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Blood, 15 December 2003, Vol. 102, No. 13, pp. 4384-4392.
Prepublished online as a Blood First Edition Paper on August 21, 2003; DOI 10.1182/blood-2003-04-1039.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Selective targeted delivery of TNF{alpha} to tumor blood vessels

Laura Borsi, Enrica Balza, Barbara Carnemolla, Francesca Sassi, Patrizia Castellani, Alexander Berndt, Hartwig Kosmehl, Attila Birò, Annalisa Siri, Paola Orecchia, Jessica Grassi, Dario Neri, and Luciano Zardi

From the Laboratory of Cell Biology, Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy; Institut of Pathology, Friedrich Schiller University, Jena, Germany; Institute of Pathology, HELIOS-Klinikum Erfurt, Germany; Philogen srl, Siena, Italy; and the Department of Applied BioSciences of the Swiss Federal Institute of Technology (ETH), Zürich, Switzerland.

We sought to enhance the selective toxicity of tumor necrosis factor {alpha} (TNF{alpha}) to permit its systemic use in cancer therapy. Because ligand-targeted therapeutics have proven successful in improving the selective toxicity of drugs, we prepared a fusion protein (L19mTNF{alpha}) composed of mouse TNF{alpha} and a high-affinity antibody fragment (L19 scFv) to the extradomain B (ED-B) domain of fibronectin, a marker of angiogenesis. L19mTNF{alpha} was expressed in mammalian cells, purified, and characterized. L19mTNF{alpha} was an immunoreactive and biologically active homotrimer. Radiolabeled L19mTNF{alpha} selectively targeted tumor neovasculature in tumor-bearing mice, where it accumulated selectively and persistently (tumor-to-blood ratio of the percentage of injected dose per gram [%ID/g] of 700, 48 hours from injection). L19mTNF{alpha} showed a greater anticancer therapeutic activity than both mTNF{alpha} and TN11mTNF{alpha}, a control fusion protein in which an antibody fragment, irrelevant in the tumor model used, substituted for L19. This activity was further dramatically enhanced by its combination with melphalan or the recently reported fusion protein L19-IL2. In conclusion, L19mTNF{alpha} allows concentrating therapeutically active doses of TNF{alpha} at the tumor level, thus opening new possibilities for the systemic use of TNF{alpha} in cancer therapy. (Blood. 2003;102:4384-4392)


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