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Blood, 15 September 2006, Vol. 108, No. 6, pp. 1794-1795.

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InsideBlood

IMMUNOBIOLOGY

Comment on Binder et al, page 1975

Small mimotopes are big in identifying B-cell epitopes

Erika Jensen-Jarolim, and Angelika B. Riemer

MEDICAL UNIVERSITY OF VIENNA

The exact binding site of rituximab on CD20 has not yet been revealed. In this issue of Blood, Binder and colleagues demonstrate that the binding site is a discontinuous epitope, which they identified by applying mimotope technology.

Since its approval for the treatment of B-cell lymphoma in 1997, the monoclonal antibody rituximab (Rituxan; Genentech, South San Francisco, CA/MabThera; Roche, Basel, Switzerland) is widely applied. Its effector mechanisms include in vivo ablation of malignant B cells via classical antibody- and complement-dependent cytotoxicity and sensitization to chemotherapy. Moreover, induction of apoptosis through CD20 cross-linking contributes to rituximab function.1Go


Figure 1
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Rituximab binds to a discontinuous epitope within the extracellular domain of CD20. See the complete figure in the article beginning on page 1975.

 
Although CD20 was first described in 1980, little is known about the rituximab-binding site on its target molecule. Biophysical and structural studies of CD20 were performed only recently, rendering a topologic model. CD20 is a transmembrane protein, with an extracellular region that comprises 47 amino acid residues. The tertiary structure of this extracellular loop is determined by a disulfide bond between C(167) and C(183). Disruption of this bond leads to loss of rituximab binding, indicating the recognition of a conformational epitope.2 Earlier mutation experiments indicated that the sequence AxP at positions 170 to 172 in human CD20 is critical to determining the structure of the extracellular loop and the fine specificity of anti-CD2 0antibodies.3

Mimotopes are small peptides that mimic natural B-cell epitopes structurally. A mimotope is identified by screening a random peptide phage display library with an antibody of interest. The mimotope peptide sequence sometimes differs from the original antigen sequence, because mimotopes mimic not only linear epitopes, but also conformational ones.4 Mimotopes are thus potent tools for gathering information about most B-cell epitopes.5 In this issue of Blood, Binder and colleagues generated such peptide mimics for the epitope recognized by rituximab. Only one mimotope displayed sequence homology to the 170 to 172 string. Other rituximab mimotopes shared a consensus motif between them that was not homologous to CD20. Therefore, the authors translated the aromatic and polar amino acids in the consensus motif into homologous amino acids with higher impact in antigen-antibody interactions, namely tyrosine and serine. The resulting sequence showed homology to a second section of CD20 (ie, between amino acids 182 and 186). Importantly, in the tertiary structure of CD20, both sections are brought in contact by the disulfide bond. To prove that these 2 regions together form one epitope, the authors designed a peptide that combines these 2 motifs. The recognition of this construct by rituximab was indeed substantially higher than that of either motif alone. The authors further strengthened their finding by strategically mutating the 2 identified regions of CD20, thereby reducing rituximab-binding affinity. On the structural model of CD20,2 the rituximab epitope was localized in proximity to the disulfide bond, near the plasma membrane (see figure).

What can we learn from these experiments? Even conformational B-cell epitopes that escape identification via linear peptide screens can be identified and characterized from studies with mimotopes. These epitope equivalents can further be exploited for active, epitope-specific vaccination against discontinuous epitopes.6 Knowledge of an epitope in the structural context can help to fully understand antibody effects. For example, the growth inhibitory function of the anti–epidermal growth factor receptor (EGFR) antibody cetuximab has been explained by the antibody's ability to sterically prevent the receptor from adopting the extended, active conformation.7 The identification of the rituximab epitope should trigger further studies, ultimately explaining why rituximab has such a profound effect on B-cell life. {blacksquare}

References

  1. Ghetie M-A, Bright H, Vitetta ES. Homodimers but not monomers of Rituxan (chimeric anti-CD20) induce apoptosis in human B-lymphoma cells and synergize with a chemotherapeutic agent and an immunotoxin. Blood. 2001;97: 1392-1398.[Abstract/Free Full Text]

  2. Ernst JA, Li H, Kim HS, Nakamura GR, Yansura DG, Vandlen RL. Isolation and characterization of the B-cell marker CD20. Biochemistry. 2005;44: 15150-15158.[CrossRef][Medline] [Order article via Infotrieve]

  3. Polyak MJ, Deans JP. Alanine-170 and proline-172 are critical determinants for extracellular CD20 epitopes; heterogeneity in the fine specificity of CD20 monoclonal antibodies is defined by additional requirements imposed by both amino acid sequence and quaternary structure. Blood. 2002;99: 3256-3262.[Abstract/Free Full Text]

  4. Felici F, Luzzago A, Folgori A, Cortese R. Mimicking of discontinuous epitopes by phage-displayed peptides, II: selection of clones recognized by a protective monoclonal antibody against the Bordetella pertussis toxin from phage peptide libraries. Gene. 1993;128: 21-27.[CrossRef][Medline] [Order article via Infotrieve]

  5. Riemer AB, Kraml G, Scheiner O, Zielinski CC, Jensen-Jarolim E. Matching of trastuzumab (Herceptin®) epitope mimics onto the surface of Her-2/neu: a new method of epitope definition. Mol Immunol. 2005;42: 1121-1124.[CrossRef][Medline] [Order article via Infotrieve]

  6. Riemer AB, Klinger M, Wagner S, et al. Generation of peptide mimics of the epitope recognized by trastuzumab on the oncogenic protein Her-2/neu. J Immunol. 2004;173: 394-401.[Abstract/Free Full Text]

  7. Li S, Schmitz KR, Jeffrey PD, Wiltzius JJW, Kussie P, Ferguson KM. Structural basis for inhibition of the epidermal growth factor receptor by cetuximab. Cancer Cell. 2005;7: 301-311.[CrossRef][Medline] [Order article via Infotrieve]


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Related Article in Blood Online:

The epitope recognized by rituximab
Mascha Binder, Florian Otto, Roland Mertelsmann, Hendrik Veelken, and Martin Trepel
Blood 2006 108: 1975-1978. [Abstract] [Full Text] [PDF]




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