Bone marrow purging studies in acute myelogenous leukemia using the recombinant anti-CD33 immunotoxin HuM195/rGel  Hatice Duzkale, Lance C Pagliaro, Michael.

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Bone marrow purging studies in acute myelogenous leukemia using the recombinant anti-CD33 immunotoxin HuM195/rGel  Hatice Duzkale, Lance C Pagliaro, Michael G Rosenblum, Ali Varan, Baoshun Liu, James Reuben, William G Wierda, Martin Korbling, John D McMannis, Armand B Glassman, David A Scheinberg, Emil J Freireich  Biology of Blood and Marrow Transplantation  Volume 9, Issue 6, Pages 364-372 (June 2003) DOI: 10.1016/S1083-8791(03)00129-0

Figure 1 Time-course studies to determine optimal exposure duration and concentration of HuM195/rGel to provide maximal toxicity on HL60 cells. Log-phase cells were treated with various concentrations of HuM195/rGel and the cells were exposed for indicated times. After immunotoxin administration, cells were plated quadruplicate to determine colony number. Mean colony numbers are shown with 95% confidence intervals. Optimal exposure duration was approximately 24 hours and treatment with 5 to 10 nmol/L HuM195/rGel appeared to be a dose range for optimal biological effect. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 2 Internalization of HuM195/rGel on HL60 cells at various times as assessed by immunofluorescence microscopy. Cells were treated at various times with immunotoxin, washed and cell-surface bound immunotoxin was removed using an acid wash. The cells were then permeabilized and stained with anti-rGel polyclonal antibodies. As shown, cytosolic levels of the rGel toxin can be observed as early as 30 minutes after treatment. Fluorescence intensity and cell staining was maximal from 4 to 24 hours after treatment. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 3 Dose-response curve for a patient with accelerated-phase CML without (wo) or with (w) the F/T procedure. A leukemic blast isolate from a CML patient was treated with various concentrations of HuM195/rGel and subjected to freeze-thaw procedure (F/T). The number of colonies was then determined. As shown, the F/T procedure increased the cytotoxic effect of the immunotoxin by approximately 50% at all doses tested. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 4 Number of colonies formed by PBPCs treated with HuM195/rGel without (wo) or with (w) the F/T procedure. Each bar represents a median of 9 normal donor samples and includes standard error bars. As shown, the effect of the immunotoxin on normal donor colonies was minimal with or without subjecting cells to F/T. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 5 Solid bars represent absolute CD34-positive cell numbers under different treatment conditions using clinical scale procedures. Mean values (with standard error bars) from 10 PBPC samples are shown. PBPCs showed a reduction in number when subjected to F/T; however, treatment with the HuM195/rGel immunotoxin alone had no effect, nor did the immunotoxin increase the cell reduction caused by the F/T procedure. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 6 Colony formation of PBPCs from normal donors using clinical scale conditions. Mean values (with standard error bars) of 5 samples are shown. F/T, freeze/thaw; IT, immunotoxin. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)

Figure 7 Number of colonies formed by HL60 cells after preparing a mixture of PBPCs and HL60 cells (at a 9:1 ratio) and treating with HuM195/rGel without (wo) or with (w) subsequent F/T procedure. Each bar represents a median (with standard error bars) of 9 normal donor samples mixed with HL60 cells. Colonies are formed only by HL60 cells. As this figure demonstrates, addition of as little as 1 nmol/L of the HuM195/rGel immunotoxin markedly impacts the HL60 colony number and combination of immunotoxin and F/T results in a 10-fold reduction in the colony-forming ability of HL60 cells. Biology of Blood and Marrow Transplantation 2003 9, 364-372DOI: (10.1016/S1083-8791(03)00129-0)