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Blood, 15 October 2006, Vol. 108, No. 8, pp. 2745-2754. Prepublished online as a Blood First Edition Paper on June 27, 2006; DOI 10.1182/blood-2006-04-020263.
Submitted July 7, 2005
Department of Microbiology, Immunology & Molecular Genetics, University of California Los Angeles,CA * Corresponding author; email: penichet{at}microbio.ucla.edu.
We have previously reported that an anti-human
transferrin receptor IgG3-avidin fusion protein [anti-
hTfR-(IgG3-Av)] inhibits the proliferation of an
erythroleukemia cell line. We have now found that anti-
hTfR-(IgG3-Av) also inhibits the proliferation of
additional human malignant B and plasma cells. Anti-hTfR-
(IgG3-Av) induces internalization and rapid degradation
of the TfR. These events can be reproduced in cells
treated with anti-hTfR-IgG3 cross-linked with a
secondary Ab, suggesting that they result from increased
TfR cross-linking. Confocal microscopy of cells treated
with anti-hTfR-(IgG3-Av) shows that the TfR is directed
to an intracellular compartment expressing the lysosomal
marker LAMP-1. The degradation of TfR is partially
blocked by cysteine protease inhibitors. Furthermore,
cells treated with anti-hTfR-(IgG3-Av) exhibit
mitochondrial depolarization and activation of caspases
9, 8, and 3. The mitochondrial damage and cell death can
be prevented by iron supplementation, but cannot be
fully blocked by a pan-caspase inhibitor. These results
suggest that anti-hTfR-(IgG3-Av) induces lethal iron
deprivation, but the resulting cell death does not
solely depend on caspase activation. This report
provides insights into the mechanism of cell death
induced by anti-TfR Abs such as anti-hTfR-(IgG3-Av), a
molecule that may be useful in the treatment of B-cell
malignancies such as multiple myeloma.
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