Bernhard H, Roth S, Bauerschmitz J, Meyer zum Büschenfelde K H, Dippold W
I. Medizinische Klinik, Clinical Immunology, Johannes Gutenberg-Universität, Mainz, Germany.
Int J Cancer. 1992 Jun 19;51(4):568-72. doi: 10.1002/ijc.2910510411.
There is increasing evidence that cell-surface gangliosides play a role in tumor growth, progression and metastases. In order to determine the frequency of ganglioside GD3 in patients with metastatic malignant melanoma for further therapeutic trials, GD3 ganglioside expression was determined in 119 tissue samples. Of these melanomas, 93% (111/119) were R-24-positive, which indicates the value of this diagnostic marker for melanoma. To study the structural epitopes of gangliosides, 10 ganglioside antibodies with defined specificities and affinities were tested on over 100 fresh-frozen tissue specimens of human normal and melanoma tissues. All the antibodies tested recognize the ganglioside GD3, but vary in their cross-reactivity with other gangliosides. According to their epitope specificity, they can be divided into 5 groups. For example, the antibodies Z-21 and A-4 react like the previously established MAb R-24 with gangliosides GD3 and GQlb, and one MAb (Q-4) detects all gangliosides containing 2 connected sialic acids (GD3, GD2, GDlb, GTlb, GQlb). Specificity on TLC does not always correlate with specificity to melanoma tissues and vice-versa. For example, MAb A-4, which recognizes only GD3 and GQlb on TLC, shows no specific reactivity on tissues. Furthermore, antibodies with the same ganglioside specificity do not have the same staining pattern on human tissues. For example, MAb Z-21, which is directed against the same gangliosides as MAb R-24 on TLC, does not cross-react with as many neuroectodermal tissues as MAb R-24. Because of their distinct properties, some of these antibodies may be even more useful for immunodiagnosis and immunotherapy of malignant melanoma than MAb R-24.
越来越多的证据表明,细胞表面神经节苷脂在肿瘤生长、进展和转移中发挥作用。为了确定转移性恶性黑色素瘤患者中神经节苷脂GD3的频率,以便进行进一步的治疗试验,对119份组织样本中的GD3神经节苷脂表达进行了测定。在这些黑色素瘤中,93%(111/119)为R - 24阳性,这表明该诊断标志物对黑色素瘤的价值。为了研究神经节苷脂的结构表位,对100多个正常人和黑色素瘤组织的新鲜冷冻组织标本检测了10种具有明确特异性和亲和力的神经节苷脂抗体。所有检测的抗体都能识别神经节苷脂GD3,但与其他神经节苷脂的交叉反应性有所不同。根据它们的表位特异性,可分为5组。例如,抗体Z - 21和A - 4与先前建立的单克隆抗体R - 24一样,能与神经节苷脂GD3和GQlb反应,一种单克隆抗体(Q - 4)能检测所有含有2个相连唾液酸的神经节苷脂(GD3、GD2、GDlb、GTlb、GQlb)。薄层层析(TLC)上的特异性并不总是与对黑色素瘤组织的特异性相关,反之亦然。例如,在TLC上仅识别GD3和GQlb的单克隆抗体A - 4在组织上没有特异性反应。此外,具有相同神经节苷脂特异性的抗体在人体组织上并没有相同的染色模式。例如,在TLC上与单克隆抗体R - 24针对相同神经节苷脂的单克隆抗体Z - 21,与神经外胚层组织的交叉反应不如单克隆抗体R - 24多。由于它们具有独特的特性,这些抗体中的一些可能比单克隆抗体R - 24在恶性黑色素瘤的免疫诊断和免疫治疗中更有用。