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From www.bloodjournal.org by guest on June 18, 2017. For personal use only. T-Lymphocyte Killing by TiOl-Ricin Potentiation By Pierre To maximize T-lymphocyte cyte immunotoxin monoclonal antibody the influence the that much less RTA IT. This which of blood susceptible narrow R than become with only to pH ICIN (TiOl lymphocytes T when pH A-chain immunotoxins unit phytotoxin have which ricin already display (RTA). variability in their enhancers, such ionophores, cell killing Their for the in vitro to the above However, are used NH4CI. to the fact currently procedures A-chain subunit biological preby couof the properties these conjugates, present a marked when assisted or by IT canboxylic exhibit a highly ITs have great specific clinical of selected popula- cell tions. They could be useful in the treatment of autologous bone marrow grafts for eliminating infiltrated leukemic cells before tnansplantation.7’8 In this context, we showed that an anti-CD5 immunotoxin ammonium chloride, with than six orders leukemic cells, more genic progenitor stem were preserved.8 for the graft-v-host (T101-RTA IT), when associated could achieve a cytoneduction of of magnitude of CD5-positive while CD5-negative cells cells, required for the marrow engraftment, The same IT could also potentially be used removal of T cells disease (GVHD) However, the treatment ing to modalities in T-lymphocyte sensitive to the clonoincluding defined depletion T101-RTA from donor marrow to prevent after allogeneic bone marrow of human indicating IT than increase T-lymphocyte killing effect of numerous parameters. key role of pH in the expression MATERIALS T lymphocytes for leukemic T cells ineffective cells are T cells. less To with the IT, we examined In this study, we show of IT cytotoxicity. the the AND that these malignant accord- was METHODS Products. Ammonium chloride and methylamine hydrochloride were purchased from Merck (Paris-France). Monensin, PIPES (piperazine-N, N’-bis-(2-ethane-sulfonic acid), HEPES (N-2hydroxyethyl-piperazine-N’-2-ethanesulfonic acid), and glycylglycine were obtained from Calbiochem Behring (San Diego). 3Hthymidine (20 mCi/mmol) was obtained from New England Nuclear (Boston). SPDP (N-succinimidyl-3(-2-pynidyl-)dithio-propionate) was supplied by Pharmacia (Sweden) and THAMACETAT (Trishydroxymethylaminomethane) by Roger Bellon Labonatories (France). RTA was purified from nicin (extracted from seeds Blood. Vol 72, No4(October), 1988: pp 1197-1202 more that effective an optimal and enhancing F(ab’)2 than From K. Jansen, Franz effective IgG counterpart. vitro extremely is due amines elimination an is the showed for neutraliby NH3 also are TiOl- Derocq, We much pH-Dependent Amines that We of the activation main lysosomotropic IT. IT when width. most of these conjugates potency.” Such activated potential the to the Briefly, specificity, potency.3” as that T cells (ITs) been reported.”2 stringent binding have which within pared according to standardized monoclonal antibodies to the pling to pH rose IT effect of 0.7 to we enhancement the of all-or-nothing IT). lymphocytes. However. process A-chain of parameters sensitive window ricin -RTA extent malignant NH4CI. occurred an T highly pH-sensitive led the sensitivity could IT by NH4CI TiOl and peripheral in conjunction ty. (MoAb) Lysosomotropic anti-pan-T-lympho- by linking Immunotoxin: Bernard J.P. Bourri& Jean-Marie Guy Laurent, and Pierre Gros Ravel. with prepared nature With Sophie killing (IT). established showed Casellas, A-Chain those these specific component or Fab produced data. of containing using we defined elimination NH4CI. IT were the whole a procedure of T lymphocytes in 10 mol/L at pH 7.8 in the presence of NH4CI for two hours. This peripheral blood cell processing elicited an abrogation of three logs of functional T-cell response. Under the same conditions, there was no reduction in the number of marrow hematopoietic precursor granulocyte-macrophage colony-forming units (CFU-GM). C 1988 by Grune & Stratton, Inc. by treating them with (Fab)T1O1-RTA at of Ricinus communis sanguineus) as previously described.’2 AntiRTA serum was produced in goats immunized with RTA mixed with complete Freund’s adjuvant. Goat anti-RTA antibodies were punfled by affinity chromatography on a column of RTA coupled to CNBr-activated Sepharose (Pharmacia). Monoclonal antibodies. The mouse MoAb TlOl , purchased from Hybritech (San Diego), is an IgG2a that recognizes the CD5 antigen (TI , P-67, gp67, T-65) expressed on all peripheral blood T cells, chronic B lymphocytic leukemias, and some T-cell--derived hematological malignancies.’3 The affinity constant of this MoAb is in the range of 10)0 mol/L. This same antigen is also recognized by MoAbs Leu-1, 10.2, H65, and OKTI. The mouse MoAb lO-3D2, generously donated by Dr Edginton (Research Institute of Scripps Clinic, La Jolla, CA), is an IgG2a which recognizes mammary carcinoma cells.” The MoAbs were purified from ascitic fluid by affinity chromatography on Staphylococcus aureus protein A, coupled to Sepharose. F(ab’)2 and Fab fragments were produced by digestion with pepsin and papain, respectively. F(ab’)2 was purified by gel filtration (ACA 44, IBF) and Fab by ion exchange on DEAE-Trisacnyl (LKB).’5 Immunotoxins. Details of the procedure used to link purified RTA to MoAb have previously been reported.ZI(( Briefly, activated disulfide radicals were introduced into the MoAbs by treatment with SPDP. Following dialysis, activated MoAbs were reacted with excess RTA, which resulted in the formation of a disulfide linkage between the two proteins. The resulting IT molecules were purified by gel filtration chromatography. Different ITs were produced using the TlOl and the lO-3D2 antibody molecules as a whole and their respective F(ab’)2 and Fab fragments. Purity ofthe ITs was checked by sodium dodecyl sulfate (SDS) polyacrylamide gel electrophoresis using a 2% to 16% gradient gel. The ITs contained an average of 1.5 From the Department oflmmunology. Sanofi-Recherche, pellier. France. Submitted August 13, 1987; accepted June 1, 1988. Address reprint requests to Pierre Casellas, PhD, Recherche Centre de Montpellier, rue du Professeur J. 34082 Montpellier. Cedex, France. The publication costs ofthis article were defrayed in part charge payment. This article must therefore be hereby “advertisement” in accordance with 18 U.S.C. section 1 734 indicate this fact. C 1988 by Grune & Stratton. Inc. 0006-4971/88/7204-0012$3.00/0 Mont- SanofiBlayac, by page marked solely to 1197 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. CASELLAS 1 198 to 2 RTA per IgG, I to 2 RTA per Fab’2 and I .5 RTA per Fab, established as previously described)6 Cells. Peripheral blood mononuclear cells (PBMCs) were obtained from heparinized blood by centnifugation (400 x g, 30 minutes) on Ficoll-Hypaque (Pharmacia). Cells were washed three times in RPMI solution (M#{233}nieux,Lyon, France) before treatment. T cells which represent an average of 75% of PBMCs, express an average number of 40,000 determinants of P-67 per cell.’7”#{176} Treatment of Cells. All cell treatments were performed at a defined pH using RPMI-based medium containing 10% fetal calf serum (FCS) (Flow Laboratories, McLean, VA), streptomycin (0.1 mg/mL), penicillin (100 U/mL), and buffered with either PIPES, HEPES, or glycylglycine at 30 mmol/L final concentration. The pH of the mediums was adjusted at 37#{176}C with NaOH 1 mol/L. PIPES, HEPES, and glycylglycine-buffered mediums were used for the pH ranges 6 to 7, 7 to 7.5, and 7.5 to 8, respectively. Cells (10 cells/mL) resuspended in the appropriate medium at the pH indicated in the figures and tables, were treated with the IT at 37#{176}C for four hours or as indicated. Treated cells were washed twice and resuspended in the culture medium (RPMI 1640 containing antibodies, acid carbonate and 10% FCS) for the subsequent in vitro assay. Mitogenic stimulation of T lymphocytes. The proliferation of normal polyclonal T cells was promoted by PHA stimulation. In short, IT-treated PBMCs (10 cells/well) were cultured in 96-well flat-bottomed micnotiter plates in 0.2 mL culture medium, containing 1% phytohemagglutinin (PHA, Difco Chemical Co. Detroit) for two days at 37#{176}C, in an atmosphere of 5% CO2. The cultures were pulsed with I Ci 3H.TdR and harvested after eight hours. 3H-TdR incorporation was quantitated by standard scintillation counting techniques. For each treatment the mean response from quadruplicate wells was expressed as the percentage of control responses as follows: cpm treated - cpm untreated PBMC PBMC cpm of the background - cpm of the background - Effect ofpH to TiOl The background level was obtained using cells treated with i0#{176} mol/L nicin, which ensured a complete inhibition of growth. Ammonia determination. Ammonia in solution exists as an equilibrium between free ammonia (NH3) and ammonium ions (NH4) and the percentage of each molecular species in the equilibnium is pH-dependent. The NH3 concentration was calculated using the following formu- of 50 cells or more were on the (IgG)-RTA sensitivity IT. ofperipheral PBMCs blood were treated activity of the determined IT toward human by measuring peripheral the blood inhibition T cells with (IgG)-RTA IT at a dose of lO_8 mol/L for four 37#{176}C at various pH levels ranging from 6 to 8. The of the TlOl hours at cytotoxic T cells was proliferation of these cells in response to the polyclonal mitogen PHA. Figure 1 illustrates the effect of the IT treatment at various pHs on immunocompetent T cells. From pH 7 to pH 8, the IT was completely unable to damage cells; reduced to below neutrality, cells became tive to the IT. However, synthesis When never exceeded the treatment mmol/L NH4C1, was obtained the a similar from extent An inhibition activation pH of inhibition was sensi- of DNA combined of PHA with 10 responsiveness pH 6 up to 7.2 to 7.3. The all-or-nothing range of 0.7 pH with ammonium when the increasingly 80% of control. with IT was T cells then sharply decreased beyond the promoting effect of NH4C1 was proliferation of pH 7.3, indicating that a pH-sensitive process. of the IT occurred unit, from 7.4 to 8.1 . Treatment chloride alone did not have within a of the cells a toxic effect. The treatment of PBMCs under similar conditions with irrelevant IT that did not bind T cells (10-3D2 (IgG)-RTA), an gave at 50% nonspecific pH 8 (Table era! xlOO. Aggregates RESULTS Effect of controls Percentage 1 4 using an inverted microscope. considered as colonies. ET AL blood of toxicity in the presence of NH4C1, 1). NH3 concentration T cells to TiOl on the sensitivity (IgG)-RTA. of Ohkuma periph- and Poole established that the active component of NH4C1, acting as a lysosomotropic amine, is the free base NH3)9’30 If the active species of NH4C1 as an IT-enhancer is the free base as well, this may account for the pH response curve 7 8 for activation as : ;1 la: lO’5”#{176} (NH3) - (NH4CI) x 1 + where pKa - 8.89 at 37#{176}C, NH4CI is the NH4C1 concentration introduced and pH is the pH value in the medium at 37#{176}C. Colony assay for hematopoietic progenitors (CFU-GM). Bone marrow samples were obtained from different healthy bone marrow donors and collected in hepanized syringes. Bone marrow mononuclear cells were separated on Ficoll-Hypaque, adjusted to 2 x iO cells/mL, and incubated with the IT for four hours at 37#{176}C in the presence of 20 mmol/L ammonium chloride, at four different pH levels (pH 7.2 and 7.5 were obtained with HEPES, pH 7.8 and 8.2 with THAMACETAT). As a control, a sample was processed according to routine conditions (alpha I x medium alone). After treatment and washing, cells were plated (1.5 x l05/ml) in 35-mm Petri dishes in alpha I x medium containing 1.8% agar and 20% FCS over and underlayer with stimulated PBMCs from normal donors. Each culture point was plated in triplicate and incubated at 37#{176}C in an atmosphere of 5% CO2. The colonies were scored on day 6 pH Fig 1 . Inhibition of mitogen-induced proliferation of human peripheral bicod T cells by TiOl (lgG)-RTA-lT. PBMCs were incubated for four hours at 37#{176}C with TiOl (IgG)-RTA IT at a concentration of 10’ mol/L. at the pH indicated on the abscissa. in the presence (S-U) or absence (-) of 10 mmol/L NHCI. The pH, which was monitored in samples carried out in parallel, was stable ( ±0.05 pH unit) throughout treatment. The percentage of H-thymidine incorporation assayed 48 hours after PHA stimulation was calculated as described in Materials and Methods. Each data point was performed in quadruplicate and represents the mean of three independent experiments. In the controls. the amount of DNA synthesized by PHA-induced clonogenic cells varied little (<1 5%) within the pH range used after four hours of incubation either in the presence or absence of NH4CI. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. PH DEPENDENT Table POTENTIATION 1 . Effect 1 199 OF IT of pH on the Non-specific Cytotoxicity of ITs 100 3H-TdR 1O-3D2 pH (%) Incorporation (lgG)-RTA -NH4CI 10-3D2 +NH4CI F(ab’)2-RI’A -NH4CI 10 +NH4CI I 6.3 99 97 98 97 7.0 100 98 99 100 7.2 97 95 99 97 7.5 97 70 97 95 8.0 98 PBMCs were concentration of 1O NH4CI for four ‘ 50 exposed to mol/L hours 97 10-3D2-RTA in the presence (irrelevant absence at 37#{176}C.3H-thymidine ± 80 ITs ITs) at of 10 mmol/L incorporation was assayed 48 hours after PHA stimulation. process,5 above. Indeed, enhancement with the pKa of the ammonia working pH described variation tion. (pKa 25#{176}C, 8.89 in pH causes a major To examine this hypothesis, ments was TiOl performed. (IgG)-RTA trations, NH4C1 T a fixed pH the by the The NH3 consequently, the related tions. From were pH tion treated with curve actual was the same NH3 results strongly for IT enhancement, for resulting and NH4C1 NH3 Effect latter could results, a similar be expected for other acting as NH4C1. The results confirmed what was expected of PHA inhibition 7.2 to 7.8. ionophone Table response was concentra- IT-enhancer 2. Influence monensin, amines NH4CI the on TiOl the influence of pH range NH3’ Percentage (imel/L) Stimulationt 200 92 10 752 27 7.9 10 928 10 8.0 8.1 10 1.25 6.25 7.5 PBMCs mol/L, with were either varying thymidine exposed with to T101 concentrations incorporation of tCalculated the IT. from controls 40 872 10 (IgG)-RTA effect in Material treated at a concentration pH levels four for 48 hours blood T effect at pH the pH-response 7.8. curve Compared was with significantly Tl01 shifted proliferation ITs, compared was achieved with F(ab’)2 with the IgG counterpart. on Fab On the of hours after ‘ at of 108 at pH 8.1 37 #{176}C. 3H- PHA stimulation. and Methods. in the of peripheral and TlOl (Fab)-RTA. absence of a potentiating IT (Fig 1). When NH4C1 was added, its promotstarted to appear when the pH was raised to 7.2, a maximal (IgG)-RTA, of T-cell containing 1.5 at various NH4CI was assayed #{176}Calculatedas described 698 (IgG)-RTA NH4CI in comparison we investigated 3.5 100 1,141 174 1,047 10 mmol/L sensitivity to agent, both ITs only reduced PHA-induced T-cell prolifenation when pH was below neutrality, as observed with TiOl 64 8.1 on the cells vis-#{224}-visT101 (F(ab’)2)-RTA Results are shown in Fig 3. In the T cells found that the cells when pre- (lgG)-RTA 10 8.1 blood We recently on leukemic weakly T Cells 7.8 5 ofperipheral ITs. active was inhibi- 7.2 8.1 cells to a lower pH region by 0.3 pH unit. Similar results were observed in three independent experiments on PBMCs from different donors. Thus, at pH 7.8, a tenfold higher inhibition of the canboxylic Mature (mmol/L) IT of IT-treated pared either with F(ab’)2 on Fab fragment, with the whole IgG molecule.2’ Therefore, ing methylamine all-or-nothing to be in a pH presence of NH3 Concentration pH of Treatment with An at 50 nmol/L on Human for lysosomotropic shown in the Cytotoxicity sensitivity obtained (Fig 2). was In contrast, pH response by the pH (Fig 2). ofpH on sensitivity F(ab’)2 or Fab-containing T101-RTA IT is more at a fixed of NH3 similar at pH. These pH-response to the levels of the mitogenic affected and Methods. Results of DNA synthesis ofT form 8 Fig 2. Effect of pH on T101 (IgG)-RTA IT cytotoxicity to peripheral blood T cells in the presence of methylamine or monensin. PBMCs were treated as in Fig 1 in the presence of either 1 0 mmol/L methylamine (-) or 50 nmol/L monensin M-). In the pH range examined. neither methylamine nor monensin affected the 3H-thymidine incorporation assayed 48 hours after PHA stimulation. with the activation from concentra- set of experi- concentration was of the is the active that indirectly in NH3 different final IT-treatment regardless that the 7 37#{176}C);a subtle following as indicated in Materials in Table 2. The inhibition concentrations suggest variation lymphocytes on with concentration. calculated are shown at IT in the presence ofvanious NH3 conceneither with different NH4C1 concentra- achieved at tions cells at = 9.2 is a dose-dependent being far above 6 a same conditions, except for 61 7.2 7.6 64 6.8 7.2 76 pH Fig 3. Influence of pH on inhibition of mitogen-induced proliferation of human peripheral blood T cells by T1O1 -RTA IT composed of F(ab’)2 or Fab fragments. PBMCs were incubated for four hours at 37#{176}C at the pH indicated with: (A) TiOl (F(ab’)2)-RTA at a concentration of 10’ mol/L, in the presence (-U) or absence (#{149}-#{149})of 10 mmol/L NHCI. (B) TiOl (Fab)-RTA at a concentration of 10-a mol/L in the presence (-U) or absence (I-S) of 10 mmol/L NH4CI. The percentage of 3H-thymidine incorporation was assayed 48 hours after PHA stimulation. Each assay was performed in quadruplicate. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. CASELLAS 1200 A B The and extent 99.9% of inhibition with TlOl respectively, thus of the (IgG) PHA RTA confirming responsiveness and T101 the these two conjugates. In all the above experiments ET AL was 99% (Fab)RTA, difference in potency between I mediated 0 measuring 0 stimulation. latter step 2 3 Time (hours) cells hand, and the irrelevant lO-3D2(F(ab’)2)-RTA the viability of T cells, throughout the pH range ficity of the inhibition the TIOI-RTA varying TlOl of (Fab)-RTA by the PBMCs time with were treated either ITs associated T101 with cated significant that changes two hours Table were 3. sufficient for at pH ± (Fab)-RTA GM even 99%. does not ± recovery was performed compared 1),whichgave56 with for four a control ± 11 colonies. hours These T cells that during T1O1-RTA The IT CFU- selectivity determined cells using marrow results of by assaying the in vitro mononuclear cells were at pH human in Table 3. of IT at various The pH of colonies or T101 inhibit the growth of CFUthat inhibited T cells by more confirm either the treat- ITfor cell-type IT and ammonium chloride, 7.2 to 8.2, and cultured for lower T by IT became indicating Results are shown cells in the absence that the this depleting number precursor method or the functional cells. as a function two hours; no This promoting mdieffect. Progenitors effect process: only After Treatment at Various of 19.1 55.8 ± NH4C1 a 0.7 TiOl With pH ± (IgG)-RTA 72 ± of CFU processed presence according Eachvalueisthemeanofatriplicateassay. killing range, and or TIOl (Fab)-RTA pH-sensitive could (b) the pH7.8 28 36.6 ± threshold pH8.2 21 28 (65) 17 44.5 ± 36 56.1 ± 11.6 32.8 NH4CI. conditions Numbers (alpha 24 ± 16.5 (58) 28.2 51.2 ± 24.5 (91) (100) of 20 mmol/L ± (50) (79) to routine be achieved pH -GM Colodss (128) at 37#{176}C in the a stringent pH Levels (97) 25.9 T-cell unit (99) 54.6 was (a) an all-or-nothing within immunotoxin to MoAb T101 has in vitro T-lympho- response. We demonstrated that major T-cell be achieved with the T1O1-RTA IT when it with NH4CI. However, we showed that the pH7.5 sample of of hematopoietic cyte mitogenic removal could was associated In (135) The treatment toxicity Bone greatly competence (105) 76 the did not significantly under pH conditions than PHA that killed measured levels caused a moderate decrease in the number at pH 7.8 and 8.2. The presence ofTiOl (IgG)-RTA or NH4C1. 59 ± 12.7 T101(Fab)-RTA entered T101-RTA ITs was to plunipotent stem precursors. of marrow by a 48-hour in Fig 4, the antibody progenitors. with T10l-RTA ranging from myeloid treatment (82) T101(IgG)-RTA on the assay. treated values No. 46.2 actually ofpll IT- hours with anti-RTA antithe number of surviving As seen anti-RTA hematopoietic CFU-GM IT at two evaluating In this report, the anti-pan-T-lymphocyte made by linking the nicin A-chain subunit been examined for its ability to prevent pH7.2 None the the different their toxicity IT ± after the treatment the question as to whether or not this for the expression of IT activity. To stimulation. to Effect 8 over an optimal of CFU-GM Recovery (1O#{176}mol/L) 7.4 IT DISCUSSION Immunotoxins CFU-GM of T cells prepared 10 mmol/L thereafter. PHA IT had GM not (IgG)-RTA occurred after active ment. of T lymphocytes Fig 4, the mitogenic response of T cells declined of the duration of IT treatment for the first further PBMCs, after of NI-I4CI the speci- TlOl-IT (Table 1). time on the killing IT. periods IT did even in the presence used, demonstrating of T cells with antibody fragments Effect ofincubation by We raised was necessary insensitive Optimal duration of treatment. (A) PBMCs (2 x i0 cells/mi) were treated with T101 (lgG)-RTA (-) or T101 (Fab)-RTA (N-S) at 10’ mol/L, in NHCI 10 mmol/L. at a final pH 8. At sach time interval cells were washed, resuspended in RPMI-FCS plus 1 % PHA. and seeded at 10 cells/mi for 48 hours before measurement of H-thymidine uptake. (B) PBMCs (2 x 1 0 cells/mi) were treated with T101 (lgG)-RTA or TiOl (Fab)-RTA at 10’ mol/L. in NH4CI 10 mmol/i at a final pH 8. At the end of a two-hour incubation period. purified anti-RTA antibodies (1O mol/i final) were added to the assay for 40 minutes at 4#{176}C before washing. Cells were resuspended in RPMI-FCS plus 1 % PHA and seeded at cells/mi for 48 hours before measurement of ‘H-thymidine uptake (hashed histograms). In controls. cells were treated at 4#{176}C for one hour in NHCI 10 mmol/i at a final pH 8 with either TiOl (lgG)-RTA or TiOl (Fab)-RTA at 10’ mol/i and with anti-RTA (i0 mol/i final). Cells were then incubated for two hours at 37#{176}Cbefore being washed and assayed for PHA responsiveness as above (wide histograms). These cells recovered 100% of the response, demonstrating the complete capacity of the anti-RTA to neutralize the IT. affect assessed synthesis blocking cell surface body, and subsequently 4 4. other DNA involving was answer this, we determined if the IT molecules cells were endocytosed at two hours. This was I Fig cytotoxicity in parentheses 1 x medium represent the percentage plus NH4CI and without of IT; final pH. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. H DEPENDENT POTENTIATION required for mature T cells The abolished fact that activation by ammonium by lowering the pH, which in turn ammonia the an 1201 OF IT effective of the fact proliferation and of the mining factor protonated the IT who are was the NH3 pH RTA-IT. Methylamine, which The is NH3 concentration or the NH4C1 with has those of biological proliferation functions only and on the precluding entered the This not required tion with NH4C1, a pH response lymphocytes (data not shown). ability clinical reported using ricin amines.2225 activity the possibility A-chain ITs affected by the A comparison had on counterpart, activity of the carboxylic ionophore a different mode of action, was T lymphocytes showed activation pH unit was lower shifted value leading to an optimal removal that with the using the pH enhancement either effect F(ab’)2 of threshold to a significant for ITs containing of T101-RTA a twofold lower required ITs, the for conjugate at pH 7.8. Thus, this molecule clinical use for cx vivo removal of T cells in the following conditions: T101(Fab)-RTA in the presence of NH4C1, for 37#{176}C. For an additional security, tion chosen was 20 mmol/L. two hours the final Under these was from conditions, was and a the the selected donor at iO at pH NH4C1 Fc that cause than recent for to the anti-RTA involved used since PHA the ITstimula- clinical cx vivo occurs, was we had stimulastep was evidence abrogate described (submitted). of enhancing success to abrogate for the T cells here, factors clinical IT in patients might A-chain therefore mediated in a has such as through its mannose receptors of the residues RES, might use of lysosomotropic bone be explained cytotoxicity mannose GVHD after by the reticuloendothelial capacity of the antibody A-chain, As fan as the this antibodies, in cell killing Complete an anti-CD5 by a ricin enhancers dose and contrast, yielded could T101-RTA IT to be effective, a specific would not be expected after in vivo adminis- of the target cells The opsonization and reproducible 0.3 antibody fragment IT generated conjugates NH3 concentration to to produce, IgG maximal response similar to that of the IgG counterpart. Because the IT prepared with the Fab fragment most active at a pH close to the physiological value easiest The a determination stimulation IT cytotoxicity. administrating or assay of TlOl-RTA IT to specifically situation using the procedure tration. have However, through no exogenous row transplantation27 pH of the medium. of the effect that as others, cell during IT treatment, before PHA strongly suggested that the stimulation NH3 for the cytotoxic effect monweakly was of T-cell measure- which analysis, of a direct Using blocking all the IT molecules for the of the viability of IT-treated T only over a course of several possibility been recently demonstrated Because of the requirement elimination lysosomotnopic Our data strongly suggest that a pH-dependent should also be expected in these cases. In contrast, the IT-promoting ensin, which has Fab, of T-lymphocyte associated with We, of this in which tion. also determination measure, by FACS IT treatment. was visualized predictability questionable. showed that for T have the death after cytotoxicity principle as NH4CI,2#{176}also induced a pH-sensitive activation of Tl01-RTA IT. Using an anti-CD7-RTA IT in conjunccurve was also found Different laboratories numbers)7 assay simply because expected to decline the tion, same death T-cell assess biological cells was conditions the cell assay based on the functional ability after PHA stimulation, assessed by reliably hours,26 diffuse for synthesis. This latter with that obtained of cell induced Under number CFU-GM. used ment of DNA data comparable is the deterand that the no effect; precursors procedure the concen- that medium in cell, medium of could be reproducibly depleted. there was no reduction in the hematopoietic properly function showed in the latter the free base NH3, which is lipophilic, can rapidly across the plasma and lysosomal membnanes.(9a This pH effect was not just restricted to NH4C1 T101 T lymphocytes same conditions, for inhibition consistent previously NH4 a the free base NH3 in the for base accumulation species the This as either findings Poole, tration that curves when varying These Ohkuma IT on chloride was lowered the free suggests identical obtained by concentration. that by were generated (IgG)-RTA in IT activation. by the concentration of TiOl medium, component T-cell was effect 8. 1. content demonstrated of optimal was otherwise (eg, by uptake system alone [RESI). recognized be taken amines by mar- into on the by the account. as immunotoxin in viyo is concerned, the requirement of both high a slightly alkaline pH preclude their use in vivo. By activation with canboxylic ionophores, such as monensin, which NH4C1 and here, makes which them demands one is active under choice reagents million lower dose than physiological pH as shown for in vivo use.28 marrow mol/L 7.8 and concentra- ACKNOWLEDGMENT at thank Dns H.E. corrections and A. Garcia We 3 logs of Blythman for typing and C. Bouloux the manuscript. for English REFERENCES 1. Jansen FK, Blythman HE, Carnimre D, Casellas P. Gros 0, Gros P. Laurent JC, Paolucci F, Pau B, Poncelet R, Richer G, Vidal H, Voisin GA: Immunotoxins: Hybrid molecules combining high specificity and potent cytotoxicity. Immunol Rev 62:185, 1982 2. Youle RJ, Colombatti M: Immunotoxins, monoclonal antibodies linked to toxic proteins for bone marrow transplantation and cancer therapy, in Roth JA (ed): Monoclonal Antibodies in Cancer: Advances in Diagnosis and Treatment. Mount Kisco, New York, Futura Publishing Company, 1986, p 173 3. Youle RJ, Neville DM: Kinetics of protein synthesis inactiva- tion by nicin-anti-Thy the ricin B subunit 257:1598, 1982 1.1 monoclonal antibody hybrids-Role of demonstrated by reconstitution. J Biol Chem 4. Casellas P, Brown JP, Gros 0, Gros P. Hellstr#{246}mI, Jansen FK, Poncelet P, Roncucci R, Vidal H, Hellstr#{246}mKE: Human melanoma cells can be killed in vitro by an IT specific for melanoma-associated antigen p97. Int J Cancer 30:437, I 982 5. Casellas P, Bourni#{233}BJP, Gros cytotoxicity induced by immunotoxin: P. Jansen FK: Kinetics of Enhancement by lysosomo- From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1202 tropic amines and carboxylic ionophores. J Biol Chem 259:9359, 1984 6. Raso V, Lawrence J: Carboxylic ionophores enhance the cytotoxic potency of ligand and antibody delivered Ricin A-chain. J ExpMed 160:1234, 1984 7. Myers CD, Thorpe PE, Ross WCJ, Cumber AS, Katz FE, Greaves MF: An immunotoxin with therapeutic potential in T-cell leukemia: WT1-nicin A. Blood 63:1 178, 1984 8. Casellas P, Canat X, Fauser AA, Gros 0, Laurent G, Poncelet P, Jansen FK: Optimal elimination of leukemic T-cells from human bone marrow with TlOl-Ricin A-chain immunotoxin. Blood 65:289, I985 9. Korngold R, Sprent J: Lethal graft-versus-host disease after bone marrow transplantation across minor histocompatibility barriers in mice. Prevention by removing mature T-cells from marrow. J Exp Med 148:1637, 1978 10. Rodt HV, Thierfelder 5, Evlitz M: Antilymphocytic antibodies and marrow transplantation. III. Effects of heterologous antibrain antibodies on acute secondary disease in mice. Eur J Immunol 4:25, 1974 I 1 . Vallera DA, Youle RJ, Neville DM, Soderling CCB, Kersey JH: Monoclonal antibody toxin conjugates for experimental graftversus-host disease prophylaxis. Transplantation 36:73, 1983 12. Vidal H, Casellas P. Gros P. Jansen FK: Studies on components of immunotoxins: Purification of nicin and its subunits and influence of unreacted antibodies. Int J Cancer 36:705, 1985 13. Royston I, Majda JA, Baird SM, Meserve BL, Gniffiths JC: Human T-cell antigens defined by monoclonal antibodies: The 65,000 dalton antigen of T-cells (T65) is also found on chronic lymphocytic leukemia cells bearing surface immunoglobulin. J Immunol 125:725, 1980 14. Soule HR. Linden E, Edginton TS: Membrane l26-kilodalton phosphoglycoprotein associated with human carcinomas identified by a hybnidoma antibody to mammary carcinoma cells. Proc Natl Acad Sci USA 80:1332, 1983 I 5. Stanworth DR. Turner MW: Immunochemical analysis of immunoglobulins and their subunits, in Weir DM (ed): Handbook of Experimental Immunology. London, Blackwell Scientific, 1973, p 1 16. Gros 0, Gros P. Jansen FK, Vidal H: Biochemical aspects of immunotoxin preparation. J Immunol Methods 81 :283, 1985 CASELLAS ET AL Derocq JM, Laurent G, Casellas P. Vidal H, Poncelet P. AA, Demur C, Jansen FK: Rationale for the selection of nicin A-chain anti-T immunotoxins for mature T-cell depletion. Transplantation (December 1987) 1 8. Poncelet P. Carayon P: Cytofluorometnic quantification of cell-surface antigens by indirect immunofluorescence using mono17. Fauser clonal antibodies. J Immunol 19. Ohkuma penitoneal basic 5, substances. mal Poole pH FK: Derocq IgG JM, Casellas of the 1985 90:656, into of mouse lysosomes of weakly 1981 of weak bases on the intralysoso- macrophages. J Cell P. Laurent G, Ravel cytotoxic immunotoxins. vacuolation uptake 5: Effect penitoneal Comparison whole Biol B, Ohkuma in mouse 21. and J Cell 85:65, B: Cytoplasmic macrophages 20. Methods Poole potency J Immunol of Biol 90:665, 5, Vidal TIOl Fab, 1981 H, Jansen F(ab’)2 and (in press) 22. 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Byers V: Oral presentation Conference on Monoclonal Antibody, Greece, G, Poste of Drugs. D, Casellas P. of the kinetics G, Senior J, Proceedings Plenum Publishing the Second Immunoconjugates International Corporation, cer. San Diego, at for Can- 1987 28. Casellas P. Jansen FK: Immunotoxin AE (ed): Immunotoxins. Boston, Martinus, enhancers, in Frankel Nijhoff, 1988, p 351 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1988 72: 1197-1202 T-lymphocyte killing by T101-ricin A-chain immunotoxin: pH-dependent potentiation with lysosomotropic amines P Casellas, S Ravel, BJ Bourrie, JM Derocq, FK Jansen, G Laurent and P Gros Updated information and services can be found at: http://www.bloodjournal.org/content/72/4/1197.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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