利妥昔单抗联合免疫细胞因子L19-IL2完全根除人B细胞淋巴瘤异种移植瘤
Complete eradication of human B-cell lymphoma xenografts using rituximab in combination with the immunocytokine L19-IL2.
作者信息
Schliemann Christoph, Palumbo Alessandro, Zuberbühler Kathrin, Villa Alessandra, Kaspar Manuela, Trachsel Eveline, Klapper Wolfram, Menssen Hans Dietrich, Neri Dario
机构信息
Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology Zürich, Zürich, Switzerland.
出版信息
Blood. 2009 Mar 5;113(10):2275-83. doi: 10.1182/blood-2008-05-160747. Epub 2008 Nov 12.
The antibody-mediated delivery of therapeutic agents to sites of angiogenesis is an attractive strategy for anticancer 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 lymphoma (NHL) and that the human monoclonal anti-EDB antibody L19 can selectively localize to the lymphoma-associated subendothelial 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 antilymphoma activity compared with unconjugated IL-2 in localized and systemic xenograft models of NHL. When coadministered 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.
通过抗体介导将治疗剂递送至血管生成部位是一种有吸引力的抗癌治疗策略,但在血液系统恶性肿瘤中尚未得到充分探索。在本研究中,我们发现血管生成标志物纤连蛋白的额外结构域B(EDB)在B细胞非霍奇金淋巴瘤(NHL)中表达,并且人源单克隆抗EDB抗体L19可以选择性地定位于淋巴瘤相关的内皮下细胞外基质。在体内,通过放射性碘标记抗体制剂的定量生物分布分析证实了抗体在肿瘤部位的优先积累。在NHL的局部和全身异种移植模型中,介导白细胞介素-2(IL-2)递送至新生血管的融合蛋白L19-IL2与未结合的IL-2相比,显示出更高的抗淋巴瘤活性。当与利妥昔单抗联合使用时,L19-IL2可诱导已建立的局部淋巴瘤完全缓解,并提供对播散性淋巴瘤的长期保护。利妥昔单抗和L19-IL2的联合使用可显著增加淋巴瘤中免疫效应细胞的浸润,鉴于L19-IL2目前正在实体瘤患者中进行II期临床试验,这一联合疗法可能值得进行临床研究。