Rituximab-CD20 complexes are shaved from Z138 mantle cell lymphoma cells in intravenous and subcutaneous SCID mouse models

Y Li, ME Williams, JB Cousar… - The Journal of …, 2007 - journals.aai.org
Y Li, ME Williams, JB Cousar, AW Pawluczkowycz, MA Lindorfer, RP Taylor
The Journal of Immunology, 2007journals.aai.org
Infusion of standard-dose rituximab (RTX) in chronic lymphocytic leukemia (CLL) patients
promotes rapid complement activation and deposition of C3 fragments on CLL B cells.
However, immediately after RTX infusions, there is substantial loss (shaving) of CD20 from
circulating malignant cells. Because shaving can compromise efficacies of anticancer
immunotherapeutic mAbs, we investigated whether shaving occurs in SCID mouse models.
Z138 cells, a B cell line derived from human mantle cell lymphoma, were infused iv or sc The …
Abstract
Infusion of standard-dose rituximab (RTX) in chronic lymphocytic leukemia (CLL) patients promotes rapid complement activation and deposition of C3 fragments on CLL B cells. However, immediately after RTX infusions, there is substantial loss (shaving) of CD20 from circulating malignant cells. Because shaving can compromise efficacies of anticancer immunotherapeutic mAbs, we investigated whether shaving occurs in SCID mouse models. Z138 cells, a B cell line derived from human mantle cell lymphoma, were infused iv or sc The iv model recapitulates findings we previously reported for therapeutic RTX in CLL: iv infused RTX rapidly binds to Z138 cells in lungs, and binding is accompanied by deposition of C3 fragments. However, within 1 h targeted cells lose bound RTX and CD20, and these shaved cells are still demonstrable 40 h after RTX infusion. Z138 cells grow in tumors at sc injection sites, and infusion of large amounts of RTX (0.50 mg on each of 4 days) leads to considerable loss of CD20 from these cells. Human iv Ig blocked shaving, suggesting that FcγRI on cells of the mononuclear phagocytic system promote shaving. Examination of frozen tumor sections from treated mice by immunofluorescence revealed large areas of B cells devoid of CD20, with CD20 intact in adjacent areas; it is likely that RTX had opsonized Z138 cells closest to capillaries, and these cells were shaved by monocyte/macrophages. The shaving reaction occurs in neoplastic B cells in tissue and in peripheral blood, and strategies to enhance therapeutic targeting and block shaving are under development.
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