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Blood, 1 October 2007, Vol. 110, No. 7, pp. 2569-2577.
Prepublished online as a Blood First Edition Paper on April 17, 2007; DOI 10.1182/blood-2006-12-062927.


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NEOPLASIA

Targeting CD37-positive lymphoid malignancies with a novel engineered small modular immunopharmaceutical

Xiaobin Zhao1,2, Rosa Lapalombella1, Trupti Joshi3, Carolyn Cheney1, Aruna Gowda1, Martha S. Hayden-Ledbetter6, Peter R. Baum6, Thomas S. Lin1, David Jarjoura5, Amy Lehman5, Donna Kussewitt4, Robert J. Lee2, Michael A. Caligiuri1,4, Susheela Tridandapani3, Natarajan Muthusamy1,4, and John C. Byrd1,2

1 Division of Hematology-Oncology, Department of Medicine, College of Medicine; 2 Division of Pharmaceutics, College of Pharmacy; 3 Division of Pulmonary Medicine, Department of Medicine, College of Medicine; 4 Department of Veterinary Biosciences; 5 Center for Biostatistics, the Ohio State University, Columbus; and 6 Trubion Pharmaceuticals, Seattle, WA

CD37 is a lineage-specific B-cell antigen that to date has been neglected as an attractive therapeutic target. To exploit this, novel CD37-specific small modular immunopharmaceuticals (CD37-SMIP) that include variable regions linked to modified human IgG1 hinge, CH2, and CH3 domains were designed. The lead CD37-SMIP molecule induces potent apoptosis in the presence of a cross-linker, and antibody-dependent cellular cytotoxicity against B-cell leukemia/lymphoma cell lines and primary chronic lymphocytic leukemia (CLL) cells superior to therapeutic antibodies used in these diseases. The CD37-SMIP–dependent ADCC function in vitro was mediated by natural killer (NK) cells but not naive or activated monocytes. Significant in vivo therapeutic efficacy was demonstrated in a SCID mouse xenograft leukemia/lymphoma model. Depletion of NK cells in this mouse model resulted in diminished efficacy further supported the in vivo importance of NK cells in SMIP therapy. These findings provide strong justification for CD37 as a therapeutic target and introduce small modular immunopharmaceuticals as a novel class of targeted therapies for B-cell malignancies.


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Related Article in Blood Online:

Immunotherapy of B-cell malignancies: first MABs, now SMIPs
Richard R. Furman and John P. Leonard
Blood 2007 110: 2218. [Full Text] [PDF]



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