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用于治疗豚鼠L2C B细胞白血病的全蓖麻毒素和重组蓖麻毒素A链独特型特异性免疫毒素。

Whole ricin and recombinant ricin A chain idiotype-specific immunotoxins for therapy of the guinea pig L2C B cell leukemia.

作者信息

Gregg E O, Bridges S H, Youle R J, Longo D L, Houston L L, Glennie M J, Stevenson F K, Green I

出版信息

J Immunol. 1987 Jun 15;138(12):4502-8.

PMID:3495593
Abstract

The therapeutic efficacy of whole ricin, or recombinant ricin A chain, coupled to a monoclonal antibody that reacts with the idiotype of the surface IgM expressed on guinea pig L2C lymphoblasts, was assessed. In vitro studies were done to characterize the immunotoxins (IT) and to demonstrate their specificity before use in vivo. The concentration of whole ricin IT (M6-Ricin) that inhibited protein synthesis by 50% (IC50) in L2C cells was 1.4 X 10(-9) M, in a 5-hr assay, in the presence of lactose to block non-antibody-directed toxicity. M6-Ricin did not inhibit protein synthesis in two control guinea pig cell lines that did not express the idiotype, nor did a whole ricin IT prepared with an isotype-matched monoclonal antibody of irrelevant specificity inhibit protein synthesis in L2C cells. Two recombinant ricin A chain IT, which differed from one another by a factor of 2 to 3 in the number of A chains conjugated per antibody molecule, were less effective in vitro than M6-Ricin (IC50 of greater than 5 X 10(-8) M). For in vivo experiments, the IT were given by the i.p. route 24 hr after the i.p. inoculation of 1 X 10(5) L2C cells. The highest doses of M6-Ricin and M6-Ricin A chain IT tested, 30 micrograms/kg and 3000 micrograms/kg, respectively, were within fourfold to fivefold of their maximum tolerated doses; no deaths or ill effects due to ricin toxicity were noted. These doses increased the median survival time of L2C-bearing guinea pigs to 31 to 34 days, compared with 15 days for untreated animals. This magnitude of increase in survival indicates that 99.999% (5 logs) of injected tumor cells were eliminated, thus accounting for the 12% long-term survival rate obtained. Median survival times for guinea pigs treated with 30 micrograms/kg of the A chain IT were 18 and 21 days for the two conjugates tested, and the median survival for guinea pigs treated with 3000 micrograms/kg of unconjugated antibody was 18 days. Our data demonstrate that recombinant A chain IT are active in vivo and that the B chain of ricin can potentiate IT activity in vivo. Although the potency differs by 100-fold, the therapeutic index of the intact ricin IT is similar to that of the ricin A chain IT.

摘要

评估了与一种单克隆抗体偶联的完整蓖麻毒素或重组蓖麻毒素A链的治疗效果,该单克隆抗体可与豚鼠L2C淋巴母细胞表面表达的IgM独特型发生反应。在体外研究中对免疫毒素(IT)进行了特性鉴定,并在体内使用前证明了它们的特异性。在存在乳糖以阻断非抗体导向毒性的情况下,在5小时的试验中,抑制L2C细胞中蛋白质合成50%(IC50)的完整蓖麻毒素IT(M6 - 蓖麻毒素)浓度为1.4×10⁻⁹ M。M6 - 蓖麻毒素在两种不表达独特型的对照豚鼠细胞系中不抑制蛋白质合成,用具有不相关特异性的同型匹配单克隆抗体制备的完整蓖麻毒素IT在L2C细胞中也不抑制蛋白质合成。两种重组蓖麻毒素A链IT,每个抗体分子结合的A链数量相差2至3倍,在体外比M6 - 蓖麻毒素效果差(IC50大于5×10⁻⁸ M)。对于体内实验,在腹腔接种1×10⁵个L2C细胞后24小时,通过腹腔途径给予IT。测试的M6 - 蓖麻毒素和M6 - 蓖麻毒素A链IT的最高剂量分别为30微克/千克和3000微克/千克,在其最大耐受剂量的四至五倍范围内;未观察到因蓖麻毒素毒性导致的死亡或不良影响。这些剂量将携带L2C的豚鼠的中位生存时间延长至31至34天,而未治疗动物为15天。这种生存时间的增加幅度表明,99.999%(5个对数)的注射肿瘤细胞被清除,从而解释了所获得的12%的长期生存率。用30微克/千克的A链IT治疗的豚鼠,两种偶联物测试的中位生存时间分别为18天和21天,用3000微克/千克未偶联抗体治疗的豚鼠的中位生存时间为18天。我们的数据表明重组A链IT在体内具有活性,并且蓖麻毒素的B链可在体内增强IT活性。尽管效力相差100倍,但完整蓖麻毒素IT的治疗指数与蓖麻毒素A链IT相似。

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