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Blood, 1 December 2007, Vol. 110, No. 12, pp. 3959-3967. Prepublished online as a Blood First Edition Paper on August 8, 2007; DOI 10.1182/blood-2007-04-088088.
IMMUNOBIOLOGY Anti-BR3 antibodies: a new class of B-cell immunotherapy combining cellular depletion and survival blockadeDepartments of1 Immunology, 2 Protein Engineering, 3 Development Sciences, 4 Pathology, 5 Assay and Automation Technology, and 6 Translational Oncology, Genentech, South San Francisco, CA; and 7 Department of Gene Discovery, Biogen IDEC, Cambridge Center, Cambridge, MA Removal of pathogenic B lymphocytes by depletion of monoclonal antibodies (mAbs) or deprivation of B-cell survival factors has demonstrated clinical benefit in both oncologic and immunologic diseases. Partial clinical responses and emerging data demonstrating incomplete B-cell depletion after immunotherapy fuels the need for improved therapeutic modalities. Lessons from the first generation of therapeutics directed against B-cell-specific antigens (CD20, CD22) are being applied to develop novel antibodies with additional functional attributes. We describe the generation of a novel class of B-cell-directed therapy (anti-BR3 mAbs) that combines the depleting capacity of a therapeutic mAb and blockade of B-cell-activating factor (BAFF)–BR3 B-cell survival. In mice, treatment with antagonistic anti-BR3 antibodies results in quantitatively greater reduction in some B-cell subsets and qualitatively different effects on bone marrow plasma cells compared with BR3-Fc BAFF blockade or with anti-CD20 treatment. Comparative analysis of BR3-Fc and anti-BR3 mAb reveals a lower B-cell dependence for BAFF-mediated survival in nonhuman primates than in mice. This novel class of B-cell-targeted therapies shows species characteristics in mice and primates that will guide translation to treatment of human disease.
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