A novel AML-selective TRAIL fusion protein that is superior to Gemtuzumab Ozogamicin in terms of in vitro selectivity, activity and stability

Autor: Wijnand Helfrich, B. ten Cate, Georg H. Fey, M. de Bruyn, Gerwin Huls, Edwin Bremer, Theo Bijma, Douwe F. Samplonius, M. Schwemmlein
Přispěvatelé: Targeted Gynaecologic Oncology (TARGON), Translational Immunology Groningen (TRIGR), Stem Cell Aging Leukemia and Lymphoma (SALL), Guided Treatment in Optimal Selected Cancer Patients (GUTS)
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Cancer Research
ANTITUMOR-ACTIVITY
TUMOR-CELLS
CD33
Sialic Acid Binding Ig-like Lectin 3
Apoptosis
TRAIL
chemistry.chemical_compound
Drug Delivery Systems
Drug Stability
AML
hemic and lymphatic diseases
Tumor Cells
Cultured

gemtuzumab ozogamicin
SPECIFICITY
Cells
Cultured

Chemistry
Antibodies
Monoclonal

Biological activity
Hematology
Ligand (biochemistry)
Gemtuzumab
Neoplasm Proteins
Oncology
Leukemia
Myeloid

Acute Disease
medicine.drug
EXPRESSION
Gemtuzumab ozogamicin
Recombinant Fusion Proteins
Antigens
Differentiation
Myelomonocytic

Antineoplastic Agents
ACUTE MYELOID-LEUKEMIA
Antibodies
Monoclonal
Humanized

Antigens
CD

VALPROIC ACID
Calicheamicin
medicine
Humans
mylotarg
COMBINATION
neoplasms
APOPTOSIS INDUCTION
Bystander Effect
Fusion protein
In vitro
Immunoconjugate
Enzyme Activation
Aminoglycosides
Immunology
Cancer research
Leukocytes
Mononuclear

Drug Screening Assays
Antitumor

LIGAND
Single-Chain Antibodies
RITUXIMAB THERAPY
Zdroj: Leukemia, 23(8), 1389-1397. Nature Publishing Group
ISSN: 0887-6924
DOI: 10.1038/leu.2009.34
Popis: Gemtuzumab ozogamicin (GO, Mylotarg) is a targeted therapeutic agent in which an anti-CD33 antibody is chemically coupled to a highly cytotoxic calicheamicin derivative through a hydrolysable linker. GO has improved the treatment outcome for a subgroup of acute myeloid leukemia (AML) patients, but its use is associated with severe myelosuppression and hepatotoxicity. Here, we report on a novel anti-leukemia agent, designated scFvCD33:sTRAIL, in which an anti-CD33 single chain fragment of variable regions (scFv) antibody fragment is genetically linked to soluble tumor necrosis factor-related apoptosis-inducing ligand (sTRAIL). Normal CD33-positive monocytes were fully resistant to prolonged treatment with scFvCD33: sTRAIL, whereas treatment with GO resulted in substantial cytotoxicity. The activity of scFvCD33: sTRAIL towards AML cells was up to 30-fold higher than GO. The CD33-restricted anti-leukemia activity of scFvCD33: sTRAIL remained stable during prolonged storage at 37 degrees C, whereas GO showed a rapid increase in CD33-independent cytotoxicity. Moreover, scFvCD33: sTRAIL showed potent anti-leukemia activity towards CD33+ CML cells when treatment was combined with the Bcr-Abl tyrosine kinase inhibitor, Gleevec. Importantly, ex vivo treatment of patient-derived CD33+ AML tumor cells with scFvCD33: sTRAIL resulted in potent apoptosis induction that was enhanced by valproic acid, mitoxantrone and 17-(Allylamino)-17-demethoxygeldanamycin (17-AAG). Taken together, scFvCD33: sTRAIL is superior to GO in terms of tumor selectivity, activity and stability, warranting its further development for the treatment of CD33-positive leukemias. Leukemia (2009) 23, 1389-1397; doi:10.1038/leu.2009.34; published online 5 March 2009
Databáze: OpenAIRE