Anti-BR3 antibodies: a new class of B-cell immunotherapy combining cellular depletion and survival blockade

Blood. 2007 Dec 1;110(12):3959-67. doi: 10.1182/blood-2007-04-088088. Epub 2007 Aug 8.

Abstract

Removal of pathogenic B lymphocytes by depletion of monoclonal antibodies (mAbs) or deprivation of B-cell survival factors has demonstrated clinical benefit in both oncologic and immunologic diseases. Partial clinical responses and emerging data demonstrating incomplete B-cell depletion after immunotherapy fuels the need for improved therapeutic modalities. Lessons from the first generation of therapeutics directed against B-cell-specific antigens (CD20, CD22) are being applied to develop novel antibodies with additional functional attributes. We describe the generation of a novel class of B-cell-directed therapy (anti-BR3 mAbs) that combines the depleting capacity of a therapeutic mAb and blockade of B-cell-activating factor (BAFF)-BR3 B-cell survival. In mice, treatment with antagonistic anti-BR3 antibodies results in quantitatively greater reduction in some B-cell subsets and qualitatively different effects on bone marrow plasma cells compared with BR3-Fc BAFF blockade or with anti-CD20 treatment. Comparative analysis of BR3-Fc and anti-BR3 mAb reveals a lower B-cell dependence for BAFF-mediated survival in nonhuman primates than in mice. This novel class of B-cell-targeted therapies shows species characteristics in mice and primates that will guide translation to treatment of human disease.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / pharmacology*
  • Antibodies, Monoclonal / therapeutic use
  • B-Cell Activating Factor / antagonists & inhibitors
  • B-Cell Activating Factor / immunology
  • B-Cell Activation Factor Receptor / antagonists & inhibitors*
  • B-Cell Activation Factor Receptor / immunology
  • Bone Marrow Cells / immunology
  • Cell Survival / drug effects
  • Cell Survival / immunology
  • Immune System Diseases / drug therapy*
  • Immune System Diseases / immunology
  • Immunotherapy*
  • Lymphocyte Depletion*
  • Macaca fascicularis
  • Mice
  • Mice, Inbred BALB C
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Plasma Cells / immunology*
  • Species Specificity

Substances

  • Antibodies, Monoclonal
  • B-Cell Activating Factor
  • B-Cell Activation Factor Receptor
  • Tnfsf13b protein, mouse