PMID- 17283154 OWN - NLM STAT- MEDLINE DCOM- 20070301 LR - 20070206 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 67 IP - 3 DP - 2007 Feb 1 TI - A single-chain Fv diabody against human leukocyte antigen-A molecules specifically induces myeloma cell death in the bone marrow environment. PG - 1184-92 AB - Cross-linked human leukocyte antigen (HLA) class I molecules have been shown to mediate cell death in neoplastic lymphoid cells. However, clinical application of an anti-HLA class I antibody is limited by possible side effects due to widespread expression of HLA class I molecules in normal tissues. To reduce the unwanted Fc-mediated functions of the therapeutic antibody, we have developed a recombinant single-chain Fv diabody (2D7-DB) specific to the alpha2 domain of HLA-A. Here, we show that 2D7-DB specifically induces multiple myeloma cell death in the bone marrow environment. Both multiple myeloma cell lines and primary multiple myeloma cells expressed HLA-A at higher levels than normal myeloid cells, lymphocytes, or hematopoietic stem cells. 2D7-DB rapidly induced Rho activation and robust actin aggregation that led to caspase-independent death in multiple myeloma cells. This cell death was completely blocked by Rho GTPase inhibitors, suggesting that Rho-induced actin aggregation is crucial for mediating multiple myeloma cell death. Conversely, 2D7-DB neither triggered Rho-mediated actin aggregation nor induced cell death in normal bone marrow cells despite the expression of HLA-A. Treatment with IFNs, melphalan, or bortezomib enhanced multiple myeloma cell death induced by 2D7-DB. Furthermore, administration of 2D7-DB resulted in significant tumor regression in a xenograft model of human multiple myeloma. These results indicate that 2D7-DB acts on multiple myeloma cells differently from other bone marrow cells and thus provide the basis for a novel HLA class I-targeting therapy against multiple myeloma. FAU - Sekimoto, Etsuko AU - Sekimoto E AD - Department of Medicine and Bioregulatory Sciences, The University of Tokushima Graduate School of Health Biosciences, 3-18-15 Kuramoto, Tokushima 770-8503, Japan. FAU - Ozaki, Shuji AU - Ozaki S FAU - Ohshima, Takashi AU - Ohshima T FAU - Shibata, Hironobu AU - Shibata H FAU - Hashimoto, Toshihiro AU - Hashimoto T FAU - Abe, Masahiro AU - Abe M FAU - Kimura, Naoki AU - Kimura N FAU - Hattori, Kunihiro AU - Hattori K FAU - Kawai, Shigeto AU - Kawai S FAU - Kinoshita, Yasuko AU - Kinoshita Y FAU - Yamada-Okabe, Hisafumi AU - Yamada-Okabe H FAU - Tsuchiya, Masayuki AU - Tsuchiya M FAU - Matsumoto, Toshio AU - Matsumoto T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Cytokines) RN - 0 (HLA-A Antigens) RN - 0 (Immunoglobulin Fragments) RN - EC 3.6.5.2 (rho GTP-Binding Proteins) SB - IM MH - Animals MH - Bone Marrow Cells/immunology/pathology MH - Cell Death/immunology MH - Cell Line, Tumor MH - Cytokines/pharmacology MH - Enzyme Activation MH - HLA-A Antigens/biosynthesis/*immunology MH - Humans MH - Immunization, Passive/*methods MH - Immunoglobulin Fragments/*pharmacology MH - Jurkat Cells MH - Mice MH - Mice, SCID MH - Multiple Myeloma/enzymology/*immunology/pathology/*therapy MH - Xenograft Model Antitumor Assays MH - rho GTP-Binding Proteins/metabolism EDAT- 2007/02/07 09:00 MHDA- 2007/03/03 09:00 CRDT- 2007/02/07 09:00 PHST- 2007/02/07 09:00 [pubmed] PHST- 2007/03/03 09:00 [medline] PHST- 2007/02/07 09:00 [entrez] AID - 67/3/1184 [pii] AID - 10.1158/0008-5472.CAN-06-2236 [doi] PST - ppublish SO - Cancer Res. 2007 Feb 1;67(3):1184-92. doi: 10.1158/0008-5472.CAN-06-2236.