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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2390-2399. Prepublished online as a Blood First Edition Paper on June 19, 2008; DOI 10.1182/blood-2008-03-144600.
Submitted March 11, 2008
Division of Stem Cell Trans-plantation and Immunotherapy, Christian-Albrechts-University Kiel, Kiel, Germany * Corresponding author; email: valerius{at}nephro.uni-kiel.de.
Glycosylation of the antibody Fc fragment is essential for Fc receptor-mediated activity. Carbohydrate heterogeneity is known to modulate the activity of effector cells in the blood, in which fucosylation particularly affects NK-cell mediated killing. Here, we investigated how the glycosylation profile of 2F8, a human IgG1 monoclonal antibody (mAb) against EGF-R in clinical development, impacted effector function. Various 2F8 batches differing in fucosylation, galactosylation and sialylation of the complex-type oligosaccharides in the Fc fragment were investigated. Our results confirmed that low fucose levels enhance MNC-mediated ADCC. In contrast, PMN were found to preferentially kill via high-fucosylated antibody. Whole blood ADCC assays, containing both types of effector cells, revealed little differences in tumor cell killing between both batches. Significantly, however, high-fucose antibody induced superior ADCC in blood from G-CSF-primed donors containing higher numbers of activated PMN. In conclusion, our data demonstrated for the first time that lack of fucose does not generally increase the ADCC activity of therapeutic antibodies, and that the impact of Fc glycosylation on ADCC is critically dependent on the recruited effector cell type.
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