Trastuzumab is a growth-inhibitory humanized Ab targeting the oncogenic
protein HER-2/neu. Although
trastuzumab is approved for treatment of advanced
breast cancer, a number of concerns exist with passive immunotherapy. Treatment is expensive and has a limited duration of action, necessitating repeated administrations of the mAb. Active immunotherapy with conformational
B cell epitopes affords the possibility of generating an enduring immune response, eliciting
protein-reactive high-affinity anti-
peptide Abs. The three-dimensional structure of human HER-2 in complex with
trastuzumab reveals that the Ag-binding region of HER-2 spans residues 563-626 that comprises an extensive
disulfide-bonding pattern. To delineate the binding region of HER-2, we have designed four synthetic
peptides with different levels of conformational flexibility. Chimeric
peptides incorporating the measles virus fusion "promiscuous"
T cell epitope via a four-residue linker sequence were synthesized, purified, and characterized. All conformational
peptides were recognized by
trastuzumab and prevented the function of
trastuzumab inhibiting
tumor cell proliferation, with 563-598 and 597-626 showing greater reactivity. All
epitopes were immunogenic in FVB/N mice with Abs against 597-626 and 613-626 recognizing HER-2. The 597-626
epitope was immunogenic in outbred rabbits eliciting Abs which recognized HER-2, competed with
trastuzumab for the same
epitope, inhibited proliferation of HER-2-expressing
breast cancer cells in vitro and caused their Ab-dependent cell-mediated cytotoxicity. Moreover, immunization with the 597-626
epitope significantly reduced
tumor burden in transgenic BALB-neuT mice. These results suggest the
peptide B cell immunogen is appropriate as a
vaccine for HER-2-overexpressing
cancers because the resulting Abs show analogous
biological properties to
trastuzumab.