
[Cancer Research 64, 1087-1093, February 1, 2004]
© 2004 American Association for Cancer Research
Antibodies Directed against Lewis-Y Antigen Inhibit Signaling of Lewis-Y Modified ErbB Receptors
Markus Klinger1,2,
Hesso Farhan2,
Herwig Just2,
Helmut Drobny2,
Gottfried Himmler3,
Hans Loibner3,
Geert C. Mudde3,
Michael Freissmuth2 and
Veronika Sexl2
1 Department of Surgery and 2 Institute of Pharmacology, University of Vienna, and 3 Igeneon AG, Vienna, Austria
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ABSTRACT
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The majority of cancer cells derived from epithelial tissue express Lewis-Y (LeY) type difucosylated oligosaccharides on their plasma membrane. This results in the modification of cell surface receptors by the LeY antigen. We used the epidermal growth factor (EGF) receptor family members ErbB1 and ErbB2 as model systems to investigate whether the sugar moiety can be exploited to block signaling by growth factor receptors in human tumor cells (i.e., SKBR-3 and A431, derived from a breast cancer and a vulval carcinoma, respectively). The monoclonal anti-LeY antibody ABL364 and its humanized version IGN311 immunoprecipitated ErbB1 and ErbB2 from detergent lysates of A431 and SKBR-3, respectively. ABL364 and IGN311 blocked EGF- and heregulin-stimulated phosphorylation of mitogen-activated protein kinase [MAPK = extracellular signal-regulated kinase 1/2] in SKBR-3 and A431 cells. The effect was comparable in magnitude with that of trastuzumab (Herceptin) and apparently noncompetitive with respect to EGF. Stimulation of MAPK by ErbB was dynamin dependent and contingent on receptor internalization. ABL364 and IGN311 changed the intracellular localization of fluorescent EGF-containing endosomes and accelerated recycling of intracellular [125I]EGF to the plasma membrane. Taken together, these observations show that antibodies directed against carbohydrate side chains of ErbB receptors are capable of inhibiting ErbB-mediated signaling. The ability of these antibodies to reroute receptor trafficking provides a mechanistic explanation for their inhibitory action.
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INTRODUCTION
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The ErbB family of transmembrane receptor tyrosine kinases consists of the epidermal growth factor receptor (EGFR; ErbB1), ErbB2, ErbB3, and ErbB4. ErbB2 is unique among the ErbB family because (a) it is the preferred dimerization partner for the other ErbBs; and (b) an endogenous ligand has not been identified. On homodimerization or heterodimerization, intracellular tyrosine residues are transphosphorylated in a specific pattern. This leads to the recruitment of SH2-containing adaptor proteins, which by themselves transduce signals to several effector pathways, including mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase pathways (1)
. Amplification of c-erbB-2 or its protein product is observed in 2030% of human breast cancers (2)
. A high expression level of ErbB2 in breast cancer is correlated with a higher degree of nodal involvement, higher grade of disease, and absence of estrogen receptors and therefore may be associated with a more aggressive phenotype (3
, 4)
. In metastatic breast cancer overexpressing ErbB2, the use of the anti-ErbB2 antibody trastuzumab (Herceptin) in combination with standard chemotherapy improves the patient outcome (5)
.
LeY antigen belongs to the A, B, H, Lewis blood group family with the chemical structure Fuc
1
2Galß1
4[Fuc
1
3]GlcNAcß1
R and is expressed predominately during embryogenesis. Under physiologic conditions, expression on adult tissue is restricted to granulocytes and epithelial surfaces (6)
. However, LeY is overexpressed in the majority of carcinomas, including breast, ovary, pancreas, prostate, colon, and non-small cell lung cancers (7)
. In these cases, LeY occurs either at the plasma membrane as a glycolipid or linked to surface receptors (e.g., ErbB family; Ref. 8
). Therefore, we surmised that it should be possible to perturb signal transduction originating from LeY-modified surface receptors using antibodies directed against the LeY antigen. In this study, we verified this hypothesis by investigating whether the murine anti-LeY antibody ABL364 and its humanized version IGN311 interfere with signaling originating from ErbB receptors (9)
. We used two cellular models: (a) the human breast cancer cell line SKBR-3 that overexpresses ErbB2; and (b) the epidermoid carcinoma line A431 found originally to contain abundant amounts of LeY-modified ErbB1 (8)
. We focused on MAPK because stimulation of the MAPK cascade is a means by which growth factors promote cell proliferation (10)
.
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MATERIALS AND METHODS
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Materials.
A431 and SKBR-3 cell lines were purchased from American Type Culture Collection (Manassas, VA); [125I]EGF was from Perkin-Elmer Life Science NEN (Boston, MA); EGF was from Oncogene Research Products (San Diego, CA); and heregulin ß1 and the anti-EGFR antibody (Ab-2, clone 225) were from NeoMarkers (Fremont, CA). The anti-Lewis antibody ABL364 was supplied by Novartis (Basel, Switzerland), and its humanized version IGN311 was produced under GMP conditions by BioInvent (Lund, Sweden). Trastuzumab (Herceptin) was a gift from Roche (Basel, Switzerland; Ref. 9
). The antibody against the diphospho-erk1 and -erk2 and the antibodies recognizing ErbB1 and ErbB2 were from Cell Signaling Technologies (Beverly, MA). The antibody recognizing the carboxyl terminus of erk1/erk2 was from Santa Cruz Biotechnology (Santa Cruz, CA). Antisera against early endosomal antigen-1 (EEA-1) and lysosomal associated membrane protein-2 (Lamp-2) were from BD Transduction Laboratories (San Diego, CA). SuperFect polycationic transfection reagent was purchased from Qiagen (Hilden, Germany). Fluorescence imaging was performed using a Zeiss Axiovert 200M inverted epifluorescence microscope (Oberkochen, Germany) equipped with a CoolSNAP fx cooled CCD camera from Photometrics, Roper Scientific (Tucson, AZ). The fluorescence filter sets were provided by Chroma Technology Corp. (Brattleboro, VT), and the fluorescence imaging software was from MetaSeries software, Universal Imaging (Downington, PA). To generate a CFP-tagged H-Ras, H-Ras cDNA (in pCDNA3) was subcloned into pECFP-C1 (Clontech, Palo Alto, CA) with KpnI and ApaI. The plasmid coding for H-Ras was a gift from Martina Schmidt (University of Essen, Germany); sources for the other plasmids and reagents used are listed elsewhere (11)
.
Cell Culture and Assay for MAPK Stimulation.
SKBR-3 and A431 cells were propagated in McCoys modified medium and DMEM, respectively, containing 10% FCS, antibiotics, and glutamine. Subconfluent cell layers were rendered quiescent by serum starvation for 12 h; if cells were transfected with plasmid DNA, serum was withdrawn 24 h after transfection. Cells were stimulated subsequently by addition of medium containing or lacking agonists and maintained at 37°C for 5 min; antibodies were added 15 min before stimulation with agonists. The MAPK assay was done as by Klinger et al. (11)
.
Preparing Cell Lysates for Immunoprecipitation of ErbB.
Cell lysates were prepared in a manner similar to that described for MAPK assay using a different lysis buffer [in mM: 20 Tris, 150 NaCl, 1 EDTA, 1 EGTA, 1 Na3VO4, 40 ß-glycerophosphate, 1 phenylmethylsulfonyl fluoride, 10 NaF (pH adjusted to 7.5 with HCl), 1% Triton X-100, 250 units/ml aprotinin, and 40 µg/µl leupeptin]. For immunoprecipitation, cellular lysates (500 µg) were incubated with ABL364 or IGN311 (each at 20 µg per individual sample) precoupled to protein G-Sepharose. Immunoblotting for ErbB receptors was performed as outlined by Klinger et al. (11)
using the appropriate antibodies.
[125I]EGF Binding to Membrane Preparations.
Confluent monolayers (in 15-cm tissue culture dishes) were washed once with ice-cold PBS and scraped from their plastic support in hypotonic (HME) buffer [in mM: 25 HEPES.NaOH (pH 7.5), 2 MgCl2, and 1 EDTA]. After centrifugation at 20,000 x g for 10 min, the cell pellet was resuspended in HME buffer and subjected to a freeze/thaw cycle with liquid nitrogen and further homogenized by brief sonication. Membranes were sedimented by centrifugation (38,000 x g for 10 min), washed twice in HME buffer, resuspended in HME buffer at a protein concentration of 810 mg/ml, and stored in aliquots at -80°C. For the assay, membranes were diluted in HME buffer (30 µg/assay) containing 0.1% BSA; subsequently, 0.51 nM [125I]EGF (specific activity, 900 cpm/fmol) and the appropriate agonist were added. The reaction was allowed to proceed for 190 min at 25°C. The reaction was terminated by filtrating over glass fiber filters (presoaked in 1% BSA in HME buffer) with ice-cold HME buffer containing 0.1% BSA.
[125I]EGF Binding to Intact Cells, Internalization Assay.
Cells were resuspended in culture medium containing 0.1% FCS and 10 mM HEPES-Na, pH 7.5 (5 x 105-106 cells/assay). Appropriate antibody was added subsequently, and after 15 min the reaction was started by adding 1 nM [125I]EGF (specific activity, 900 cpm/fmol). The experimental approach is based on the assay described by Yarden et al. (12)
. Briefly, to prevent internalization, the reaction was incubated at 4°C; after the [125I]EGF reached equilibrium (i.e., 60 min), the reaction was split into the individual samples, which were incubated for the indicated time at 37°C. Internalization was stopped by sedimenting the cells through ice-cold FCS at 500 x g for 5 min. The cell pellets then were resuspended in the acidic stripping buffer [150 mM acetic acid (pH 2.7) and 150 mM NaCl] and incubated on ice for 10 min. After centrifugation at 500 x g for 5 min, the radioligand released into the supernatant by the acidic strip was defined as the cell surface-associated ligand; radioactivity remaining within the cells after the acidic strip was defined as the internalized ligand. The cell pellets were solubilized in 100 mM NaOH solution containing 0.1% SDS, and their radioactivity was counted. When only [125I]EGF binding to intact cells was to be determined, cells were maintained at 4°C for 60 min, and the reaction was terminated by sedimenting the cells through ice-cold FCS at 500 x g for 5 min.
[125I]EGF Recycling Assay.
The preparation of cells, the composition of binding buffer, and the concentration of [125I]EGF were as outlined previously. The binding reaction was performed at 37°C for 60 min to allow for internalization. Cells then were sedimented twice through ice-cold FCS at 500 x g for 5 min to remove unbound [125I]EGF. The cell pellets were resuspended in binding buffer devoid of [125I]EGF in the absence or presence of the individual antibody, split into the individual samples, and incubated at 37°C for the time indicated. Recycling of ErbBs was stopped by sedimenting the cells through ice-cold FCS at 500 x g for 5 min. The radioligand appearing in the supernatant represented the recycled [125I]EGF. The acidic strip and subsequent steps were performed as described previously.
Fluorescence Microscopy Imaging of CFP-Tagged Ras and Oregon Green-Modified EGF in SKBR-3 Cells.
SKBR-3 cells were seeded onto poly-D-lysine-coated glass coverslips. After 24 h, cells were maintained under starving conditions for 12 h. If CFP-Ras was to be visualized, the cells were treated with 1 nM EGF for 15 min at 37°C. For imaging Oregon Green-modified EGF, the medium was changed against PBS lacking or containing 100 nM ABL364, IGN311, or herceptin as indicated, and after a 15-min incubation at 37°C, 20 nM Oregon Green-modified EGF was added. Cells then were maintained at 37°C or 4°C, if indicated, for 15 min, and the unbound fluorescent EGF was removed in three wash steps with PBS. If indicated, surface-bound Oregon Green-modified EGF was removed by incubating twice in acidic stripping buffer for 5 min as described previously. Imaging was done with a 63x oil immersion objective and a filter set allowing for excitation at 500 nm and recording of emission at 535 nm. The pictures were captured with a CCD camera and stored in and processed with MetaSeries software (release 4.6, MetaFluor and MetaMorph; Universal Imaging).
Immunocytochemistry of EEA-1 and Lamp-2 in SKBR-3 Cells.
SKBR-3 cells were seeded onto poly-D-lysine-coated glass coverslips and maintained subsequently under starving conditions for 24 h. Cells then were incubated in medium containing 100 nM ABL364 or IGN311, if indicated, for 15 min at 37°C and thereafter incubated with 1 nM EGF for 15 min. Cells were fixed subsequently with 4% paraformaldehyde in PBS at 37°C for 30 min. The following steps were done at room temperature, with PBS used for washes. The cells were permeabilized with 0.2% Triton X-100. The coverslips then were blocked with 1% BSA diluted in PBS for 30 min. Primary antibodies, diluted in 1% BSA/PBS, were added to the cells and left for 1 h. The coverslips were washed four times before incubation with secondary antibodies. We used the following concentrations of antibodies: anti-Lamp-2, 1 µg/ml; anti-EEA-1, 1 µg/ml; and secondary antibody, 1:1000 dilution. The coverslips were mounted in Mowiol solution, and the pictures were captured as described previously for Oregon Green-modified EGF.
Each experiment was carried out at least three times.
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RESULTS
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SKBR-3 Cells and A431 Cells Modify ErbB Receptors with LeY Antigen.
The antibiotic tunicamycin inhibits the synthesis of dolichol phosphate-linked oligosaccharide precursor and thus inhibits N-linked glycosylation in the endoplasmic reticulum. In the absence of core glycosylation, the LeY antigen cannot be added as a side chain. However, the deglycosylated full-length protein still can be synthesized; this also has been demonstrated for ErbB family members (13)
. Thus, tunicamycin was used to investigate the ability of IGN311 and ABL364 to recognize LeY-modified ErbB family members. SKBR-3 cells and A431 cells, which express abundant amounts of ErbB2 and ErbB1, respectively, were treated for 24 h with tunicamycin. Detergent lysates were generated from tunicamycin-treated and untreated control cells and used as input for immunoprecipitation with either ABL364 (Fig. 1A
, Lanes 1 and 2) or IGN311 (Fig. 1A
, Lanes 3 and 4). The amount of immunoprecipitated ErbB2 and ErbB1 was assessed by immunoblotting for ErbB2 and ErbB1, respectively. Pretreatment with tunicamycin did not decrease the amount of ErbB1 and ErbB2 in cellular lysates (data not shown) but reduced greatly the ability of the antibodies to immunoprecipitate ErbB2 and ErbB1 (Fig. 1A
, Lanes 2 and 4). This indicates that IGN311 and ABL364 recognize ErbB1 and ErbB2 only if the protein is glycosylated and modified by LeY antigen.

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Fig. 1. A, immunoprecipitation of ErbB1 and ErbB2 form A431 and SKBR-3 cells by IGN311 and ABL364. Confluent A431 and SKBR-3 cells were incubated in the presence (+) or absence (-) of 1 µg/ml tunicamycin for 24 h. Cell lysates were prepared, and Lewis-Y (LeY)-modified proteins were immunoprecipitated by the addition of IGN311 or ABL364 as indicated. Aliquots (30%) of the immunoprecipitate were loaded onto SDS-polyacrylamide gels. Immunoblotting was performed with antibodies recognizing ErbB1 (A431, top blot) and ErbB2 (SKBR-3, bottom blot). B, time course of [125I]EGF binding to SKBR-3 membranes in the absence or presence of IGN311 or 2C225 antibody. SKBR-3 membranes were incubated in binding buffer containing 0.5 nM [125I]EGF in the absence ( ) or presence of 1 µM IGN311 ( ) or 10 nM 2C225 antibody ( ) for the indicated time points. Bound and free ligand was separated by filtration. C, binding of [125I]EGF to intact SKBR-3 cells in the absence or presence of ABL364, IGN311, or trastuzumab. SKBR-3 cells were incubated in medium containing 1 nM [125I]EGF in the absence (control) or presence of 10 nM 2C225 (C), 100 nM ABL364 (A), 100 nM IGN311 (I), or 100 nM trastuzumab (T) at 4°C (to prevent internalization) for 60 min. The binding reaction was terminated and surface bound, and internalized [125I]EGF was determined as described under "Material and Methods." Data are from a representative experiment that was reproduced twice.
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IGN311 and ABL364 Do Not Inhibit [125I]EGF Binding to Intact Cells.
To assess whether binding of IGN311 or ABL364 to (LeY-modified) ErbB1 interferes with the interaction of its cognate ligand, we first measured [125I]EGF binding to membranes prepared from SKBR-3 cells (Fig. 1B)
and A431 cells (not shown). Fig. 1B
shows the association kinetics of [125I]EGF in the absence or presence of IGN311 or 2C225 antibody. The values for equilibrium binding Beq and the pseudo-first order rate constant kapp were comparable under control conditions and in the presence of IGN311 (kapp = 0.18 ± 0.02 min-1; Beq = 41.7 ± 1.6 fmol/mg and kapp = 0.26 ± 0.07 min-1; Beq = 41.5 ± 2.8 fmol/mg, respectively). In contrast, the kinetic parameters were altered in the presence of the 2C225 antibody, which was used as a positive control (kapp = 0.09 ± 0.03 min-1; Beq = 13.7 ± 0.1 fmol/mg). This suggests that binding of EGF and the 2C225 antibody are mutually exclusive; in contrast, EGF and IGN311 can be bound to the receptor simultaneously. This interpretation also was confirmed by measuring [125I]EGF binding to intact cells at 4°C (i.e., under conditions where receptor internalization is blocked and does not confound the analysis; see also below). As can be seen in Fig. 1C
, neither ABL364 nor IGN311 reduced binding of [125I]EGF to intact SKBR-3 cells (filled bar; acidic strip = surface bound). As expected, the same results were obtained for trastuzumab because trastuzumab binds to a domain of ErbB2 in the vicinity of the plasma membrane (14)
. The binding reaction was allowed to proceed at 4°C to prevent activation of the endocytotic machinery. Accordingly, the amount of internalized [125I]EGF (open bar; acid resistant = internalized) was negligible. If membrane preparations of SKBR-3 and A431 cells were used in [125I]EGF binding assays, again IGN311, ABL364, and trastuzumab did not decrease [125I]EGF binding (not shown). Consistent with its ability to bind to the EGF-binding domain of ErbB1, the anti-ErbB1 antibody 2C225 substantially reduces [125I]EGF binding to cells (Fig. 1C
, filled bar labeled C). Of note, the concentration of [125I]EGF was
1 nM, which is in the range of the EGF concentration used in the MAPK assays wherein IGN311 or trastuzumab blunted the response to EGF (see below).
IGN311 Decreases EGF-Dependent MAPK Phosphorylation.
ErbB receptors control a signaling cascade that leads to the stimulation of MAPK (1)
. Activation of MAPK is achieved via dual phosphorylation by the upstream kinase MAPK-extracellular signal- related kinase kinase 1. This activity can be monitored using an antiserum specific against the dually phosphorylated MAPK. SKBR-3 cells were rendered quiescent by serum starvation and maintained in the absence of serum. Under these conditions, MAPK was phosphorylated only minimally (Fig. 2A and B
, Lanes U). The cells were stimulated for 5 min by EGF (Fig. 2A
, Lanes E) or by heregulin (Fig. 2A
, Lanes H) in the absence or presence of IGN311, trastuzumab, and the anti-ErbB1 antibody 2C225 (Fig. 2A
, Lanes I, T, and C in the bottom row). Addition of EGF and heregulin increased MAPK phosphorylation (Fig. 2A
, Lanes E and H, respectively). IGN311 decreased the response to EGF and heregulin; this also was demonstrated for ABL364 (data not shown; see also Fig. 3C
), trastuzumab, and the 2C225 antibody. Thus, the ErbB1-specific antibody was capable of interfering with the response to the ErbB3-specific ligand heregulin. Trastuzumab similarly inhibited signaling in response to heregulin and EGF (the ErbB1-specific agonist). These findings suggest that in SKBR-3-cells, agonist stimulation induces the formation of heteromeric complexes of ErbB receptors. More importantly, these data support strongly the conjecture that the humanized anti-LeY antibody IGN311 and its murine counterpart ABL364 are capable of inhibiting signaling via ErbB family members.

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Fig. 2. A, inhibition of epidermal growth factor (EGF)- and heregulin-dependent mitogen-activated protein kinase (MAPK) phosphorylation by IGN311, anti-ErbB1 2C225, or trastuzumab in SKBR-3 cells. Quiescent cells were incubated in the absence or presence of 100 nM IGN311 (I), 100 nM trastuzumab (T), or 30 nM 2C225 (C) for 15 min. The cells were incubated subsequently with 1 nM EGF (E) or heregulin (H) for 5 min. The extent of MAPK phosphorylation was determined by immunoblotting with an antiserum that specifically recognizes phospho-erk as outlined under "Material and Methods." B, effect of ABL364 and IGN311 on EGF-dependent MAPK phosphorylation in MCF-7 cells. Quiescent MCF-7 cells that lacked the Lewis-Y (LeY) moiety on ErbB1 (right blot) were treated in the absence or presence of 100 nM IGN311 (I) or ABL364 (A). Thereafter, the cells were incubated with 1 nM EGF for 5 min. Immunoprecipitation of MCF-7 lysates with IGN311 and immunoblotting with anti-ErbB1 (right blot) or anti-phospho-erk antibodies (left blot) were done as described in "Materials and Methods." C, effect of heat-denatured IGN311 on EGF- and PDBu-dependent MAPK phosphorylation. Quiescent SKBR-3 cells were incubated in the absence or presence of 100 nM IGN311 (I), 100 nM heat-denatured IGN311 (I*) or 30 nM 2C225 (C) for 15 min. The cells were incubated subsequently with 1 nM EGF (E) or PDBu (P) for 5 min. The extent of MAPK phosphorylation was determined by immunoblotting with an antiserum that specifically recognizes phospho-erk as outlined under "Material and Methods."
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Fig. 3. A, concentration-dependent stimulation of mitogen-activated protein kinase (MAPK) phosphorylation by epidermal growth factor (EGF) in the absence and presence of IGN311 or anti-EGF-receptor antibody 2C225. Quiescent SKBR-3 cells were preincubated with vehicle (top blot) or in the presence of 100 nM IGN311 or 30 nM 2C225 as indicated (middle and bottom blot) and subsequently stimulated with increasing concentrations of EGF. B, concentration-dependent inhibition of heregulin-induced MAPK phosphorylation by ABL364. Quiescent SKBR-3 cells were incubated in the presence of increasing concentrations of ABL364. Thereafter, cells were left untreated (top blot) or stimulated with 1.6 nM EGF. C and D, concentration-dependent inhibition of EGF-induced MAPK phosphorylation by ABL364, IGN311, or trastuzumab. C, quiescent SKBR-3 cells were incubated in the presence of increasing concentrations of 1.6 nM heregulin or trastuzumab as indicated. D, quiescent A431 cells were incubated in the presence of increasing concentrations of ABL364 or IGN311 and thereafter stimulated with 1 nM EGF. The extent of MAPK phosphorylation was determined as described in "Materials and Methods."
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To verify that IGN311 and ABL364 did not inhibit ErbB signaling independently of LeY, control experiments were performed in MCF-7 cells. MCF-7 cells express LeY on their cell surface (15)
, but ErbB1 (compare Lanes lysate and IP in Fig. 2B
, right blot) and ErbB2 (not shown) were not recognized by IGN311; thus, the receptors lacked LeY antigen. Accordingly, neither ABL364 nor IGN311 inhibited EGF-dependent MAPK stimulation (Fig. 2B
, left blot) in MCF-7 cells. An additional control consisted of SKBR3 cells that were treated with heat-denatured IGN311. Addition of boiled IGN311 (indicated by I* in Fig. 2C
) did not blunt the stimulatory effect of EGF (compare Lanes E+I and E+I* in Fig. 2C
). Furthermore, if SKBR3 cells were stimulated with the phorbol ester ß-phorbol 12,13-dibutyrate, no difference between MAPK phosphorylation in the presence of active or boiled IGN (Fig. 2C
, Lanes P+I and P+I*) was observed. Phorbol esters activate protein kinase C isoforms, which also stimulate MAPK phosphorylation by an action on the upstream kinases (presumably raf-1). Because phorbol esters have an intracellular site of action, IGN311 is not expected to affect stimulation by the phorbol ester, regardless of whether it is added in the active or inactive (heat-denatured) form.
IGN311 and ABL364 Antagonize EGF-Dependent MAPK Stimulation in a Noncompetitive Manner.
ABL364 and IGN311 did not compete for [125I]EGF binding (see Fig. 1C
). Nevertheless, these antibodies inhibited EGF-dependent MAPK stimulation; therefore, the action of the antibodies ought to be caused by noncompetitive inhibition. To verify this interpretation, the concentration-dependent effect of EGF was determined in the absence or presence of the appropriate antibodies. IGN311 predominantly reduced the maximum effect of EGF (Fig. 3A
, bottom row). This indicates a noncompetitive inhibition of EGF stimulated MAPK phosphorylation. The anti-EGF-receptor antibody 2C225 prevents binding of EGF to ErbB1 (see also Fig. 1, B and C
); because the mechanism of action of this antibody is well understood, it was used as a reference. Addition of antibody 2C225 shifted the concentration-response curve for EGF-induced stimulation of MAPK phosphorylation to the right, and a maximum effect was not reached at the highest concentration of EGF used (Fig. 3A
, middle row).
In Fig. 3, B and C
, the cells were stimulated with a fixed concentration of EGF or heregulin, and the concentration of ABL364 (Fig. 3B
, second and third row) and trastuzumab (Fig. 3C)
was varied. It is evident that ABL364 inhibited (Fig. 3B
, second and third row) the EGF- and heregulin- induced MAPK phosphorylation at concentrations that were in the low nanomolar range, thus consistent with the high affinity for its cognate epitope. At concentrations of [ge]1 µM, however, the inhibitory action was lost, and the stimulation actually exceeded that elicited by sole addition of EGF. If cells were challenged only by the addition of ABL364 (Fig. 3B
, top row), the antibody per se was capable of eliciting a response at concentrations [ge]1 µM. This may be because ABL364 is an IgG3 isotype, which tends to aggregate; at higher concentrations, ABL364 thereby may cross-link ErbB receptors and thus favor receptor activation. In contrast, IGN311 did not cause stimulation even at high concentrations (up to 5 µM; not shown), and this may be related to the fact that IGN311 is an IgG1 isotype.
Trastuzumab served as a useful comparison; its mechanism of action is distinct to that of ABL364 or IGN311: trastuzumab specifically targets ErbB2, and it does not block binding of EGF (see above). Trastuzumab blocked MAPK stimulation by EGF in a concentration range that was not lower than that of ABL364; at 10 nM, the extent of inhibition by any of the two antibodies was comparable (compare Fig. 3, B and C
).
No major difference in the affinity of ABL364 and IGN311 for their cognate epitope exists (9)
. If their inhibitory action were related to binding to LeY antigen-modified growth factor receptors, half-maximum inhibition of MAPK stimulation should occur over a similar concentration range. This was the case; for both antibodies the IC50 was estimated to lie in the range of 310 nM (Fig. 3D)
. Of note, the experiment shown in Fig. 3D
was performed on A431 cells, in which ErbB1 is overexpressed and represents the predominant ErbB isoform. Thus, the action of ABL364 and IGN311 is not restricted to breast cancer cells.
IGN311 and ABL364 Alter the Recycling Kinetics of EGF Receptors.
In many instances, receptor-dependent stimulation of MAPK depends on endocytosis of the agonist-liganded receptor, and this reaction requires the GTPase dynamin. We verified that endocytosis is important for stimulation of MAPK by cotransfecting SKBR-3 cells with plasmids encoding wild-type dynamin or the dominant-negative version of dynamin (dynamin K44A = GTPase deficient) and an epitope (GFP)-tagged reporter MAPK. EGF failed to stimulate the reporter MAPK if cells expressed dynamin K44A, but a robust stimulation was seen in cells expressing wild-type dynamin (Fig. 4A)
. As an internal control (for cell viability and loading), we determined EGF-stimulated phosphorylation of endogenous MAPK. The response did not differ in lysates prepared from cells exposed to the plasmids encoding wild-type or mutated dynamin (Fig. 4A
, bottom blot); this was to be expected based on the low transfection efficiency in SKBR-3 cells (estimated at
5%).

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Fig. 4. A, effect of dynamin and its dominant negative interfering mutant dynamin K44A on epidermal growth factor (EGF)-induced activation of mitogen-activated protein kinase (MAPK) in SKBR-3 cells. SKBR-3 cells were cotransfected transiently with plasmids coding for dynamin or dynamin K44A and hemagglutinin (HA)-tagged p44 MAPK. Quiescent cells were incubated subsequently in the presence of vehicle or 1 nM EGF for 5 min at 37°C. The extent of MAPK phosphorylation was determined as described in "Materials and Methods." B, distribution pattern of CFP-Ras on EGF treatment in SKBR-3 cells. SKBR-3 cells were transfected transiently with CFP-Ras. After 24 h, serum was withdrawn for 12 h. For the assay, 1 nM EGF (+EGF, bottom) or vehicle was added for 15 min. Images were captured subsequently by fluorescence microscopy as described under "Materials and Methods."
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The experiment outlined in Fig. 4A
revealed dynamin-dependent endocytosis as a prerequisite for MAPK stimulation in SKBR-3 cells. This finding also was confirmed using a fluorescent-tagged version of H-Ras (CFP-Ras = H-Ras tagged on its amino terminus with the cyan fluorescent protein); EGF induced a redistribution of CFP-Ras such that fluorescence for the plasma membrane disappeared and accumulated a punctate intracellular staining (Fig. 4B)
. Thus, it was conceivable that the anti-LeY antibodies exerted their inhibitory action on MAPK by affecting the intracellular routing of EGF receptors. This was addressed by measuring the rates of internalization and recycling in the absence and presence of anti-LeY antibodies. SKBR-3 cells were incubated with [125I]EGF at 4°C. Unbound ligand was removed, and internalization was initiated by warming the samples to 37°C. We measured the time-dependent change in surface-bound (i.e., acid-released) and internalized (i.e., acid-resistant) radioligand binding. Surface-bound ligand disappeared with a rapid monoexponential decay (kint = 0.39 ± 0.07 min-1), which was approximately similar to the rate determined for the appearance of internalized receptors (0.24 ± 0.06 min-1); however, the monoclonal antibodies did not cause any appreciable change in these rates (Fig. 5, A and B)
. Therefore, we characterized recycling by allowing SKBR-3 cells to internalize [125I]EGF during a preincubation at 37°C. The unbound ligand was removed subsequently, and the cells were held at 4°C. The internalized [125I]EGF then was allowed to recycle to the surface in fresh medium at 37°C. We determined the time course for the reappearance of [125I]EGF in the medium, which is indicative of receptors recycling to the cell surface. When compared with control conditions (
and
in Fig. 6A
) and trastuzumab (
in Fig. 6C
), ABL364 (
in Fig. 6B
and
in Fig. 6C
) and IGN311 (
in Fig. 6C
) caused an increase in a readily exchanging pool. As expected for steady-state conditions (see also Fig. 1B
), the membrane-bound fraction of [125I]EGF (i.e., the acid-sensitive fraction) remained constant and was comparable in ABL364-treated cells and control cells (Fig. 6, A and B
). The data displayed in Fig. 6
suggest that in the presence of ABL364 or IGN311, EGF receptor-containing endosomes are shifted into a compartment that allows for more rapid recycling. To visualize this shift, we studied the distribution pattern of fluorescent EGF. SKBR-3 cells were incubated with 20 nM Oregon Green-labeled EGF in the absence or presence of ABL364, IGN311, or trastuzumab. It is clear that in the presence of ABL364 (Fig. 7B)
or IGN311 (Fig. 7C)
, the distribution pattern of the fluorescent EGF differs from that under control conditions (Fig. 7A)
. Under control conditions, the fluorescence displays a disperse, punctate pattern, whereas in the presence of ABL364 or IGN311, the fluorescent EGF is clustered in a submembrane compartment. We confirmed that this fluorescence staining was intracellular by determining the effect of an acidic strip on the distribution of Oregon Green-labeled EGF. If the cells were incubated at 4°C to block internalization of ErbB receptors, they displayed surface staining with Oregon Green-labeled EGF, including the microvillar protrusion (Fig. 7E)
. Accordingly, this surface-bound Oregon Green-labeled EGF completely disappeared on incubation in acidic strip buffer. At 37°C, the internalized Oregon Green-labeled EGF was protected against acidic stripping under control conditions (Fig. 7G)
. Finally, acidic stripping did not change the staining pattern of Oregon Green-labeled EGF in the presence of IGN311 (Fig. 7H)
. As an additional control, we incubated cells with trastuzumab. This did not alter the distribution pattern of fluorescent EGF (Fig. 7D)
. This is consistent with the observations that neither the internalization (data not shown) nor the recycling kinetics (Fig. 6C
,
) was altered by the addition of trastuzumab. Furthermore, we visualized the distribution pattern of EEA-1 (a marker for early endosomes) and Lamp-2 (a marker for late endosomes). In SKBR-3 cells treated with EGF, EGF receptors colocalized with EEA-1 and Lamp-2 (data not shown). In the presence of EGF and either ABL364 (Fig. 7, K and L)
or IGN311 (Fig. 7, M and N)
, immunostaining for EEA-1 and Lamp-2 revealed a submembranous ringlike distribution similar to that seen with Oregon Green-labeled EGF (compare Fig. 7, B, C, and KN
). In contrast, immunoreactivity for EEA-1 and for Lamp-2 was distributed as punctate pattern (Fig. 7, I and J)
in a manner similar to Oregon Green-labeled EGF (Fig. 7A)
.

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Fig. 6. AC, time course of [125I]EGF recycling in SKBR-3 cells in the absence or presence of ABL364, IGN311, or trastuzumab. One nM [125I]EGF was allowed to internalize and to subsequently recycle to the plasma membrane in SKBR-3 cells in the absence (A) or presence of ABL364 (B), IGN311 (C), or trastuzumab (C) as described in "Material and Methods." At the indicated time points, the fraction of [125I]EGF was determined that was released before and after an acidic strip. A and B, radioactivity in the supernatant (ligand released into the medium), the acid-resistant fraction (intracellular [125I]EGF), and the fraction released by an acidic strip (surface-bound ligand) are shown. C, shows time course of the acid-resistant fraction in the absence (control) and presence of 100 nM IGN311, ABL364, and trastuzumab.
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Fig. 7. AD, distribution pattern of fluorescent epidermal growth factor (EGF) in SKBR-3 cells in the absence or presence of ABL364, IGN311, and trastuzumab. SKBR-3 cells were incubated for 15 min at 37°C in the absence (A) or presence of 100 nM ABL364 (B), IGN311 (C), or trastuzumab (D). Thereafter, 20 nM Oregon Green-labeled EGF were added to the medium, and the incubation was allowed to proceed for 15 min at 37°C. After removing unbound Oregon Green-labeled EGF, the distribution pattern was visualized by fluorescence microscopy. E and F, distribution pattern of fluorescent EGF in SKBR-3 cells at 4°C before (E) and after an acidic strip (F). SKBR-3 cells were incubated for 15 min at 4°C with 20 nM Oregon Green-labeled EGF. Unbound Oregon Green-labeled EGF was either removed by two brief incubations in PBS (E) or by two additional washes in acidic strip buffer for 5 min at 4°C (F). G and H, distribution pattern of fluorescent EGF in SKBR-3 cells in the absence (G) or presence of IGN311 (H) after treatment with acidic strip buffer. SKBR-3 cells were incubated for 15 min at 37°C in the absence (G) or presence of 100 nM IGN311 (H). Thereafter, 20 nM Oregon Green-labeled EGF were added to the medium for 15 min at 37°C. After removing unbound Oregon Green-labeled EGF, cells were washed twice in acidic strip buffer for 5 min at 4°C. IN, distribution pattern of early endosomal antigen-1 (EEA-1) and lysosomal associated membrane protein-2 (Lamp-2) in the absence (I and J) or presence of ABL364 (K and L) and IGN311 (M and N). SKBR-3 cells were incubated for 15 min at 37°C in the absence or presence of 100 nM ABL364 and IGN311 as indicated. Thereafter, 1 nM EGF was added to the medium for 15 min at 37°C. Subsequent staining of EEA-1 (I, K, and M) of Lamp-2 (J, L, and N) was done as described in "Materials and Methods."
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DISCUSSION
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The overexpression of growth factor receptors or the excessive production of growth factors confers a selective advantage to cancer cells and thus is observed frequently. Accordingly, growth factor receptors have been selected as targets for inhibitory antibodies and/or intracellular inhibitors of the kinase domain. The success of trastuzumab provided a major breakthrough by confirming this proof of principle (5)
. Targeting growth factor receptors has a major disadvantage of preventing physiologic signaling as exemplified by heart failure caused by trastuzumab (5)
. This clinical observation has led to additional appreciation of ErbB2 not only with a specific role in cardiac development (16)
but also as a postnatal requirement for cardiac function (17)
. We have investigated whether it is possible to block growth factor receptors more selectively by targeting the post-translationally added carbohydrates rather than the peptide backbone. This approach is selective because only receptors on cancer cells are targeted. However, it is less specific because other receptors on cancer cells also are targeted, not just ErbB family members. The pattern of glycosylation varies, and the fucosyltransferases that are relevant for the synthesis of the LeY antigen are expressed typically at high levels in the embryo, in select adult tissues, and on cancer cells of epithelial origin. Our experiments provide an unequivocal proof of principle. IGN311 and its parent murine antibody not only recognized growth factor receptors but also prevented these receptors from signaling. The sugar moieties are irrelevant for ligand binding to the EGF receptor (18
, 19) . Thus, as anticipated, IGN311 and ABL364 did not prevent binding of EGF to its cognate receptor. Accordingly, IGN311 and ABL364 inhibited the ErbB-induced stimulation of downstream signaling in a noncompetitive manner, regardless of whether the ErbB1 agonist EGF or the ErbB3 agonist heregulin was investigated. The inhibition occurred in the low nanomolar range (i.e., in a range consistent with the affinity of these antibodies for LeY antigen). For ABL364 and IGN311, the concentration required to cause half- maximum inhibition of MAPK was in the low nanomolar range. This is predicted because the two antibodies do not differ substantially in their affinity for LeY antigen (9)
. It appears trivial to understand the mechanism of action of a competitive inhibitor: either the inhibitor or the agonist is bound to the receptor. The mechanism by which noncompetitive inhibition is brought about usually is less well understood. Our observations offer an explanation by showing that the inhibition can be accounted for by intracellular rerouting of internalized EGF receptors. Although counterintuitive, EGF-dependent activation of Ras occurs predominantly in intracellular compartments. This was shown originally to depend on dynamin-dependent endocytosis in HeLa cells (also an epithelial cell line derived from a cervical carcinoma; Ref. 20
). More recently, the internalization of ligand, receptor, and the intracellular activation of Ras have been visualized directly in HEK293 cells (21)
. Our observations confirm that this model also holds true in SKBR-3 cells. Most importantly, IGN311 and ABL364 redirect internalized receptors to a submembrane compartment from which they rapidly recycle to the cell surface. This redistribution and rapid recycling of EGF receptors can account for the inhibition of Ras activation and hence of MAPK stimulation because antibodies thereby induce a physical separation of the receptors from the endosomal compartment in which Ras activation takes place.
In the current experiments, we have focused on ErbB-dependent signaling, an area in which there is a precedent against which to compare our approach. However, our preliminary data suggest that the action of IGN311 and ABL364 is not confined to the ErbB family of growth factor receptors. Because cancer cells are unstable genetically, the emergence of resistance is an inherent problem, and cancer treatment is an evolutionary arms race. Thus, a large array of antibodies, signal transduction inhibitors, and cytotoxic drugs will be needed. The resistance to Herceptin that emerges after prolonged treatment exemplifies this (22)
. The mechanism involves selection for cancer cells that overexpress other growth factor receptors (23)
. It is clear that IGN311 offers the advantage that it also will target these receptors in cancer cells that (over-)express the LeY antigen. Therefore, IGN311 may have a broader efficacy than antibodies that target only one particular receptor.
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FOOTNOTES
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Grant support: Grant from Igeneon AG. Igeneon AG is registered officially as IGENEON Krebs-Immuntherapie Forschungs- und Entwicklungs-AG.
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.
Requests for reprints: Michael Freissmuth, Institute of Pharmacology, Vienna University, Wahringer Str. 13a, A-1090 Vienna, Austria. Phone: 43-1-4277-64171; Fax: 43-1-4277-9641; E-mail: michael.freissmuth{at}univie.ac.at
Received 8/ 6/03.
Revised 11/ 1/03.
Accepted 11/10/03.
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