Human TGFalpha-derived peptide TGFalphaL3 fused with superantigen for immunotherapy of EGFR-expressing tumours
© Xu et al; licensee BioMed Central Ltd. 2010
Received: 6 May 2010
Accepted: 22 December 2010
Published: 22 December 2010
Monoclonal antibodies have been employed as targeting molecules of superantigen for the preclinical treatment of a variety of tumours. However, other targeting molecules, such as tumour-related ligands or peptides, are less exploited. Here, we tested other targeting molecules by genetically fusing the third loop of transforming growth factor alpha (TGFalphaL3) to mutant staphylococcal enterotoxin A (SEAD227A).
The resultant fusion proteins were expressed in E. coli and purified to homogeneity through a Ni-NTA affinity column. Fusion protein TGFalphaL3SEAD227A can promote splenocyte proliferation to a level comparable to recombinant SEA (rSEA) and bind to EGFR-expressing tumour cells in an EGFR-dependent way. Consistent with these observations, TGFalphaL3SEAD227A exerted an inhibitory effect on the growth of EGFR-expressing tumour cells both in vitro and in vivo. Notably, significant infiltrations of CD8+ and CD4+ T cells were detected in the tumour tissues of these C57BL/6 mice treated with TGFalphaL3SEAD227A, suggesting the involvement of T cells in this tumour-inhibitory process.
The data here showed that TGFαL3 is capable of targeting superantigen to tumours and exerting an inhibitory effect on tumour growth, which enables TGFαL3SEAD227A to be an attractive candidate for the immunotherapy of EGFR-expressing tumours.
Superantigens (SAgs) are microbial proteins with the capacity to activate a large fraction of T cells . The cellular receptors for SAgs are major histocompatibility complex (MHC) class II molecules and T-cell antigen receptors (TCR) [2–4]. SAgs can bind to the TCR β subunit and activate T cells independently of their CD4 or CD8 phenotype when presented by MHC class II molecules [5, 6]. Activated T cells secrete a variety of cytokines, such as TNFα, INFγ, IL-1, IL-2, IL-6, IL-8 and IL-12 [7, 8]. Staphylococcal enterotoxin type A (SEA) is a protein exotoxin secreted by certain strains of Staphylococcus aureus, which was demonstrated to direct cytotoxic T cells (CTLs) against MHC class II expressing tumour cells effectively . However, MHC class II positive tumours only represent a minor fraction of the most frequent human tumours. To introduce a novel binding specificity in SEA, a monoclonal antibody (mAb) specific for colon carcinoma antigen C215 was initially conjugated to SEA, and the resultant conjugate Fab-SEA could lyse antigen expressing tumour cells significantly in vitro . To date, SEA fused to various mAb have been subjected to preclinical treatment of many tumour types, some of which have finished phase I or phase II clinical trials, such as C242Fab-SEA (PNU-214565) and 5T4FabV13SEAD227A (ABR-214936)[11–14].
EGFRs are over-expressed in a variety of human tumour cells, including breast, head, neck, gastric, colorectal, oesophageal, prostate, bladder, renal, pancreatic, ovarian and nonsmall cell lung cancer (NSCLC) . Moreover, the degree of EGFR over-expression is associated with an advanced tumour stage and resistance to standard therapies [16–19]. EGFR-targeted therapies have been proven to be successful by using monoclonal antibodies (i.e. Herceptin) or tyrosine kinase inhibitors (i.e. gefitinib). Unfortunately, not all patients bearing tumours with over-expression of EGFR or Her2 respond to those drugs. Only about 10% of NSCLC patients responded clinically to gefitinib; somatic mutations within the EGFR kinase domain were exclusively observed in lung cancer cells in these patients [20, 21].
Human transforming growth factor alpha (hTGFα) is a native ligand co-overexpressed with its receptor EGFR in many human tumours . hTGFα consists of three loops, the third of which (TGFαL3) retains binding ability to EGFR but lacks mitogenic activity . Binding of TGFαL3 to EGFR is not affected by mutations in the EGFR kinase domain, which suggests a function for TGFαL3 as a targeting molecule, where ligand/receptor induced internalisation is not required. Moreover, compared to mAbs, TGFαL3 is presumably less antigenic, thereby maintaining a longer circulating half-life. These properties enable TGFαL3 to be an attractive targeting molecule for the superantigens, which function only when presented on the cell surface. However, the binding ability of TGFαL3 to its receptor is relatively weaker than that of mAbs to antigen. This raises the question whether the affinity of a small peptide is strong enough to bring SAgs to tumours in vivo. Here, we tested this idea by fusing TGFαL3 to SEA (D227A), a mutant of SEA defective for MHC-II . Encouragingly, we found that the resultant fusion protein TGFαL3SEAD227A could bind to EGFR-expressing tumour cells and exhibited an apparent growth inhibitory effect on the tumour cells, both in vitro and in vivo. T cells likely mediated the inhibitory effect, which was suggested by the significant infiltration of CD8+ and CD4+ T cells in fusion protein-treated tumour tissues.
Construction and expression of fusion proteins
TGFαL3SEAD227Apromotes splenocyte proliferation and binds to the EGFR
To investigate whether fusion proteins efficiently bind to EGFR, A431 cells that were derived from a human epidermoid carcinoma characterised by high levels of EGFR expression, were incubated with different concentrations of 6His-tagged TGFαL3SEAD227A or SEAD227ATGFαL3, or rSEA (from 0.1 ng/μl to 1 ug/μl). The cells were then incubated with anti-6His tag antibody followed by HRP conjugated anti-mouse IgG. The results showed that both TGFαL3SEAD227A and SEAD227ATGFαL3 bind to A431 cells with a similar affinity. As a control, rSEA did not bind to A431 cells (Figure 2B). Similar results were also obtained through immunostaining of recombinant proteins via anti-6His antibody. TGFαL3SEAD227A predominantly localised to the cell surface, as seen by fluorescent staining (Figure 2C). Unexpectedly, there was some punctate staining in the cytoplasm, which seems inconsistent with the previous report that TGFαL3 is not mitogenic . There are two possible explanations: first, the fusion protein could be imported into cells via an unknown mechanism; second, it is artificial staining caused by fixation or nonspecific binding.
Although both TGFαL3SEAD227A and SEAD227ATGFαL3 bind to EGFR more efficiently than rSEA, we still cannot rule out the possibility that the binding of the fusion protein to EGFR-expressing cells may not be mediated by EGFR but by other membrane proteins. To exclude this possibility, we conducted a ligand competition assay. As showed in Figure 2D, the binding of the fusion protein to A431 cells can be efficiently blocked by the addition of EGF, which binds exclusively to EGFR. This result strongly suggests that the binding of the fusion protein to A431 cells is mediated by its specific interaction with EGFR.
TGFαL3SEAD227A inhibited tumour cell growth in vitro
TGFαL3SEAD227A inhibited tumour cell growth in vivo
To investigate the effect of TGFαL3SEAD227A on mouse survival, we treated mice with 60 pmol of fusion drug identically when the tumours' length exceeded 1 cm. The survival of mice was checked daily, and the percent survival of the two groups were analysed by Kaplan Meier Plot. Throughout the experiment, no deaths were observed in the TGFαL3SEAD227A group, while only 30% of the mice in the PBS control group survived (Figure 4B). This data showed that TGFαL3SEAD227A treatment could significantly increase the survival time for tumour-bearing mice.
TGFαL3SEAD227Ainduced immunoresponse against tumour cells
The application of SAgs for tumour therapy has been attempted for decades. The core aim of these applications is to specifically bring SAgs to tumour cells via various strategies, including tumour specific monoclonal antibody targeted or membrane anchored SAgs [10, 24, 25]. To date, mAb targeted superantigens have been successfully applied to several types of tumours, including B lymphocytic leukaemia, neuroblastoma, non-small cell lung cancer, melanoma, and renal cell carcinoma [13, 26–29]. Two of them are on the way to clinical phase trials, including C242Fab-SEA (phase I)  and 5T4FabV13SEAD227A (phase II) . Notably, human anti-mouse antibody (HAMA) responses were observed in these trials, which cause a reduced circulating half-life, thereby limiting their further use . Therefore, SAgs targeting molecules with low antigenicity were suggested for the design of the next generation of SAgs drugs .
Tumour-related ligand is less antigenic than mAbs, and the conjugate composed of ligand and superantigen was presumed to kill one type of tumour . However, native ligands are used less in targeting SAgs to tumours. This is largely due to internalisation induced by the ligand/receptor interaction, which prevents SAgs from being presented to the surface of tumour cells and activate T cells. To avoid the internalisation triggered by the binding of ligand to receptor, we use a mitogenic defective TGFα3L, instead of full length TGFα, as a targeting molecule for SEAD227A. Nevertheless, the affinity of TGFα3L with EGFR is weaker than that of full length TGFα, which raised a concern for its ability to bring superantigen to the tumour in vivo. As shown in this paper, TGFαL3SEAD227A can inhibit tumour growth in a EGFR-dependent way, implying that the affinity of TGFαL3 is sufficient for targeting the superantigen to the tumour. Meanwhile, we also noticed a decreased therapeutic effect of the fusion protein when a higher dose of fusion protein (600 pmol) was applied. This indicates that high dose treatment may result in increased nonspecific binding which eventually counteracts the tumour inhibitory effect of the fusion protein. The affinity of TGFαL3 to tumour should be further improved for better targeting efficiency. Despite that, the therapeutic effect of TGFαL3SEAD227A is still encouraging, especially when the dose was limited to concentrations between 6 pmol and 60 pmol.
The results in this paper showed that human TGFα-derived TGFαL3 is capable of directing SAgs to tumours and exerting an inhibitory effect on tumour growth, which makes TGFαL3SEAD227A an attractive candidate for immunotherapy on EGFR-expressing tumours.
Bacterial strains and Cell culture
Escherichia coli strain DH5α was used for plasmid propagation and cloning. Strain BL21 (DE3) (Novagen, Madison, WI, USA) was used as a host for the production of fusion proteins. A431 (epidermoid carcinoma) and B16 (a murine melanoma cell line) cells were maintained in Dulbecco's Modified Eagle medium (DMEM) (Gibco BRL, Life Technology, Rockville, MD) supplemented with 10% foetal bovine serum (FBS) (Gibco BRL, Life Technology, Rockville, MD), 2 mM L-glutamine, 100 units/ml penicillin and 100 mg/ml streptomycin. Mouse spleen cells, freshly separated from healthy C57BL/6 mice, were grown in DMEM/F12 cell culture medium.
A site mutation (D227A) in the SEA gene was introduced by PCR-amplification. This mutation resulted in the defective binding of SEA to the MHC-II molecule . To avoid potential conformational perturbation caused by the fusion, an eight-amino acid flexible linker was also introduced between SEAD227A and TGFαL3. The primers for the PCR reaction include Primer 1, 5'-AA GGA TCC GGT GGT GGT AGC GAG AAA AGC-3', and Primer 2, 5'-ATG AAT TCA CTC GAG ACT TGT ATA TAA ATA TAT AGC AAT ATG CAT-3'. The PCR product was purified and digested with BamH I and Xho I. The digested SEAD227A gene was inserted into the pET-22b (+) vector (Novagen, Madison, WI, USA) to produce the plasmid pET-SEAD227A. To fuse TGFαL3 to the N terminal of SEAD227A, Primers 3 and 4 were annealed and extended (Primer 3: 5'-AA CAT ATG GTA TGC CAC TCT GGT TAC GTT GGC GCA CGT TGT GAA CAC-3'; Primer 4: 5'-TT GGA TCC AGA ACC ACC GAG CAG GTC AGC GTG TTC ACA ACG TGC GCC -3'). The resultant products were then digested by Nde I and BamH I and ligated into pET-22b-SEAD227A cut with the same restriction enzymes. The resultant recombinant vector was termed pET-22b-TGFαL3SEAD227A, and encodes TGFαL3 and SEAD227A, plus an eight-amino acid linker (GGSGSGGG) between them (Figure 1A).
To evaluate the influence of the TGFαL3 fusion direction on protein activity, another plasmid pET-22b-SEAD227ATGFαL3 was also generated, in which the TGFαL3 coding sequence was induced to the 3'-terminal of the SEA gene. First, a Sac I site was introduced into the 3'-terminal of the SEA gene by PCR using Primer 1 and Primer 5 (Primer 5: 5'-AA GTG GTG GAG CTC GAC ACT TGT A-3') and the PCR product was cloned into pET-22b, resulting in plasmid pET-22b-SEAD227ASacI. Then the cDNA encoding TGαL3 plus the eight-linker was generated by annealing and extending Primers 6 and 7 (Primer 6: 5'-AA GAG CTC GGT GGT GGT TCT GGT GGT GGT TCT GTA TGC CAC TCT GGT TAC GTT GGC-3'; Primer 7: 5'-AA CTC GAG GAG CAG GTC AGC GTG TTC GCA ACG TGC GCC AAC GTA ACC AGA GTG GCA -3'). The extension product and pET-22b-SEAD227ASacI were doubly digested by Sac I and Xho I and then ligated together. The resultant vector was named pET-22b-SEAD227ATGFαL3 (Figure 1A). All DNA constructs were confirmed by DNA sequencing. Both constructs were expected to express fusion proteins with 266 amino acids (aa), including TGFαL3 (17 aa), mutated SEA (233 aa), linker sequence (8 aa), C-terminal histidine tag (6 aa), and two amino acids (LE) before the histidine tag encoded by the restriction enzyme recognising sequence for cloning.
Expression and purification of fusion proteins
Construct pET-22b-TGFαL3SEAD227A or pET-22b-SEAD227ATGFαL3 was transformed into BL21 (DE3) and then induced with 0.5 mM IPTG at 22°C overnight. The cell pellet was washed and suspended in binding buffer (0.5 mol/l NaCl, 0.1 mol/l Tris.Cl, pH8.0), followed by a regular sonication procedure. The cell debris was removed by centrifugation at 12,000 g for 30 min. The supernatant was then applied to Ni-charged chelating-Sepharose (Pharmacia Biotech, Uppsala, Sweden). After being washed with binding buffer plus 80 mM imidazole, the fusion protein was eluted with the binding buffer containing 250 mM imidazole and then dialysed against PBS buffer overnight. Fusion proteins were enriched by ultrafiltration and quantified by BCA assay (Pierce, Rockford, USA).
Splenocyte proliferation assay
Splenocytes freshly isolated from the spleen of healthy C57BL/6 mice were seeded into 96-well plates at a density of 1 × 105 cells per well in the presence of 1.0 μg/ml TGFαL3SEAD227A, 1.0 μg/ml SEAD227ATGFαL3, 1.0 μg/ml rSEA, 25 μg/ml phytohemagglutinin(PHA) or 1.0 μg/ml BSA. The treated cells were cultured at 37°C for 72 h, then 20 μl 5 mg/ml 3-(4, 5-dimethylthiazol-2-μl)-2, 5- diphenyltetrazolium bromide (MTT) was added for another 4 h. Finally, 150 μl dimethyl sulphoxide (DMSO) was dispensed into each well and the optical density at 570 nm was measured on an ELISA reader (Biorad 550). The relative proliferating activity of the fusion protein was given by % 100 × OD570 of the fusion protein/OD570 of the rSEA.
Cell ELISA assay
Binding of TGFαL3SEAD227A or SEAD227ATGFαL3 to EGFR was detected by cell ELISA . Briefly, 1 × 104 A431 cells per well were partitioned into 96-well flat-bottomed plates overnight, then fixed with 10% neutral formaldehyde (10 mmol/l PBS, 10% formaldehyde, pH7.4) at room temperature for 1 h. The cells were blocked with 5 mg/mL bovine serum albumin (BSA) for 2 h and incubated with different concentrations of TGFαL3SEAD227A, SEAD227ATGFαL3 or rSEA at 37°C for 1 h. After being washed five times with PBST (10 mmol/l PBS pH7.4, 0.05%Tween-20), the cells were incubated with anti-hexahistidine MAb (1:1250), followed by HRP-conjugated rabbit anti-mice IgG (1:5000) and washed as previously. Finally, the colour was developed by 0.4 mg/ml orthopenylenediamine (OPD) solution with 1.5% H2O2, and the absorbance at 490 nm was analysed on ELISA reader.
In vitroTumour cell growth inhibition assay
Tests were performed according to the previously described method . B16 cells or A431 cells in DMEM medium were added at a density of 2.5 × 104 cells/well to 96-well flat-bottomed plates, followed by treatment with the indicated reagents and effector cells to a total volume of 100 μl. Cells were cultured for 72 h at 37°C in 5% CO2. The remaining viable tumour cells were determined using the MTT assay. The data were given as the percentage of tumour cell growth inhibition (%TCGI), which was calculated as the following: %TCGI = 100 × (Atest-Ab)/(Ac-Ab). Atest is the absorbance of tumour cells grown in the presence of the effector cells and various reagents, Ac is the absorbance of the tumour cells grown in the medium, and Ab is the absorbance of the medium only.
In vivotumour inhibition assay
C57BL/6 mice (4-6 weeks old) were obtained and maintained at the certified animal facility of Beijing Institute of Biotechnology. Fifty mice were inoculated subcutaneously with 1.0 × 106 B16 cells suspended in PBS plus 1% C57BL/6 mouse serum. When the tumour length exceeded 0.5 cm, the mice were randomly divided into five groups (10 mice per group) and subsequently injected intraperitoneally with 6 pmol (L), 60 pmol (M), 600 pmol (H) TGFαL3SEAD227A, 60 pmol rSEA or PBS four times at one day intervals. Tumour size was measured with calipers at the time points indicated. The tumour volume was calculated as (length × width2)/2 . The tumour growth inhibition ratio was calculated as % 100 × (tumour volume of PBS control-tumour volume of interest)/tumour volume of PBS. The survival percentages of mice were analysed by Kaplan Meier Plot. All animal experiments were designed and conducted according to the recommendations of the Beijing Experimental Animal Regulation Board (SYXK/JING/2005/0031).
Western blotting and Immunohistochemical analysis
Western blot analysis was performed routinely with the EGFR monoclonal antibody (Santa Cruz Biotechnology, Inc) or anti-ß actin polyclonal antibody (Santa Cruz Biotechnology, Inc). For immunohistochemical analysis, the tumour tissues from sacrificed mice were embedded in paraffin after being fixed with 10% formaldehyde in PBS (pH7.4). The sections were stained with mouse anti-CD4 (1:500) or anti-CD8 mAbs (1:400) (Millipore, Upstate, MA, USA) at 4°C overnight, followed by biotinylated secondary antibody (1:5000) for 10 min at room temperature. Finally, the colour was developed in a standard way.
This work was supported by the National Natural Science Foundation of China (3030041, 30971444) to QX.
- Marrack P, Kappler J: The staphylococcal enterotoxins and their relatives. Science. 1990, 248: 705-711. 10.1126/science.2185544.View ArticleGoogle Scholar
- White J, Herman A, Pullen AM, Kubo R, Kappler JW, Marrack P: V Beta-specific superantigen staphylococcal enterotoxin B: stimulation of mature T cells and clonal detection in neonatal mice. Cell. 1989, 56: 27-35. 10.1016/0092-8674(89)90980-X.View ArticleGoogle Scholar
- Dellabona P, Peccoud J, Kappler J, Marrack P, Benoist C, Mathis D: Superantigens interact with MHC class II molecules outside of the antigen groove. Cell. 1990, 62: 1115-1121. 10.1016/0092-8674(90)90388-U.View ArticleGoogle Scholar
- Irwin MJ, Hudson KR, Fraser JD, Gascoigne NR: Enterotoxin residues determining T cell receptor Vβ binding specificity. Nature. 1992, 359: 841-843. 10.1038/359841a0.View ArticleGoogle Scholar
- Herman A, Kappler JW, Marrack P, Pullen AM: Superantigens: mechanism of T-cell stimulation and role in immune responses. Annu Rev Immunol. 1991, 9: 745-772. 10.1146/annurev.iy.09.040191.003525.View ArticleGoogle Scholar
- Norton SD, Schlievert PM, Novick RP, Jenkins MK: Molecular requirements for T cell activation by the staphylococcal toxic shock syndrome toxin-1. J Immunol. 1990, 144 (6): 2089-2095.Google Scholar
- Cavaillon JM, Muller-Alouf H, Alouf JE: Cytokines in streptococcal infections. An opening lecture. Adv Exp Med Biol. 1997, 418: 869-879.View ArticleGoogle Scholar
- Litton MJ, Sander B, Murphy E, O'Garra A, Abrams JS: Early expression of cytokines in lymph nodes after treatment in vivo with Staphylococcus enterotoxin B. J Immunol Methods. 1994, 175 (1): 47-58. 10.1016/0022-1759(94)90330-1.View ArticleGoogle Scholar
- Dohlsten M, Lando PA, Hedlund G, Trowsdale J, Kalland T: Targeting of human cytotoxic T lymphocytes to MHC class II-expressing cells by staphylococcal enterotoxins. Immunology. 1990, 71 (1): 96-100.Google Scholar
- Dohlsten M, Hedlund G, Akerblom E, Lando PA, Kalland T: Monoclonal antibody-targeted superantigens: a different class of anti-tumour agents. Proc Natl Acad Sci USA. 1991, 88 (20): 9287-9291. 10.1073/pnas.88.20.9287.View ArticleGoogle Scholar
- Nielsen SE, Zeuthen J, Lund B, Persson B, Alenfall J, Hansen HH: Phase I study of single, escalating doses of a superantigen-antibody fusion protein (PNU-214565) in patients with advanced colorectal or pancreatic carcinoma. J Immunother. 2000, 23 (1): 146-153. 10.1097/00002371-200001000-00017.View ArticleGoogle Scholar
- Giantonio BJ, Alpaugh RK, Schultz J, McAleer C, Newton DW, Shannon B, Guedez Y, Kotb M, Vitek L, Persson R, Gunnarsson PO, Kalland T, Dohlsten M, Persson P, Weiner LM: Superantigen-based immunotherapy: a phase I trial of PNU-214565, a monoclonal antibody-staphylococcal enterotoxin A recombinant fusion protein, in advanced pancreatic and colorectal cancer. J Clin Oncol. 1997, 15 (5): 1994-2007.Google Scholar
- Shaw DM, Connolly NB, Patel PM, Kilany S, Hedlund G, Nordle O, Forsberg G, Zweit J, Stern PL, Hawkins RE: A phase II study of a 5T4 oncofoetal antigen tumour-targeted superantigen (ABR-214936) therapy in patients with advanced renal cell carcinoma. Br J Cancer. 2007, 96 (4): 567-574. 10.1038/sj.bjc.6603567.View ArticleGoogle Scholar
- Alpaugh RK, Schultz J, McAleer C, Giantonio BJ, Persson R, Burnite M, Nielsen SE, Vitek L, Persson B, Weiner LM: Superantigen-targeted therapy: phase I escalating repeat dose trial of the fusion protein PNU-214565 in patients with advanced gastrointestinal malignancies. Clin Cancer Res. 1998, 4 (8): 1903-1914.Google Scholar
- Salomon DS, Brandt R, Ciardiello F, Normanno N: Epidermal growth factor-related peptides and their receptors in human malignancies. Crit Rev Oncol Hematol. 1995, 19: 183-232. 10.1016/1040-8428(94)00144-I.View ArticleGoogle Scholar
- Yarden Y, Sliwkowski MX: Untangling the ErbB signalling network. Nat Rev Mol Cell Biol. 2001, 2 (2): 127-137. 10.1038/35052073.View ArticleGoogle Scholar
- Chen X, Yeung TK, Wang Z: Enhanced drug resistance in cells coexpressing ErbB2 with EGF receptor or ErbB3. Biochem Biophys Res Commun. 2000, 277 (3): 757-763. 10.1006/bbrc.2000.3731.View ArticleGoogle Scholar
- Sartor CI: Biological modifiers as potential radiosensitizers: targeting the epidermal growth factor receptor family. Semin Oncol. 2000, 27 (6 Suppl 11): 15-20. discussion 92-100Google Scholar
- Newby JC, Johnston SR, Smith IE, Dowsett M: Expression of epidermal growth factor receptor and c-erbB2 during the development of tamoxifen resistance in human breast cancer. Clin Cancer Res. 1997, 3 (9): 1643-1651.Google Scholar
- Fukuoka M, Yano S, Giaccone G, Tamura T, Nakagawa K, Douillard JY, Nishiwaki Y, Vansteenkiste J, Kudoh S, Rischin D, Eek R, Horai T, Noda K, Takata I, Smit E, Averbuch S, Macleod A, Feyereislova A, Dong RP, Baselga J: Multi-institutional randomized phase II trial of gefitinib for previously treated patients with advanced non-small-cell lung cancer (The IDEAL 1 Trial) [corrected]. J Clin Oncol. 2003, 21 (12): 2237-2246. 10.1200/JCO.2003.10.038.View ArticleGoogle Scholar
- Paez JG, Janne PA, Lee JC, Tracy S, Greulich H, Gabriel S, Herman P, Kaye FJ, Lindeman N, Boggon TJ, Naoki K, Sasaki H, Fujii Y, Eck MJ, Sellers WR, Johnson BE, Meyerson M: EGFR mutations in lung cancer: correlation with clinical response to gefitinib therapy. Science. 2004, 304 (5676): 1497-1500. 10.1126/science.1099314.View ArticleGoogle Scholar
- Nestor JJ, Newman SR, DeLustro B, Todaro GJ, Schreiber AB: A synthetic fragment of rat transforming growth factor alpha with receptor binding and antigenic properties. Biochem Biophys Res Commun. 1985, 129 (1): 226-232. 10.1016/0006-291X(85)91426-3.View ArticleGoogle Scholar
- Holzer U, Orlikowsky T, Zehrer C, Bethge W, Dohlsten M, Kalland T, Niethammer D, Dannecker GE: T-cell stimulation and cytokine release induced by staphylococcal enterotoxin A (SEA) and the SEAD227A mutant. Immunology. 1997, 90 (1): 74-80. 10.1046/j.1365-2567.1997.00141.x.View ArticleGoogle Scholar
- Wang Q, Yu H, Ju DW, He L, Pan JP, Xia DJ, Zhang LH, Cao X: Intratumoural IL-18 gene transfer improves therapeutic efficacy of antibody-targeted superantigen in established murine melanoma. Gene Ther. 2001, 8 (7): 542-550. 10.1038/sj.gt.3301428.View ArticleGoogle Scholar
- Xiu F, Cai Z, Yang Y, Wang X, Wang J, Cao X: Surface anchorage of superantigen SEA promotes induction of specific antitumour immune response by tumour-derived exosomes. J Mol Med. 2007, 85 (5): 511-521. 10.1007/s00109-006-0154-1.View ArticleGoogle Scholar
- Gidlof C, Dohlsten M, Lando P, Kalland T, Sundstrom C, Totterman TH: A superantigen-antibody fusion protein for T-cell immunotherapy of human B-lineage malignancies. Blood. 1997, 89 (6): 2089-2097.Google Scholar
- Holzer U, Bethge W, Krull F, Ihle J, Handgretinger R, Reisfeld RA, Dohlsten M, Kalland T, Niethammer D, Dannecker GE: Superantigen-staphylococcal-enterotoxin-A-dependent and antibody-targeted lysis of GD2-positive neuroblastoma cells. Cancer Immunol Immunother. 1995, 41 (2): 129-136.Google Scholar
- Tordsson JM, Ohlsson LG, Abrahmsen LB, Karlstrom PJ, Lando PA, Brodin TN: Phage-selected primate antibodies fused to superantigens for immunotherapy of malignant melanoma. Cancer Immunol Immunother. 2000, 48 (12): 691-702. 10.1007/s002620050018.View ArticleGoogle Scholar
- Langer CJ, Katherine AR, Robert F, Weiner LM, Schiller J, Kopreski M, Andre R, Goran F: Phase II study of anatumomab mafenatox (ABR-214936) in Advanced NSCLC: Results of a multi-institutinal open label repeat dose trial with patient-specific dose escalation. Lung Cancer. 2003, 41: 46s-10.1016/S0169-5002(03)91809-5.View ArticleGoogle Scholar
- Penichet ML, Morrison SL: Design and engineering human forms of monoclonal antibodies. Drug Dev Res. 2004, 61: 121-136. 10.1002/ddr.10347.View ArticleGoogle Scholar
- Wang L, Zhang H, Zhang S, Yu M, Yang X: Construction and characterization of a novel superantigen fusion protein: bFGF/SEB. Cancer Invest. 2009, 376-383. 10.1080/07357900802487228. 27
- Torres BA, Perrin GQ, Mujtaba MG, Subramaniam PS, Anderson AK, Johnson HM: Superantigen enhancement of specific immunity: antibody production and signaling pathways. J Immunol. 2002, 169 (6): 2907-2914.View ArticleGoogle Scholar
- Sundstedt A, Celander M, Hedlund G: Combining tumour-targeted superantigens with interferon-alpha results in synergistic anti-tumour effects. Int Immunopharmacol. 2008, 8 (3): 442-452. 10.1016/j.intimp.2007.11.006.View ArticleGoogle Scholar
- Sundstedt A, Celander M, Ohman MW, Forsberg G, Hedlund G: Immunotherapy with tumour-targeted superantigens (TTS) in combination with docetaxel results in synergistic anti-tumour effects. Int Immunopharmacol. 2009, 9 (9): 1063-1070. 10.1016/j.intimp.2009.04.013.View ArticleGoogle Scholar
- Lorenzo DC, Nigro A, Piccoli R, D'Alessio G: A new RNase-based immunoconjugate selectively cytotoxic for ErbB2-over-expressing cells. FEBS Letters. 2002, 516: 208-212. 10.1016/S0014-5793(02)02527-9.View ArticleGoogle Scholar
- Dohlsten M, Lando PA, Bjork P, Abrahmsen L, Ohlsson L, Lind P, Kalland T: Immunotherapy of human colon cancer by antibody-targeted superantigens. Cancer Immunol Immunother. 1995, 41: 162-168. 10.1007/BF01521342.View ArticleGoogle Scholar
- Tsai SC, Gansbacher B, Tait L, Miller FR, Heppner GH: Induction of antitumour immunity by interleukin-2 gene-transduced mouse mammary tumour cells versus transduced mammary stromal fibroblasts. J Natl Cancer Inst. 1993, 85: 546-553. 10.1093/jnci/85.7.546.View ArticleGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.