PMID- 15820944 OWN - NLM STAT- MEDLINE DCOM- 20060525 LR - 20171116 IS - 1592-8721 (Electronic) IS - 0390-6078 (Linking) VI - 90 IP - 4 DP - 2005 Apr TI - CD44v6, a target for novel antibody treatment approaches, is frequently expressed in multiple myeloma and associated with deletion of chromosome arm 13q. PG - 489-93 AB - BACKGROUND AND OBJECTIVES: Despite recent advances in the treatment of multiple myeloma (MM), this disease remains incurable in the majority of patients. Therefore, innovative treatment strategies are mandatory. Bivatuzumab mertansine is a novel cytotoxic immunoconjugate specifically targeting the CD44 splice variant CD44v6. To investigate the applicability of this compound to clonal plasma cell disorders, we analyzed CD44v6 expression on malignant plasma cells from patients with multiple myeloma. DESIGN AND METHODS: Bone marrow samples from 57 patients with monoclonal gammopathy of undetermined significance (MGUS), MM, and plasma cell leukemia (PCL) were examined for CD44v6 expression by using flow cytometry (FACS) analysis. In addition, all samples were investigated by fluorescence in situ hybridization (FISH) with a specific probe for the chromosomal band 13q14. RESULTS: In only 1 of 16 cases (6%) with MGUS and 1 out of 6 cases (17%) with stage I MM were plasma cells CD44v6 positive. In contrast, 43% of the cases with stage II/III MM or PCL expressed CD44v6. In these cases, CD44v6 expression was significantly correlated with chromosome 13q14 deletion as determined by FISH (p=0.02). INTERPRETATION AND CONCLUSIONS: CD44v6 is frequently expressed in advanced, high-risk MM. CD44v6 expression correlates with chromosomal band 13q14 deletions, a well-known risk factor in MM. These results suggest that this epitope is a potential new target for monoclonal antibodies such as bivatuzumab mertansine. FAU - Liebisch, Peter AU - Liebisch P AD - Dept. of Internal Medicine III, University Hospital of Ulm, Ulm, Germany. FAU - Eppinger, Susanne AU - Eppinger S FAU - Schopflin, Christine AU - Schopflin C FAU - Stehle, Gerd AU - Stehle G FAU - Munzert, Gerd AU - Munzert G FAU - Dohner, Hartmut AU - Dohner H FAU - Schmid, Mathias AU - Schmid M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0 (CD44v6 antigen) RN - 0 (Glycoproteins) RN - 0 (Hyaluronan Receptors) SB - IM CIN - Haematologica. 2005 Apr;90(4):436-7. PMID: 15820931 MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal/therapeutic use MH - Antineoplastic Agents/therapeutic use MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 13/*genetics MH - Female MH - Glycoproteins/*immunology MH - Humans MH - Hyaluronan Receptors/*immunology MH - Leukemia, Plasma Cell/drug therapy/genetics/immunology MH - Male MH - Middle Aged MH - Multiple Myeloma/drug therapy/*genetics/*immunology MH - Paraproteinemias/drug therapy/genetics/immunology MH - Tumor Burden/immunology EDAT- 2005/04/12 09:00 MHDA- 2006/05/26 09:00 CRDT- 2005/04/12 09:00 PHST- 2005/04/12 09:00 [pubmed] PHST- 2006/05/26 09:00 [medline] PHST- 2005/04/12 09:00 [entrez] PST - ppublish SO - Haematologica. 2005 Apr;90(4):489-93.