Hexamerization-enhanced CD20 antibody mediates complement-dependent cytotoxicity in serum genetically deficient in C9

被引:10
|
作者
Taylor, Ronald P. [1 ,8 ]
Lindorfer, Margaret A. [1 ,8 ]
Cook, Erika M. [1 ,8 ]
Beurskens, Frank J. [2 ]
Schuurman, Janine [2 ]
Parren, Paul W. H. I. [2 ,3 ,9 ]
Zent, Clive S. [4 ]
VanDerMeid, Karl R. [4 ]
Burack, Richard [5 ]
Mizuno, Masashi [6 ]
Morgan, B. Paul [7 ,10 ]
机构
[1] Univ Virginia, Sch Med, Dept Biochem & Mol Genet, Charlottesville, VA 22903 USA
[2] Genmab, NL-3584 CM Utrecht, Netherlands
[3] Leiden Univ, Med Ctr, Dept Immunohematol & Blood Transfus, Leiden, Netherlands
[4] Univ Rochester, Med Ctr, Wilmot Canc Inst, Rochester, NY 14627 USA
[5] Univ Rochester, Med Ctr, Pathol Dept, Rochester, NY 14627 USA
[6] Nagoya Univ, Grad Sch Med, Nagoya, Aichi, Japan
[7] Cardiff Univ, Sch Med, Div Infect & Immun, Cardiff, S Glam, Wales
[8] Univ Virginia, Sch Med, Biochem & Mol Genet, Box 800733, Charlottesville, VA 22908 USA
[9] Leiden Univ, Med Ctr, NL-2333 ZA Leiden, Netherlands
[10] Cardiff Univ, Sch Med, Cardiff CF14 4XN, S Glam, Wales
关键词
Complement; Immunotherapy; Monoclonal antibodies; CHRONIC LYMPHOCYTIC-LEUKEMIA; CELL-LYSIS; IN-VITRO; RITUXIMAB; HEXAMERS; CD59;
D O I
10.1016/j.clim.2017.05.016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We examined complement-dependent cytotoxicity (CDC) by hexamer formation-enhanced CD20 mAb Hx-7D8 of patient-derived chronic lymphocytic leukemia (CLL) cells that are relatively resistant to CDC. CDC was analyzed in normal human serum (NHS) and serum from an individual genetically deficient for C9. Hx-7D8 was able to kill up to 80% of CLL cells in complete absence of C9. We conclude that the narrow C5b-8 pores formed without C9 are sufficient for CDC due to efficient antibody-mediated hexamer formation. In the absence of C9, we observed transient intracellular increases of Ca2+ during CDC (as assessed with FLUO-4) that were extended in time. This suggests that small C5b-8 pores allow Ca2+ to enter the cell, while dissipation of the fluorescent signal accompanying cell disintegration is delayed. The Ca2+ signal is retained concomitantly with TOPRO-3 (viability dye) staining, thereby confirming that Ca2+ influx represents the most proximate mediator of cell death by CDC. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:24 / 28
页数:5
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