To evaluate the role of affinity in
monoclonal antibody (mAb)-mediated treatment of
carcinomas, we compared the
antibodies 17-1A and 323/A3 that bind with different affinities overlapping
epitopes on the epithelial adhesion molecule
Ep-CAM. This comparison was performed in several models for
minimal residual disease in mice grafted with
Ep-CAM transfected
B16 melanoma cells originating from C57BL/6 mice. These cells were either grafted subcutaneously or injected intravenously into nude BALB/c mice, or grafted subcutaneously in immunocompetent C57BL/6 mice. In the BALB/c subcutaneous model, significant therapeutic results (p < 0.05) compared with the control mAb were obtained with both mAbs 17-1A and 323/A3. However, when treating lung
metastases in nude BALB/c mice that had developed after
intravenous injection of the B16/
Ep-CAM tumor cells, only the high-affinity 323/A3 mAb could significantly (p < 0.05) reduce the number of
metastases that appeared. In syngeneic C57BL/6 mice grafted subcutaneously with B16/
Ep-CAM cells, a single 323/A3 or 17-1A mAb injection had no effect, in contrast to that observed for the nude BALB/c mouse model. However, multiple
injections of the 323/A3 mAb significantly (p < 0.005) reduced the mean
tumor volume, although they did not prevent
tumor development. The results show that in vivo antibody-mediated effector cell activation and subsequent
tumor cell elimination is determined by mAb affinity and target
antigen density. Therefore, treatment of
minimal residual disease with high-affinity mAb 323/ A3 is expected to improve the clinical results obtained with
mAb 17-1A.