Immunotherapy using unconjugated CD19 monoclonal antibodies in animal models for B lymphocyte malignancies and autoimmune disease

Proc Natl Acad Sci U S A. 2005 Oct 18;102(42):15178-83. doi: 10.1073/pnas.0505539102. Epub 2005 Oct 10.

Abstract

Immunotherapy with unconjugated CD20 monoclonal antibodies has proven effective for treating non-Hodgkin's lymphoma and autoimmune disease. CD20 immunotherapy depletes mature B cells but does not effectively deplete pre-B or immature B cells, some B cell subpopulations, antibody-producing cells, or their malignant counterparts. Because CD19 is expressed earlier during B cell development, a therapeutic strategy for the treatment of early lymphoblastic leukemias/lymphomas was developed by using CD19-specific monoclonal antibodies in a transgenic mouse expressing human CD19. Pre-B cells and their malignant counterparts were depleted as well as antibody- and autoantibody-producing cells. These results demonstrate clinical utility for the treatment of diverse B cell malignancies, autoimmune disease, and humoral transplant rejection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antibodies, Monoclonal* / immunology
  • Antibodies, Monoclonal* / therapeutic use
  • Antibody Formation / physiology
  • Antigens, CD19 / genetics
  • Antigens, CD19 / immunology*
  • Autoantibodies / immunology
  • Autoimmune Diseases* / drug therapy
  • Autoimmune Diseases* / immunology
  • B-Lymphocytes / cytology
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • Disease Models, Animal
  • Humans
  • Immunoglobulins / blood
  • Immunotherapy*
  • Leukemia, Lymphoid* / drug therapy
  • Leukemia, Lymphoid* / immunology
  • Lymphoma, Non-Hodgkin* / drug therapy
  • Lymphoma, Non-Hodgkin* / immunology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Receptors, IgG / metabolism

Substances

  • Antibodies, Monoclonal
  • Antigens, CD19
  • Autoantibodies
  • Immunoglobulins
  • Receptors, IgG