D. Flieger et al., Mechanism of cytotoxicity induced by chimeric mouse human monoclonal antibody IDEC-C2B8 in CD20-expressing lymphoma cell lines, CELL IMMUN, 204(1), 2000, pp. 55-63
With a new flow cytometric cytotoxicity assay, we examined the mechanism of
action of chimeric mouse human anti-CD20 monoclonal antibody IDEC-C2B8. ID
EC-C2B8 alone induced direct cytotoxicity in four of eight examined CD20-ex
pressing lymphoma cell lines (RAJI, DAUDI, JOK-1, and WT100) at a concentra
tion above 100 ng/ml. Moreover, after 4 h incubation in human serum, only a
moderate complement-dependent cellular cytotoxicity (CDCC) was observed, w
hereas cytotoxicity increased markedly after 3 days of culture, indicating
that combined direct cytotoxicity and CDCC were responsible. IDEC-C2B8 indu
ced an effective antibody-dependent cellular cytotoxicity (ADCC) in seven o
f eight tested lymphoma cell lines when peripheral blood mononuclear cells
were used as effector cells. ADCC was moderately enhanced by cytokine inter
leukin-2, whereas interleukin-12 interferon-alpha, and GM-CSF had no influe
nce. Interestingly, we could demonstrate a correlation between CD32 express
ion on lymphoma cell lines and IDEC-C2B8-induced direct cytotoxicity, indic
ating that crosslinking of CD20 with CD32 may be involved in the mechanism
of cytotoxicity. We propose that direct cytotoxicity, CDCC, and ADCC result
in the marked elimination of CD20-expressing tumor cells observed after tr
eatment with IDEC-C2B8. (C) 2000 Academic Press.