Chan C H, Blazar B R, Greenfield L, Kreitman R J, Vallera D A
Department of Therapeutic Radiology, University of Minnesota Hospital and Clinics, Minneapolis, USA.
Blood. 1996 Aug 15;88(4):1445-56.
Myeloid leukemias can express interleukin-3 receptors (IL-3R). Therefore, as an antileukemia drug, a fusion immunotoxin was synthesized consisting of the murine IL-3 (mIL-3) gene spliced to a truncated form of the diphtheria toxin (DT390) gene coding for a molecule that retained full enzymatic activity, but excluded the native binding domain. The DT390-mIL-3 hybrid gene was cloned into a vector under the control of an inducible promote. The fusion protein was expressed in Escherichia coli and then purified from inclusion bodies. The fusion toxin was potent because it inhibited FDC-P1, an IL-3R-expressing murine myelomonocytic tumor line (IC50 = 0.025 nmol/L or 1.5 ng/mL). Kinetics were rapid and cell-free studies showed that DT390-mIL-3 was as toxic as native DT. DT390-mIL-3 was selective because anti-mIL-3 monoclonal antibody, but not irrelevant antibody, inhibited its ability to kill. Cell lines not expressing IL-3R were not inhibited by the fusion protein. Because the use of DT390-mIL-3 as an antileukemia agent could be restricted by its reactivity with committed and/or primitive progenitor cells, bone marrow (BM) progenitor assays were performed. DT390-mIL-3 selectively inhibited committed BM progenitor cells as measured by in vitro colony-forming unit-granulocyte-macrophage and in vivo colony-forming unit-spleen colony assays. To determine if this fusion protein was reactive against BM progenitor cells required to rescue lethally irradiated recipients, adoptive transfer experiments were performed. Eight million DT390-mIL-3-treated C57BL/6 Ly5.2 BM cells, but not 4 million, were able to rescue lethally irradiated congenic C57BL/6 Ly5.1 recipients, suggesting that progenitor cells might be heterogenous in their expression of IL-3R. This idea was supported in competitive repopulation experiments in which DT390-mIL-3 treated C57BL/6 Ly5.2 BM cells were mixed with nontreated C57BL/6 Ly5.1 BM cells and used to reconstitute C57BL/6 Ly5.1 mice. A significant reduction, but not elimination, of Ly5.2-expressing cells 95 days post-BM transplantation and secondary transfer experiments indicated that IL-3R is not uniformly expressed on all primitive progenitor cells. The fact that some early progenitor cells survived DT390-mIL-3 treatment indicates that this fusion toxin may be useful in the treatment of myeloid leukemias that express the IL-3R.
髓系白血病可表达白细胞介素-3受体(IL-3R)。因此,作为一种抗白血病药物,合成了一种融合免疫毒素,它由与白喉毒素(DT390)基因的截短形式拼接而成的鼠白细胞介素-3(mIL-3)基因组成,该截短形式编码的分子保留了完整的酶活性,但排除了天然结合结构域。将DT390-mIL-3杂交基因克隆到一个受诱导型启动子控制的载体中。融合蛋白在大肠杆菌中表达,然后从包涵体中纯化。该融合毒素具有强效,因为它抑制FDC-P1,这是一种表达IL-3R的鼠骨髓单核细胞肿瘤细胞系(IC50 = 0.025 nmol/L或1.5 ng/mL)。动力学很快,无细胞研究表明DT390-mIL-3与天然DT一样具有毒性。DT390-mIL-3具有选择性,因为抗mIL-3单克隆抗体而非无关抗体可抑制其杀伤能力。不表达IL-3R的细胞系不受该融合蛋白的抑制。由于DT390-mIL-3作为抗白血病药物的应用可能会受到其与定向和/或原始祖细胞反应性的限制,因此进行了骨髓(BM)祖细胞检测。通过体外集落形成单位 - 粒细胞 - 巨噬细胞和体内集落形成单位 - 脾集落检测发现,DT390-mIL-3选择性抑制定向BM祖细胞。为了确定这种融合蛋白是否对挽救受致死性照射的受体所需的BM祖细胞有反应,进行了过继转移实验。八百万经DT390-mIL-3处理的C57BL/6 Ly5.2 BM细胞能够挽救受致死性照射同基因的C57BL/6 Ly5.1受体,但四百万个细胞则不能,这表明祖细胞在IL-3R表达上可能存在异质性。这一观点在竞争性再增殖实验中得到支持,在该实验中,将经DT390-mIL-3处理的C57BL/6 Ly5.2 BM细胞与未处理的C57BL/6 Ly5.1 BM细胞混合,用于重建C57BL/6 Ly5.1小鼠。骨髓移植后95天,表达Ly5.2的细胞显著减少但未消除,二次转移实验表明IL-3R并非在所有原始祖细胞上均一表达。一些早期祖细胞在DT390-mIL-3处理后存活这一事实表明,这种融合毒素可能对治疗表达IL-3R的髓系白血病有用。