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Abstract Book 2010 - CIMT Annual Meeting

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089 Sha | Tumor biology & interaction with the immune system<br />

Influence of activation of human immune effector cells<br />

on the penetration into tumor spheroids<br />

Weixiao Sha 1 , Franziska Hirschhaeuser 1 , Stefan Walenta 1 , Kirsten Dettmar 2 and Wolfgang<br />

Mueller-Klieser 1<br />

1 Institute of Physiology and Pathophysiology, University Medical Center of the Johannes Gutenberg-University<br />

Mainz, Germany<br />

2 Fresenius Biotech GmbH, Munich, Germany<br />

138<br />

The trifunctional bispecific antibody catumaxo-<br />

mab (anti-EpCAM x anti-CD3) was designed for<br />

anti-tumor immunotherapy by targeting the tumor-associated<br />

antigen human EpCAM (epithelial<br />

cell adhesion molecule) on tumor cells and human<br />

CD3, expressed on T lymphocytes. In addition, catumaxomab<br />

recruits simultaneously Fcγ receptorpositive<br />

accessory cells, to promote the formation<br />

of a so-called “tri-cell-complex” which finally leads<br />

to the destruction of tumor cells by immune cells.<br />

MCTS (multicellular tumor spheroids) of the FaDu<br />

cell line (over-expressing EpCAM) were co-cultured<br />

with PBMCs (peripheral blood mononuclear cells)<br />

and incubated with the test agents in microtiter<br />

plates. With the objective to compare the influence<br />

of the different binding sites of catumaxomab we<br />

additionally used the F(ab`)2 fragments of catumaxomab<br />

lacking a Fc-region and BiLu (anti-human<br />

EpCAM x anti-mouse CD3) which is unable to bind<br />

to human T cells. Furthermore, LPS (Lipopolysaccharid)<br />

and con A (Concanavalin A) were applied<br />

to the test system. To asses the immune cell infiltration,<br />

rapidly frozen spheroids were cryosectioned<br />

and stained for immunohistology. Antibodies<br />

against CD45, CD14, CD2, CD4 and CD8 were used<br />

to discriminate different subtypes of infiltrating<br />

leukocytes in MCTS. Cytokine release (IFN γ, TNF<br />

α, IL 2, IL 6) gave further information on the type of<br />

immune response. Besides immunological parameters,<br />

the metabolic effects of the treatment with the<br />

different agents were analyzed by measurement of<br />

the extracellular lactate production in co-culture<br />

supernatants.<br />

Catumaxomab-mediated stimulation of PBMCs led<br />

to a massive penetration of spheroids by CD2+ T<br />

cells after 3 days and the volumes of the MCTS<br />

were significantly decreased. CD8+ T lymphocytes<br />

were identified as the dominating subtype of tumor<br />

infiltrating T cells. Higher levels of IL-2 through catumaxomab<br />

application were detected after 1 day,<br />

while no IL-2 was detectable after 3 days. Incubation<br />

with the F(ab`)2 fragment of catumaxomab resulted<br />

in similar results. Catumaxomab stimulation<br />

of co-cultures also resulted in increased concentrations<br />

of extracellular lactate. On the other side, IFN<br />

γ and TNF α secretion as well as lactate concentration<br />

was elevated in PBMC cultures stimulated<br />

with catumaxomab in the absence of tumor cells,<br />

whereas incubation with F(ab`)2 showed no detectable<br />

effect. These catumaxomab-mediated effects<br />

were enhanced in the presence of PBMC and tumor<br />

cells. Furthermore, BiLu did not reveal any effects<br />

in co-cultures of tumor cells with human PBMC.<br />

In summary, it was demonstrated that the catumaxomab-mediated<br />

stimulation of PBMCs in MCTS<br />

co-culture plays a pivotal role for tumor infiltration<br />

by cytotoxic T lymphocytes and secretion of antitumoral<br />

cytokines, thus underscoring the importance<br />

of the trifunctional mode of action for the<br />

initiation of an effective anti-tumoral response.<br />

Supported by Fresenius Biotech GmbH and TRION Pharma GmbH<br />

(Munich, Germany).

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