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Prepublished online as a Blood First Edition Paper on January 2, 2003; DOI 10.1182/blood-2002-08-2629.
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Blood, 1 May 2003, Vol. 101, No. 9, pp. 3641-3647
NEOPLASIA
Anti-CD22 ligand-blocking antibody HB22.7 has
independent lymphomacidal properties and augments the efficacy of
90Y-DOTA-peptide-Lym-1 in lymphoma xenografts
Joseph M. Tuscano,
Robert T. O'Donnell,
Laird A. Miers,
Linda A. Kroger,
David L. Kukis,
Kathleen R. Lamborn,
Thomas F. Tedder, and
Gerald L. DeNardo
From the Department of Internal Medicine, University of
California, Davis Medical Center, Sacramento; Veterans Administration
of Northern California Health Care System; Duke University Medical
Center, Durham, NC; and Brain Tumor Research Center, University
of California, San Francisco.
CD22 is a membrane glycophosphoprotein found on nearly all
healthy B-lymphocytes and most B-cell lymphomas. Recent in vitro studies have identified several anti-CD22 monoclonal antibodies (mAbs)
that block the interaction of CD22 with its ligand. One of these mAbs,
HB22.7, has been shown to effectively induce apoptosis in several
B-cell lymphoma cell lines. Lymphoma xenograft studies with
Raji-xenograft mice were used to assess the toxicity and efficacy of
HB22.7 alone and with combined modality immunotherapy (CMIT) with
yttrium 90Y-DOTA-peptide-Lym-1 radioimmunotherapy (RIT).
The effect of the sequence of these agents on the combined treatment
was assessed by administering HB22.7 24 hours before, simultaneously
with, or 24 hours after RIT. Within the groups treated with RIT alone or with RIT and HB22.7 (CMIT), the reduction in tumor volume was the
greatest when HB22.7 was administered simultaneously with and 24 hours
after RIT, and in the RIT treatment groups, this translated into the
greatest overall response and survival, respectively. Overall survival
rates at the end of the 84-day CMIT trial were 67% and 50% in the
groups treated with HB22.7 simultaneously and 24 hours after RIT,
respectively. This compared favorably with the untreated and the RIT
alone groups, which had survival rates of 38% and 43% at the end of
the trial. Surprisingly, when compared with untreated controls and all
other treatment groups, the greatest cure and overall survival rates
were observed in the group treated with HB22.7 alone, with 47% cured
and 76% surviving at the end of the 84-day trial. RIT clearance was
not affected by treatment with HB22.7. When compared with RIT alone,
there was no significant additional hematologic (white blood cell, red
blood cell, or platelet count) toxicity when HB22.7 was added to RIT.
Nonhematologic toxicity (assessed as change in body weight) was also
unchanged when HB22.7 was added to RIT. Thus the anti-CD22
ligand-blocking antibody HB22.7 has independent lymphomacidal
properties and augments the efficacy of
90Y-DOTA-peptide-Lym-1 in lymphoma xenografts without
significant toxicity.

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