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[Cancer Research 62, 5835-5844, October 15, 2002]
© 2002 American Association for Cancer Research


Immunology

Direct Detection and Quantitation of a Distinct T-Cell Epitope Derived from Tumor-specific Epithelial Cell-associated Mucin Using Human Recombinant Antibodies Endowed with the Antigen-specific, Major Histocompatibility Complex-restricted Specificity of T Cells1

Cyril J. Cohen, Noa Hoffmann, Marganit Farago, Hennie R. Hoogenboom, Lea Eisenbach and Yoram Reiter2

Faculty of Biology, Technion-Israel Institute of Technology, Haifa 32000, Israel [C. J. C., N. H., Y. R.]; Department of Immunology, Weizmann Institute of Science, Rehovot 76100, Israel [M. F., L. E.]; Department of Pathology, Maastricht University, 6200 MD Maastricht, the Netherlands [H. R. H.]; and Dyax sa, Sart-Tilman, B-4000 Liege, Belgium [H. R. H.]


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The recent characterization of MHC-displayed tumor-associated antigens that recognize effector cells of the immune system has created new perspectives for cancer therapy. Antibodies that recognize these tumor-associated MHC-peptide complexes with the same specificity as the T-cell antigen receptor will therefore be valuable tools for immunotherapy, as well as for studying antigen presentation in human cancers. Most tumor-associated antigens are expressed in only one or a few tumor types; however, specific T-cell epitopes derived from the Mucin-1 tumor-associated antigen (MUC1) that are widely expressed in many cancers were identified and shown to be recognized by CTLs. We selected a large nonimmune repertoire of phage Fab antibodies on recombinant human class I HLA-A2 complexes displaying an antigenic T-cell epitope derived from MUC1. High frequency of anti-MHC-peptide binders was observed (84%), and surprisingly, a high percentage (80%) of antibodies was fully specific for the MUC1 epitope. We isolated a surprisingly large panel of 16 different high-affinity human recombinant Fab antibodies that exhibited peptide-specific, MHC-restricted binding characteristics of T cells. The analyzed Fabs not only recognize the cognate MHC-peptide complex in a recombinant soluble form but also the native complex as displayed on the surface of antigen-presenting cells and breast tumor cells. Therefore, these findings demonstrate the ability to transform the unique fine specificity but low intrinsic affinity of T-cell receptors on T cells into high-affinity soluble antibody molecules endowed with a T-cell antigen receptor-like specificity. These molecules may prove to be very important and widely applicable for monitoring the expression of specific MHC-peptide complexes on the surface of tumor and immune cells for structure-function studies of T-cell receptor-peptide-MHC interactions, as well as for developing new targeting agents for immunotherapy.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Progress made in better understanding the mechanisms that lead to an immune response has resulted in the design and development of strategies to augment active, specific immunotherapies in patients with a malignant disease. This is mainly attributable to the advances made in the availability of well-characterized tumor-associated antigens and to the advent of appropriate methodology developed to monitor the immune responses (1, 2, 3, 4, 5) . Crucial clinical trials are now in progress to target these tumor-associated antigens using various strategies such as vaccination with the cancer peptides or dendritic cells and adoptive cell therapy to generate more effective antitumor immune responses in cancer patients (6, 7, 8) .

In recent years, the advent of the application of tetrameric arrays of class I MHC-peptide complexes now enables us to detect and study rare populations of tumor antigen-specific T cells (4) . However, the study of antigen (MHC-peptide) presentation by tumor cells or professional APCs is lagging behind and very limited because of the lack of appropriate reagents that will enable direct detection of distinct tumor-associated MHC-peptide complexes.

The presence of tumor-specific MHC-peptide complexes on the surface of tumor cells may also represent a unique, specific target for an antibody-based therapeutic approach. However, new targeting moieties must be isolated such as recombinant antibodies that will recognize specific peptide-MHC complexes and will mimic the specific recognition by the TCR3 . These antibodies were therefore termed TCR-like antibodies.

In addition to being used as targeting agents, such antibodies would serve as a valuable tool for obtaining precise information about the presence, expression pattern, and distribution of the target tumor antigen, i.e., the MHC-peptide complex on the tumor’s cell surface, on tumor metastases, in lymphoid organs, and on professional APCs. Such molecules will, for the first time, enable measuring the antigen presentation ability of tumor cells by direct visualization of the specific MHC-peptide complex on the tumor cell surface. Attempts to use soluble TCRs for this purpose have proven difficult because of the inherent low affinity for their target and their instability as recombinant-engineered molecules.

Antibodies that specifically recognize class I peptide-MHC complexes have already been used in murine systems to study antigen presentation, to localize and quantify APCs displaying a T-cell epitope, or as a targeting tool in a mouse model (9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19) . Antibodies with such a unique specificity directed toward human MHC-peptide complexes have proven difficult to make using conventional immunization strategies even in combination with in vitro selection from phage display libraries (19) .

In this study, we attempted to isolate human recombinant antibodies directed toward a T-cell epitope derived from the MUC1 antigen. MUC1 is an epithelial cell-associated mucin that is developmentally regulated and aberrantly expressed by carcinomas, which makes it an important marker in malignancy (20) . Structurally, this molecule exists as a large extended rod protruding from the apical cell membrane into the lumen of the ducts. MUC1 has an unusual structure, consisting mainly of a 20-aa sequence repeated in tandem on an average of 30–90 times. The tandem repeats serve as the scaffold for O-linked oligosaccharides that cover the polypeptide core (21 , 22) . In cancer, there are differences in expression that distinguish this protein as tumor specific. More specifically, there is a large increase in the amount of mucin expressed on the cells and in the circulation. Its distribution is no longer restricted to the apical surface of ducts and glands but rather is found throughout the tumor mass and on the surface of tumor cells. Importantly, the glycosylation is altered; oligosaccharide structures are shorter and fewer in number, revealing immunodominant peptide sequences in every tandem repeat that on normal surfaces would be concealed by glycosylation. Underglycosylation of MUC1 revealed peptide epitopes presented in the context of MHC molecules that are recognized by CTLs that can kill tumor cells expressing this form of MUC1 (23) . The recent description of MUC1 as a target for CTLs has raised interest in using this protein as a target for immunotherapy. It is expressed by most adenocarcinomas of the breast, lung, stomach, pancreas, colon, prostate, ovary, endometrium, and cervix, which makes MUC1 an attractive therapeutic target. Recently, Carmon et al. (24) characterized three new HLA-A2.1-restricted, MUC1-derived CTL epitopes. These peptides, which are not deduced from the extracellular Tandem Repeat Array, were shown to be processed and presented by a breast tumor cell line. Moreover, CTLs induced against these peptides lysed target cells pulsed with breast carcinoma-derived peptide extracts more efficiently than target cells pulsed with normal breast-derived peptides. One of these MUC1 epitopes, the D6 peptide (LLLTVLTVV), which exhibited high MHC-binding affinity, was positively correlated with preferential immunogenic properties in CTL assays.

In the present work, we have isolated a panel of high-affinity human recombinant antibodies possessing antigen-specific, MHC-restricted specificity of T cells directed toward HLA-A2 complexes that display the specific Mucin-1 D6 peptide. These molecules were used to directly visualize and quantitate the specific HLA-A2/MUC1-D6 epitope on APCs, as well as on the surface of tumor cells.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Production of Biotinylated scMHC/peptide Complexes.
scMHC/peptide complexes were produced by in vitro refolding of inclusion bodies produced in Escherichia coli as described previously (25) . Briefly, a single-chain ß2 microglobulin-HLA/A2 (scMHC) construct, in which the ß2m and HLA-A2 genes are connected to each other by a flexible peptide linker, was engineered to contain the BirA recognition sequence for site-specific biotinylation at the COOH terminus (scMHC-BirA). In vitro refolding was performed in the presence of a 5–10 molar excess of the antigenic peptides as described previously (25) . Correctly folded MHC-peptide complexes were isolated and purified by anion exchange Q-Sepharose chromatography (Pharmacia), followed by site-specific biotinylation using the BirA enzyme (Avidity, Denver, CO) as described previously (4 , 25) . The homogeneity and purity of the scMHC-peptide complexes were analyzed by various biochemical means, including SDS-PAGE, size exclusion chromatography, and ELISA assays as described previously (25) .

Selection of Phage-Antibodies on Biotinylated Complexes.
Selection of phage antibodies on biotinylated complexes was preformed as described previously (26 , 27) . Briefly, a large human Fab library containing 3.7 x 1010 different Fab clones was used for the selection (28) . Phages (1013) were first preincubated with streptavidin-coated paramagnetic beads (200 µl; Dynal, Oslo, Norway) to deplete the streptavidin binders. The remaining phages were subsequently used for panning with decreasing amounts of biotinylated scMHC-peptide complexes (500 nM for the first round and 100 nM for the following rounds). Bound phages were eluted with Triethylamine (100 mM), followed by neutralization with Tris-HCl [1 M (pH 7.4)] and used to infect E. coli TG1 cells (A600 nm = 0.5) for 30 min at 37°C.

The diversity of the selected antibodies was determined by DNA fingerprinting. The Fab DNA of different clones was PCR amplified using the primers pUC-reverse (5'-AGCGGATAACAATTTCACACAGG-3') and fd-tet-seq24 (5' TTTGTCGTCTTTCCAGACGTTAGT-3') followed by digestion with BstNI (New England Biolabs) (2 h, 37°C) and gel electrophoresis.

GenBank Accession Numbers.
The GenBank accession numbers for the Fab nucleotide sequences described in this manuscript are: AF527046 (M3A1 variable heavy chain); AF527047 (M3A1 variable light chain); AF527048 (M3B8 variable heavy chain); and AF527049 (M3B8 variable light chain).

Expression and Purification of Soluble Recombinant Fab Antibodies.
Fab antibodies were expressed and purified as described previously (19 , 26 , 27) . TG1 or BL21 cells were grown to A600 nm = 0.8–1.0 and induced to express the recombinant Fab antibody by the addition of 1 mM IPTG for 3–4 h at 30°C. Periplasmic content was released using the B-PER solution (Pierce), which was applied onto a prewashed Talon column (Clontech). Bound Fabs were eluted using 0.5 ml of 100 mM imidazole in PBS. The eluted Fabs were dialyzed twice against PBS (overnight, 4°C) to remove residual imidazole.

ELISA with Phage Clones and Purified Fab Antibodies.
The binding specificities of individual phage clones and soluble Fab fragments were determined by ELISA using biotinylated scMHC-peptide complexes. ELISA plates (Falcon) were coated overnight with BSA-biotin (1 µg/well). After having been washed, the plates were incubated (1 h, room temperature) with streptavidin (1 µg/well), washed extensively, and additionally incubated (1 h, room temperature) with 0.5 µg of MHC-peptide complexes. The plates were blocked for 30 min at room temperature with PBS/2% skim milk and subsequently were incubated for 1 h at room temperature with phage clones (~109 phages/well) or various concentrations of soluble purified Fab. After having been washed, the plates were incubated with horseradish peroxidase-conjugated/antihuman Fab antibody (for soluble Fabs) or horseradish peroxidase-conjugated anti-M13 phage (for phage-displayed Fabs). Detection was performed using tetramelhylbenzidine reagent (Sigma). The HLA-A2-restricted peptides used for specificity studies of the Fab phage clones or purified Fab antibodies are as follows in Table 1Citation :


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Table 1 HLA-A2-restricted peptides used for specificity

 
Production of Fluorescent Tetramerized Fabs.
The genes encoding to the light and heavy chain of Fab M3A1 were cloned separately into a T7-promotor pET-based expression vector. The light chain gene was engineered to contain the BirA recognition sequence for site-specific biotinylation at the COOH terminus (M3A1 light-BirA). These constructs were expressed separately in E. coli BL21 cells and upon induction with IPTG, intracellular inclusion bodies that contain large amounts of the recombinant protein accumulated. Inclusion bodies of both chains were purified, reduced, and subsequently refolded at a 1:1 ratio in a redox-shuffling buffer system containing 0.1 M Tris, 0.5 M Arginine, 0.09 mM Oxidized Glutathione (pH 8.0). Correctly folded Fab was then isolated and purified by anion exchange MonoQ chromatography (Pharmacia). The Fab peak fractions were concentrated using Centricon-30 (Amicon) to 1 mg/ml, and the buffer was exchanged to Tris-HCl [10 mM (pH 8.0)]. Biotinylation was performed using the BirA enzyme (Avidity) as described previously. Excess biotin was removed from biotinylated Fabs using a G-25 desalting column. Phycoerythrin-labeled streptavidin (Jackson-Immunoresearch) was added at a molar ratio of 1:4 to produce fluorescent tetramers of the biotinylated Fab fragment.

Flow Cytometry.
The B cell line RMAS-HHD, which is transfected with a single-chain ß2M-HLA-A2 gene (29) , the EBV-transformed HLA-A2+ JY cells, and the human breast tumor cells lines MDA-MB-231 (30) and MCF-7 were used to determine the reactivity of the recombinant Fab antibodies with cell surface-expressed HLA-A2/peptide complexes. Peptide pulsing was performed as indicated: ~106 cells were washed twice with serum-free RPMI and incubated overnight at 26°C or 37°C, respectively, in medium containing 1–30 µM of the peptide. The RMAS-HHD cells were subsequently incubated at 37°C for 2–3 h to stabilize cell surface expression of MHC-peptide complexes. Next, the cells were incubated for 60–90 min at 4°C with recombinant Fab antibodies (20 µg/ml) in 100 µl. After three washes, the cells were incubated with 1 µg of antihuman Fab (Jackson). After another three washes, the cells were resuspended in ice-cold PBS. Nonpulsed cells were harvested by trypsinization and resuspended in cold RPMI. All subsequent washes and incubations were performed under ice-cold conditions as already described for peptide-loaded cells. The cells were analyzed by a FACStar flow cytometer (Becton Dickinson), and the results were analyzed with the WinMDI program.4

Competition Binding Assays.
Flexible ELISA plates were coated with BSA-biotin and scMHC-peptide complexes (10 µg in 100 µl) were immobilized as described previously. The binding of soluble purified Fabs was performed by competitive binding analysis, which examined the ability of purified Fab to inhibit the binding of 125I-Fab to the specific immobilized scMHC-peptide complex. The recombinant Fab antibodies were labeled with [125I] using the Bolton-Hunter reagent. The labeled Fab was added to the wells as a tracer (3–5 x 105 cpm/well) in the presence of increasing concentrations of the cold Fab fragments as a competitor. The binding assays were performed at room temperature for 1 h in PBS. The plates were washed (five times) with PBS, and the bound radioactivity was determined using a gamma counter. The apparent affinity of the Fabs was determined by extrapolating the concentration of competitor necessary to achieve 50% inhibition of 125I-labeled Fab binding to the immobilized scMHC-peptide complex. Nonspecific binding was determined by adding a 20–40-fold excess of unlabeled Fab.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Recombinant scMHC-Peptide Complexes with MUC1-derived HLA-A2-restricted Peptide.
One of the potent T-cell epitopes identified in the MUC1 antigen that was recognized by HLA-A2-restricted CTLs derived from HLA-A2 transgenic mice is the peptide D6 (LLLTVLTVV) (24) . Recombinant MHC-peptide complexes that present the MUC1-derived epitope were generated by using a scMHC construct that was described previously (25 , 31) . In this construct, the extracellular domains of HLA-A2 are connected into a single-chain molecule with ß-2 microglobulin using a 15-amino acid flexible linker. The scMHC-peptide complexes were produced by in vitro refolding of inclusion bodies in the presence of the MUC1-derived D6 peptide. The refolded scHLA-A2/D6 complexes were very pure, homogenous, and monomeric as shown by analysis on SDS-PAGE and size exclusion chromatography (data not shown). Recombinant scMHC-peptide complexes generated by this strategy had been previously characterized in detail for their biochemical, biophysical, and biological properties and were found to be correctly folded and functional (25 , 31) .

Selection of Recombinant Antibodies with TCR-like Specificity to HLA-A2-restricted T-cell Epitope of MUC1.
The large antibody phage library, consisting of a repertoire of 3.7 x 1010 human recombinant Fab fragments (28) , was first depleted of streptavidin binders and used for the subsequent panning in solution on soluble recombinant MHC-peptide complexes containing the MUC1-derived T-cell epitope. A 560-fold enrichment in phage titer was observed after three rounds of panning using the MUC1-derived D6 peptide-MHC complexes (Table 2)Citation . The fine specificity of the selected phage antibodies was determined by a differential ELISA analysis on streptavidin-coated wells incubated with biotinylated scMHC HLA-A2 complexes containing either the specific MUC1-derived D6 peptide or control complexes containing other HLA-A2-restricted peptides. Phage clones analyzed after the third round of selection exhibited two types of binding patterns toward the MHC-peptide complex: one class of antibodies consisted of pan-MHC binders that cannot differentiate between the various MHC-peptide complexes; the second type consisted of antibodies that bound the MHC-peptide complex in a peptide-specific manner. The ELISA screen revealed that 76 of 90 clones randomly selected clones screened (84%) from the third round of panning appeared to be binding to the HLA-A2/peptide complex.


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Table 2 Selection of recombinant Fab antibodies with TCR-like specificity to MUC1-D6 peptide

 
However, a surprisingly high percentage of antibodies, 72 of 90 clones screened (80%), were fully specific for the peptide/MHC used in the selection (i.e., the scHLA-A2/D6 complex) when tested as phage antibodies in ELISA on different peptide/MHC complexes. As shown in Table 2Citation , 80% of the clones exhibited antigen-specific, MHC-restricted binding characteristics of T cells. Thus, they bound only to the MHC peptide complex containing the specific D6 MUC1-derived peptide and did not bind to control complexes containing other HLA-A2-restricted peptides. These apparent MHC/peptide-specific positive clones remained specific in a secondary screening on more complexes (data not shown, see "Materials and Methods" for list of HLA-A2- restricted peptides tested). Fig. 1Citation shows a representative analysis of five TCR-like Fab clones. Clones M2B1 and M2F5 are from the second round of panning and clones M3A1, M3B8, and M3C8 are from the third round. The different MUC1-D6-specific clones tested reacted only with the scMHC-MUC1-D6 complexes and not with MHC-peptide complexes displaying the MUC1-derived A7 epitope, the melanoma gp100-derived epitope, G9–154, and the viral TAX11–19 epitope (Fig. 1)Citation .



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Fig. 1. Specificity of recombinant Fab antibodies selected on HLA-A2/MUC1-D6 complexes. Phage ELISA of clones selected against scHLA-A2/MUC1-D6 complex. (Clones M2B1 and M2F5 are from the second round of panning and clones M3A1, M3B8, and M3C8 are from the third round.)

 
We examined the diversity pattern of 26 peptide-specific clones (from round two or three) by DNA fingerprint analysis and found 16 different restriction patterns indicating the selection of several different antibodies with TCR-like specificity. DNA sequencing analysis confirmed these observations.

Characterization of Recombinant Soluble Fab Antibodies with TCR-like Specificity.
Using E. coli BL21 or TG1 cells, we produced soluble Fab fragments from the phage clones (analyzed above, Fig. 1Citation ) that exhibited the specific binding pattern to the MUC1-derived HLA-A2-peptide complexes.

These Fab antibodies were purified by metal affinity chromatography from the periplasm by use of the hexahistidine tag fused to the CH1 domain of the Fabs. SDS-PAGE analysis of the affinity-purified material revealed homogenous, pure Fab antibodies with the expected molecular weight (Fig. 2A)Citation . Approximately 0.5–2 mg of pure material could be obtained from 1 liter of bacterial culture. For additional manipulations (to increase the avidity of the monomeric Fab), we also produced the Fabs by in vitro refolding; the Fd and light chains were subcloned into a T7-promotor pET-based expression vector and upon induction with IPTG, large amounts of recombinant protein accumulated in intracellular inclusion bodies (Fig. 2B)Citation . In vitro refolded purified monomeric Fab was obtained in high yields (4–6 mg of purified Fab were obtained from two 1-liter cultures, each expressing the Fab Fd or light chain domain; Fig. 2CCitation ). The minor contaminating bands below the Fab band reflect Fd and light chains from Fab in which the interchain disulfide did not form.



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Fig. 2. Expression and purification of MUC1-D6 TCR-like Fabs. A, SDS-PAGE analysis of reduced- and nonreduced-purified Fab protein after metal affinity chromatography. B, SDS-PAGE analysis of inclusion bodies from BL21 cultures expressing Fab M3A1 Fd and light chain domains. C, SDS-PAGE analysis of purified in vitro refolded Fab M3A1.

 
We determined the fine specificity of the soluble molecules by ELISA on biotinylated MHC-peptide complexes that were immobilized to BSA-streptavidin-coated wells. The BSA-streptavidin-biotin spacer enables the correct folding of the complexes, which can be distorted by direct binding to plastic. To determine the correct folding of the bound complexes and their stability during the binding assays, we monitored their ability to react with the conformationally specific monoclonal antibody w6/32, which recognizes HLA complexes only when folded correctly and when containing peptide. Fig. 3Citation shows a representative analysis of four soluble Fab antibodies directed to the HLA-A2/MUC1-D6 complexes. All four antibodies reacted specifically with the D6-containing HLA-A2 complexes but not with 10 control HLA-A2/peptide complexes containing the A7 MUC1-derived MHC-peptide complex, nor with HLA-A2 complexes containing melanoma gp100-derived epitopes (154, 209, 280), melanoma MART1 epitope, telomerase epitopes (540, 865) or the viral epitopes (TAX, cytomegalovirus, EBV; see Table 3Citation for list of peptides). Thus, these peptide-specific and MHC-restricted Fab fragments exhibit the binding characteristics and fine specificity of a TCR-like molecule. The Fab antibodies did not recognize the peptide alone when immobilized on the plate, nor with streptavidin or other protein antigens such as BSA, IgG, RNase, and Chymotrypsin (data not shown).



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Fig. 3. Binding of soluble purified Fab antibodies with TCR-like specificity in ELISA. Binding of soluble purified Fabs to immobilized HLA-A2/MUC1-D6 and control complexes.

 

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Table 3 Quantitation of the number of D6-HLA-A2 complexes on the surface of cells

 
Next, we tested the affinity-binding properties of two of the TCR-like soluble Fabs using a saturation ELISA assay in which biotinylated complexes were bound to streptavidin-coated plates and to which increasing amounts of Fab antibody were added. As shown in Fig. 4, A and BCitation , the binding of two specific Fabs (M3A1 and M3B8) was dose dependent and saturable. Extrapolating the 50% binding signal of either antibody revealed that their affinity was in the nanomolar range.



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Fig. 4. Binding characteristics of two recombinant TCR-like Fab antibodies. A and B, titration ELISA of purified soluble Fab antibodies M3A1 (A) and M3B8 (B) directed to scHLA-A2/MUC1-D6. Wells were coated with the corresponding MHC-peptide complexes as described in "Materials and Methods." C and D, competitive binding analysis of the ability of purified Fab M3A1 (C) and M3B8 (D) to inhibit the binding of 125I-labeled M3A1 or M3B8 to immobilized HLA-A2/MUC1-D6 complex. The apparent binding affinity of the recombinant Fab was determined as the concentration of competitor (soluble purified Fab) required for 50% inhibition of the binding of the 125I-labeled tracer.

 
Finally, we determined the apparent binding affinity of the TCR-like Fab fragments to their cognate MHC-peptide complex by a competition binding assay in which the binding of 125I-labeled Fab competed with increasing concentrations of unlabeled Fab fragments. These binding studies (Fig. 4, C and D)Citation revealed an apparent binding affinity of ~15 nM for the M3A1 antibody and 25 nM for the M3B8 antibody specific for the MUC1-D6 epitope.

Binding of Fab fragments to APCs Displaying the MUC1-derived Epitope.
To demonstrate that the isolated Fab fragments can bind the specific MHC-peptide complex not only in the recombinant soluble form but also in the native form, as expressed on the cell surface, we used murine TAP2-deficient RMA-S cells transfected with the human HLA-A2 gene in a single-chain format (Ref. 32 ; HLA-A2.1/Db-ß2m single chain, RMA-S-HHD cells). The MUC1-derived D6 and control peptides were loaded on RMA-S-HHD cells, and the ability of the selected Fab antibodies to bind to peptide-loaded cells was monitored by fluorescence-activated cell sorter. Peptide-induced MHC stabilization of the TAP2 mutant RMA-S-HHD cells was demonstrated by the reactivity of monoclonal antibodies w6/32 (HLA conformation-dependent) and BB7.2 (HLA-A2-specific) with peptide-loaded but not unloaded cells (data not shown). Fabs M3A1 and M3B8 reacted only with D6-loaded RMA-S-HHD cells and not with cells loaded with the gp100-derived G9–154 peptide (Fig. 5, A and B)Citation . Similar results were observed in fluorescence-activated cell sorter analysis using 10 other HLA-A2-restricted peptides (data not shown).



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Fig. 5. Detection of MHC-peptide complexes on the surface of APCs. RMAS-HHD or JY cells were loaded with MUC1-D6 (A and B and C and D, respectively) or control melanoma gp100-derived peptide G9–154. Peptide-loaded cells were then incubated with the HLA-A2/MUC1-D6-specific soluble purified Fab antibodies M3A1 and M3B8 (A and C and B and D, respectively) as shown. Specific staining of the MUC1-D6-loaded cells but not the control cells is shown. Control unloaded cells are marked.

 
We also used the TAP+ EBV-transformed B-lymphoblast HLA-A2+ JY cells as APCs. They have normal TAP; consequently, peptide loading is facilitated by the exchange of endogenously derived peptides with HLA-A2-restricted peptides supplied externally by incubation of the cells with the desired peptides. We incubated these cells first with the D6 MUC1-derived, and control HLA-A2-restricted peptides, then washed the cells, and then incubated them with Fab antibodies M3A1 and M3B8. These Fab fragments recognize only JY cells incubated with the specific MUC1 peptide to which they were selected but not control HLA-A2-restricted peptides, including the other MUC1 epitope (Fig. 5, C and D)Citation . As a control, we used peptide-loaded HLA-A2-/HLA-A1+ APD B cells. No binding of the Fab antibodies to these cells was observed (data not shown).

Increasing the Avidity of the TCR-like Fabs and Binding to MUC1-expressing Tumor Cells.
To confirm that the MUC 1-specific TCR-like Fab antibodies can bind endogenously derived MHC-peptide complexes on the surface of tumor cells, we performed flow cytometry analysis on various tumor cells that express MUC1 and HLA-A2.

Because the density of a particular peptide-HLA complex on these tumor cells is expected to be low compared with peptide-pulsed APCs, we increased the avidity of Fab M3A1 by making Fab tetramers, which are directly tagged with a fluorescent probe. This approach was used previously to increase the binding avidity of peptide-MHC complexes to the TCR or to increase the sensitivity of recombinant antibody molecules (33) . Another advantage of using fluorescently labeled tetramers is that only a single staining step is required, whereas monomeric unlabeled Fabs require a fluorescently labeled secondary antibody. We thus used our Fab tetramers, which were generated with fluorescently labeled streptavidin, to measure the expression of MUC1-derived D6 peptide-MHC complexes on the surface of MUC1-expressing tumor cells. As shown in Fig. 6ACitation , the intensity of the binding, as measured by flow cytometry with peptide-pulsed JY cells, was dramatically increased by two logs compared with the staining intensity with the M3A1 Fab monomer. Next, we tested the ability of the Fab M3A1 tetramer to stain breast cancer HLA-A2+ MDA-MB-231 tumor cells pulsed with the MUC1-derived D6 peptide. As shown in Fig. 6BCitation , substantial staining of peptide-pulsed MDA-MB-231 cells was observed with the tetramer, whereas a lower degree of staining was observed when cells were stained using the Fab monomer. Similar results were observed when we used HLA-A2+ mature dendritic cells pulsed with the MUC1-derived D6 peptide (Fig. 6C)Citation . As expected, the titration of peptide-pulsed JY and MDA-MB-231 cells with different concentrations of the MUC1-derived D6 peptide demonstrated that the staining intensity was dependent on the concentration of the peptide used for pulsing and that peptide concentration at the nM range was sufficient to detect binding when using the Fab M3A1 tetramer (data not shown). This titration was performed on cells that have normal antigen processing and consequently, displaying the exogenous peptide is facilitated by peptide exchange. Similar experiments were performed on MUC1-expressing MCF-7 breast carcinoma cells. The staining intensity of peptide-pulsed JY or MDA-MB-231 cells observed with M3A1 was compared with calibration beads that display known fix number of phycoerythrin sites. This comparison enabled us to determine the number of D6 peptide-HLA-A2 complexes displayed on the surface of cells that are pulsed with the D6 MUC1-derived peptide (Table 3)Citation . The binding of the M3A1 tetramer to the MDA-MB-231 and MCF-7 cells was observed only when the MUC1-D6 peptide was used for pulsing (Fig. 7, A and B)Citation ; when a control HLA-A2-restricted peptide derived from HTLV-1 (TAX) was used, no binding was detected (Fig. 7, A and B)Citation . We also attempted to detect the natural occurrence of HLA-A2/Mucin1-D6 complexes on cells without peptide pulsing, using the Fab M3A1 tetramer. We used MCF-7 and MDA-MB 231 cells that are also HLA-A2+ and express MUC1. These cells represent the normal situation in which the specific MHC-peptide complex is expected to be present at a much lower density on the cell surface compared with peptide-loaded APCs or peptide-pulsed tumor cells. The specificity of binding was assessed first on peptide-pulsed MCF-7 and MDA-MB 231 (Fig. 7, A and B)Citation . MUC1 expression in these cells was visualized by staining with an anti-Mucin1 antibody (data not shown). As shown in Fig. 7CCitation , the M3A1 tetramer was able to detect MUC1-D6 complexes on the surface of MUC1-expressing, HLA-A2+, MCF-7, and MDA-MB 231 cells but not on MUC1-negative, HLA-A2+ melanoma FM3D cells nor on HLA-A2 and MUC1-negative G-43 cells. The M3A1 tetramer exhibited a low background staining with the MUC1-positive, HLA-A2-negative SK-BR3 cells (Fig. 7C)Citation . The staining intensity of the cells was statistically significant, representing measurements of 10 independent experiments. These results demonstrate the ability of these high-affinity TCR-like antibodies to detect MHC-peptide complexes on the surface of tumor cells. Thus, these TCR-like antibodies can bind to cells that express the specific MHC-peptide complex at a density most likely to be found on tumor cells, APCs such as dendritic cells, and other cells involved in tumor-antigen presentation to the immune system.



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Fig. 6. Detection of HLA-A2/MUC1-D6 complexes on the surface of cells using a Fab M3A1 tetramer. JY cells (A), MDA-MB-231 breast carcinoma cells (B), or HLA-A2+ mature dendritic cells (C) were pulsed with MUC1-D6. Peptide-pulsed cells were then incubated with the HLA-A2/MUC1-D6-specific, PE-labeled M3A1-tetramer or with the monomer. Fab monomer binding was detected with PE-labeled antihuman Fab. Control unloaded cells, stained with the M3A1 tetramer, are marked.

 


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Fig. 7. Detection of HLA-A2/MUC1-derived peptide complexes on tumor cells. A and B, MCF-7 or MDA-MB-231 MUC1-positive breast carcinoma cells were pulsed with the MUC1-D6 peptide or with control HLA-A2-restricted HTLV-1-derived Tax peptide and the binding of PE-labeled M3A1 Fab tetramer was determined. C, binding of M3A1 to native nonpulsed tumor cells. MCF-7 and MDA-MB-231 HLA-A2+ and MUC1-positive cells were stained with Fab M3A1 tetramer. Controls are HLA-A2+ MUC1-negative FM3D melanoma cells, HLA-A2 and MUC1-negative G-43 cells, or HLA-A2-negative and MUC1-positive SK-BR3 cells. The mean fluorescence values of 10 experiments were normalized in comparison with the mean autofluorescence of nonstained cells.

 
Quantitation of the Number of D6-HLA-A2 Complexes on the Surface of Cells Using the TCR-like Fab M3A1.
We used the M3A1 TCR-like Fab to initially quantitate the number of D6-HLA-A2 complexes that are displayed on peptide-pulsed cells, as well as naturally on unpulsed tumor cells. This was performed by quantitation of fluorescence on stained cells and comparison with calibration beads with known numbers of PE molecules/bead (QuantiBRITE PE beads; Becton-Dickinson), thus, providing an easy and sensitive means of quantifying PE-stained cells with a flow cytometer. PE is an optimal fluorophore because it is very bright and does not self-quench. Pulsing of JY APCs with 1 µM peptide resulted in our ability to detect as many as 1.2 x 105 D6-HLA-A2 complexes/cell (Table 3)Citation , whereas pulsing of tumor MDA-MB-231 cells resulted in the display of 1 x 104 complexes/cell. Next, we attempted using the same strategy to determine the number of D6-MUC1-derived complexes on the surface of MUC1-expressing tumor cells (naturally, without peptide pulsing). As shown in Table 3Citation , we could estimate the number of D6-HLA-A2 complexes to be several hundreds/cell. To our knowledge, this is the first attempt to quantify, using a direct mean, the number of tumor-associated TCR ligands (peptide-MHC complexes) on the surface of tumor cells.


    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In this study, we have demonstrated the ability to select from a large nonimmune repertoire of human Fab fragments a panel of antibodies directed against a T-cell epitope of the MUC1 cancer antigen.

These antibodies exhibit a very specific and special binding pattern: they can bind with a peptide-specific manner only to HLA-A2/MUC1-D6 complexes; hence, these are recombinant antibodies with T-cell antigen receptor-like specificity. In contrast to the inherent low affinity of TCRs, these molecules display the high-affinity binding characteristics of antibodies while retaining TCR specificity. Most importantly, these recombinant antibodies specifically recognize native MUC1-D6-derived MHC-peptide complexes on the surface of cells, including binding to MUC1-positive tumor cells. The recent description of MUC1 as a target for CTLs has raised interest in using this protein as a target for immunotherapy (21 , 24 , 26) . It is expressed by most adenocarcinomas of the breast, lung, stomach, pancreas, colon, prostate, ovary, endometrium, and cervix, which makes MUC1 an attractive therapeutic target (22) .

Recombinant antibodies with TCR-like specificity, represent a valuable new tool in molecular immunology for several major fields of research: (1) for studying antigen presentation in cancer, (2) for developing new targeting molecules; for immunotheraphy, and (3) for studying structure-function relationships in TCR-peptide-MHC interactions. We have shown that these antibodies can be used to detect and visualize the presence of specific T-cell epitopes (MHC-peptide complexes) by standard methods of flow cytometry. With appropriate conservation of the MHC-peptide complexes during fixation, it may even be possible to detect such complexes by immunohistochemistry, opening the door for their widespread use in pathology. As such, they should be very useful for the study and analysis of antigen presentation on tumor cells by determining the expression of specific tumor-related MHC-peptide complexes on the surface of tumor cells, metastases, APCs, and lymphoid cells. Moreover, such antibodies are expected to be particularly useful for determining the alterations in MHC-peptide complex expression on APCs before, during, and after vaccination protocols with peptides, APCs loaded with tumor cell extracts, or dendritic tumor cell hybrid vaccinations (6, 7, 8) . Direct detection of particular MHC-peptide complexes using flow cytometry or immunohistochemistry would allow quantitation of TCR ligands on individual cells, as demonstrated in this study, phenotyping of such APCs or tumor cells, and localization of these APCs within normal or pathological tissues.

Confocal immunofluorescence microscopy would permit analysis of the intracellular site(s) of peptide-MHC molecule interaction and trafficking. In situ localization of APCs bearing particular peptide-MHC TCR ligands would be especially valuable in characterizing the cell-cell interactions involved in initiation, propagation, and maintenance of T-cell immune responses. Multicolor histochemistry could be used to reveal not only the type and location of APCs but also the phenotype of interacting T cells, including the set of cytokines elicited.

Indeed, we attempted in this study to quantify the number of distinct TCR ligands (peptide-MHC complexes) on the surface of cells. An important feature of the TCR-like Fab, M3A1, used for these studies is its capacity to detect peptide-MHC at cell surface densities near the threshold limit for T-cell signaling. The numbers obtained herein of several hundreds sites/cell on unpulsed tumor cells and several 103-104 sites/cell on peptide-pulsed APCs are in agreement with several estimates of the threshold number of peptide-MHC ligands needed to elicit nuclear responses from T cells such as cytokine secretion or sensitize target cells for lysis by CTL (32 , 34) . Using peptide-pulsed APCs, we could show that the M3A1 antibody was able to detect complexes on cells pulsed with peptide concentrations similar to those needed to activate a T-cell hybridoma or CTL line to cytokine secretion and within a few fold of the minimal concentration able to sensitize target cells for lysis in a short-term cytotoxicity assay.

Interestingly, we were able to isolate a repertoire of several antibodies against the MUC1-derived epitope. Until now, antibodies with TCR-like specificity had been generated against murine MHC-peptide complexes using various strategies of immunizations (10, 11, 12, 13, 14, 15, 16, 17, 18) . Most strikingly, here we were able to select several different TCR-like antibodies, whereas all previous experiments were able to isolate only a single antibody clone (10 , 11 , 20) . The fact that 80% of the MHC-peptide binding antibodies had the fine specificity of a TCR-like molecule, i.e., presumably bind to a small portion of the total area of the MHC-peptide complex, is nevertheless surprising, especially because they were selected from a nonimmune repertoire considered not to be biased toward such specificity. More recently, we have been able to isolate from the same phage library recombinant Fabs against a large variety of MHC-peptide complexes containing other cancer-associated or viral HLA-A2-restricted peptides (26 , 27) , indicating that this behavior is not MUC1 related or peptide related. The unexpected high frequency of these antibodies and our ability to isolate several different antibodies is even more surprising in view of previous reports in which the use of immunized or naïve phage libraries resulted in only a single antibody clone. It is possible that one particular antibody family or antibody V-gene segment could have an intrinsic propensity to bind HLA-A2 molecules and that the high frequency could be explained by a high abundance of such antibodies in the nonimmune library. However, the sequences of the selected clones are derived from many different antibody families and germ-line segments, without any biases visible in the complementary determining regions either (data not shown). The high frequency and high affinities for some of the antibodies isolated here suggest that these molecules may be present at a high frequency in the antibody repertoires from the B-cell donors of the phage library, but an in vivo role for such antibodies remains unclear.

Whatever the reason for this high frequency of antibodies to MHC-peptides may be, it appears that this phage-based approach can be successfully applied to isolate recombinant antibodies with TCR-like specificity to a large variety of MHC-peptide complexes. Thus, it may now be possible to elucidate the role of antigens under various pathological conditions such as cancer, viral infections, and autoimmune disease, not only at the level of the T cell, using MHC tetramers, but also at the level of the APC and diseased cell, using antibodies of the type described here.

There are now opportunities to use these particular molecules, which recognize a very specific human tumor antigen, as candidates for targeting moieties using various antibody-based immunotherapeutic approaches. This includes the use of these antibodies to construct recombinant immunotoxins (35) , for fusions with cytokine molecules (36) , for bispecific antibody therapy (37) or immunogene therapy.

Another interesting application for using these TCR-like Fab antibodies is for structure-function studies of MHC-peptide TCR interactions. By mutating particular residues in the specific peptide and testing, the influence of these mutations on the binding of the Fab antibodies and peptide-specific T-cell clones, it may be possible to obtain important data on the structure-function relationship and the different nature of the recognition process between the TCR-like Fabs and the native TCR (38) .

To improve the sensitivity and targeting capabilities of these TCR-like antibody molecules, two antibody engineering approaches can be used: one increases the affinity of the parental antibodies by affinity maturation strategies without altering their TCR-like fine specificity (39) , and the second, already used in this study, increases the avidity of these recombinant monovalent molecules by making them multivalent. Combining these strategies may result in improved second-generation antibody molecules that will be sensitive enough and specific for immunotherapeutic approaches as well as for studying the interaction of tumor cells and the human immune system.

In recent years the advent of the application of tetrameric arrays of class I MHC-peptide complexes now enables us to detect and study rare populations of antigen-specific T cells (4) . Our approach produces antibody molecules that enable phenotypic analysis of antigen (MHC-peptide) presentation, the other side of the coin to MHC-peptide-TCR interactions. Combining these two new approaches will significantly enhance our ability to understand immune responses in health, as well as under various pathological conditions such as cancer, viral infections, and also when applied to class II MHC molecules, autoimmune diseases.


    ACKNOWLEDGMENTS
 
We thank Dina Segal and Helit Cohen for technical support.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 This work was supported, in part, by research grants (to Y. R.) from the Israel Science Foundation administered by the Israel National Academy for Sciences and Humanities, Jerusalem, Israel, a Research Career Development Award by the Israel Cancer Research Foundation, New York, and by The Mallat Family Fund for Research in Life Sciences. C. J. C. was supported by a short-term European Molecular Biology Organization fellowship. Back

2 To whom requests for reprints should be addressed, at Faculty of Biology, Technion-Israel Institute of Technology, Technion City, Room 333, Haifa 32000, Israel. Phone: 972-4-8292785; Fax: 972-4-8225153; E-mail: reiter{at}tx.technion.ac.il Back

3 The abbreviations used are: TCR, T-cell receptor; APC, antigen-presenting cell; MUC1, Mucin 1 tumor-associated antigen; TR, tandem repeat; scMHC, single-chain MHC; IPTG, isopropyl-1-thio-ß-D-galactopyranoside; PE, phycoerithrin. Back

4 J. Trotter, http://facs.scripps.edu/. Back

Received 5/ 6/02. Accepted 8/14/02.


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