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Blood, 5 March 2009, Vol. 113, No. 10, pp. 2275-2283. Prepublished online as a Blood First Edition Paper on November 12, 2008; DOI 10.1182/blood-2008-05-160747.
Submitted May 30, 2008
Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology Zurich, Zurich, Switzerland * Corresponding author; email: neri{at}pharma.ethz.ch.
The antibody-mediated delivery of therapeutic agents to sites of angiogenesis is an attractive strategy for anti-cancer therapy, but is largely unexplored in hematologic malignancies. In the present study, we show that the extra domain B (EDB) of fibronectin, a marker of angiogenesis, is expressed in B-cell non-Hodgkin lymphomas (NHLs), and that the human monoclonal anti-EDB antibody L19 can selectively localize to the lymphoma-associated sub-endothelial extracellular matrix. In vivo, the preferential accumulation of the antibody at the tumor site was confirmed by quantitative biodistribution analyses with radioiodinated antibody preparations. The fusion protein L19-IL2, which mediates the delivery of interleukin-2 (IL-2) to the neovasculature, displayed a superior anti-lymphoma activity compared to unconjugated IL-2 in localized and systemic xenograft models of NHL. When co-administered with rituximab, L19-IL2 induced complete remissions of established localized lymphomas and provided long-lasting protection from disseminated lymphoma. The combined use of rituximab and L19-IL2, which dramatically increases the infiltration of immune effector cells in lymphomas, may deserve clinical investigations, facilitated by the fact that L19-IL2 is currently being studied in phase II clinical trials in patients with solid tumors.
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