J. Hansson et al., GENETICALLY-ENGINEERED SUPERANTIGENS AS TOLERABLE ANTITUMOR AGENTS, Proceedings of the National Academy of Sciences of the United Statesof America, 94(6), 1997, pp. 2489-2494
Superantigens (SAg) are a family of bacterial and viral proteins with
strong immunostimulatory properties, SAg bound to major histocompatibi
lity complex (MHC) class II molecules activate a high frequency of T c
ells and represent the most potent known activators of T cells to date
. To explore the use of SAg for T cell-based tumor therapy we have cre
ated a tumor-reactive SAg by engineering a fusion protein composed of
a tumor-reactive mAb (C215Fab) and the bacterial SAg staphylococcal en
terotoxin A (SEA), A point mutation D227A was introduced at the major
MHC class II binding site in SEA to reduce systemic toxicity. Treatmen
t of tumor bearing mice with the Fab-SEA D227A fusion protein resulted
in profound antitumor effects with a markedly reduced toxicity as com
pared with the wild type Fab-SEA fusion protein, The reduced toxicity
was probably due to a weak distribution of the SEA D227A fusion protei
n in tissues with a high MHC class II expression and low systemic cyto
kine levels as exhibited in mice and rabbits. The data presented demon
strate the efficacy of immunoconjugates containing a mutated SAg in di
recting a T cell attack against tumor cells with minimal systemic immu
ne activation.