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在携带Raji伯基特淋巴瘤异种移植瘤的裸鼠中使用未标记和131I标记的全B细胞单克隆抗体进行治疗。

Therapy with unlabeled and 131I-labeled pan-B-cell monoclonal antibodies in nude mice bearing Raji Burkitt's lymphoma xenografts.

作者信息

Buchsbaum D J, Wahl R L, Normolle D P, Kaminski M S

机构信息

Department of Radiation Oncology, University of Alabama, Birmingham 35233.

出版信息

Cancer Res. 1992 Dec 1;52(23):6476-81.

PMID:1423295
Abstract

Clinical trials of radioimmunotherapy (RIT) of lymphoma have produced frequent tumor regressions and remissions, but it has been difficult to determine to what extent these tumor responses have been due to antibody-specific targeted radiation, nontargeted radiation, and/or cytotoxicity mediated by the carrier monoclonal antibody (MoAb). In this report, RIT was studied in athymic nude mice bearing s.c. Raji human Burkitt's lymphoma xenografts using two different pan-B-cell MoAbs, MB-1 (anti-CD37) and anti-B1 (anti-CD20), which differ in isotype (and thus the potential for interaction with host effector mechanisms) and isotype-matched control antibodies either in the unlabeled state or labeled with 131I. When a single i.p. injection of 300 microCi 131I-labeled MB-1 (IgG1) was compared to treatment with unlabeled MB-1 or 300 microCi 131I-labeled MYS control IgG1 MoAb, an antibody-specific targeted radiation effect of RIT was seen. 131I-labeled MB-1 produced a 44 +/- 19% (SEM) reduction in tumor size at 3 weeks posttreatment, while unlabeled MB-1 or 300 microCi 131I-labeled MYS control IgG1 antibody treatment resulted in continued tumor growth over this period of time. In vitro studies demonstrated that MB-1 was incapable of mediating antibody-dependent cellular cytotoxicity using Raji tumor cell targets and human peripheral blood mononuclear cells. Similar to the MB-1 studies, treatment with 300 microCi 131I-labeled anti-B1 produced a 64% reduction in mean tumor size, while 300 microCi of control antibody resulted in a 58% increase in tumor size over the same 3-week period. In contrast to MB-1, however, unlabeled anti-B1 (an IgG2a MoAb which in vitro studies showed to be capable of antibody-dependent cellular cytotoxicity) also had a substantial antitumor effect. Indeed, 300 microCi 131I-labeled anti-B1 and unlabeled anti-B1 treatment (using an equivalent amount of total protein in the treatment dose) produced a similar specific reduction in tumor size. Increasing the radionuclide dose of anti-B1 to 450 microCi in another experiment did not produce a significant difference in tumor regression compared to a 300-microCi dose. These results suggest that the antitumor effects of 131I-labeled anti-B1 treatment were dominated by antibody-mediated cytotoxicity mechanisms, such that an antibody-specific targeted radiation effect could not be distinguished. In contrast, antibody-specific targeting of radiation was the dominant mechanism of tumor killing with 131I-labeled MB-1.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

淋巴瘤放射免疫疗法(RIT)的临床试验已频繁产生肿瘤消退和缓解,但很难确定这些肿瘤反应在多大程度上归因于抗体特异性靶向辐射、非靶向辐射和/或由载体单克隆抗体(MoAb)介导的细胞毒性。在本报告中,使用两种不同的泛B细胞MoAb,即MB-1(抗CD37)和抗B1(抗CD20),在携带皮下接种的Raji人伯基特淋巴瘤异种移植物的无胸腺裸鼠中研究了RIT。这两种MoAb的同种型不同(因此与宿主效应机制相互作用的潜力也不同),并且使用未标记状态或用131I标记的同种型匹配对照抗体。当将单次腹腔注射300微居里131I标记的MB-1(IgG1)与用未标记的MB-1或300微居里131I标记的MYS对照IgG1 MoAb治疗进行比较时,观察到了RIT的抗体特异性靶向辐射效应。131I标记的MB-1在治疗后3周使肿瘤大小减少了44±19%(标准误),而未标记的MB-1或300微居里131I标记的MYS对照IgG1抗体治疗在此期间导致肿瘤持续生长。体外研究表明,MB-1使用Raji肿瘤细胞靶标和人外周血单核细胞无法介导抗体依赖性细胞毒性。与MB-1研究相似,用300微居里131I标记的抗B1治疗使平均肿瘤大小减少了64%,而300微居里的对照抗体在相同的3周期间使肿瘤大小增加了58%。然而,与MB-1不同,未标记的抗B1(一种IgG2a MoAb,体外研究表明其能够介导抗体依赖性细胞毒性)也具有显著的抗肿瘤作用。实际上,300微居里131I标记的抗B1和未标记的抗B1治疗(在治疗剂量中使用等量的总蛋白)使肿瘤大小产生了相似的特异性减少。在另一项实验中,将抗B1的放射性核素剂量增加到450微居里,与300微居里剂量相比,肿瘤消退没有显著差异。这些结果表明,131I标记的抗B1治疗的抗肿瘤作用主要由抗体介导的细胞毒性机制主导,以至于无法区分抗体特异性靶向辐射效应。相比之下,131I标记的MB-1对肿瘤杀伤的主要机制是抗体特异性靶向辐射。(摘要截短至400字)

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