Li Huafei, Zhang Ge, Jiang Cheng, Zhang Fulei, Ke Changhong, Zhao He, Sun Yun, Zhao Mengxin, Chen Di, Zhu Xiandi, Zhang Li, Li Bohua, Dai Jianxin, Li Wei
International Joint Cancer Institute, the Second Military Medical University, Shanghai, China.
State Key Laboratory of Antibody Medicine and Targeting Therapy and Shanghai Key Laboratory of Cell Engineering, Shanghai, China.
Oncotarget. 2015 Sep 15;6(27):24192-204. doi: 10.18632/oncotarget.4206.
Although the anti-CD20 antibody Rituximab has revolutionized the treatment of Non-Hodgkin Lymphoma (NHL), resistance to treatment still existed. Thus, strategies for suppressing Rituximab-resistant NHLs are urgently needed. Here, an anti-CD20 nanocluster (ACNC) is successfully constructed from its type I and type II mAb (Rituximab and 11B8). These distinct anti-CD20 mAbs are mass grafted to a short chain polymer (polyethylenimine). Compared with parental Rituximab and 11B8, the ACNC had a reduced "off-rate". Importantly, ACNC efficiently inhibited Rituximab-resistant lymphomas in both disseminated and localized human NHL xenograft models. Further results revealed that ACNC is significantly potent in inducing caspase-dependent apoptosis and lysosome-mediated programmed cell death (PCD). This may help explain why ACNC is effective in suppressing rituximab-resistant lymphoma while Rituximab and 11B8 are not. Additionally, ACNC experienced low clearance from peripheral blood and high intratumor accumulation. This improved pharmacokinetics is attributed to the antibody-antigen reaction (active targeting) and enhanced permeability and retention (ERP) effect (passive targeting). This study suggested that ACNC might be a promising therapeutic agent for treatment of rituximab-resistant lymphomas.
尽管抗CD20抗体利妥昔单抗彻底改变了非霍奇金淋巴瘤(NHL)的治疗方式,但治疗耐药性仍然存在。因此,迫切需要抑制利妥昔单抗耐药性NHL的策略。在此,一种抗CD20纳米簇(ACNC)由其I型和II型单克隆抗体(利妥昔单抗和11B8)成功构建而成。这些不同的抗CD20单克隆抗体被大量接枝到一种短链聚合物(聚乙烯亚胺)上。与亲本利妥昔单抗和11B8相比,ACNC的“解离速率”降低。重要的是,ACNC在弥漫性和局限性人类NHL异种移植模型中均能有效抑制利妥昔单抗耐药性淋巴瘤。进一步的结果表明,ACNC在诱导半胱天冬酶依赖性凋亡和溶酶体介导的程序性细胞死亡(PCD)方面具有显著效力。这可能有助于解释为什么ACNC在抑制利妥昔单抗耐药性淋巴瘤方面有效,而利妥昔单抗和11B8则无效。此外,ACNC在外周血中的清除率低,在肿瘤内的蓄积率高。这种改善的药代动力学归因于抗体-抗原反应(主动靶向)和增强的通透性和滞留(ERP)效应(被动靶向)。这项研究表明,ACNC可能是治疗利妥昔单抗耐药性淋巴瘤的一种有前景的治疗药物。