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Blood, 15 May 2004, Vol. 103, No. 10, pp. 3982-3985.
Prepublished online as a Blood First Edition Paper on February 5, 2004; DOI 10.1182/blood-2003-05-1735.

Submitted May 30, 2003
Accepted January 22, 2004
A chimeric CD19 antibody mediates cytotoxic activity against leukemic blasts with effectors from pediatric patients transplanted with T cell depleted allografts
Peter Lang*, Karin Barbin, Tobias Feuchtinger, Johan Greil, Matthias Peipp, Susan J Zunino, Matthias Pfeiffer, Rupert Handgretinger, Dietrich Niethammer, and Georg H Fey
Pediatric Oncology, University Children's Hospital, Tuebingen, Germany
Chair of Genetics, University of Erlangen-Nuremberg, Erlangen, Germany
Stem Cell Transplantation Unit, St Jude Children's Research Hospital, Memphis, TN, USA
* Corresponding author; email: prlang{at}med.uni-tuebingen.de.
Relapse is a major problem after transplantation in children with acute B-lineage leukemias, and new therapies are needed to increase graft versus leukemia effects (GvL) without inducing graft versus host disease (GvHD). Here we studied the ability of effector cells recovered from patients transplanted with positive selected stem cells from alternative donors to induce antibody dependent cellular cytotoxicity (ADCC). For this purpose, a chimeric CD19 antibody, CD19-4G7chim, was generated. This antibody efficiently mediated ADCC against primary ALL blasts using purified NK cells from healthy donors or mononuclear cells from transplanted patients as effector cells. Increased lysis was obtained after stimulation of effector cells with interleukin-2 (IL-2). ADCC was not prevented by inhibitory effects mediated by HLA class I. We propose that treatment with chimeric CD19 antibodies leading to ADCC by donor-derived NK cells may become a therapeutic option for the post-transplantation treatment of minimal residual B-lineage ALLs.

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