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Prepublished online as a Blood First Edition Paper on September 19, 2002; DOI 10.1182/blood-2002-06-1761.
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Blood, 1 February 2003, Vol. 101, No. 3, pp. 1045-1052
IMMUNOBIOLOGY
Complement-mediated lysis by anti-CD20 mAb correlates with
segregation into lipid rafts
Mark S. Cragg,
Suzanne M. Morgan,
H. T. Claude Chan,
B. Paul Morgan,
A. V. Filatov,
Peter W. M. Johnson,
Ruth R. French, and
Martin J. Glennie
From the Tenovus Research Laboratory and Medical
Oncology, Cancer Sciences Division, School of Medicine, General
Hospital, Southampton, United Kingdom; University of Wales, Department
of Medical Biochemistry, College of Medicine, Heath Park, Cardiff,
United Kingdom; Institute of Immunology Kashirskoye Shosse, Moscow,
Russia.
Despite the clinical success of anti-CD20 monoclonal antibody
(mAb) in the treatment of lymphoma, there remains considerable uncertainty about its mechanism of action. Here we show that the ability of mAbs to translocate CD20 into low-density,
detergent-insoluble membrane rafts appears to control how effectively
they mediate complement lysis of lymphoma cells. In vitro studies using
a panel of anti-B-cell mAbs revealed that the anti-CD20 mAbs, with one exception (B1), are unusually effective at recruiting human complement. Differences in complement recruitment could not be explained by the
level of mAb binding or isotype but did correlate with the redistribution of CD20 in the cell membrane following mAb ligation. Membrane fractionation confirmed that B1, unlike 1F5 and rituximab, was
unable to translocate CD20 into lipid rafts. In addition, we were able
to drive B1 and a range of other anti-B-cell mAbs into a
detergent-insoluble fraction of the cell by hyper-cross-linking with
an F(ab')2 anti-Ig Ab, a treatment that also conferred the ability to activate lytic complement. Thus, we have shown that an
important mAb effector function appears to be controlled by movement of
the target molecule into membrane rafts, either because a raft location
favors complement activation by mAbs or because rafts are more
sensitive to complement penetration.

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