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Blood, 1 July 2004, Vol. 104, No. 1, pp. 178-183.
Prepublished online as a Blood First Edition Paper on March 4, 2004; DOI 10.1182/blood-2003-12-4255.

Submitted December 18, 2003
Accepted February 24, 2004
An anti-CD19 antibody inhibits the interaction between P-glycoprotein (P-gp) and CD19, causes P-gp to translocate out of lipid rafts, and chemosensitizes a multidrug-resistant (MDR) lymphoma cell line
Maria-Ana Ghetie, Radu Marches, Stephanie Kufert, and Ellen S Vitetta*
Cancer Immunobiology Center, UT Southwestern Medical Center, Dallas, TX, USA
* Corresponding author; email: ellen.vitetta{at}utsouthwestern.edu.
We have previously demonstrated that an anti-CD19 monoclonal antibody (MAb) (HD37) inhibits the function of the P-glycoprotein (P-gp) pump in a multidrug resistant (MDR) B-lymphoma cell line, Namalwa/MDR1, and that this effect is not due to the recognition of a cross-reactive epitope on P-gp. In this study, we have used the same cell line to define the mechanisms responsible for the effect of HD37 on the P-gp pump. Using fluorescence resonance energy transfer (FRET), we show that CD19 and P-gp are constitutively associated in cells. In the absence of treatment with anti-CD19, 40% of P-gp molecules expressed by Namalwa/MDR1 cells reside in the low-density lipid (i.e. cholesterol-rich) microdomains (lipid rafts). Following treatment of the cells with HD37 and disruption of the interactions between P-gp and CD19, P-gp translocated out of lipid rafts and CD19 translocated into lipid rafts. The effect of chemosensitization on Namalwa/MDR1 cells was specific for CD19; an anti-CD22 MAb had no such effect although the cells express CD22. These results suggest that anti-CD19 might chemosensitize P-gp+ cells by interfering with interactions between CD19 and P-gp, rapidly resulting in the translocation of P-gp into a compartment on the plasma membrane where it is no longer active.

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