Targeted superantigens for immunotherapy of haematopoietic tumours

Vox Sang. 1998:74 Suppl 2:483-7. doi: 10.1111/j.1423-0410.1998.tb05461.x.

Abstract

With the exception of childhood common acute lymphoblastic leukaemia (cALL), treatment of other hematopoietic B cell lineage tumours such as non-Hodgkin's lymphoma (B-NHL), adult ALL and multiple myeloma (MM) is unsatisfactory. Similarly, the therapeutic outcome of acute and chronic myeloid leukaemia (AML, CML) is frequently dismal. At the same time, leukaemia/lymphoma cells represent ideal targets for immunotherapy. The present review summarizes our preclinical experience with a novel type of cytotoxic T cell based immunotherapy for B-lineage and myeloid tumours. Staphylococcal enterotoxin-derived superantigens (SAgs) are among the most potent T cell activators known, linking the T cell receptor to HLA-DR on natural target cells. SAgs were genetically engineered to reduce DR binding and were then fused to Fab parts of tumour-directed monoclonal antibodies (mAbs). Using these "targeted" SAgs, highly efficient lysis of B-lineage (B-NHL, B-CLL, ALL, MM) and myeloid (AML, CML) tumour cells by T-cells was achieved in vitro and in an animal model. We are entering an interesting era of innovative cancer therapy based on novel man-made biotherapeutic agents.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Antigens, Bacterial / genetics
  • Antigens, Bacterial / immunology
  • Antigens, Bacterial / therapeutic use*
  • Antigens, CD19 / genetics
  • Antigens, CD19 / immunology*
  • B-Lymphocytes / immunology
  • B-Lymphocytes / pathology
  • Child
  • Enterotoxins / genetics
  • Enterotoxins / immunology
  • Enterotoxins / therapeutic use*
  • Feasibility Studies
  • HLA-DR Antigens / immunology
  • Hematologic Neoplasms / pathology
  • Hematologic Neoplasms / therapy*
  • Humans
  • Immunoglobulin Fab Fragments / genetics
  • Immunoglobulin Fab Fragments / immunology*
  • Immunotherapy*
  • Lymphocyte Activation
  • Protein Engineering
  • Receptors, Antigen, T-Cell / immunology
  • Recombinant Fusion Proteins / immunology
  • Staphylococcus aureus / genetics
  • Staphylococcus aureus / immunology
  • Superantigens / genetics
  • Superantigens / immunology
  • Superantigens / therapeutic use*
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • Antigens, Bacterial
  • Antigens, CD19
  • Enterotoxins
  • HLA-DR Antigens
  • Immunoglobulin Fab Fragments
  • Receptors, Antigen, T-Cell
  • Recombinant Fusion Proteins
  • Superantigens
  • enterotoxin A, Staphylococcal