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The Journal of Immunology, 1998, 160: 1677-1686.
Copyright © 1998 by The American Association of Immunologists

Bispecific Molecules Directed to the Fc Receptor for IgA (Fc{alpha}RI, CD89) and Tumor Antigens Efficiently Promote Cell-Mediated Cytotoxicity of Tumor Targets in Whole Blood

Yashwant M. Deo1,*, Karuna Sundarapandiyan*, Tibor Keler*, Paul K. Wallace{dagger} and Robert F. Graziano*

* Medarex, Inc., Annandale, NJ 08801; and {dagger} Department of Microbiology, Dartmouth Medical School, Lebanon, NH 03756

The FcR for IgA (Fc{alpha}RI, CD89) is primarily expressed on cytotoxic immune effector cells. By chemically cross-linking F(ab') fragments of the FcR for IgA (Fc{alpha}RI)-specific mAb (A77) with tumor Ag-specific mAb (anti-HER2/neu and anti-epidermal growth factor receptor), we have developed bispecific molecules (BSM) that simultaneously bind to respective tumor Ags and Fc{alpha}RI-expressing effector cells in whole blood. These BSM mediated up to 55% of specific lysis of appropriate tumor Ag-expressing target cells (from a variety of tumors) with purified polymorphonuclear leukocytes, monocytes, or whole blood effector cells without preactivation with exogenous cytokines. To our knowledge, this is the first demonstration of Ab-dependent cell-mediated cytotoxic activity via Fc{alpha}RI in whole blood. Also, monocyte-derived macrophages mediated phagocytosis of HER2/neu-expressing tumor cells (>95% tumor cell loss). These BSM-mediated cytotoxic activities were completely inhibited by F(ab')2 of A77, demonstrating the specific role of Fc{alpha}RI as a trigger molecule. Furthermore, the binding of these BSM to monocytes or polymorphonuclear leukocytes in whole blood did not induce modulation of Fc{alpha}RI in the absence of the target Ag. Therefore, immune effector cells may be "armed" with Fc{alpha}RI-directed BSM in whole blood. These Fc{alpha}RI-directed BSM may offer new treatment options for various malignancies and other disease conditions.




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