title: Prevention of Epstein-Barr virus-induced human B-cell lymphoma in severe combined immunodeficient mice treated with CD3xCD19 bispecific antibodies, CD28 monospecific antibodies, and autologous T cells.
abstract: Bispecific CD3 x antitumor antibodies in combination with coactivating CD28 antibodies can induce resting T cells to proliferate and to lyse syngeneic tumor cells (M. Azuma et al., J. Immunol., 150: 2091-2101, 1993; M. Azuma et al., J. Exp. Med., 177: 845-850, 1993). This combination of antibodies may therefore be useful for active immunotherapy of malignant tumors. In this study, we present a preclinical model to evaluate CD3xCD19 bispecific antibodies. We investigated whether bispecific antibodies prevent the development of malignant EBV-induced lymphomas in severe combined immunodeficient (SCID) mice which lack functional B and T lymphocytes (G. C. Bosma et al., Immunogenetics, 29: 54-57, 1989). SCID mice were engrafted (i.p.) with peripheral blood lymphocytes and EBV and treated after 3 days with CD3xCD19 bispecific antibodies and CD28 antibodies. Our data demonstrate that the growth of B cell lymphomas can be prevented in SCID mice by treatment with CD3xCD19 bispecific antibodies and that B-lymphoma-specific T cells can be recruited. In contrast to in vitro experiments, there was no clear effect of CD28 administration which is due to high expression of B7-1 on the transplanted B cells. Lymphoma-bearing mice had elevated titers of interleukin10 in the serum, in contrast to tumor-free animals. As shown by PCR analysis, there was no evidence of dormant B-lymphoma cells in specimens from surviving mice. In the spleen of surviving mice, rearranged human T-cell receptor gamma gene segments were detectable. Furthermore, mice that were initially treated with CD3xCD19 and CD28 antibodies did not develop lymphomas upon rechallenge with EBV-infected mononuclear cells of the same donor, whereas control animals did. Our results obtained from this autologous human B-lymphoma model have implications for the design and evaluation of new immunotherapeutic modalities for the treatment of human B-cell lymphoma with bispecific antibodies.
authors.affiliation: Klinik I für Innere Medizin, Universität zu Köln, Germany. Heribert.Bohlen@Medizin.Uni-Koeln.De
authors.forename: H
authors.initials: H
authors.lastname: Bohlen
authors.forename: O
authors.initials: O
authors.lastname: Manzke
authors.forename: S
authors.initials: S
authors.lastname: Titzer
authors.forename: J
authors.initials: J
authors.lastname: Lorenzen
authors.forename: D
authors.initials: D
authors.lastname: Kube
authors.forename: A
authors.initials: A
authors.lastname: Engert
authors.forename: H
authors.initials: H
authors.lastname: Abken
authors.forename: J
authors.initials: J
authors.lastname: Wolf
authors.forename: V
authors.initials: V
authors.lastname: Diehl
authors.forename: H
authors.initials: H
authors.lastname: Tesch
mesh_terms: D000818:Animals; D018033:Antibodies, Bispecific; D018941:Antigens, CD19 / Q000502:physiology*; D018106:CD28 Antigens / Q000502:physiology*; D017252:CD3 Complex / Q000502:physiology*; D004279:DNA, Viral / Q000032:analysis; D005434:Flow Cytometry; D015334:Gene Rearrangement, gamma-Chain T-Cell Antigen Receptor; D004854:Herpesvirus 4, Human; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000276:immunology*; D007167:Immunotherapy / Q000379:methods; D016393:Lymphoma, B-Cell / Q000382:microbiology / Q000517:prevention & control*; D051379:Mice; D016513:Mice, SCID; D016692:Receptors, Antigen, T-Cell, gamma-delta / Q000235:genetics; D016019:Survival Analysis; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D018033:Antibodies, Bispecific; D018941:Antigens, CD19; D018106:CD28 Antigens; D017252:CD3 Complex; D004279:DNA, Viral; D016692:Receptors, Antigen, T-Cell, gamma-delta