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FAP-Exd + ATR inhibitor is an experimental combination therapy designed to target the tumor microenvironment and enhance DNA damage-induced cell death. FAP-Exd is a recombinant fusion protein consisting of a single-chain variable fragment (scFv) targeting Fibroblast Activation Protein (FAP) and the GLP-1 receptor agonist Exendin-4. It specifically targets FAP-expressing cancer-associated fibroblasts (CAFs), which are prevalent in the stroma of many solid tumors. By activating GLP-1R on these fibroblasts, FAP-Exd modulates the stroma to improve immune infiltration and drug sensitivity. The ATR inhibitor component (such as ceralasertib) inhibits the Ataxia Telangiectasia and Rad3-related (ATR) kinase, a key regulator of the DNA damage response. This combination aims to synergistically disrupt the protective stromal barrier and exploit the replication stress of tumor cells, potentially providing a new strategy for treating stroma-rich cancers like pancreatic ductal adenocarcinoma.
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