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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1838-1845.
Prepublished online as a Blood First Edition Paper on October 30, 2003; DOI 10.1182/blood-2003-07-2440.


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Submitted July 18, 2003
Accepted October 16, 2003

A neutralizing monoclonal antibody (mAb A24) directed against the transferrin receptor induces apoptosis of tumor T lymphocytes from ATL patients

Ivan C Moura, Yves Lepelletier, Bertrand Arnulf, Patrick England, Cedric Baude, Carole Beaumont, Ali Bazarbachi, Marc Benhamou, Renato C Monteiro, and Olivier Hermine*

Department of Immunopathology, Bichat Medical School, Inserm E0225, Paris, France
Department of Immunohematology, Necker Hospital, CNRS FRE-2444, Paris, France
Plateforme de Biophysique des Macromolecules et de leurs Interactions, Pasteur Institute, Paris, France
Bichat Medical School, Inserm U409, Paris, France
Departments of Internal Medicine and Biochemistry, American University of Beirut, Beirut, Lebanon

* Corresponding author; email: hermine{at}necker.fr.

ATL (adult T-cell leukemia/lymphoma) is an aggressive lymphoid proliferative disease that exists under diverse clinical forms ranging from chronic to acute. Although leukemic cells from ATL patients exhibit an intrinsic resistance to chemotherapy, monoclonal antibodies directed against CD25 (IL-2R{alpha}-Ab) have been used as specific therapeutic agents. However, significant clinical results with these Abs have been demonstrated only in chronic forms of ATL. In contrast to resting T cells, HTLV-I-infected cells constitutively express high levels of surface transferrin receptor (TfR). Herein, we report the characterization of a new monoclonal antibody (mAb A24), directed against the human TfR, and the evaluation of its capacity to block the proliferation of ATL cells ex vivo. We determined that A24 binds TfR with a Kd of 2.7 nM, and competes with transferrin for binding to TfR. A24 also inhibited [55Fe]-transferrin uptake in activated T cells and blocked T cell proliferation. Moreover, A24 reduced and impaired TfR expression and recycling, respectively. Most importantly, we showed that A24 blocked the ex vivo proliferation of malignant T cells from both acute and chronic forms of ATL, through induction of programmed cell death. Therefore efficient therapeutic tools to treat acute forms of ATL might be derived from A24.


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