PMID- 19417081 OWN - NLM STAT- MEDLINE DCOM- 20091023 LR - 20220317 IS - 1530-6860 (Electronic) IS - 0892-6638 (Linking) VI - 23 IP - 9 DP - 2009 Sep TI - Cardiotoxic effects, or lack thereof, of anti-ErbB2 immunoagents. PG - 3171-8 LID - 10.1096/fj.09-131383 [doi] AB - This study investigated potential cardiotoxicity as exerted by Erbicin-derived-immunoagents (EDIAs), novel human anti-ErbB2 immunoagents engineered by fusion of a human anti-ErbB2 scFv, Erbicin, with either a human RNase or the Fc region of a human IgG1. EDIAs are strongly cytotoxic on ErbB2-positive cells in vitro and in vivo and bind to an epitope different from that of Herceptin, a humanized anti-ErbB2 mAb effective in the therapy of breast carcinoma, but cardiotoxic in a high percentage of cases. Toxicity and apoptosis were tested in vitro by 3-(4,5-dimethyl-2-thizolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT), DNA fragmentation, and immunoblotting analyses. Echocardiography was measured in mice after treatment with each immunoagent. Cardiac fibrosis and detection of apoptosis were examined by Sirius red staining of collagen and TUNEL assay, respectively. EDIAs were found in vitro to have no adverse effects on cardiac cells for which Herceptin is severely toxic. In vivo studies on a mouse model showed that the EDIAs did not alter cardiac function, whereas Herceptin and doxorubicin, used as positive controls, significantly reduced the fractional shortening parameter. Cardiac fibrosis and apoptosis were not significantly affected in mice treated with EDIAs. Thus, EDIAs could fulfill the therapeutic need of patients ineligible for Herceptin treatment due to cardiac dysfunction. FAU - Riccio, Gennaro AU - Riccio G AD - Dipartimento di Biologia Strutturale e Funzionale, Universita di Napoli Federico II, Napoli, Italy. FAU - Esposito, Giovanni AU - Esposito G FAU - Leoncini, Emanuela AU - Leoncini E FAU - Contu, Riccardo AU - Contu R FAU - Condorelli, Gianluigi AU - Condorelli G FAU - Chiariello, Massimo AU - Chiariello M FAU - Laccetti, Paolo AU - Laccetti P FAU - Hrelia, Silvana AU - Hrelia S FAU - D'Alessio, Giuseppe AU - D'Alessio G FAU - De Lorenzo, Claudia AU - De Lorenzo C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090505 PL - United States TA - FASEB J JT - FASEB journal : official publication of the Federation of American Societies for Experimental Biology JID - 8804484 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Cardiotoxins) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Animals MH - Antibodies, Monoclonal/pharmacology/*therapeutic use/toxicity MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/pharmacology/toxicity MH - Apoptosis/drug effects MH - Breast Neoplasms/complications/drug therapy MH - Cardiotoxins MH - DNA Fragmentation/drug effects MH - Drug-Related Side Effects and Adverse Reactions MH - Electrocardiography MH - Fibrosis/chemically induced MH - Humans MH - Mice MH - Protein Engineering/methods MH - Receptor, ErbB-2/*immunology MH - Trastuzumab EDAT- 2009/05/07 09:00 MHDA- 2009/10/24 06:00 CRDT- 2009/05/07 09:00 PHST- 2009/05/07 09:00 [entrez] PHST- 2009/05/07 09:00 [pubmed] PHST- 2009/10/24 06:00 [medline] AID - fj.09-131383 [pii] AID - 10.1096/fj.09-131383 [doi] PST - ppublish SO - FASEB J. 2009 Sep;23(9):3171-8. doi: 10.1096/fj.09-131383. Epub 2009 May 5.