal antibody selected in the group consisting of: A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:4, 5 and 6, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:7, 8 and 9, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:10, 11 and 12, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:13, 14 and 15, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:16, 17 and 18, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:19, 20 and 21, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:22, 23 and 24, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:25, 26 and 27, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:28, 29 and 30, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:31, 32 and 33, respectively, and A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:34, 35 and 36, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:37, 38 and 39, respectively.

20. The method of claim 16, wherein the binding of the progastrin-binding antibody to progastrin is detected and/or measured by Fluorescence Activated Cell Sorting (FACS), enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), western blot or immunohistochemistry (IHC).

21. The method of claim 16, wherein the binding of the progastrin-binding antibody to progastrin is detected and/or measured by enzyme-linked immunosorbent assay (ELISA) or radioimmunoassay (RIA).

22. The method of claim 16, wherein step b) further comprises determining the concentration of progastrin and wherein a concentration of progastrin at least pM in the biological sample is indicative of the presence of ovarian cancer in the subject.

23. The method of claim 16, wherein the ovarian cancer is metastasized.

24. The method of claim 17, comprising the further steps of: c) determining a reference concentration of progastrin in a reference sample, d) comparing the concentration of progastrin in the biological sample with the reference concentration of progastrin, e) determining, from the comparison of step d), the presence of ovarian cancer.

25. The method of claim 24, wherein the reference sample is a biological sample isolated from a healthy subject.

26. The method of claim 24, wherein an ovarian cancer is present if the concentration of progastrin in step b) is higher than the reference concentration of progastrin in step c).

27. The method of claim 16, further comprising a second diagnosis test of ovarian cancer.

28. A method of monitoring the efficacy of a treatment for ovarian cancer in a patient, comprising the steps of: a) measuring the concentration of progastrin in a first biological sample obtained from the patient before treatment, comprising: contacting the first biological sample with at least one progastrin-binding antibody, measuring the binding of the progastrin-binding antibody to progastrin in the first sample; and b) measuring the concentration of progastrin in a second biological sample obtained from the patient after treatment, comprising: contacting the second biological sample with at least one progastrin-binding antibody, measuring the binding of the progastrin-binding antibody to progastrin in the second sample; and c) comparing the concentration of progastrin of step a) with the concentration of progastrin of step b), wherein a concentration of progastrin in the first sample higher than the concentration of progastrin in the second sample indicates that the treatment is effective; and wherein the progastrin-binding antibody is a monoclonal antibody or an antigen-binding fragment thereof; and wherein the progastrin-binding antibody does not bind gastrin-17 (G17), gastrin-34 (G34), glycine-extended gastrin-17 (G17-Gly), or glycine-extended gastrin-34 (G34-Gly).

29. The method of claim 28, wherein the antibody, or antigen-binding fragment thereof, is selected among N-terminal anti-progastrin monoclonal antibodies and C-terminal anti-progastrin monoclonal antibodies.

30. The method of claim 28, wherein the antibody or antigen-binding fragment thereof, binds an epitope comprised in SEQ ID NO: 2 or SEQ ID NO: 3.

31. The method of claim 28, wherein the antibody binding to progastrin is a monoclonal antibody chosen in the group consisting of: A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:4, 5 and 6, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:7, 8 and 9, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:10, 11 and 12, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:13, 14 and 15, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:16, 17 and 18, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:19, 20 and 21, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:22, 23 and 24, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:25, 26 and 27, respectively, A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:28, 29 and 30, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:31, 32 and 33, respectively, and A monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID NOs:34, 35 and 36, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID NOs:37, 38 and 39, respectively.

32. The method of claim 28, wherein the binding of the progastrin-binding molecule to progastrin is detected and/or measured by Fluorescence Activated Cell Sorting (FACS), enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), western blot or immunohistochemistry (IHC).

33. The method of claim 28, wherein the binding of the progastrin-binding molecule to progastrin is detected and/or measured by enzyme-linked immunosorbent assay (ELISA) or radioimmunoassay (RIA).

34. The method of claim 28, wherein the biological sample is contacted with a first molecule, which binds to a first part of progastrin, and with a second molecule, which binds to a second part of progastrin.

35. The method of claim 34, wherein the first molecule binds to the C-terminal part of progastrin, and the second molecule binds to the N-terminal part of progastrin.

36. The method of claim 34, wherein the first molecule is an anti-progastrin monoclonal antibody and the second molecule is an anti-progastrin polyclonal antibody.

37. The method of claim 16, wherein biological sample is chosen among: blood, serum and plasma.

Description

FIGURE LEGEND

[0165] FIG. 1: median plasmatic concentration of progastrin in ovarian cancer patients (n=8), and in control patients (n=103).

[0166] FIG. 2: Cell counts for SK-OV-3 cells after treatment for 48 h with 20 pg/ml of humanized control antibodies (anti-human FcG1, from BioXCell)(CT Hz), or with 20 pg/ml anti-hPG Hz (PG Hz)Two-tailed t-test, * p<0.05.

[0167] FIG. 3: Number of SK-OV-3 spheres formed following treatment with control (CT Hz) or anti-PG humanized antibody (PG Hz) under ultra-low adherent conditionsTwo-tailed t-test, *** p<0.001.

EXAMPLES

Example 1: Detection of Plasmatic Progastrin Concentration Using Polyclonal Antibodies

[0168] Plasma progastrin levels were quantified by ELISA through the use of two specific anti-progastrin antibodies: capture antibodies are coated on the wells of the plate, whereas revelation antibodies are used to detect progastrin and mediates revelation of the signal.

[0169] In the present example, quantification is based on the ELISA method which allows, through the use of a substrate whose reaction emits light, to assign a value proportional to the luminescence amount of antibodies bound to the antigen retained by capture antibodies.

Material

[0170] Reagents and apparatus are listed in Table 7:

TABLE-US-00007 TABLE 7 Designation Provider Rfrence Plates MaxiSORP white Nunc, Dutscher # 055221 96 wells Sodium Carbonate/Bicarbonate Sigma # 21851 DPBS 1X Lonza # P04-36500 TWEEN-20 Biosolve # 20452335 BSA Euromedex # 04-100-810-C Streptavidin-HRP Pierce (Thermo) # 21130 SuperSignal ELISA Femto Pierce (Thermo) # 37074 Maximum Sensitivity Substrate Anti-ProGastrin Polyclonal Eurogentec / Antibody

[0171] Polyclonal antibodies were obtained by immunizing a rabbit with N-terminal progastrin (SEQ ID No 2) or with C-terminal progastrin corresponding to amino acids 71 to 80 of hPG and having the sequence FGRRSAEDEN (SEQ ID No 40), according to standard protocols.

[0172] The binding characteristics of polyclonal antibodies against progastrin used in this assay are the following: absence of binding to G34-Gly, G34, G17-Gly, G17, binding to full length progastrin.

[0173] 96 wells plates are coated by preparing a solution of carbonate-sodium bicarbonate, 50 mM pH 9.6 by dissolving the contents of one capsule in 100 ml of MilliQ water. A solution of capture antibody (3 pg/ml), corresponding to polyclonal antibodies obtained by using the C-terminal of progastrin FGRRSAEDEN (SEQ ID No 40) is prepared in carbonate buffer. 100 microliters of antibodies solution is added to each well and incubated at 4 C. for 16 hours (1 night). Plates are then blocked by eliminating the antibodies solution and wash 3 times with 300 l 1PBS/0.1% TWEEN-20, then adding 200 l of blocking buffer (1PBS/0.1% TWEEN-20/0.1% BSA) per well, and incubated 2 hours at 22 C. Blocking buffer is then eliminated, wells are washed 3 times with 300 l 1PBS/0.1% TWEEN-20.

[0174] Plasma dilution is performed as follows: The plasma is used pure, diluted 1/2, 1/5 and 1/10. Dilutions are prepared from pure plasma in 1PBS/0.1% TWEEN-20/0.1% BSA.

[0175] For the control test, ELISA in the presence of a known concentration of progastrin, progastrin dilution is prepared as follows: stock recombinant PG (Full length human progastrin produced in E. coli and affinity purified with Glutathione agarose/Tag removal (Tev)/IMAC Counter purification/dialysis, from Institut Pasteur, Paris, France) is prepared at a concentration of 0.45 mg/ml (45 microM), in triplicate. Ranges of progastrin concentrations were prepared as follows: [0176] Solution A: Pre-dilution 1/10, 2 l of stock+18 l of the buffer [0177] Solution B: Pre-dilution 1/100, 10 l of A+90 l of the buffer [0178] Solution C: Pre-dilution 1/1000, 10 l of B+90 l of the buffer [0179] Solution D: 500 pM, 5.55 l of C+494.5 l of the diluent [0180] Solution E: 250 pM, 250 l of D+250 l of the diluent [0181] Solution F: 100 pM, 200 l of E+300 l of the diluent [0182] Solution G: 50 pM, 250 l of F+250 l of the diluent [0183] Solution H: 25 pM, 200 l of G+200 l of the diluent [0184] Solution I: 10 pM, 100 l of H+150 l of the diluent

[0185] The range of recombinant PG is linear and can therefore be more or less extensive according to the antibody used.

[0186] For the preparation of test samples, approximately 500 l of each sample are set aside and stored until analysis (and confirmation if necessary) of the results. 100 l of each point of the range and/or plasmas are assayed pure, diluted to 1/2, 1/5 and 1/10, and incubated for 2 hours at 22 C. on the plates.

[0187] For the revelation of the test, the plates are washed 3 times with 300 l 1PBS/0.1% TWEEN-20. A solution of the polyclonal rabbit anti-progastrin antibody, wherein said antibodies have been obtained by using the N-terminal part of progastrin as an immunogen, coupled to biotin to 0.5 pg/ml, is prepared by dilution in 1PBS/0.1% TWEEN-20/0.1% BSA. 100 l of this solution is added to each well. Incubation takes place for 1 hour at 22 C. The revelation with streptavidin-HRP is performed by removing detection antibody and wash 3 times with 300 l 1PBS/0.1% TWEEN-20, then preparing a solution of Streptavidin-HRP at 20 ng/ml diluted in 1PBS/0.1% TWEEN-20/0.1% BSA, wherein 100 Add 100 l of this solution is added to each well, before incubation for 1 hour at 22 C.

[0188] The detection consists of eliminating streptavidin-HRP and wash 3 times with 300 l 1PBS/0.1% TWEEN-20, then adding 100 l of chemiluminescent substrate solution per well. The substrate solution is prepared by mixing equal volumes of the two solutions SuperSignal ELISA Femto kit, 20 ml+20 ml, 30 minutes before use and stored at room temperature in the dark. Luminescence is read after 5 minutes incubation at room temperature in the dark.

[0189] For each condition, the test is performed in triplicate and the results of the ranges will be presented as a graph showing the change in luminescence depending on the progastrin concentration. For each plasma dilution, the concentration of progastrin is determined using the equation of the linear regression line of the corresponding range (range 1/10th for a sample diluted to 1/10th).

Methods and Results

[0190] The median plasmatic concentration of progastrin is 8.45 pM in patients having ovarian cancer (n=8), whereas the median plasmatic concentration of progastrin is 0 pM in control patients (n=103) (FIG. 1). These data demonstrate that patients with ovarian cancer had higher concentrations of progastrin in their plasma compared to healthy control individuals.

[0191] These data demonstrate that patients with ovarian cancer have higher levels of progastrin in their plasma compared to healthy control individuals.

Example 2: Detection of Progastrin Concentration Using Monoclonal Anti-Progastrin Antibodies

[0192] The wells of Nunc MaxiSORP 96-well plates are coated with a first progastrin-specific antibody as follows. Anti-progastrin monoclonal antibodies specific for the carboxy-terminal region of progastrin are diluted to a concentration of 3 pg/ml in a solution of 50 mM, pH 9.6 sodium carbonate/bicarbonate buffer in MilliQ water.

[0193] A total of 100 l of the antibody solution is then added to each well of the 96-well plates, and incubated overnight at 4 C. After binding, the antibody solution is removed from the wells, which are then washed three times with 100 l wash buffer (IX PBS/0.1% TWEEN-20). A total of 100 l blocking buffer (IX PBS/0.1% TWEEN-20/0.1% BSA) is then added to each well and incubated for 2 hours at 22 C. Blocking buffer is then removed and the wells washed three times with wash buffer. Plasma or serum samples isolated from patients is then added to the wells in a volume of 100 l in a dilution series, typically 1:1, 1:2, 1:5 and 1:10 dilutions, and is then incubated for 2 hours at 22 C. Plasma or serum samples are analyzed in duplicate.

[0194] Assays also include two standard curves. The first standard curve is prepared using dilutions of recombinant progastrin to a final amount of 1 ng, 0.5 ng, 0.25 ng, 0.1 ng, 0.05 ng, 0.01 ng, and 0 ng per well. The second standard curve, which serves as a negative control, is prepared from progastrin-negative human serum diluted in blocking buffer at the same dilutions as the test samples, i.e., 1:1, 1:2, 1:5 and 1:10. Alternatively, when plasma samples are being assayed, the second standard curve, which serves as a negative control, is prepared from progastrin-negative human plasma diluted in blocking buffer at the same dilutions as the test samples, i.e., 1:1, 1:2, 1:5 and 1:10.

[0195] After incubation with the plasma or serum samples is complete, the well contents are removed and the wells are washed three times with wash buffer, 100 l/well, after which progastrin bound to the first antibody is detected using a second antibody specific for progastrin, as follows.

[0196] Biotin-coupled anti-progastrin monoclonal antibodies specific for the amino-terminal region of progastrin are diluted in blocking buffer to a concentration of 0.1 to 10 l g/ml, depending on the antibody. A total of 100 l of the antibody solution is then added to each well, and incubated for 1 hour at 22 C.

[0197] After secondary antibody binding is complete, the plates are washed three times with wash buffer, 100 l/well, after which 100 l of a solution of streptavidin-HRP (25 ng/ml in blocking buffer) is added to each well and incubated for 1 hour at 22 C. After incubation with the streptavidin-HRP solution is complete, the plates are washed three times with wash buffer, 100 l/well. Thereafter, 100 l of chemiluminescent substrate prepared using a Pierce SuperSignal ELISA Femto Maximum Sensitivity Chemiluminescent Substrate kit, is added per well, incubated for 5 min at room temperature in the dark, and then read on a luminometer.

[0198] Based on the luminometer readings, linear regression analysis is used to derive the equation of the lines corresponding to the standard curve data. Using this equation, the concentration of progastrin in the various patient samples is then calculated.

[0199] The median plasmatic concentration of progastrin is calculated in patients having ovarian cancer and compared to the median plasmatic concentration of progastrin in plasma of control patients. These data demonstrate that patients with ovarian cancer had elevated levels of progastrin in their plasma compared to healthy control individuals.

Example 3: Neutralizing Activity of Anti-hPG Antibodies on Cancer Cell Lines

3.1. Neutralizing Activity of Anti-hPG Monoclonal Antibodies

[0200] PA-1, Caov-3, SW626, ES-2, and SK-OV-3 are cell lines commonly used to study ovarian cancer, which produce and secrete progastrin. Monoclonal antibodies to PG are tested for their ability to inhibit proliferation in these different cell lines. Survival of cells from each Caov-3, ES-2, SK-OV-3, KATO-III, AGS, and MGC-803 cell line is tested using different anti-hPG monoclonal antibodies.

[0201] For each experiment, 50,000 cells are seeded into 6-well plates in medium containing fetal calf serum and incubated for 8 hours. Cells are serum-starved overnight, and starting at 24 hours after seeding (time TO), cells are treated in sextuplicates every 12 h for 48 hours, in the absence of fetal calf serum, with 1 to 20 g/ml of monoclonal control antibodies (monoclonal antibody anti-puromycin)(CT mAb), or with 1 to 20 pg/ml anti-hPG mAb, wherein said mAb is a C-terminal anti-hPG monoclonal antibody or a N-terminal anti-hPG monoclonal antibody.

[0202] Said mAb is a C-terminal anti-hPG antibody, selected among: [0203] An antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 28, 29 and 30, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 31, 32 and 33, [0204] An antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 34, 35 and 36, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 37, 38 and 39.

[0205] or a N-terminal anti-hPG antibody selected among: [0206] An monoclonal antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 4, 5 and 6, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 7, 8 and 9, [0207] An antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 10, 11 and 12, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 13, 14 and 15, respectively, [0208] An antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 16, 17 and 18, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 19, 20 and 21, respectively, [0209] An antibody comprising a heavy chain comprising CDR-H1, CDR-H2 and CDR-H3 of amino acid sequences SEQ ID No 22, 23 and 24, respectively, and a light chain comprising CDR-L1, CDR-L2 and CDR-L3 of amino acid sequences SEQ ID No 25, 26 and 27, respectively,

[0210] The number of cells at TO is counted in a control well, for each experiment.

[0211] Specifically, the number of live cells in both control and anti-hPG mAb treated wells is counted at 48 hours, then the difference between each cell count and the cell count determined at TO, is calculated. The resulting number of anti-hPG mAb-treated cells is then expressed as a percentage of the number of control mAb-treated cells.

[0212] Treatment with anti-hPG monoclonal antibodies reduces cell number as compared to treatment with control antibody. Statistical significance is determined using a one-way ANOVA with a Tukey post-hoc test: *=p<0.05, **=p<0.01, and ***=p<0.001. In each cell line, anti-hPG antibodies reduce cell survival.

3.2. Neutralizing Activity of Anti-hPG Humanized Antibodies on Cell Survival

[0213] Humanized antibodies to PG are tested for their ability to inhibit proliferation of PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell lines. Survival of cells from PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell lines is tested using different anti-hPG humanized antibodies.

[0214] For each experiment, 80,000 cells are seeded into 6-well plates in medium containing fetal calf serum and incubated for 8 hours. Cells are serum-starved overnight, and starting at 24 hours after seeding (time TO), cells are treated in sextuplicates every 12 h for 48 hours, in the absence of fetal calf serum, with 20 pg/ml of humanized control antibodies (anti-human FcG1, from BioXCell)(CT Hz), or with 20 pg/ml anti-hPG Hz (PG Hz), wherein said Hz is a C-terminal anti-hPG humanized antibody or a N-terminal anti-hPG humanized antibody. The number of cells at TO is counted in a control well, for each experiment.

[0215] Specifically, the number of live cells in both control and anti-hPG Hz treated wells is counted at 48 hours, then the difference between each cell count and the cell count determined at TO, is calculated.

[0216] Treatment with anti-hPG Hz antibodies reduces cell number as compared to treatment with control antibody.

3.3. Neutralizing Activity of Anti-hPG Monoclonal Antibodies on Cancer Stem Cell Frequency

[0217] Monoclonal antibodies to PG are tested for their ability to reduce cancer stem cell (CSC) frequency in PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell lines using Extreme Limiting Dilution Assay (ELDA). CSC frequency from each PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell line is tested using different anti-hPG monoclonal antibodies.

[0218] For each experiment, cells are seeded in ultra-low attachment (ULA) P96 (96-well plates) at fixed cellular concentrations per well using a FACS Aria flow cytometer, and a range of concentrations is used from one to 500 cells per well. The cells are cultivated for up to 11 days in ULA plates with M11 medium (Macari et al, Oncogene, 2015) and treated every 3 or 4 days with 1 to 20 pg/ml of monoclonal control antibodies (monoclonal antibody anti-puromycin)(CT mAb), or with 1 to 20 pg/ml anti-hPG mAb, wherein said mAb is a C-terminal anti-hPG monoclonal antibody or a N-terminal anti-hPG monoclonal antibody

[0219] Specifically, at the end of the incubation phase, the plates are observed with a phase-contrast microscope and the number of positive wells per cellular concentration is assessed. Finally, the ELDA webtool is used to calculate the CSC frequencies of each treatment group and test for any statistical difference between groups (modified Chi-square test).

[0220] Treatment with anti-hPG monoclonal antibodies reduces CSC frequency as compared to treatment with control antibody.

3.4. Neutralizing Activity of Anti-hPG Humanized Antibodies on Cancer Stem Cell Frequency

[0221] Sphere Formation Assay

[0222] Humanized antibodies to PG are tested for their ability to reduce cancer stem cell (CSC) frequency in Caov-3, ES-2 and SK-OV-3 cell line using sphere formation assay.

[0223] For each experiment, 500 cells are seeded in 24-well ultra-low attachment (ULA). The cells are cultivated for up to 10 days in ULA plates with M11 medium (Macari et al, Oncogene, 2015) and treated every 3 or 4 days with 20 pg/ml of humanized control antibodies (anti-human FcG1, from BioXCell)(CT Hz), or with 20 pg/ml anti-hPG Hz (PG Hz), wherein said Hz is a C-terminal anti-hPG humanized antibody or a N-terminal anti-hPG humanized antibody.

[0224] Specifically, at the end of the incubation phase, the wells are photographed via brightfield microscopy, the pictures are analyzed and the spheres with a mean diameter above 30 m are counted.

[0225] Treatment with anti-hPG humanized antibodies reduces CSC frequency as compared to treatment with control antibody.

[0226] Extreme Limiting Dilution Assay

[0227] Humanized antibodies to PG are tested for their ability to reduce cancer stem cell (CSC) frequency in PA-1, Caov-3, SW626 and SK-OV-3 cell lines using Extreme Limiting Dilution Assay (ELDA). CSC frequency from each PA-1, Caov-3, SW626 and SK-OV-3 cell line is tested using different anti-hPG humanized antibodies.

[0228] For each experiment, cells are seeded in ultra-low attachment (ULA) P96 (96-well plates) at fixed cellular concentrations per well using a FACS Aria flow cytometer, and a range of concentrations is used from one to 500 cells per well. The cells are cultivated for up to 11 days in ULA plates with M11 medium (Macari et al, Oncogene, 2015) and treated every 3 or 4 days with 1 to 20 pg/ml of humanized control antibodies (anti-human FcG1, from BioXCell)(CT Hz), or with 1 to 20 pg/ml anti-hPG Hz, wherein said Hz is a C-terminal anti-hPG humanized antibody or a N-terminal anti-hPG humanized antibody.

[0229] Specifically, at the end of the incubation phase, the plates are observed with a phase-contrast microscope and the number of positive wells per cellular concentration is assessed. Finally, the ELDA webtool is used to calculate the CSC frequencies of each treatment group and test for any statistical difference between groups (modified Chi-square test).

[0230] Treatment with anti-hPG humanized antibodies reduces CSC frequency as compared to treatment with control antibody.

3.5. Neutralizing Activity of Anti-hPG Monoclonal Antibodies on the WNT/13-Catenin Pathway

[0231] PA-1, Caov-3, SW626, ES-2 and SK-OV-3 are cell lines commonly used to study ovarian cancer, which produce and secrete progastrin. Monoclonal antibodies to PG were tested for their ability to inhibit the WNT/Bi-catenin pathway in these different cell lines using the expression of the protein survivin, a well-known WNT/Bi-catenin pathway targeted gene, as read-out. Survivin expression from each PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell line is tested using different anti-hPG monoclonal antibodies.

[0232] For each experiment, 50,000 cells are seeded into 6-well plates in medium containing fetal calf serum and incubated for 8 hours. Cells are serum-starved overnight, and starting 24 hours after seeding cells are treated in quadruplicate every 12 h for 72 hours, in the absence of fetal calf serum, with 1 to 20 pg/ml of monoclonal control antibodies (monoclonal antibody anti-puromycin)(CT mAb), or with 1 to 20 pg/ml anti-hPG mAb, wherein said mAb is a C-terminal anti-hPG monoclonal antibody or a N-terminal anti-hPG monoclonal antibody.

[0233] Specifically, after 72 hours of treatment, cells are harvested and total proteins are extracted using RIPA buffer. An equal amount of protein from CT mAb or anti-hPG mAb treated cells are then subjected to a western blot using anti-survivin antibody (monoclonal antibody, #2802 from Cell Signaling) and anti-actin antibody as loading control (monoclonal antibody, #A4700 from SIGMA). Quantification is performed using the GBOX chemi system from Syngene.

[0234] Treatment with anti-hPG monoclonal antibodies reduces survivin expression as compared to treatment with control antibody. Statistical significance is determined using a unpaired Student's T-test: *=p<0.05, **=p<0.01, and ***=p<0.001.

3.6. Neutralizing Activity of Anti-hPG Humanized Antibodies on the WNT/-Catenin Pathway

[0235] Humanized antibodies to PG are tested for their ability to inhibit the WNT/Bi-catenin pathway in PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell lines using the expression of the protein survivin, a well-known WNT/Bi-catenin pathway targeted gene, as read-out. Survivin expression from each PA-1, Caov-3, SW626, ES-2 and SK-OV-3 cell line is tested using different anti-hPG humanized antibodies.

[0236] For each experiment, 50,000 cells are seeded into 6-well plates in medium containing fetal calf serum and incubated for 8 hours. Cells are serum-starved overnight, and starting 24 hours after seeding cells are treated in quadruplicate every 12 h for 72 hours, in the absence of fetal calf serum, with 1 to 20 pg/ml of humanized control antibodies (anti-human FcG1, from BioXCell)(CT Hz), or with 1 to 20 pg/ml anti-hPG Hz, wherein said Hz is a C-terminal anti-hPG humanized antibody or a N-terminal anti-hPG humanized antibody.

[0237] Specifically, after 72 hours of treatment, cells are harvested and total proteins are extracted using RIPA buffer. An equal amount of protein from CT Hz or anti-hPG Hz treated cells are then subjected to a western blot using anti-survivin antibody (monoclonal antibody, #2802 from Cell Signaling) and anti-actin antibody as loading control (monoclonal antibody, #A4700 from SIGMA). Quantification is performed using the GBOX chemi system from Syngene.

[0238] Treatment with anti-hPG humanized antibodies reduces survivin expression as compared to treatment with control antibody. Statistical significance is determined using a unpaired Student's T-test: *=p<0.05, **=p<0.01, and ***=p<0.001.