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Advances in Brief |
Cancer Research Campaign Academic Unit of Clinical Oncology, University of Nottingham, City Hospital, Nottingham NG5 1PB, United Kingdom
| ABSTRACT |
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| Introduction |
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The tumor associated antigen 791Tgp72 was characterized by a monoclonal antibody 791T/36, which was raised against an osteosarcoma (791T) cell line (5) . The antigen was originally described as a 72 kDa membrane associated glycoprotein (6) that is over-expressed on a range of tumors including colorectal, gastric, ovarian, and osteosarcomas (7 , 8) . Furthermore over-expression of the antigen confers a poor prognosis in colorectal cancer patients (9) . The specificity of the antibody has been shown by clinical imaging of over 300 patients, in which lesions as small as 1 cm3 were detectable in 70% of patients. (10, 11, 12) . During these imaging studies the majority of patients showed the production of human anti-mouse antibodies (HAMA). A large component of which was directed against the idiotype of 791T/36 (13) . The human monoclonal anti-idiotypic antibody, 105AD7, which binds at the combining site of 791T/36 and mimics the antigen was isolated from one of these patients (14) . Pre clinical studies have shown that 105AD7 is able to stimulate antibody and T-cell responses to the tumor antigen in both rats and mice (15) . Clinical studies with the human anti-idiotype has shown similar results in that patients receiving the vaccine show in vitro proliferation responses to either 105AD7 or tumor cells expressing CD55, elevated serum interleukin 2, and decreases in the CD45 RA:RO ratio indicating activation of both CD4 and CD8 cells (16) . Furthermore a neoadjuvant clinical study demonstrated enhanced tumor killing (17) and infiltration of CD4, CD8 and NK cells within the tumors of immunized patients (18) .
In this study, we have purified, characterized, cloned, and sequenced the 791Tgp72 antigen from tumor cells and shown that it is identical in sequence to CD55 (DAF). This molecule is normally expressed by cells to protect them from complement-mediated lysis. Our previous studies have characterized this antigen as being overexpressed by a range of tumors, making it a good target for imaging and proving to be of prognostic significance in colorectal carcinoma (9) . The anti-idiotypic antibody 105AD7 acts as a mimic of CD55 and is capable of stimulating T-cell responses in vivo (17) . These findings identify CD55 as another normal antigen, along with MAGE, tyrosinase, and gp100 that are expressed by tumors and which can act as targets for immunotherapy [reviewed by van den Eynde and Van der Bruggen (19) ].
| Materials and Methods |
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Monoclonal Antibodies.
Monoclonal antibodies 791T/36 (IgG2b anti-791Tgp72; Ref. 5
), BRIC 216 (IgG1 anti-SCR 3 of CD55), BRIC 220 (IgG1 anti-SCR1 of CD55), and BRIC110 (IgG1 anti-SCR 2 of CD55) were used. The BRIC antibodies were obtained from the International Blood Reference Group laboratory (Bristol, UK). 791T/36 was labeled with FITC (14)
. Monoclonal antibody 1H4 was a kind gift from Dr. Bruce Loveland (Austin Research Center, Melbourne, Australia).
Protein Sequence Analysis.
Immunoaffinity-purified 791Tgp72 (10 µg) was subjected to 16 cycles of Edman degradation on an ABI Model 473A automated protein sequencer following SDS-PAGE under standard conditions and electroblotting onto polyvinylidene difluoride membrane (20)
. Sequence data were compared to all known proteins using the BLASTp algorithm at National Centre for Biotechnology Information (21)
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Binding of anti-DAF Antibodies to Purified 791Tgp72.
Flexible microtest plates (Falcon; Becton Dickinson, CA) were coated with either purified 791Tgp72 antigen, 50 ng/well at 37°C, or purified CEA (500 ng/well). Plates were washed three times with PBS containing 0.05% Tween 20 (PBS-Tween) and blocked with BSA (1%) for 1 h at room temperature. Plates were washed three times, and primary antibodies [anti-CEA (365), 791T/36, and anti-CD55 antibodies, BRIC 220, BRIC 216, and BRIC110 that recognize SCR domains 1, 2, and 3 respectively] were added at 500 ng/well for 1 h at room temperature. After three washes in PBS-Tween, plates were incubated with rabbit anti-mouse horseradish peroxidase (Dako, Denmark) at 1:1000 for an additional 1 h before developing with 2,2'-azinobis(3-ethylbenzthiazoline sulphonic acid) (ABTS). Plates were read at 405 nm.
Double Determinant ELISA.
Plates were coated with anti-CD55 antibodies 220 (SCR 1), 110 (SCR 2), and 216 (SCR 3) and left at 4°C overnight. The plates were washed three times with PBS-Tween and blocked with BSA (1%) for 1 h at room temperature. The plates were washed three times, and then purified CD55 antigen (25ng) was added. After 1 h at room temperature, the plates were washed three times, and biotinylated 791T/36 (500ng per well) was added for 1 h at room temperature. Plates washed three times, and streptavidin-horseradish peroxidase (DAKO) diluted 1:1000 was added for an additional 1 h. After an additional six washes, the plates were developed with ABTS (Sigma, Poole, United Kingdom), and absorbance was read at 405 nm.
DNA Cloning and Sequencing.
Total cellular RNA was isolated using RNasol B (Life Technologies, Ltd., Paisley, United Kingdom) from 791T cells (4 x 107). First-strand cDNA synthesis was carried out using Ready-To-Go First-Strand kit (Pharmacia Biotech, Little Chalfont, United Kingdom). Primers based on the NH2-terminal protein sequence of the purified antigen [5'-GACTGTGGCCTTCCCCCAG-3' (PEP5)] and the full-length CD55 cDNA [accession no. M15799; 5'-CTGGGCGTAGCTGCGACTCG-3' (FL5)] were used in conjunction with a primer from the 3' untranslated region of the cDNA of CD55 [5'-ATGTGATTCCAGGACTGCC-3' (FL3)]. These were used to generate products by reverse transcription-PCR on duplicate RNA samples from 791T cells. PCR was carried out on first-strand cDNA, and primers used were mixes of the primer sets outlined above. Thirty cycles of amplification at 94°C for 30 s, 55°C for 45 s, 72°C for 90 s, followed by 10 min at 72°C were performed using Deep vent DNA polymerase in a reaction mix containing 2% DMSO (New England Biolabs, Hitchin, United Kingdom). PCR products were cloned into modified pBluescript SK-vector. Sequencing was carried out on an ABI Model 373 automated DNA sequencer using M13 Universal and Reverse sequencing primers as well as PEP5 and a second internal primer SU25 (5'-AGCTGCGAGGTGCCAACA-3'). Data were analyzed by BLASTn at National Centre for Biotechnology Information (21)
. Full-length clones were subcloned into the EcoRI site of pCR 3.1 (Invitrogen) for transfection into eukaryotic cells.
Expression of CD55.
CHO cells grown in six-well Costar plates to 5060% confluence were transfected with pCR 3.1 containing full-length DAF cDNA using Lipofectamine (Life Technologies, Inc.; 2 µg DNA, 9 µl lipofectamine) for 1216 h at 37°C, prior to changing the growth medium and according to the manufacturers recommendations. Protein expression was measured 48 h after transfection by indirect immunofluorescence staining with 791T/36 antibody. Cells were analyzed by flow cytometry (FACS Scan; Becton Dickinson, Sunnyvale, CA).
Western Blotting.
Cells were trypsinized, washed in PBS, and solubilized in lysis buffer [1% octyl-glucoside (Sigma, Poole, United Kingdom), 20 mM Tris-HCl (pH 8.0), and 140 mM NaCl] for 30 min at 4°C. Supernatant was removed after centrifugation at 13 Krpm for 10 min and diluted 1:1 with nonreducing SDS-sample buffer. Samples were electrophoresed on 8% SDS-PAGE and Western blotted onto Hybond-N membrane (Amersham-Pharmacia, Little Chalfont, United Kingdom). The blot was washed in PBS and then blocked in 1% BSA in PBS-Tween (0.1%) for 1 h at room temperature. Primary antibody was added in wash buffer [PBS Tween (0.1%)] for 1 h at room temperature. The blot was washed twice, and HRP-anti mouse (1/1000 in wash buffer) was added for 1 h at room temperature. The blot was finally washed twice and visualized using ECL reagent (Amersham-Pharmacia UK).
| Results |
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Transfection of full-length cDNA of CD55 into CHO cells resulted in binding of 791T/36 antibody to the transfected but not untransfected cells (Fig. 5A)
. Two transfected cell lines were also assessed for CD55 production by Western blotting (Fig. 5B)
. The transfected CHO cells produced a band of
6065 kDa that was recognized by the 791T/36 antibody. This band was not present in the untransfected CHO cells.
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| Discussion |
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Cloning and sequencing PCR products generated from primers derived from the NH2-terminal protein sequence and a primer derived from the published CD55 sequence resulted in nine clones that were homologous to CD55. An additional nine clones generated from primers based on the full-length sequence of CD55 confirmed the identity of the previous sequence data and gave the additional 166 bp of sequence from the 5' untranslated region encoding the leader sequence of CD55. The sequence identity from these clones confirmed that the cDNA encoding the 791Tgp72 antigen is the same as CD55. Expression of this cDNA in antigen-negative CHO cells resulted in binding of 791T/36 monoclonal antibody to the transfected but not the untransfected cells. Furthermore, Western blot analysis of these transfected clones revealed a single 6065 kDa band in the transfected cells only. This single band of
63 kDa was reported by Coyne et al. (23)
when using full-length CD55 cDNA transfected into CHO cells.
The function of CD55 is to protect cells from complement-mediated lysis. Therefore, CD55 is expressed on all normal cells that are exposed to complement, including blood cells, endothelial cells, and epithelial cells that are exposed to complement. The prevalence of CD55 on normal cells raises the question of why it was possible to successfully image with the monoclonal antibody 791T/36 and stimulate antitumor T-cell responses with an anti-idiotypic vaccine with no normal cell toxicity. The answer may be in the levels of antigen expressed, because 791T/36 binds strongly (105-106 molecules/cell) to osteosarcomas, ovarian, gastric, and colorectal tumors (7) , whereas other groups have shown that 104 molecules of CD55 on RBCs is sufficient to protect them from complement-mediated lysis. However, blood samples taken from patients after injection of the radiolabeled 791T/36 showed only background levels of radioactivity on peripheral blood mononuclear cells and RBCs. It could be that the low antigen expression on RBCs only allowed weak monovalent 791T/36 binding. However, in the presence of high antigen density in the tumor, divalent higher affinity binding would be favored, and the antibody would accumulate at the tumor cell surface.
Overexpression of CD55 by tumors may not only protect from the lytic effects of complement but also from the deposition of C3b, which leads to endocytosis by antigen-presenting cells. This may explain why tumors in situ fail to generate an effective immune response, despite the "danger signals" generated by necrotic tissue. It has been demonstrated that activated T cells that have been cross-linked with anti-CD55 monoclonal antibodies can induce T-cell proliferation and signal transduction via p56lck and p59fyn (24 , 25) . This may be related to the recent observation that CD55 is the ligand for the CD97 receptor expressed on activated T cells (26) . Furthermore, cross-linking of the related family member CD46 results in down-regulation of interleukin 12 production by antigen-presenting cells, with an associative switch to a Th-2 or humoral immune response. Any antibodies would be effectively inhibited from complement lysis of tumors by the same overexpression of complement regulatory proteins, with the result being immune deviation rather than immune ignorance of the growing tumor. Additionally, overexpression of CD55 by tumor cells may result in the tumor becoming more resistant to NK lysis, as has been demonstrated by overexpression of CD55 on K562 target cells; interestingly, NK cells are the only mononuclear cells that do not express CD55 (27) . Many tumors escape T-cell recognition by loss of MHC molecules, making them susceptible to NK killing. Overexpression of CD55, however, may inhibit NK lysis and would be an obvious advantage to the tumor.
Whether tumor cells overexpress CD55 to protect them from complement-mediated lysis or whether the enhanced level is related to an unknown function of this molecule is yet to be elucidated. However, it remains an interesting prospect to use a molecule that tumors overexpress to protect them from immune attack, as a target for a cancer vaccine. We have characterized this antigen as a tumor target based on clinical data in which a mimicking anti-idiotype has been able to stimulate immune responses to the antigen. This approach is not unique because anti-idiotype responses to mutant p53 in the mouse (28) , CEA (29) , and GA733-2 (30) in the human have shown effective T-cell immunity to tumor antigens. These are perhaps not as unusual as immune responses against an antigen whose normal function is to protect cells from immune attack, the dichotomy being that if the cell fails to express the molecule, it is susceptible to complement and NK-mediated lysis, and if it overexpresses the antigen, it may be a target for antigen-specific T cells. Despite the widespread distribution of this antigen, we have experienced no measurable toxicity in >160 patients receiving the 105AD7 anti-idiotype while monitoring significant increases in T-cell infiltration and NK activity within tumors of immunized patients.
| FOOTNOTES |
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1 We would like to acknowledge the generous support of the Cancer Research Campaign in funding this work with Grant SP 2220/0501. ![]()
2 To whom requests for reprints should be addressed, at Cancer Research Campaign Academic Unit of Clinical Oncology, University of Nottingham, City Hospital, Hucknall Road, Nottingham NG5 1PB, United Kingdom. E-mail: Ian.Spendlove{at}Nottingham.ac.uk ![]()
3 The abbreviations used are: DAF, decay accelerating factor; SCR, small consensus repeat; GPI, glycosylphosphatidyl inositol; CEA, carcinoembryonic antigen; CHO, Chinese hamster ovary; NK, natural killer. ![]()
Received 11/20/98. Accepted 3/29/99.
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