In an effort to devise an alternative treatment for human ovarian cancer, we have isolated a monoclonal antibody (OVB-3) that reacts with all ovarian cancers tested (10/10) but few normal tissues. An immunotoxin produced by coupling OVB-3 to Pseudomonas exotoxin kills ovarian cancer cells in tissue culture and prolongs the life of animals bearing human ovarian cancers. These data suggest that this immunotoxin should be evaluated as a treatment for ovarian cancer in women.Ovarian cancer is a common gynecologic malignancy that accounts for the death of 11,000 women per year in the United States (1). Unfortunately, less than 50% of women with this disease can be cured by surgery and chemotherapy. We have suggested that this disease is a good candidate for treatment with immunotoxins administered directly into the peritoneal cavity because the disease usually remains confined to the peritoneal cavity and death is often due to obstruction of vital organs lying within the cavity (1). Hamilton et al. (2) have developed a mouse model that closely resembles human ovarian cancer. In this model, 108 human ovarian cancer cells (OVCAR-3) are injected into the peritoneal cavity of an immunodeficient (nude) mouse; 40-60 days later the mouse dies with massive ascites, large intraperitoneal tumors, and tumor invasion of nearby tissues (2, 3). We have used this model to evaluate the activity of immunotoxins composed of antibodies to the human transferrin receptor coupled to Pseudomonas exotoxin (PE) or ricin A chain. Both immunotoxins were able to retard or prevent the growth of ovarian cancers in mice and to extend the life ofthese animals (3, 4). The PE immunotoxin was active at 0.3 ,ug per injection, whereas it required 10 ,ug per injection of the ricin A-chain immunotoxin to achieve an equivalent effect. Immunotoxins using antibodies to the human transferrin receptor are very effective cell-killing agents, but they may not be clinically useful or have limited clinical utility because they react with many normal human tissues (refs. 5 and 6 and see Table 1). Therefore, it was necessary to obtain a more tumor-specific antibody. Here we report on the isolation of such an antibody, and its antitumor activity when coupled to PE.
MATERIALS AND METHODSCell lines OVCAR-2, -3, -4, and -5 were obtained from T. C. Hamilton and R. F. Ozols, National Cancer Institute, and grown as described (7). The human fibroblast line WI-38 was from American Type Culture Collection. To determine the nature of the antigen recognized by OVB-3, OVCAR-3 cells were fixed in 3.7% (vol/vol) formaldehyde in PBS (140 mM NaCl; 15 mM sodium phosphate, pH 7.0) for 10 min at 23°C, washed, and treated with neuraminidase (Sigma type X) at 200 milliunits/ml in 50 mM sodium acetate, pH 5.0, at 370C for 45 min followed by mixed glycosidases (Miles Biochemical, Naperville, IL) from Turbo cornutus at 10 mg/ml in the same buffer at 370C for 45 min. Unfixed cells were treated with 0.2% trypsin at pH 7.4 for 30 min at 370C, Pronase (100 ,ug/ml) at pH 7.2 for 30 min a...