Neutralization of membrane complement regulators improves complement-dependent effector functions of therapeutic anticancer antibodies targeting leukemic cells

Complement-dependent cytotoxicity (CDC) is one of the effector mechanisms mediated by therapeutic anticancer monoclonal antibodies (mAbs). However, the efficacy of antibodies is limited by the resistance of malignant cells to complement attack, primarily due to the over-expression of one or more mem...

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Hauptverfasser: Mamidi, Srinivas (VerfasserIn) , Höne, Simon (VerfasserIn) , Teufel, Claudia (VerfasserIn) , Sellner, Leopold (VerfasserIn) , Zenz, Thorsten (VerfasserIn) , Kirschfink, Michael (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 02 Apr 2015
In: OncoImmunology
Year: 2015, Jahrgang: 4, Heft: 3
ISSN:2162-402X
DOI:10.4161/2162402X.2014.979688
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.4161/2162402X.2014.979688
Verlag, Volltext: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404820/
Verlag, lizenzpflichtig, Volltext: https://doi.org/10.4161/2162402X.2014.979688
Volltext
Verfasserangaben:Srinivas Mamidi, Simon Höne, Claudia Teufel, Leopold Sellner, Thorsten Zenz, and Michael Kirschfink

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520 |a Complement-dependent cytotoxicity (CDC) is one of the effector mechanisms mediated by therapeutic anticancer monoclonal antibodies (mAbs). However, the efficacy of antibodies is limited by the resistance of malignant cells to complement attack, primarily due to the over-expression of one or more membrane complement regulatory proteins (mCRPs) CD46, CD55, and CD59. CD20-positive Burkitt lymphoma Raji cells and primary CLL cells are resistant to rituximab (RTX)-induced CDC whereas ofatumumab (OFA) proved to be more efficient in cell killing. Primary CLL cells but not CD52-positive acute lymphoblastic leukemia (ALL) REH cells were sensitive to alemtuzumab (ALM)-induced CDC. Upon combined inhibition on Raji and CLL cells by mCRPs-specific siRNAs or neutralizing antibodies, CDC induced by RTX and by OFA was augmented. Similarly, CDC of REH cells was enhanced after mCRPs were inhibited upon treatment with ALM. All mAbs induced C3 opsonization, which was significantly augmented upon blocking mCRPs. C3 opsonization led to enhanced cell-mediated cytotoxicity of leukemia cells exposed to PBLs or macrophages. Furthermore, opsonized CLL cells were efficiently phagocytized by macrophages. Our results provide conclusive evidence that inhibition of mCRPs expression sensitizes leukemic cells to complement attack thereby enhancing the therapeutic effect of mAbs targeting leukemic cells. 
650 4 |a ADCC, antibody-dependent cellular cytotoxicity 
650 4 |a alemtuzumab 
650 4 |a ALM, Alemtuzumab 
650 4 |a CDC, complement-dependent cytotoxicity 
650 4 |a CDCC, complement-dependent cellular cytotoxicity 
650 4 |a chronic lymphocytic leukemia 
650 4 |a complement regulatory proteins 
650 4 |a complement-dependent cytotoxicity 
650 4 |a MAC, membrane attack complex 
650 4 |a mCRP, membrane-bound complement regulatory protein 
650 4 |a NHS, Normal Human Serum 
650 4 |a OFA, Ofatumumab 
650 4 |a ofatumumab 
650 4 |a opsonization 
650 4 |a PBLs, peripheral blood leukocytes 
650 4 |a rituximab 
650 4 |a RTX, Rituximab 
650 4 |a siRNA, small interfering RNA 
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