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Blood, 1 February 2006, Vol. 107, No. 3, pp. 1070-1077.
Prepublished online as a Blood First Edition Paper on October 13, 2005; DOI 10.1182/blood-2005-04-1769.
Previous Article | Next Article 
Submitted May 2, 2005
Accepted September 28, 2005
Generation of biologically active linear and cyclic peptides has revealed a unique fine specificity of rituximab and its possible cross-reactivity with acid sphingomyelinase-like phosphodiesterase 3B precursor
Federico Perosa*, Elvira Favoino, Maria A Caragnano, and Franco Dammacco
Department of Internal Medicine and Clinical Oncology (DIMO), University of Bari Medical School, Bari, Italy
* Corresponding author; email: f.perosa{at}dimo.uniba.it.
Heterogeneity of the effector functions displayed by Rituximab and other anti-CD20 mAbs apparently recognizing the same CD20-epitope suggests that additional mechanisms, probably related to mAb fine specificity, are responsible for B cell depletion. To improve our understanding of Rituximab's function, its fine specificity was investigated by means of phage display peptide library (PDPL) expressing 7-mer cyclic (c7c) or 7-/12-mer linear peptides. Rituximab-specific c7c PDPL-derived clone insert sequences expressed the motif A(S)NPS, overlapping the human CD20 170ANPS173. P172 was the most critical for Rituximab-binding, since its replacement with S172 (of mouse CD20) abolished the reactivity. The WPXWLE-motif expressed by the linear PDPL-derived clone insert sequences could only be aligned to the reverse-oriented 161WPXWLE156 of acid sphingomyelinase-like phosphodiesterase-3b precursor (ASMLPD), though linear peptides bearing WPXWLE competed with cyclic ones for Rituximab-paratope binding. Anti-CD20 mAb 1F5 only displayed a reactivity profile similar to that of Rituximab, which also reacted with ASMLPD-derived peptides. Peptides induced antibodies with specificity and effector functions similar to those of Rituximab. Our results show a unique fine specificity of Rituximab, define the molecular basis for the lack of Rituximab reactivity with mCD20 and the potential of targeting CD20 in an active immunotherapy setting. A possible Rituximab interaction with ASMLPD is suggested.

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