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C Gidlof, M Dohlsten, P Lando, T Kalland, C Sundstrom and TH Totterman
Department of Clinical Immunology, University Hospital, Uppsala, Sweden.
The bacterial superantigen staphylococcal enterotoxin A (SEA) is an
efficient activator of cytotoxic T cells when presented on major
histocompatibility complex (MHC) class II molecules of target cells. Our
previous studies showed that such SEA-directed T cells efficiently lysed
chronic B-lymphocytic leukemia (B-CLL) cells. Next, we made a mutated
SEA-protein A (SEAm-PA) fusion protein with more than 1,000- fold reduced
binding affinity for MHC class II compared with native SEA. The fusion
protein was successfully used to direct T cells to B- CLL cells coated with
different B lineage-directed monoclonal antibodies (MoAbs). In this
communication, we constructed a recombinant anti-CD19-Fab-SEAm fusion
protein. The MHC class II binding capacity of the SEA part was drastically
reduced by a D227A point mutation, whereas the T-cell activation properties
were retained. The Fab part of the fusion protein displayed a binding
affinity for CD19+ cells in the nanomolar range. The anti-CD19-Fab-SEAm
molecule mediated effective, specific, rapid, and perforin-like T-cell
lysis of B-CLL cells at low effector to target cell ratios. Normal CD19+ B
cells were sensitive to lysis, whereas CD34+ progenitor cells and
monocytes/macrophages were resistant. A panel of CD19+ B-cell lines
representing different B-cell developmental stages were efficiently lysed,
and the sensitivity correlated with surface ICAM-1 expression. The
anti-CD19-Fab-SEAm fusion protein mediated highly effective killing of
tumor biopsy cells representing several types of B-cell non-Hodgkin's
lymphoma (B-NHL). Humanized severe combined immune deficiency (SCID) mice
carrying Daudi lymphoma cells were used as an in vivo therapy model for
evaluation of the anti-CD19-Fab-SEAm fusion protein. Greater than 90%
reduction in tumor weight was recorded in anti-CD19-Fab-SEAm-treated
animals compared with control animals receiving an irrelevant Fab-SEAm
fusion protein. The present results indicate that MoAb-targeted
superantigens (SAgs) may represent a promising approach for T-cell-based
therapy of CD19+ B-cell malignancies.
This article has been cited by other articles:
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| Copyright © 1997 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||