Humanized anti-L-selectin monoclonal antibody DREG200 therapy in acute thromboembolic stroke.
Strategies directed against activated neutrophils have reduced ischemia-induced brain injury. However, therapies targeted specially against the neutrophil adhesion protein L-selectin have not yet been examined in stroke. This study therefore examined the effects of a monoclonal antibody directed against L-selectin in a rabbit model of thromboembolic stroke with (n = 16) or without (n = 10) concomitant t-PA therapy. Rabbits received either the humanized monoclonal antibody DREG200 directed against the L-selectin receptor or humanized control monoclonal antibody HuDREG55 which does not bind to rabbit L-selectin in addition to t-PA therapy (n = 8, each group). HuDREG200 (2 mg kg-1 i.v.) was given as a bolus 3 h following clot embolization, followed immediately by a 2 h intravenous infusion of t-PA (6.3 mg kg-1. Without t-PA therapy rabbits received HuDREG200 (2 mgkg-1, i.v.; n = 5) or HuDREG55 (n = 5) 1 h following clot embolization. The group receiving HuDREG200 in addition to t-PA demonstrated a moderate improvement in brain infarct size (8.4 +/- 2.4 vs. 13.5 +/- 3.5, %hemisphere, mean +/- sem), ICP (final reading 10.0 +/- 1.6 vs. 12.4 +/- 3.0 torr) and restoration in regional cerebral blood flow (30.2 +/- 7.8 vs. 21.6 +/- 10.9 cc 100 g-1 min-1) when compared to t-PA therapy alone although statistical significance was not achieved. No efficacy was demonstrated in the group receiving HUDREG200 without concomitant t-PA therapy. The results suggest the addition of a humanized anti-L-selectin monoclonal antibody HuDREG200 in combination with t-PA may further improve outcome in acute thromboembolic stroke, although future studies are necessary to support these findings.
Bednar
M M
MM
Division of Neurosurgery, Vermont Center for Vascular Research, University of Vermont, Burlington 05405-0068 USA.
Gross
C E
CE
Russell
S R
SR
Fuller
S P
SP
Ellenberger
C L
CL
Schindler
E
E
Klingbeil
C
C
Vexler
V
V
D000208:Acute Disease; D000704:Analysis of Variance; D000818:Animals; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D003429:Cross Reactions; D004195:Disease Models, Animal; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000628:therapy*; D019041:L-Selectin / Q000276:immunology*; D011817:Rabbits; D015427:Reperfusion Injury
D000911:Antibodies, Monoclonal; D019041:L-Selectin