Summary Immunotoxins that carry two toxin molecules to the target cell should in theory have a greater anti-tumour effect than those that carry just one. We have investigated the therapeutic efficacy of two anti-CD7-saporin immunotoxins constructed with one saporin (HB2-Sap 1 -mer) or two saporin molecules (HB2-Sap 2-mer) per immunotoxin molecule. In vitro, the 2-mer immunotoxin was 5.6 times more effective than the 1 -mer immunotoxin at inhibiting protein synthesis in the CD7+ human T-cell acute lymphoblastic leukaemia (T-ALL) cell line HSB-2 and was also more effective at inhibiting HSB-2 cell proliferation. Flow cytometry revealed that the 2-mer immunotoxin had a reduced binding capacity to HSB-2 cells compared with the 1-mer immunotoxin or native HB2 antibody. In therapy studies in SCID mice with disseminated HSB-2 human leukaemia, the 2-mer immunotoxin performed marginally better than the 1-mer immunotoxin, but log-rank analysis did not reveal any significant differences between the two therapy groups. We therefore conclude that, although the 2-mer immunotoxin performed better than the 1 -mer immunotoxin against target HSB-2 cells in vitro, this improved performance was not reflected as an improved in vivo therapeutic outcome in the SCID mouse model.
Keywords: immunotoxin; CD7; saporin; T-cell acute lymphoblastic leukaemiaImmunotoxins (ITs) have promising potential as therapeutic agents for cancer, particularly in the treatment of leukaemias and lymphomas, in which they have been shown to have marked activities Falini et al, 1992;Amlot et al, 1993; Grossbard et al, 1993). Comprising a monoclonal antibody component linked to a toxin or ribosome-inactivating protein (rip), such as ricin A chain or saporin, immunotoxins selectively deliver the toxin moiety only to cell populations expressing the target antigen recognized by the antibody. There are, however, a multitude of factors that can effect the potency of a given immunotoxin for its target cell, which can severely limit its therapeutic value. At the mechanistic level, such factors include the isotype and affinity (van-Oosterhout et al, 1994) of the antibody component, the proximity of the target antigen epitope to the target cell membrane (Press et al, 1988, the expression by the target cell of antigens unrelated to the target antigen and that probably assist in the internalization of immunotoxin by receptor-mediated endocytosis (van-Oosterhout et al, 1994) and, of pivotal importance, the fundamental nature of the target antigen and the ease with which it internalizes to the appropriate intracellular compartment once antibody has bound to its target ligand , Preijers 1988, Wargalla and Reisfeld 1989. Ultimately, the key determinants governing the therapeutic potency of any given immunotoxin revolve around two key issues: firstly, the in vivo accessibility of immunotoxin to the tumour and, secondly, the Correspondence to: D J Flavell efficiency of the internalization and trafficking process which delivers immunotoxin to the appropriate intracellular compa...