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Blood, 22 October 2009, Vol. 114, No. 17, pp. 3615-3624. Prepublished online as a Blood First Edition Paper on August 18, 2009; DOI 10.1182/blood-2009-01-197822.
LYMPHOID NEOPLASIA Characterization of structurally defined epitopes recognized by monoclonal antibodies produced by chronic lymphocytic leukemia B cells1 The Feinstein Institute for Medical Research, North Shore-Long Island Jewish (LIJ) Health System, Manhasset, NY; 2 Department of Microbiology, Albert Einstein College of Medicine, Bronx, NY; 3 Department of Internal Medicine III, University of Ulm, Ulm, Germany; 4 Department of Medicine, Long Island Jewish Medical Center, North Shore-LIJ Health System, New Hyde Park, NY; 5 Department of Medicine, Albert Einstein College of Medicine, Bronx, NY; 6 Department of Medicine, North Shore University Hospital, North Shore-LIJ Health System, Manhasset, NY; and 7 Department of Medicine, New York University School of Medicine, New York, NY and Department of Cell Biology, Albert Einstein College of Medicine, Bronx, NY
Despite a wealth of information about the structure of surface membrane immunoglobulin (smIg) on chronic lymphocytic leukemia (CLL) cells, little is known about epitopes reacting with their binding sites. Probing phage-displayed peptide libraries, we identified and characterized mimetopes for Igs of 4 patients with IGHV mutated CLL (M-CLL) and 4 with IGHV unmutated CLL (U-CLL). Six of these mAbs were representatives of stereotyped B-cell receptors characteristic of CLL. We found that mimetic epitopes for U- and M-CLL Igs differed significantly. M-CLL–derived peptides exhibited better amino acid motifs, were more similar to each other, aligned more easily, and formed tighter clusters than U-CLL–derived peptides. Mono-, oligo-, and polyreactivity of peptides correlated with structural changes within antigen-binding sites of selecting M-CLL mAbs. Although M-CLL–isolated peptides and certain U-CLL mAbs bound more effectively to the selecting mAb, others were not as specific, reacting with M-CLL and U-CLL mAbs; these data suggest that in vivo structurally diverse epitopes could bind smIgs of distinct CLL clones, thereby altering survival and growth. Finally, an M-CLL–derived peptide inhibited, in a dose-dependent manner, binding of its homologous mAb to human B lymphocytes; therefore peptides that inhibit or alter the consequences of antigen-smIg interactions may represent therapeutic modalities in CLL.
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