Welt S, Carswell E A, Vogel C W, Oettgen H F, Old L J
Memorial Sloan-Kettering Cancer Center, New York, New York 10021.
Clin Immunol Immunopathol. 1987 Nov;45(2):214-29. doi: 10.1016/0090-1229(87)90036-5.
R24, an IgG3 mouse monoclonal antibody reactive with the disialoganglioside GD3, was found to be a potent mediator of human complement cytotoxicity and human effector cell cytotoxicity. Cytotoxicity correlated with the degree of antibody binding (GD3 cell surface expression) for each of the melanoma cell lines and melanocyte cell cultures tested. Melanoma cell lines binding low amounts of R24 (low GD3 cell surface expressors) were not lysed in R24-directed immune reactions, suggesting that a threshold number of R24 molecules bound per cell is necessary to initiate these cytotoxic mechanisms. Since both complement- and cell-mediated reactions lysed the same subpopulations of cells in each cell line, both mechanisms appeared to depend on similar threshold quantities of bound R24 molecules. However, due to the heterogeneity of R24 binding in each cell line, the numerical value for this threshold could not be determined. Only in cell lines binding greater than 10(7) R24 molecules per cell were greater than 90% of the cells lysed. Normal melanocytes in culture were not lysed by R24-directed immune mechanisms, due to their low GD3 expression, indicating that monoclonal antibodies such as R24 may show tumor specificity with regard to effector functions even though normal cells express the relevant antigen. In contrast to the potent in vitro activity of R24, treatment of nu/nu mice bearing human melanoma grafts resulted in tumor inhibition only when started within 3 days of tumor cell inoculation. No effect was seen on established tumors. Thus, this in vivo mouse model failed to predict the clinical and pathological findings observed in treatment trials of R24 in human melanoma patients--urticaria involving skin metastases, cellular infiltration of tumor tissue, and tumor regression. In addition to activating immunologic effector functions, R24 had direct effects on melanoma cells, blocking their ability to attach to surfaces and causing tumor cell aggregation. These effects were again related to the number of R24 molecules bound to the cell surface; no aggregation was seen with cell lines binding less than 4 X 10(5) molecules per cell. Both immune and nonimmune effector functions may be involved in the tumor inhibitory activity of R24 in humans.
R24是一种与双唾液酸神经节苷脂GD3反应的IgG3小鼠单克隆抗体,被发现是人类补体细胞毒性和人类效应细胞毒性的有效介质。在所测试的每个黑色素瘤细胞系和黑色素细胞培养物中,细胞毒性与抗体结合程度(GD3细胞表面表达)相关。结合少量R24的黑色素瘤细胞系(低GD3细胞表面表达者)在针对R24的免疫反应中未被裂解,这表明每个细胞结合的R24分子数量达到阈值对于启动这些细胞毒性机制是必要的。由于补体介导和细胞介导的反应在每个细胞系中裂解相同的细胞亚群,这两种机制似乎都依赖于结合的R24分子的相似阈值量。然而,由于每个细胞系中R24结合的异质性,无法确定该阈值的数值。只有在每个细胞结合超过10^7个R24分子的细胞系中,超过90%的细胞被裂解。培养的正常黑色素细胞由于其低GD3表达,未被针对R24的免疫机制裂解,这表明即使正常细胞表达相关抗原,像R24这样的单克隆抗体在效应功能方面可能表现出肿瘤特异性。与R24在体外的强大活性形成对比的是,对携带人黑色素瘤移植瘤的裸鼠进行治疗时,只有在肿瘤细胞接种后3天内开始治疗才会导致肿瘤抑制。对已形成的肿瘤没有效果。因此,这个体内小鼠模型未能预测在人类黑色素瘤患者中进行的R24治疗试验中观察到的临床和病理结果——涉及皮肤转移的荨麻疹、肿瘤组织的细胞浸润和肿瘤消退。除了激活免疫效应功能外,R24对黑色素瘤细胞有直接作用,阻止它们附着于表面并导致肿瘤细胞聚集。这些效应同样与结合到细胞表面的R24分子数量有关;每个细胞结合少于4×10^5个分子的细胞系未观察到聚集现象。免疫和非免疫效应功能可能都参与了R24在人类中的肿瘤抑制活性。