PMID- 9307304 OWN - NLM STAT- MEDLINE DCOM- 19971020 LR - 20220825 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 57 IP - 18 DP - 1997 Sep 15 TI - Cell surface localization and density of the tumor-associated variant of the epidermal growth factor receptor, EGFRvIII. PG - 4130-40 AB - The potential of therapeutic targeting of tumor cell surface epidermal growth factor receptors (EGFRs) by modified ligands or specific antibodies has been limited by the normal tissue distribution of the receptor. The identification and characterization of a variant of this receptor, EGFRvIII, which is not expressed in normal tissues but has been described in gliomas, non-small cell lung carcinomas, and breast carcinomas, has provided a highly specific, internalizing target for antibody-mediated approaches. To determine the feasibility of immunotargeting EGFRvIII, we have assessed the qualitative distribution and quantitative expression at both the population and cellular levels of EGFRvIII in 21 biopsy samples of human gliomas by indirect analytical and quantitative flow cytometry and by immunohistochemical assay of frozen and formalin-fixed tissue. Consistent with previous reports, 50% of gliomas tested (1 of 2 anaplastic astrocytomas, 7 of 12 glioblastoma multiforme, and 2 of 6 oligodendrogliomas) expressed EGFRvIII, as determined by a minimum of 2 separate assays. Minimum estimates of the proportion of positive tumor cells in these populations ranged from 37-86%; in four of five cases in which quantitation of the EGFRvIII density/cell was performed, values of 2.7-6.8 x 10(5) were obtained with monoclonal antibody (mAb) L8A4 (EGFRvIII specific), levels consistent with successful in vivo immunotargeting. Confocal microscopic analysis confirmed that the subcellular localization of EGFRvIII was identical to that described for EGFR: predominant cell membrane expression, with some perinuclear distribution suggestive of localization to the Golgi region. Neither EGFR nor EGFRvIII was found within the nucleus. This study establishes for the first time that approximately 50% of human glioma biopsies contain cell populations expressing a sufficient number of membrane-expressed EGFRvIIIs to mediate specific anti-EGFRvIII mAb localization. Coupled with previous demonstrations of the rapid internalization of specific mAb-EGFRvIII complexes and the susceptibility of the targeted cells to isotope or toxin-mediated cytotoxicity, this study establishes the validity of targeting EGFRvIII for therapy of mutant receptor-positive gliomas, breast carcinomas, and non-small cell lung carcinomas. FAU - Wikstrand, C J AU - Wikstrand CJ AD - Department of Pathology, Duke University Medical Center, Durham, North Carolina 27710, USA. FAU - McLendon, R E AU - McLendon RE FAU - Friedman, A H AU - Friedman AH FAU - Bigner, D D AU - Bigner DD LA - eng GR - CA11898/CA/NCI NIH HHS/United States GR - NS20023/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antigen-Antibody Complex) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Animals MH - Antigen-Antibody Complex/metabolism MH - Biopsy MH - Cell Compartmentation MH - Cell Membrane/metabolism MH - Central Nervous System Neoplasms/*metabolism/pathology MH - Endocytosis MH - ErbB Receptors/*metabolism MH - Flow Cytometry MH - Fluorescent Antibody Technique, Indirect MH - Glioma/*metabolism/pathology MH - Humans MH - Mice MH - Microscopy, Confocal MH - Transfection MH - Tumor Cells, Cultured EDAT- 1997/10/27 00:00 MHDA- 1997/10/27 00:01 CRDT- 1997/10/27 00:00 PHST- 1997/10/27 00:00 [pubmed] PHST- 1997/10/27 00:01 [medline] PHST- 1997/10/27 00:00 [entrez] PST - ppublish SO - Cancer Res. 1997 Sep 15;57(18):4130-40.