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The Journal of Immunology, 2000, 165: 888-895.
Copyright © 2000 by The American Association of Immunologists

Treatment of Human B Cell Lymphoma Xenografts with a CD3 x CD19 Diabody and T Cells1

Björn Cochlovius2,*, Sergey M. Kipriyanov2,3,*, Marike J. J. G. Stassar{dagger}, Oliver Christ{dagger}, Jochen Schuhmacher{ddagger}, Gudrun Strauß§, Gerhard Moldenhauer§ and Melvyn Little3,5,*

* Recombinant Antibody Research Group, {dagger} Department of Tumor Progression and Immune Defense, {ddagger} Department of Experimental Radiology, and § Department of Molecular Immunology, German Cancer Research Center (DKFZ), Heidelberg, Germany

The use of anti-CD3 x antitumor bispecific Abs is an attractive and highly specific approach in cancer therapy. Recombinant Ab technology now provides powerful tools to enhance the potency of such immunotherapeutic constructs. We designed a heterodimeric diabody specific for human CD19 on B cells and CD3{epsilon} chain of the TCR complex. After production in Escherichia coli and purification, we analyzed its affinity, stability, and pharmacokinetics, and tested its capacity to stimulate T cell proliferation and mediate in vitro lysis of CD19+ tumor cells. The effect of the diabody on tumor growth was investigated in an in vivo model using immunodeficient mice bearing a human B cell lymphoma. The CD3 x CD19 diabody specifically interacted with both CD3- and CD19-positive cells, was able to stimulate T cell proliferation in the presence of tumor cells, and induced the lysis of CD19+ cells in the presence of activated human PBL. The lytic potential of the diabody was enhanced in the presence of an anti-CD28 mAb. In vivo experiments indicated a higher stability and longer blood retention of diabodies compared with single chain Fv fragments. Treatment of immunodeficient mice bearing B lymphoma xenografts with the diabody and preactivated human PBL efficiently inhibited tumor growth. The survival time was further prolonged by including the anti-CD28 mAb. The CD3 x CD19 diabody is a powerful tool that should facilitate the immunotherapy of minimal residual disease in patients with B cell leukemias and malignant lymphomas.




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