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Retinoic acid-induced CD38 antigen as a target for immunotoxin-mediated killing of leukemia cells.

Abstract
A major obstacle in the successful delivery of antibody-based therapeutics to tumor cells is the heterogeneity of target antigen expression. We reported previously that retinoic acid (RA) is a potent and selective inducer of the cell-surface antigen CD38 in myeloid leukemia cells. The purpose of this study was to determine whether the RA-induced CD38 antigen could be a target for an anti-CD38-based immunotoxin to induce selective killing of leukemia cells. The combination of RA and the anti-CD38 gelonin immunotoxin induced a synergistic killing of leukemia cells. Thus, coculture of myeloid leukemia cells and cell lines with as little as 1 nM RA in the presence of immunotoxin induced substantial killing (>90%) of leukemia cell clones. More importantly, the blasts of myeloid leukemia patients, irrespective of their morphological and phenotypic features, also responded to the RA and immunotoxin combination when cultured ex vivo. A similar synergistic effect between RA and immunotoxin was observed against a multidrug-resistant variant subline of HL-60 cells. However, another variant of HL-60 cells, HL-60R, in which the retinoid receptor function has been abrogated by a trans-dominant-negative mutation, exhibited complete resistance to the immunotoxin-induced killing effect in the presence or absence of RA. Our results suggest that RA combined with anti-CD38-based therapeutic agent may offer exciting opportunities for the treatment of myeloid leukemias despite their multiplicity of genetic and clinical varieties.
AuthorsKapil Mehta, Larry Ocanas, Fabio Malavasi, John W Marks, Michael G Rosenblum
JournalMolecular cancer therapeutics (Mol Cancer Ther) Vol. 3 Issue 3 Pg. 345-52 (Mar 2004) ISSN: 1535-7163 [Print] United States
PMID15026555 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antibodies, Monoclonal
  • Antigens, CD
  • Antineoplastic Agents
  • DNA, Complementary
  • Immunotoxins
  • Membrane Glycoproteins
  • Plant Proteins
  • Ribosome Inactivating Proteins, Type 1
  • Tretinoin
  • GEL protein, Gelonium multiflorum
  • ADP-ribosyl Cyclase
  • CD38 protein, human
  • ADP-ribosyl Cyclase 1
Topics
  • ADP-ribosyl Cyclase (biosynthesis, therapeutic use)
  • ADP-ribosyl Cyclase 1
  • Antibodies, Monoclonal (chemistry)
  • Antigens, CD (biosynthesis, therapeutic use)
  • Antineoplastic Agents (pharmacology)
  • Cell Line, Tumor
  • DNA, Complementary (metabolism)
  • Dose-Response Relationship, Drug
  • Drug Resistance, Multiple
  • HL-60 Cells
  • Humans
  • Immunotherapy (methods)
  • Immunotoxins (chemistry, metabolism, therapeutic use)
  • Leukemia (therapy)
  • Membrane Glycoproteins
  • Mutation
  • Plant Proteins (chemistry)
  • Ribosome Inactivating Proteins, Type 1
  • Tretinoin (metabolism, pharmacology)

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