Friedman P N, Chace D F, Trail P A, Siegall C B
Bristol-Myers Squibb, Pharmaceutical Research Institute, Wallingford, CT 06492.
J Immunol. 1993 Apr 1;150(7):3054-61.
We have constructed a single-chain immunotoxin consisting of the variable H and L chains of the carcinoma-reactive mAb BR96, fused to the binding defective protein toxin, PE40. This molecule, BR96 sFv-PE40, has been shown to be extremely cytotoxic toward a variety of BR96 Ag-expressing tumor cell lines. When administered i.v. into athymic mice carrying L2987 tumor xenografts, BR96 sFv-PE40 was cleared rapidly from the blood with a half-life of approximately 30 min. This is in comparison to a chemical conjugate, chiBR96-LysPE40, that remained in the blood for almost 2 h. In addition, the smaller single-chain immunotoxin (67 kDa) penetrates the tumor faster than the larger chemical conjugate (190 kDa). Using a variety of administration schedules and doses, we treated established human tumor xenografts in athymic mice with both the single-chain immunotoxin BR96 sFv-PE40 and the chemical conjugate chiBR96-LysPE40. In both L2987 lung carcinoma and MCF-7 breast carcinoma models, we found that BR96 sFv-PE40 completely regressed the tumor xenografts. With an administration schedule of q4dx5, the tumors were totally regressed and did not reappear. The chiBR96-LysPE40 conjugate produced partial tumor regressions, although at near maximum tolerated dose. These results show that the single-chain immunotoxin, BR96 sFv-PE40, is a potent antitumor agent.
我们构建了一种单链免疫毒素,它由癌反应性单克隆抗体BR96的重链可变区和轻链可变区组成,并与结合缺陷型蛋白毒素PE40融合。这种分子,即BR96 sFv-PE40,已被证明对多种表达BR96抗原的肿瘤细胞系具有极强的细胞毒性。将BR96 sFv-PE40静脉注射到携带L2987肿瘤异种移植物的无胸腺小鼠体内后,它在血液中迅速清除,半衰期约为30分钟。相比之下,化学偶联物chiBR-96-LysPE40在血液中停留了近2小时。此外,较小的单链免疫毒素(67 kDa)比较大的化学偶联物(190 kDa)更快地渗透到肿瘤中。我们使用了多种给药方案和剂量,用单链免疫毒素BR96 sFv-PE40和化学偶联物chiBR96-LysPE40治疗无胸腺小鼠体内已建立的人肿瘤异种移植物。在L2987肺癌和MCF-7乳腺癌模型中,我们发现BR96 sFv-PE40使肿瘤异种移植物完全消退。按照每4天给药5次的方案,肿瘤完全消退且未复发。chiBR96-LysPE40偶联物虽在接近最大耐受剂量时也使肿瘤部分消退。这些结果表明,单链免疫毒素BR96 sFv-PE40是一种有效的抗肿瘤药物。