Author ORCID Identifier

0009-0005-1228-843X

Date of Graduation

12-2024

Document Type

Thesis (MS)

Program Affiliation

Biomedical Sciences

Degree Name

Masters of Science (MS)

Advisor/Committee Chair

Dr. Venkata Lokesh Battula

Committee Member

Dr. Joya Chandra

Committee Member

Dr. Melinda Yates

Committee Member

Dr. Bisrat Debeb

Committee Member

Dr. Chandra Bartholomeusz

Abstract

Gangliosides are acidic glycosphingolipids involved in cell adhesion, proliferation, and modulation of signal transduction pathways. It has been reported that tumor-shed gangliosides influence the activity of immune cells including macrophages, NK cells, and T cells. GD3 synthase (GD3S) is the key enzyme that regulates the biosynthesis of the b and c series gangliosides, particularly GD3 and GD2, and studies have shown that GD3S is upregulated in most tumors and plays a role in tumor progression. Similarly, we have previously found GD3S to be significantly upregulated in GD2+ breast cancer stem cells (BCSC) compared to GD2- cells, and the knockdown of this gene prevented tumor formation in mice. Studies have also shown that GD2 is overexpressed in many cancers and serves as a tumor-associated antigen, making it a suitable target for cancer therapy and an interesting source of target for immunotherapy with the development of anti-GD2 monoclonal antibodies. Here, we demonstrate that GD3S expression associates with immune checkpoint inhibitors and its elevated expression in primary breast tumors causes a reduced immune cell infiltration into the tumors. Additionally, we have observed that GD3S regulates macrophage-mediated phagocytosis, NK cell-mediated killing and T cell cytotoxicity of breast cancer (BC) cells. Moreover, our findings reveal that the major downstream effect of GD3S is the regulation of GD2 and GD3 biosynthesis. Finally, the naxitamab antibody (humanized anti-GD2; hu3F8) enhances NK cell-mediated ADCC and macrophage-mediated ADCP in breast cancer cells and inhibits primary tumor growth in the TNBC PDX model, in the presence of macrophages and NK cells.

Keywords

GD3 Synthase (ST8SIA1), GD2, Naxitamab, Breast Cancer, ADCC, ADCP, NK cell, Macrophage, T cell, Tumor Immunotherapy

Available for download on Tuesday, November 04, 2025

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