Potent antitumor activity of the anti-CD19 auristatin antibody drug conjugate hBU12-vcMMAE against rituximab-sensitive and -resistant lymphomas

Blood. 2009 Apr 30;113(18):4352-61. doi: 10.1182/blood-2008-09-179143. Epub 2009 Jan 15.

Abstract

Despite major advances in the treatment of non-Hodgkin lymphoma (NHL), including the use of chemotherapeutic agents and the anti-CD20 antibody rituximab, the majority of patients eventually relapse, and salvage treatments with non-cross-resistant compounds are needed to further improve patient survival. Here, we evaluated the antitumor effects of the microtubule destabilizing agent monomethyl auristatin E (MMAE) conjugated to the humanized anti-CD19 antibody hBU12 via a protease-sensitive valine-citrulline (vc) dipeptide linker. hBU12-vcMMAE induced potent tumor cell killing against rituximab-sensitive and -resistant NHL cell lines. CD19 can form heterodimers with CD21, and high levels of CD21 were reported to interfere negatively with the activity of CD19-targeted therapeutics. However, we observed comparable internalization, intracellular trafficking, and drug release in CD21(low) and CD21(high), rituximab-sensitive and -refractory lymphomas treated with hBU12-vcMMAE. Furthermore, high rates of durable regressions in mice implanted with these tumors were observed, suggesting that both rituximab resistance and CD21 expression levels do not impact on the activity of hBU12-vcMMAE. Combined, our data suggest that hBU12-vcMMAE may represent a promising addition to the treatment options for rituximab refractory NHL and other hematologic malignancies, including acute lymphoblastic leukemia.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Murine-Derived
  • Antigens, CD19 / immunology*
  • Antineoplastic Agents / therapeutic use*
  • Blotting, Western
  • Cell Line, Tumor
  • Cell Survival
  • Citrulline / chemistry
  • Citrulline / metabolism
  • Dimerization
  • Dipeptides / metabolism
  • Drug Resistance, Neoplasm*
  • Female
  • Flow Cytometry
  • Gene Dosage
  • Humans
  • Immunoconjugates / therapeutic use*
  • Immunoenzyme Techniques
  • Lymphoma, Non-Hodgkin / drug therapy*
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / metabolism
  • Lysosomes
  • Mice
  • Mice, SCID
  • Oligopeptides / metabolism
  • Oligopeptides / therapeutic use*
  • Receptors, Complement 3d / genetics
  • Receptors, Complement 3d / immunology
  • Receptors, Complement 3d / metabolism
  • Rituximab
  • Valine / chemistry
  • Valine / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Murine-Derived
  • Antigens, CD19
  • Antineoplastic Agents
  • Dipeptides
  • Immunoconjugates
  • Oligopeptides
  • Receptors, Complement 3d
  • Citrulline
  • Rituximab
  • Valine
  • monomethyl auristatin E