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*
School of Medicine, University of New South Wales, Sydney, Australia;
Department of Medical Oncology, St Vincents Hospital, Sydney, Australia; and
School of Pathology, University of New South Wales, Sydney, Australia
| Abstract |
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| Introduction |
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Anti-p53 serum Abs have been detected in up to 30% of individuals with cancer, and a range of different tumors (5, 6, 7, 8, 9). Of those patients with a humoral response to p53, it has been found that most have Abs against the immunodominant amino- and carboxyl-terminal regions (10). The secondary structure of these regions remains unchanged in mutant forms of the protein, suggesting that the immune response is more likely to be due to accumulation of the protein rather than to the appearance of novel antigenic determinants induced by mutation. However, several studies have identified patients who have anti-p53 Abs and yet have no identifiable accumulation of p53 in their tumors. This suggests that other mechanisms may be involved in the formation of the anti-p53 Ab response (11, 12, 13).
mAbs to p53 have been invaluable in investigating the function of p53 and its role in tumorigenesis. Epitope-mapping studies have shown that the majority of these mAbs have a similar pattern of reactivity to that observed in anti-p53 Ab preparations made from reactive human sera (14, 15). Relatively few murine mAbs have been found that are reactive with mutant or wild-type conformation-specific epitopes (16, 17, 18).
Molecular approaches for the generation of mAbs offer several advantages over traditional methods such as EBV transformation or hybridoma technology. In part, this is because in humans, these traditional methods often result in a bias toward certain B cell populations and the creation of cell lines that are unstable or producing only low levels of Ab (19). In contrast, molecular genetic approaches allow the use of genetic material from any source of available B lymphocytes to create random combinations of cloned heavy and light chain Ig genes. Recombinant Abs generated in this manner from human lymphocytes have shown specificities against a range of different Ags, including HIV Ags (20), autoimmune Ags (21, 22), and tumor Ags (23). Furthermore, these Abs have provided valuable information on the nature of the immune response occurring in the donor (21, 23).
Previous studies of the immune response against p53 in cancer patients have relied on serum analysis. These studies have yielded important information on the clinical significance, epitope dominance, and the role of protein over expression in the development of the anti-p53 immune response. However, several critical questions remain unanswered. To date, no human anti-p53 mAbs have been isolated either by conventional cell immortalization methods or molecular biological procedures. Hence, no information is available on human anti-p53 Ab V gene usage, the degree of somatic mutation, and structural features of the anti-p53 Abs. Such information is critical to any meaningful understanding of the nature and significance of the humoral immune response to p53.
This study reports the isolation of 14 anti-p53 Abs from a combinatorial library constructed with lymph node tissue from an individual with colorectal cancer. The nucleotide sequence and gene usage of these Abs were examined. Four anti-p53 Abs were examined in greater detail and found to have high affinity and be reactive to the amino-terminal region of the protein. This approach to isolating anti-p53 Abs could be used to generate Abs against a wide range of different p53 epitopes. Such Abs may be useful in functional studies of the protein as well as in the development of anti-idiotypic vaccines.
| Materials and Methods |
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After obtaining informed consent, blood and tissue samples were collected from 100 individuals seen at St. Vincents Hospital (Sydney, Australia) from 19931997 who were undergoing resection of colorectal cancer.
Clotted blood was centrifuged at 2000 x g for 10 min and serum stored in aliquots at -70°C before use. Samples from 50 healthy individuals were obtained from Dr. Paul Kelly, Garvan Institute for Medical Research (Sydney, Australia) and used as controls in all ELISA and immunoprecipitation experiments. A fresh pericolic lymph node in the region of the tumor was harvested from colectomy tissue and frozen in liquid nitrogen before RNA extraction (23).
Immunohistochemical detection of p53
Sections of paraffin-embedded tumor tissue from each individual were subjected to immunohistochemical analysis of p53, as previously described (13). Tumor tissue was considered to have accumulated p53 when the average of 10 high powered fields showed greater than 5% of tumor cells with nuclear staining, in the absence of staining in the stromal cells and normal epithelium.
Production of recombinant p53
Recombinant p53 was expressed and purified as described
previously (13). Briefly, a cDNA clone of wild-type p53 in
the expression vector pET19b was transfected into Escherichia
coli strain BL-21(DE3
) (Novagene, Madison, WI). p53 was
recovered from inclusion bodies, solubilized by denaturation, and
purified from crude bacterial lysates using
Ni2+ resin. This purification
process results in the recovery of wild-type, denatured p53. Mutations
in p53 result in unfolding of the protein, and hence the conformation
of mutant p53 is similar to that of the wild-type denatured p53. The
purity of p53 was assessed by PAGE in the presence of 10% SDS
(SDS-PAGE) and then immunoblotting. The protein concentration was
determined using the BCA assay kit (Pierce, Rockford, IL) with
reference to a standard curve generated with BSA.
Detection of anti-p53 serum Abs
Wells of a microtiter plate (Polysorb, Nunc, Denmark) were coated with purified recombinant p53 (5 µg/ml in PBS) overnight at 4°C. Coated wells were washed three times each with 200 µl of PBS and then blocked with PBS/2% (v/v) BSA for 1 h at 20°C. Patient serum samples (n = 100) were diluted 1/100 in PBS and then applied in duplicate to the p53 and incubated for 1 h at 20°C. Binding Abs were detected with an alkaline phosphatase-conjugated goat anti-human IgG Fc-specific Ab (0.5 µg/ml in PBS/2% BSA; Jackson ImmunoResearch, West Grove, PA). The reactivity of each patient to p53 was expressed as a value relative to a standard curve generated from control serum known to contain anti-p53 Abs, as described previously (13). Serum activity was compared with a healthy group of volunteers (n = 50) and considered positive for anti-p53 Abs when the anti-p53 score was >2 SDs above the mean of the normal group.
The isotype of Abs in reactive sera was assessed using the above protocol, except that the anti-human IgG Fc-specific Ab was replaced with mouse anti-human IgG (IgG1, IgG2, IgG3, and IgG4; Dako, Carpenteria, CA) isotype-specific Ab (1 µg/ml) and detected with an alkaline phosphatase-conjugated goat anti-mouse Ig Ab (0.5 µg/ml in PBS/2% BSA; Jackson ImmunoResearch). The anti-p53 serum titer was defined as the highest dilution of serum that generated a signal of 3 times above background.
Library construction and biopanning
Pericolic lymph nodes were ground to a fine powder in liquid
nitrogen, and total RNA was extracted using standard procedures
(24). IgG1
-chain Fab libraries were constructed in the
phagemid vector MCO1, as described previously (25).
Briefly, Ig genes were amplified by RT-PCR using primers specific for
human
and IgG1 Ig genes, followed by digestion with
SacI/XbaI or Spe1/XhoI,
respectively. The products were then cloned sequentially (light chain
then heavy chain) into the MCO1, and the combinatorial libraries were
electroporated into E. coli XL1-blue cells (Stratagene, La
Jolla, CA) and packaged with VCS-M13 helper phage (Stratagene) to give
the primary Ab phage library.
The size of the library was calculated from a proportion of clones taken after electroporation (n = 20 for each library) of the final heavy and light chain construct. A diagnostic PCR amplifying the V region of the heavy and light chain and BstN1 finger printing (see below) were used to calculate the number of clones with unique heavy and light chain inserts. On this basis, the total library size was estimated.
Wells of a microtiter plate were coated with recombinant p53, as described above, washed with PBS, then blocked with 2% (v/v) BSA/PBS. Aliquots of the phage Ab libraries (1012 CFU in 100 µl) were applied to each well and incubated at 20°C for 2 h. Excess phage were washed from the plate with six washes with PBS/0.1% (v/v) Tween, followed by two washes in PBS. Adherent phage were then eluted with 100 µl of 0.1 M glycine, pH 3, for 10 min at 20°C, and neutralized with 10 µl of 1 M Tris, pH 8. Eluted phage were reamplified for the next round of panning, as described previously (23). The panning procedure was conducted five times. An aliquot was taken from the eluted output from each round of panning and used to infect the E. coli nonsuppressor strain HB2151 for the production of soluble Fab. Infected bacteria were plated onto LB agar with 50 µg/ml of carbenicillin, and single colonies were picked for soluble Fab production.
Analysis of soluble Fab reactivity by ELISA
Initial small scale cultures were grown overnight from a single colony at 37°C in 2YT broth with 2% (v/v) glucose and 50 µg/ml of carbenicillin (2YT/glu/carb). These small scale cultures were then diluted 1/100 in 2YT/glu/carb and grown at 37°C to an OD of 0.8. The resultant larger cultures were then centrifuged and resuspended in 2YT containing 1 mM isopropyl ß-D-thiogalactoside and 50 µg/ml of carbenicillin and grown for an additional 16 h at 30°C. Following centrifugation, the supernatant from these final cultures was assessed for anti-p53 Fab by ELISA.
Culture supernatant was incubated for 2 h at 20°C in duplicate wells of an ELISA plate that had been coated with p53 and blocked with 2% BSA, as described above. After washing with PBS, 100 µl of the anti-myc mAb, 9E10 (0.5 µg/ml in PBS/0.5% BSA, from ATCC cell line CRL-1729), was added to each well, and incubated at 20°C for 1 h. This Ab detects the myc tag on the C terminus of the heavy chain. The wells were again washed, and HRP-conjugated goat anti-mouse Ig Ab was added (0.5 µg/ml in PBS/2% (v/v) BSA; Jackson ImmunoResearch). After further washing, color was developed with 100 µl of TMB substrate (Kirkegaard & Perry Laboratories, Gaithersburg, MD), and the reaction was stopped with 50 µl of 1 M H2SO4. Clones were considered positive where the OD was more than 3 times the signal seen in wells not coated with p53. In each ELISA, a negative control without 9E10 was used to assess background signal.
To determine the effect of Ag concentration on reactivity, anti-p53 Fab were reanalyzed using p53 coated at concentrations from 0.015 to 10 µg/ml. Furthermore, to demonstrate Ag-specific inhibition of binding, 100 µl of bacterial supernatant containing 0.5 µg of Fab was incubated with 5 µg p53 (50 µg/ml in PBS) for 1 h before application to wells of a p53-coated ELISA plate (1 µg/ml).
Because reactivity measured with the 9E10 Ab may be due to the binding
of unassociated heavy chain protein alone, the involvement of the light
chain in binding to p53 was confirmed by an ELISA with an
anti-
-specific Ab. A biotinylated goat anti-human
-specific Ab (0.2 µg/ml in PBS/2% (v/v) BSA; Rockland,
Gilbertsville, PA) was used as the second Ab instead of the 9E10 Ab,
and followed by HRP-conjugated streptavidin (0.05 µg/ml in PBS/2%
(v/v) BSA; Dako).
The cross-reactivity of Fab with other Ags was assessed by ELISA using a similar method to that described for p53. The following Ags and concentrations were used: ErbB2 extracellular domain (5 µg/ml; gift from Ruth Lyons, Garvan Institute), MUC1 (5 µg/ml; gift from Dr. Ian McKenzie, Austin Research Institute, Melbourne, Australia), carcinoembryonic Ag (CEA) (5 µg/ml), insulin (5 µg/ml), tetanus toxoid (1 µg/ml; CSL, Melbourne, Australia), BSA (1 µg/ml; Sigma-Aldrich, Castle Hill, Australia), and keyhole limpet hemocyanin (1 µg/ml; Sigma-Aldrich).
Inhibition of serum Ab reactivity by Fab
A competitive binding assay was used to determine the relative specificity of p53 Fab and Abs in patient serum. Wells were coated with p53 (0.1 µg/ml), as described, then incubated with either patient serum (10% v/v in PBS) or PBS alone for 45 min at room temperature. Fab 163.1, 163.5, 163.17, and 163.24 (1 µg/ml in PBS) were then added to an equal volume of serum (10% (v/v)) or PBS, applied to wells, and incubated for an additional 60 min. The wells were washed thoroughly, and bound Fab was detected with 9E10 and alkaline phosphatase-conjugated goat anti-mouse Ig Ab, as above. The effect of nonspecific inhibition was controlled for by the use of serum from patient 100, which did not contain anti-p53 Abs. The percentage inhibition of Fab binding that occurred due to the presence of anti-p53 Abs in serum was calculated as the signal obtained with Fab alone minus the signal obtained with the Fab plus serum, expressed as a percentage of the Fab alone signal.
Analysis of Fab reactivity by immunoprecipitation
The colorectal cancer cell line HT29, which contains mutant p53, was used to assess the reactivity of Fab with human p53 from eukaryotic cells. Approximately 107 cells were lysed in TNES buffer (50 mM Tris, pH 7.5, 2 mM EDTA, 100 mM NaCl, 1% Nonidet P-40, protease inhibitor mixture (Boehringer Mannheim, Castle Hill, Australia), and 1 mM PMSF) and then cell debris were removed by centrifugation at 10,000 x g for 10 min. Approximately 250 µg of the total lysed protein was used in each immunoprecipitation. Either the mouse anti-DO-7 (0.5 µg; Dako) or the bacterially expressed Fab (1 µg) was added to the lysate and incubated for 1 h at 4°C. The anti-myc 9E10 Ab (1 µg) was then added to the mixture containing Fab and incubated for 1 h at 4°C. At this point, 20 µl packed volume of protein A-Sepharose (Zymed Laboratories, San Francisco, CA) was added to all tubes and incubated for an additional hour at 4°C. The protein A-Sepharose was washed four times with PBS, and subjected to 10% SDS-PAGE under denaturing and reduced conditions. Proteins were transferred to polyvinylidene difluoride membrane by electroblotting, blocked with 10% skim milk powder, and probed with a goat anti-p53 Ab specific for the N-terminal region of the protein (Santa Cruz Biotechnology, Santa Cruz, CA). This was followed by an HRP-conjugated donkey anti-goat Ig Ab (Jackson ImmunoResearch), and then the blots were developed using chemoluminescent substrate (DuPont NEN, North Sydney, Australia). A Fab specific for tetanus toxoid, protein A-Sepharose alone, and an extract only control were included in each experiment as negative controls.
Epitope mapping
A set of deletion mutants derived from human p53
(26) was supplied by Dr. David Lane (University of Dundee,
Dundee, Scotland). The deletion mutants used were Hup53, 3M (residues
1393), 3R (1223), 4U (1106), 11 (27393), and 18 (44393), as
described by Nissim (26). Briefly, cultures of E.
coli (BL21 DE3
) containing the constructs were grown to an OD
0.8. The cells were lysed in bacterial lysis buffer (50 mM Tris, pH
7.5, 10 mM EDTA, 50 mM NaCl, 1% Nonidet P-40, and 1 mM PMSF), and 50
µl of the lysate was subjected to SDS-PAGE and electroblotting, as
described above. Bacterial expressed Fab was incubated with the
membrane for 1 h at 20°C and then washed with PBS. Bound Fab was
detected with 9E10 and HRP-conjugated goat anti-mouse. Negative
controls were as described above.
Sequence analysis
The V region of selected clones was sequenced using a cycle
sequencing kit, according to the manufacturers specifications
(Promega, Madison, WI). Miniprep DNA was prepared by alkaline lysis,
and both strands of DNA were sequenced using primers outside the V
region. The primers used for sequencing the light chain were 5'-AA GAC
AGC TAT CGC GAT T (OmpA leader sequence) and 5'-ATG AAG ACA GAT GGT GCA
GC (5' end of the
C region), and the heavy chain 5'-CTA CGG CAG CCG
CTG GAT TG (PelB leader sequence) and 5'-GGA AGT AGT CCT TGA CCA G (5'
end of the IgG CH1 region). The heavy and light
chain V region for Fab clones was matched to available V genes, D
genes, and J genes using the DNA plot alignment package and V base
sequence database.
Using the method of Chang and Casali (27), the frequency of replacement mutations (R)2 in the CDR and framework (FR) for each of the p53 Abs was calculated with respect to its closest germline gene. The probability that R mutations were occurring at a frequency above or below the expected random frequency was calculated in a binomial distribution model, using the expected number of R mutations in the germline gene, the actual number of observed R mutations in the Fab sequences, and the probability of R mutations localizing to the CDR or FRs (27, 28). Amino acids from 194 of the heavy chain (29) and 195 for the light chain were used for the analysis of R mutations. Amino acid residues occurring as a result of primer sequence in the FR1 region were excluded from the analysis. A p value of less than 0.05 indicated that the R mutations had occurred in a nonrandom fashion.
Fab purification
Soluble Fab was precipitated with ammonium sulfate (35% (w/v), resuspended in 5 ml of PBS, and then purified by IMAC affinity chromatography (Qiagen, Chatsworth, CA). Eluted fractions containing Fab were pooled and then fractionated by size exclusion chromatography (Superdex 200; Pharmacia, Piscataway, NJ) in HBS buffer (0.01 M HEPES, pH 7.4, 0.15 M NaCl, 3 mM EDTA, and 0.005% Nonidet P-40). Purity was assessed by SDS-PAGE and silver staining.
BIAcore analysis of selected Fab
Recombinant p53 was coupled to a CM5 chip using standard amine immobilization protocols. The chip was activated using 50 mM N-hydroxysuccinimide and 200 mM N-(dimethylaminopropyl)-N'-ethylcarbodimide. Recombinant p53 at 100 µg/ml in PBS diluted 1/10 in sodium acetate (1 M, pH 4.8) was injected at a flow rate of 10 µl/min. No greater than 400 resonance units were coupled to the chip for affinity analysis.
All measurements were conducted in HBS buffer. For the analysis of affinity, concentrations of Fab ranging from 10200 nM were injected for 90 s at a flow rate of 30 µl/min over two flow cells, one with coupled p53 and the other without. Dissociation was measured over 90 s by the injection of HBS buffer. The chip was regenerated with 20 µl of 1 M glycine, pH 2, at 30 µl/min flow rate. The resonance unit of the blank flow cell was subtracted from the p53-coupled cell, and the affinity constants were calculated using the BIAevaluation 3 software package for a global fit.
| Results |
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Of the 100 patients with colorectal cancer screened for Abs
against p53, 17 were found to have anti-p53 Abs. From the patients
found to have p53-reactive serum, six were selected for further study,
including one patient with no detectable anti-p53 Abs as a negative
control. In addition, each of the patients was assessed for the
predominant IgG isotype reactive with p53. It was found that all of the
individuals selected had predominantly IgG1-reactive anti-p53 Abs.
IgG1K Ab libraries were therefore constructed from the pericolic lymph
node tissue taken from these six colorectal cancer patients. The size
of the Ab libraries from each of the constructed individuals, together
with clinical data, serum, and reactivity against full-length p53, is
shown in Table I
.
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Each Ab library was subjected to five rounds of panning against recombinant p53. A 20100-fold increase in the number of eluted phage was observed in rounds four and five.
No Fab with reactivity against p53 were identified from 32 phage clones isolated from each library after each of the first three rounds of panning (total number of clones analyzed = 960). The library from patient 163 was found to have 1 of 32 p53-reactive clones from round four, and 42 of 128 p53-reactive clones from round five. No positive clones from rounds four or five (96 clones analyzed from output phage) were identified from patient Ab libraries 100, 107, 149, 357, or 790 (192 phage clones analyzed from each library).
The 43 p53-reactive clones isolated from library 163 were analyzed by restriction enzyme digestion, and five clones were eliminated from further analysis on the basis of lacking a heavy chain of the correct size. All clones had light chain inserts of the expected size. The remaining 38 clones were DNA fingerprinted from V region PCR products using the frequent cutting restriction enzyme BstN1. This allowed the identification of four unique heavy chain BstN1 profiles that paired with five unique light chain profiles, giving a total of 14 clones with unique heavy and light chain combinations (results not shown). Four clones with unique heavy chain were epitope mapped and analyzed for reactivity against recombinant p53, cell line-derived p53, as well as for cross-reactivity with other Ags (clones 163.1, 163.5, 163.17, 163.24). The nucleotide sequence of the 14 clones with unique heavy and light chain combinations was determined, the deduced amino acid sequence generated, and the mutation pattern analyzed.
Confirmation of anti-p53 Fab reactivity
The reactivity of clones 163.1, 5, 17, and 24 with varying
concentrations of p53 is shown in Fig. 1
.
The reactivity of the Fab against p53 was also demonstrable using a
sheep anti-human
-chain-specific Ab (results not shown),
indicating that the fully assembled Fab fragment, including light
chain, was responsible for the p53-binding activity. When preincubated
with excess p53 before ELISA, the signal was reduced by between 11 and
27% of the levels observed in the standard protocol (results not
shown). Furthermore, the four clones showed no reactivity against other
Ags, including ErbB2, MUC-1, CEA, tetanus toxoid, insulin, keyhole
limpet hemocyanin, and BSA (Fig. 2
).
|
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The ability of the Fab to detect p53 in bacterial lysates was assessed
by Western analysis (Fig. 3
A).
The Fab were able to detect p53 in the lysate, but did not appear to
react with other proteins. In addition, it was found that each of the
Fab was able to immunoprecipitate mutant p53 from the human colorectal
cancer cell line HT-29 (Fig. 3
B).
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Epitope mapping of the Fab clones 163.1, 5, 17, and 24 showed that all were reactive with full-length human p53 (residues 1393), as well as the deletion constructs 3M (1223), 3R (1187), 4U (1106), and 11 (27393). None of the clones were reactive with the 18 construct (residues 44393), indicating that the Fab were reactive with an epitope between residues 27 and 44 (inclusive) of human p53.
Affinity and sequence analysis
The dissociation constants for the Abs 163.1, 5, 17, and 24 were
1.19 x 10-8, 1.5 x
10-8, 1.57 x 10-8,
and 1.38 x 10-8, respectively. The
2 values were all less than 1 when using the
model for 1:1 interaction with a drifting baseline.
For each of the 14 clones sequenced, the closest germline gene match
and the percent nucleotide difference from this gene are shown in Table II
. A comparison of the V region of the
14 Fab clones showed that the clones had greater than 95% homology
with each other and appeared to share the same V gene, D gene, and J
gene combination (Table II
). The V region of these clones consisted of
the V gene DP-7 (VH146) from the
VH1 gene family, and the J gene,
JH4b. No D segment gene could be assigned to
these clones with confidence due to the lack of homology with known D
gene sequences, although all clones had similar D regions. All the
heavy chains of these clones had extensive mutations throughout the V
gene region. The percentage difference between the heavy chain V gene
and the matched germline V gene ranged from 14.618.5%. The mutations
were frequent, not only in the CDR regions, but also throughout FR1 and
FR3 regions. There were relatively few mutations in the FR2 region. The
light chain partners of the 14 clones had greater homology with the
matched V gene than the heavy chain, with the percentage of mutations
ranging from 0 to 5.9%. The light chain partners of these clones used
the same light chain V gene DPK-24 in combination with either the JK2
or JK4 gene.
|
The deduced amino acid sequences from the 14 clones were used to
determine the R and silent mutations within FR and CDR (Fig. 4
), and these values were used to
calculate the probability that R mutations in FR or CDR were not
random. Random mutations, either R or silent, occur evenly throughout a
given sequence, while Ag-driven responses are often localized and
result in a higher or lower proportion of R mutations depending on the
selection pressures defined by Ag selection (27). The
probability that the mutations in the FR and CDR regions arose as a
result of Ag-driven selection is shown in Table III
.
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| Discussion |
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The well-recognized occurrence of anti-p53 Abs in the serum of some individuals with colorectal cancer provided an opportunity to more closely examine the specificity of this response to an important tumor suppressor gene product. Because of the combinatorial approach used in Ab phage display, it is possible to generate Fab containing pairings of light and heavy chains that were not present in the original source tissue. In numerical terms, the clonal expansion and active synthesis of Ig will mean that mRNA from antigenically stimulated B cells will predominate in the RNA extracted from source tissues. In practical terms, panning against Ag will favor the reestablishment of pairings that have evolved in the face of Ag selection. Nevertheless, the possibility remains that the Abs identified in this study may be neo-Abs that do not accurately reflect the Abs responsible for the anti-p53 activity seen in serum. This is a possibility that is not possible to eliminate experimentally. However, recent experience has shown that Ab phage display can successfully isolate specific Abs from individuals with demonstrable serum Ab responses to a variety of Ags. These include infectious agents such as Haemophilus influenzae b (30), and self Ags important in autoimmune disease, including the acetylcholine receptor (21), anti-thyroglobulin Abs (31), and anti-neutrophil cytoplasmic Abs (32). Importantly, Fab isolated in this manner have been shown to accurately reflect the in vivo Ab response. In the case of H. influenzae, V gene combinations of isolated Fab were shown to mirror the V gene repertoire used in response to natural infection (30). Recombinant anti-neutrophil cytoplasmic Abs isolated from an individual with ulcerative colitis shared the same disease-specific epitope reactivities as serum Abs (32). Likewise, several studies have shown that the epitope specificity of isolated Fab largely represents the major specificities of Abs present in serum (for example, 90% inhibition of serum acetylcholine receptor Abs (21) and 92% inhibition of anti-thyroid peroxidase Abs (33)). We found that isolated Fab were able to block up to 65% of the anti-p53 Ab activity seen in patient serum. Given that serum responses to p53 probably arise against multiple epitopes, this level of inhibition is significant. However, it provides only indirect evidence that the Fab were constructed from Ig genes responsible for the production of the naturally occurring Abs.
Selection of an appropriate tissue source of Ig genes is an important factor in Ab library construction (34), and several groups have previously reported the use of enriched sources of lymphocytes in the isolation of disease-specific Abs. For instance, Ig genes from thyroid-infiltrating lymphocytes have been used to successfully isolate Abs against thyroid peroxidase (35). The use of such enriched sources of Ig genes may obviate the need for the production of large libraries (>108) to isolate specific Abs (36, 37).
In this study, libraries were constructed from pericolic lymph nodes draining a colorectal tumor, because it was considered that this tissue was more likely to represent an enriched source of anti-p53 Abs. To further increase the likelihood of isolating specific Fab, we selected individuals with a demonstrable IgG1 response to p53 protein. In this regard, it is of note that all those Fab with high affinity for p53 were derived from the individual with a high serum Ab titer against p53, and that no Abs were isolated from the one individual without a demonstrable serum response. We are less able to explain the failure to isolate anti-p53 Abs from the remaining four individuals with lower but detectable serum Abs. It is possible that this outcome may reflect the presence of lower affinity Abs, less readily isolated by the rounds of in vitro selection. It is also possible that the Ig-producing cells were absent from the sampled lymph node, or in numbers too low for effective isolation from the gene library. Finally, it is possible that the Abs from different individuals may recognize conformations of the target protein not available in the panning strategies used in this study. The further evaluation of this latter issue may allow the isolation of a broader repertoire of Abs.
This study has, for the first time, provided an opportunity to examine the genetic structure of naturally occurring p53 Abs, and to draw inferences from that structure regarding the nature of the immune response that produced them.
Nucleotide sequencing showed that the V genes of the p53 Fab had undergone extensive mutation (6.118.5%), a finding that was highly unlikely to be explained on the basis of polymerase-induced errors in the PCR (38). In fact, this frequency of V gene mutations is higher than that reported for class-switched germinal center and memory B cells (up to 4%) (39, 40). It provides strong support for the contention that the isolated Abs reflect the occurrence of a specific Ag-driven humoral immune response in these individuals. The particularly high mutation frequency may perhaps reflect the chronic nature of Ag exposure in individuals with malignancy. Although the mechanism of p53 presentation to the immune system remains uncertain (5), it is clear that the process can develop early in the process of tumor development. For instance, serum p53 Abs have been reported in smokers several years before the detection of the malignancy (15). This suggests that antigenic p53 may be presented to the immune system throughout the course of the disease, and that this continual exposure may be responsible for the extensive somatic mutation rate in the V genes.
Statistical analysis of the frequency of R mutations in the V genes provides further evidence to support the contention that the isolated Fab arose as a result of Ag-driven selection. The negative selection for R mutations seen in the FR regions of VH1 family Abs is a typical feature of affinity-matured Abs.
Isolated Abs used V region germline genes predominantly from VH1. Several authors have recently analyzed the germline VH gene usage of a large series of Abs produced by hybridomas or phage display, and directed against a wide range of exogenous and autoantigens (41, 42). Ohlin et al. (41) showed that VH3 (47%), VH1 (35%), and VH4 (13%) were the most commonly used germline genes, with VH6, VH5, and VH2 being used in 3, 2, and 0% of cases, respectively. Although definitive conclusions regarding the gene usage of anti-p53 Abs require further study, it is possible that the VH gene usage is restricted to the VH1 gene family, in particular the DP-7 gene (43).
The structural features of the Fab, and the inferences drawn from them, are supported by affinity analysis using surface plasmon resonance. The isolated Fab all showed relatively high affinity for wild-type denatured p53, again suggesting that they may represent the product of a specific Ag-driven immune response.
The successful isolation of stable and clonal Fab has also allowed a closer examination of the epitope specificity of naturally occurring p53 Abs. All Fab isolated in this study bound to residues 2744 of p53, a region that is specific to primates in that it differs by 9 amino acids from the closest homologous p53 sequence (feline), and by 15 amino acids from the rat p53 protein (44). This region is particularly important as a site for interaction with transcription machinery, as well as viral proteins (45). To date, most human serum Abs and murine monoclonals against p53 have been shown to bind to a narrow range of immunodominant epitopes that span residues in the N-terminal region (1025, 4050), the central region (120130, 205215, 285295), and the C-terminal region (345393) (15, 46, 47). Very few Abs with binding specificity for the region between amino acids 27 and 44 have been isolated (18, 26). This may reflect unique specificities seen only in the human immune response, yet masked in the analysis of the polyclonal responses seen in serum.
Recent studies have suggested a number of important potential uses for recombinant anti-p53 Abs. For instance, murine anti-p53 monoclonals have recently been shown to inhibit engraftment of the murine sarcoma cell line MethA in mice by acting as an anti-idiotypic vaccine (48). Likewise, the intracellular expression of recombinant fragments of the murine Abs pAb 421 and DO-1 has provided important insights into the role of p53 in carcinogenesis (49, 50). Clearly, the use of human p53 Fab would have advantages over murine Abs when used as anti-Id vaccines, while their unique epitope specificity would also make them useful tools in functional studies. This study demonstrates that lymphocytes from individuals with cancer represent a unique and valuable source of such Abs, and outlines strategies for the successful exploitation of this important resource.
| Footnotes |
|---|
2 Abbreviations used in this paper: R, replacement; CDR, complementarity-determining region; FR, framework; CEA, carcinoembryonic Ag. ![]()
Received for publication April 8, 1999. Accepted for publication June 3, 1999.
| References |
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and IgG-
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