21The endoplasmic reticulum (ER) is the main site of protein synthesis, folding, and secretion 22 to other organelles. The capacity of the ER to process proteins is limited, and excessive 23 accumulation of unfolded and misfolded proteins can induce ER stress, which is associated 24 with plant diseases. Here, a transgenic Arabidopsis system was established to express anti-25 cancer monoclonal antibodies (mAbs) that recognize the tumor-associated antigen GA733-2. 26 The ER retention Lys-Asp-Glu-Leu (KDEL) motif sequence was added to the C-terminus of 27 the heavy chain to retain anti-colorectal cancer mAbs in the ER, consequently boosting mAb 28 production. Agrobacterium-mediated floral dip transformation was used to generate T 1 29 transformants, and homozygous T 4 seeds obtained from transgenic Arabidopsis plants 2 30 expressing anti-colorectal cancer mAbs were used to confirm the physiological effects of 31 KDEL tagging. Germination rates were not significantly different between mAb CO and mAb 32 COK. However, mAb COK primary root lengths were shorter than those of mAb CO plants 33 and non-transgenic Arabidopsis plants in in vitro media. Most ER stress-related genes, with 34 the exception of bZIP28 and IRE1a, were upregulated in mAb COK plants compared to mAb 35 CO plants. Western blot and SDS-PAGE analyses showed that mAb COK plants exhibited up 36 to five-times higher expression and mAb amounts than mAb CO plants. Enhanced expression 37 in mAb COK plants was confirmed by immunohistochemical analyses. mAb COK was 38 distributed across most of the area of leaf tissues, whereas mAb CO was mainly distributed in 39 extracellular areas. Surface plasmon resonance analyses revealed that both mAb CO and mAb 40 COK possessed equivalent or slightly better binding activities to antigen EpCAM compared to 41 a commercially available parental antibody. These results suggest that the introduction of the 42 KDEL motif is a promising strategy for obtaining enhanced amounts of recombinant 43 therapeutic proteins, but the KDEL sequence may induce ER stress and slightly reduce plant 44 biomass. 45 46The fusion of the endoplasmic reticulum (ER) retention KDEL (Lys-Asp-Glu-Leu) motif is 54 frequently used to retain and accumulate recombinant therapeutic proteins in the ER, enhancing 55 their stability and production yields in plants. KDEL is added to the C-terminus of the heavy 56 chain (HC) to induce high mannose glycan structures without plant-specific glycan residues 57 [α(1,3)-fucose and β(1,2)-xylose], which can trigger a host immune response [6, 7].
58The accumulation of recombinant anti-colorectal cancer mAbs in the ER requires a large 59 ER-mediated protein quality control (ERQC) capacity, which results in ER stress [8][9][10]. ER 60 stress activates three main unfolded protein response (UPR) signaling pathways [11, 12], 61 namely ER-membrane-associated activating transcription factor 6 (ATF6), inositol-requiring 3 62 enzyme 1 (IRE1), and protein kinase RNA-like ER kinase (PERK) [13, 14]. In this study, three 63 basic-le...