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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2540-2542.
Prepublished online as a Blood First Edition Paper on June 22, 2004; DOI 10.1182/blood-2004-05-1733.


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NEOPLASIA
Brief report

A new anti-idiotype antibody capable of binding rituximab on the surface of lymphoma cells

Mark S. Cragg, Mike B. Bayne, Alison L. Tutt, Ruth R. French, Stephen Beers, Martin J. Glennie, and Timothy M. Illidge

From the Tenovus Research Laboratory, Southampton, United Kingdom; Cancer Research UK (CRUK) Oncology, Cancer Sciences Division, School of Medicine, University General Hospital, Southampton, United Kingdom; and Genmab, Utrecht, The Netherlands.

The chimeric anti-CD20 monoclonal antibody (mAb), rituximab, is an established part of the management of many non-Hodgkin lymphomas. The in vivo action of rituximab remains elusive, and this partially reflects a lack of highly specific reagents to detect rituximab binding at the cell surface. Here we report a new high-affinity mAb (MB2A4) with fine specificity for the idiotype of rituximab. It is able to detect rituximab in vitro, in the presence of high levels of human immunoglobulin G (IgG), in the serum of patients receiving rituximab therapy, and, surprisingly, when rituximab is bound to CD20 on the cell surface. We propose that the anti–idiotype (Id) binds to rituximab molecules bound univalently at the cell surface, facilitated by the relatively high off-rate of rituximab. This reagent provides new insights into the binding of rituximab at the cell surface and demonstrates a mode of binding that could be exploited for the surface detection of other mAbs with clinical and biologic applications.


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