Lin K, Nagy J A, Xu H, Shockley T R, Yarmush M L, Dvorak H F
Department of Pathology, Beth Israel Hospital, Boston, Massachusetts 02215.
Cancer Res. 1994 Apr 15;54(8):2269-77.
Monoclonal antibodies (MAb) are attractive for tumor therapy because of their exquisite specificity. Although a majority of tumor cells in small (< or = 20 mg) solid tumors can be labeled following systemic administration of antitumor cell MAbs, little quantitative information is available as to the distribution of these MAbs within the several compartments that comprise solid tumors. Our goal was to provide such data in a well-characterized melanoma xenograft system. In accord with earlier work, i.v.-injected, melanoma-specific MAbs 436 and IND1, directed, respectively, against the 125 kD and HMW-melanoma-associated antigens, accumulated in M21 and SK-MEL-2 tumor xenografts in amounts of approximately 20% of injected dose/g. However, only 20-24% of the MAbs present in tumor xenografts was bound to tumor cells; the great majority (76-80%) was in the tumor extracellular fluid (ECF) and collagenous residue fractions. These results could not be accounted for by MAb degradation or release of MAbs from tumor cells during xenograft dissociation. Rather, they reflected in large part interactions of MAbs with antigens which tumors had shed into the ECF. Thus, 48 h after i.v. injection of 20 micrograms of melanoma-specific, biotin-tagged MAb, 46-66% of that present in the tumor ECF was complexed with melanoma-associated antigens. Overall, 61-73% of the MAbs recovered from tumor xenografts were bound to tumor antigens (either to tumor cells themselves or to tumor-shed antigens). In contrast, only approximately 4% of a melanoma-nonspecific MAb (B72.3) accumulated per g tumor after i.v. injection and nearly all of this was free in the ECF. Consistent with these data, fluorescence microscopy revealed that i.v.-injected, fluorescein-tagged MAbs achieved highest concentrations in tumor stroma, particularly at the tumor-host interface. Flow cytometry of dissociated solid tumors revealed that both the fraction of MAb-labeled tumor cells and the amount of MAb/tumor cell could be increased by increasing the administered i.v. dose of melanoma-specific MAb. Nonetheless, even at the highest i.v. injected dose (300 micrograms), 15-37% of tumor cells lacked detectable MAb labeling. Taken together, the data indicate that delivery of tumor cell-specific MAbs to solid tumors cannot be equated with their delivery to tumor cells. This distinction is important for immunotherapeutic approaches that require MAb contact with tumor cells.
单克隆抗体(MAb)因其高度特异性而在肿瘤治疗中颇具吸引力。尽管在全身给予抗肿瘤细胞单克隆抗体后,小的(≤20mg)实体瘤中的大多数肿瘤细胞能够被标记,但关于这些单克隆抗体在构成实体瘤的几个区室中的分布,几乎没有定量信息。我们的目标是在一个特征明确的黑色素瘤异种移植系统中提供此类数据。与早期工作一致,静脉注射的、分别针对125kD和高分子量黑色素瘤相关抗原的黑色素瘤特异性单克隆抗体436和IND1,以约20%注射剂量/克的量积聚在M21和SK-MEL-2肿瘤异种移植瘤中。然而,肿瘤异种移植瘤中仅20%-24%的单克隆抗体与肿瘤细胞结合;绝大多数(76%-80%)存在于肿瘤细胞外液(ECF)和胶原残余部分。这些结果不能用单克隆抗体降解或在异种移植瘤解离过程中肿瘤细胞释放单克隆抗体来解释。相反,它们在很大程度上反映了单克隆抗体与肿瘤脱落到ECF中的抗原的相互作用。因此,静脉注射20μg黑色素瘤特异性生物素标记的单克隆抗体48小时后,肿瘤ECF中46%-66%的该抗体与黑色素瘤相关抗原结合。总体而言,从肿瘤异种移植瘤中回收的61%-73%的单克隆抗体与肿瘤抗原结合(要么与肿瘤细胞本身结合,要么与肿瘤脱落抗原结合)。相比之下,静脉注射后每克肿瘤中仅约4%的黑色素瘤非特异性单克隆抗体(B72.3)积聚,且几乎所有该抗体在ECF中都是游离的。与这些数据一致,荧光显微镜显示静脉注射的荧光素标记单克隆抗体在肿瘤基质中达到最高浓度,特别是在肿瘤-宿主界面处。解离的实体瘤的流式细胞术显示,通过增加静脉注射的黑色素瘤特异性单克隆抗体剂量,可以增加单克隆抗体标记的肿瘤细胞比例和单克隆抗体/肿瘤细胞量。尽管如此,即使在最高静脉注射剂量(300μg)时,仍有15%-37%的肿瘤细胞缺乏可检测到的单克隆抗体标记。综上所述,数据表明将肿瘤细胞特异性单克隆抗体递送至实体瘤不能等同于将其递送至肿瘤细胞。这种区别对于需要单克隆抗体与肿瘤细胞接触的免疫治疗方法很重要。