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Immunology |
Departments of Pediatrics [S. M., K. K., H. F. G., N-K. V. C.] and Pathology [S. H. G.], Memorial Sloan-Kettering Cancer Center, New York, New York 10021
| ABSTRACT |
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| INTRODUCTION |
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Tumor antigens expressed on cell membranes are potential targets in immunotherapy. Examples of tumor antigens expressed on glial tumors include NCAMs (6) , gangliosides such as GD2 and GM2 (7) , and neurohematopoietic antigens (8) . Recent investigations have focused on growth factor receptors as immune targets, in particular EGFRvIII, which has been shown to be expressed on 50% of glial brain tumors (9) . Notwithstanding the universal expression of NCAM by neuronal cells, two clinical studies have used anti-NCAM antibodies in patients. mAb UJ13A was shown to accumulate in gliomas by virtue of disruption of the blood brain barrier locally (10) , and another antibody, ERIC-1, was used in a therapeutic setting in resected glioma cavities with some clinical benefit (11) .
Recent studies have targeted immunotherapy to the extracellular matrix around tumor cells. Tenascin has been reported to be expressed in 5095% of glial brain tumors, as well as on mesenchymal tumors, carcinomas, and normal human glial, liver, and kidney cells (12) . Antitenascin mAbs 81C6 (13) , BC-2, and BC-4 (14) , administered intracavity, have been reported recently to show efficacy in the treatment of patients with malignant gliomas. However, because these antigens are also present to varying degrees on normal human neural and non-neural cells, their clinical utility would depend on their overexpression by brain tumors when compared with normal tissues. With the exception of EGFRvIII, the glial tumor antigens described to date are generally found on normal brain tissue or are restricted to intracellular compartments, thus with limited clinical utility for antibody targeting.
Membrane antigens that have been targeted on osteosarcoma include GD2 (15) , CD55 (16) , and an as-yet-undefined osteosarcoma-associated antigen recognized by the mAbs TP-1 and TP-3 (17) . However, these antigens are present to varying degrees on normal tissues. Similarly, the glycoprotein p30/32 coded by the MIC2 oncogene and recognized by the mAb O13 in the Ewings family of tumors is expressed on normal tissues (18) . In rhabdomyosarcoma, the MyoD family of oncofetal proteins is nuclear in localization (19) and therefore inaccessible to antibody-targeted immunotherapy.
An ideal tumor antigen for targeted immunotherapy should be absent on normal tissues and abundantly expressed on tumor cell surfaces. Such tumor-specific antigens, e.g., idiotypes in B-cell lymphoma, are rare (20) . Moreover, a generic tumor-specific antigen expressed on tumor cells of varying lineage recognized by mAbs may have broader utility in antibody-based strategies. We describe here a novel tumor-associated antigen, recognized by a murine mAb, 8H9, expressed on cell membranes of a broad spectrum of tumors of neuroectodermal, mesenchymal, and epithelial origin, with restricted distribution on normal tissues.
| MATERIALS AND METHODS |
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Cell Lines.
The human neuroblastoma cell line LAN-1 was provided by Dr. Robert Seeger (Childrens Hospital of Los Angeles, Los Angeles, CA). Human neuroblastoma cell lines LA-1-15-N, LA-1-66-N, LA-1-5-S, LA-1-19-S, and LA-1-19-N were provided by Dr. Robert Ross (Fordham University, New York, NY), and IMR32 and NMB7 by Dr. Shuen-Kuei Liao (McMaster University, Hamilton, Ontario, Canada). Breast carcinoma cell lines SW480 and ZR75-1 were provided by Dr. S. Welt (Memorial Sloan-Kettering Cancer Center) and the melanoma line SKMel28 by Dr. P. Chapman (Memorial Sloan-Kettering Cancer Center). Neuroblastoma cell lines SKNHM, SKNHB, SKNJD, SKNLP, SKNER, SKNMM, SKNCH, and SKNSH; rhabdomyosarcoma cell line SKRJC; and Ewings/PNET cell lines SKPPR, SKPRT, and SKNMC were derived from patients with metastatic disease treated at Memorial Sloan-Kettering Cancer Center. The following cell lines were purchased from American Type Culture Collection (Bethesda, MD): melanoma cell lines HTB63 and HTB67; rhabdomyosarcoma cell line HTB82; small cell lung cancer cell line HTB 119; acute T-leukemia cell line Jurkat; glioblastoma multiforme cell line Glio72; breast cancer cell line HTB22; colon carcinoma cell line SK Co-1; HeLa; embryonal kidney 293; and osteosarcoma cell lines CRL1427, HTB86, and HU20596. All of the cell lines were grown at 37°C in a 5% CO2 incubator using standard culture medium, which consisted of RPMI 1640 supplemented with 10% bovine calf serum, 2 mM glutamine, 100 IU/ml of penicillin, and 100 µg/ml of streptomycin. Normal human hepatocytes were purchased from Clonetics (San Diego, CA) and processed immediately upon delivery. Normal human mononuclear cells were prepared from heparinized bone marrow samples by centrifugation across a Ficoll-Hypaque density separation gradient. EBV lymphoblastoid cell lines were derived from human mononuclear cells.
mAb.
Female BALB/c mice were hyperimmunized with human neuroblastoma according to methods outlined previously (21)
. Lymphocytes derived from these mice were fused with SP2/0 mouse myeloma cell line. Clones were selected for specific binding on ELISA. The 8H9 hybridoma secreting an IgG1 mAb was selected for further characterization after subcloning.
Immunohistochemical Studies.
Eight-µm sections from fresh frozen tumor were fixed in acetone and washed in PBS. Immunohistochemical studies were performed as described previously (22)
. Endogenous peroxidases were blocked in 0.3% H2O2 in PBS. Sections were incubated in 10% horse serum (Life Technologies, Inc., Gaithersburg, MD) after blocking with avidin and biotin. Incubation with purified 8H9 (2 µg/ml) in PBS was carried out at room temperature for 1 h. An IgG1 myeloma was used as a control (Sigma Chemical Co., St. Louis, MO). Sections were incubated with a secondary horse antimouse biotinylated antibody (Vector Laboratories, Burlingame, CA), followed by incubation with avidin-biotin complex (Vector), and developed with Vector VIP peroxidase substrate or 3,3'-diaminobenzidine peroxidase substrate kit (Vector). A 10% hematoxylin counterstain was used for 4 min. Staining was graded as positive or negative, and homogeneous or heterogeneous reactivity was noted.
Indirect Immunofluorescence.
One million target cells were washed in PBS and then spun at 180 x g for 5 min. The pellets were then reacted with 100 µl of 15 µg/ml of 8H9 at 4°C for 1 h. After washing the cells with PBS, they were allowed to react with 100 µl of FITC-conjugated goat antimouse IgG + IgM F (ab')2 (Biosource International, Camarillo, CA) at 4°C. Flow cytometric analysis was performed using FACSCalibur Immunocytometer (Becton Dickinson Immunocytometry Systems, San Jose, CA).
To study loss of antigen after binding to 8H9, 106 NMB7 and U2OS cell pellets were prepared as above and reacted with 100 µl each of 15 µg/ml of 8H9 or the anti-HLA-A,B,C antibody, HB-95 (American Type Culture Collection), at 4°C for 1 h. NMB7 cells were also similarly reacted with the anti-GD2 mAb 3F8. After washing with PBS, cells were cultured at 37°C in standard culture medium for 0, 1, 2, 4, 8, 12, 24, 36, and 48 h. They were then reacted with FITC-conjugated secondary antibody goat antimouse IgG + IgM F (ab')2 (Biosource International) at 4°C. Flow cytometric analysis was performed. Geometric mean immunofluorescence was compared with that of control cells incubated for similar time intervals in standard culture medium in the absence of mAbs and then immunostained with HB-95 (U2OS) or 3F8 (NMB7).
Antigen sensitivity to proteinase was tested by incubating 0.5 x 106 of HTB82, U2OS, and NMB7 cells at 37°C for 30 min in RPMI 1640 with increasing concentrations of neutral proteinase, Pronase E from streptomyces griseus (E. Merck, Darmstadt, Germany). After washing, cells were stained with 8H9 or 3F8 and studied by indirect immunofluorescence.
Immunoprecipitation.
Immunoprecipitation was carried out using a modification of the standard technique (23)
. 8H9-positive cell lines (NMB7, LAN-1, HTB82, U2OS, HELA, and 293) and 8H9-negative cell lines (Jurkat and HTB119) were used. Two x 107 viable cells were washed in Tris-buffered saline [TBS; 0.05 M Tris-HCl (pH 8) with 0.15 M NaCl] and incubated with 10 units of lactoperoxidase (Sigma Chemical Co.), 100 µl of 100 units/ml in TBS, 1 mCi of 125I (2.7 µl), and 1/6000 dilution of 30% hydrogen peroxide for 5 min at 20°C. Five units of lactoperoxidase (50 µl) and the same dilution of hydrogen peroxide (50 µl) were added every 3 min with mixing for a total of three times. The cells were washed extensively in TBS containing 2 mg/ml of NaI. The iodinated cells were washed three times in TBS and lysed on ice (30 min) in 500 µl of modified RIPA buffer [0.01 M Tris-HCl (pH 7.2), 0.15 M NaCl, 1% sodium deoxycholate, 1% NP40, 0.1% SDS, and 0.01 M EDTA] containing protease inhibitors (1 mM phenylmethylsulfonyl fluoride, 50 µg/ml bestatin, 2 µg/ml aprotinin, 0.5 µg/ml leupeptin, 0.7 µg/ml pepstatin, and 10 µg/ml of E-64). The lysates were clarified by centrifugation at 15,000 rpm for 5 min at 4°C and then incubated with 1 mg of 8H9 or IgG1 control antibody for 16 h at 4°C with mixing. The antigen-antibody complex was collected by adsorption onto 100 µl of protein G-Sepharose beads (Sigma Chemical Co.) for 6 h at 4°C. The immune complex immobilized on protein G was washed three times with modified RIPA buffer, washed once with RIPA buffer containing 1 M NaCl, and then washed twice with modified TNN buffer [0.05 M Tris-HCl (pH 8), 0.15 M NaCl, and 0.05% NP40]. Bound proteins were removed by elution with SDS-sample buffer [0.03 M Tris-HCl (pH 6.8), 5% Glycerol, 1% SDS, 2.5% 2ß-Mercaptoethanol, 0.001% Bromophenol blue] and analyzed by 7.5% SDS-PAGE, followed by autoradiography. Deglycosylation of the radiolabeled antigen was carried out on the protein G-Sepharose using N-glycanase (Glyco, Novato, CA) and O-glycanase (Glyco) according to manufacturers instructions. Molecular weight was estimated using Quantity One software from Bio-Rad, Inc. (Hercules, CA).
| RESULTS |
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The majority of neuroectodermal and mesenchymal tumors tested showed positive reactivity with 8H9, and epithelial tumors showed positive reactivity to a lesser extent. 8H9 immunoreactivity was seen in a characteristic, homogeneous, cell membrane distribution in 286 of the 330 (87%) tumor samples examined (Fig. 1)
. Eighty-eight % of neuroectodermal tumors, 94% of mesenchymal tumors, and 44% of epithelial tumors tested positive with 8H9 (Tables 2
and 3
).
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| DISCUSSION |
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The expression of the 8H9 antigen on several glial and nonglial brain tumors and the complete absence on normal brain tissue are unusual. This property contrasts with most of the glial tumor antigens with a cell membrane distribution described previously (Table 5)
. Neuroectodermal-oncofetal antigens, e.g., NCAMs, are present to varying degrees on normal adult and fetal tissues (6)
. Neurohematopoietic antigens including Thy-1 determinants (24)
, CD-44 (8)
, and its splice variants (25)
are present on normal and neoplastic brain tissue, as well as hematopoietic tissues, principally of the lymphoid lineage. Gangliosides, such as GD2 and GM2, although expressed on tumors of neuroectodermal origin, are also present on normal brain tissue (7)
. The lactotetraose series ganglioside 3',6'-iso-LD1 is widely expressed on brain tumors, epithelial cancers, and germ cell tumors, as well as on normal brain tissue (26)
.
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Two additional groups of tumors studied were the Ewings family of tumors and osteosarcoma. The Ewings family of tumors can be differentiated from other small, blue, round cell tumors of childhood by mAbs recognizing glycoprotein p30/32 coded by the MIC2 oncogene. However, this protein is also expressed on normal tissues, severely limiting its utility in radioimaging and therapy (18) . One hundred percent (21 of 21) of Ewings family tumors tested showed immunoreactivity with mAb 8H9. Besides GD2 (15) , the osteosarcoma-associated antigen recognized by the mAbs TP-1 and TP-3 (17) , and the decay-accelerating factor CD55 (16) , few tumor-associated antigens have been defined for osteosarcoma. In our study, 28 of 29 (95%) osteosarcomas tested immunohistochemically positive with mAb 8H9. The latter may therefore have clinical utility in the Ewings family of tumors and osteosarcomas.
The 8H9 antigen appears to be a novel, previously undescribed antigen. Sensitivity to proteinase suggests that it has a protein component. Conversely, the lack of sensitivity to neuraminidase implies the absence of sialylated epitopes, and the lack of sensitivity to phosphatidylinositol-specific phospholipase C implies that the 8H9 antigen is not glycosylphosphatidylinositol anchored. It is unlikely to be related to the NCAM family because of its unique distribution and restriction of expression among normal tissues (6)
. Of the currently described antigens expressed on glial tumors, four have been reported to be restricted to tumor tissues. The mutated EGFRvIII was found to be expressed on 52% of gliomas tested and on breast and lung carcinomas (29)
. However, the broad distribution of the 8H9 antigen is different from EGFRvIII. Integrin
3, a Mr 140,000 protein expressed on gliomas and medulloblastomas, is targeted by the mAb ONS-M21, which does not cross-react with normal brain (30)
. However, negative immunoreactivity with neuroblastoma, melanoma, and meningioma has been reported (31)
. Similar data on glioma-specific antibodies with no cross-reactivity with normal brain has been published. However, they do not react with other neuroectodermal or mesenchymal tumors, and data regarding reactivity with other tissues are unavailable (32)
. A Mr 38,000 antigen has been targeted on glioblastoma cells by the antibody 6DS1. No cross-reactivity with human brain has been reported. Data regarding reactivity with other human tissues are unknown, although a high accumulation of the radiolabeled antibody in mouse kidney has been reported (33)
. An ependymoma-specific protein antigen of Mr 81,000, recognized by mAbs that do not cross-react with normal glial cells, has also been described. These antibodies do not react with other glial tumors such as glioblastoma, and cross-reactivity with other tumor tissues is not known (34)
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The homogeneous expression of the 8H9 antigen on cell membrane makes it an attractive candidate for targeted immunotherapy. Furthermore, the persistence of the 8H9 antigen on NMB7 cells after binding to the mAb suggests that the antigen is not easily immunomodulated. To explore its potential for radioimaging, we used 99mTc-conjugated 8H9 to image neuroblastoma xenografts in athymic nude mice. This revealed selective uptake in the xenografts apart from moderate uptake in the liver; the percentage of injected dose/g was 50% of that achieved with the anti-GD2 mAb 3F8 (data not shown). The hydrazino-derivative of 8H9, therefore, retains the immunoreactive properties of the unmodified antibody and may be useful for radioimaging of tumors. We have also demonstrated selective radioimmunolocalization of rhabdomyosarcoma xenografts in athymic mice with no significant uptake in normal tissues using 125I-labeled 8H9 (data not shown).
In summary, the mAb 8H9 recognizes a unique Mr 58,000 tumor-specific antigen with broad distribution across a spectrum of tumors of varying lineage, neuroectodermal, mesenchyma, and epithelial, with restricted expression in normal tissues. 8H9 may have clinical utility in the targeted therapy of these human solid tumors in vitro or in vivo. Further biochemical characterization of the 8H9 antigen is warranted and may be of interest in delineating a possible role in the oncogenic process.
| FOOTNOTES |
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1 Supported in part by Grant CA61017 from the National Cancer Institute, Grant DE-FG-02-93 ER61658 from the Department of Energy, and grants from the Robert Steel Foundation, Justin Zahn Fund, Katie-Find-a-Cure Fund, JPs Wish Fund, and Aubrey Fund. ![]()
2 To whom requests for reprints should be addressed, at Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021. Phone: (212) 639-8401; Fax: (212) 744-2245; E-mail: cheungn{at}mskcc.org ![]()
3 The abbreviations used are: mAb, monoclonal antibody; NCAM, neural cell adhesion molecule; EGFRvIII, epidermal growth factor receptor variant III; PNET, primitive neuroectodermal tumor. ![]()
Received 3/27/00. Accepted 3/19/01.
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3 in gliomas and gliomas and medulloblastomas. Br. J. Cancer, 79: 333-339, 1998.
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