Immunotherapy for Infectious Diseases

Immunotherapy for Infectious Diseases Immunotherapy for Infectious Diseases

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Production of Igs and MAbs Targeting Infectious Diseases 81 duction, the B-lymphocytes are fused. In vitro immunization procedures for B-cells producing high-affinity IgG have also been described (81). However, none of these complex techniques have achieved widespread industrial application. Amplification of human B-lymphocytes Especially for the immortalization of human B-lymphocytes, very small amounts of cells are often available. The enrichment of the desired population of human B-lymphocytes prior to immortalization can be achieved by two methods. Peripheral B-lymphocytes expressing the receptor for EBV (82) can be immortalized by EBV transformation. Only a subset of 20% of the total B-cell population is actually immortalized (83,84), whereas a large fraction of activated antibody-producing plasma cells is resistant to transformation (85). These findings and the fact that fully differentiated plasma cells lack the receptor for EBV indicate an increasing resistance of highspecificity, antibody-producing B-cells to EBV transformation as these mature into plasma cells following antigen or mitogen stimulation. The second method for enrichment of primed B-lymphocytes uses growth factors (IL-4, IL-6, IL-14), mitogens such as plant mitogens (pokeweed mitogen), bacterial products (SAC), and chemical compounds such as phorbol myristate acetate or different antigens (tetanus toxoid, Candida albicans). This method needs no viral agents, and the cells are subsequently immortalized by fusion. Alternatively, primed B-lymphocytes can be enriched in the cell population by catching the cells with surface-bound, antigenspecific antibody (86). Fusion Partners for the Generation of Hybridomas Several laboratories are still engaged in developing human myelomas or lymphoblastoid cells capable of establishing human hybridomas that stably produce human MAbs with a high yield (87,88). However, only a few myeloma cell lines have been established that are capable of generating human-human hybridomas. Generally, these cell lines show low growth rates with doubling times of 40–60 hours. They also often tend to become senescent, possibly because of their nearly normal diploid chromosomal content (89,90). The fusion of human lymphocytes with non-human fusion partners generates xenohybridomas preferentially segregating human chromosomes. Since the chromosomal constitution of intraspecific human hybrids is much more stable, human fusion partners for hybrid generation are preferable. HUMAN FUSION PARTNERS Plasmacytomas are differentiated human lymphoid neoplasias characterized in vivo by myeloma protein expression and in vitro by immunoglobuline synthesis (91). These cell lines are very difficult to establish in continuous cell culture. Lymphoblastoid cell lines (LCLs) as fusion partners were taken into consideration because of the paucity of human myeloma cell lines (92). LCLs are established from malignant or normal hematopoietic tissue and are easily maintained in tissue culture. Most of the cell lines described for human fusion are of lymphoblastoid origin. A comparison of different properties like hybridization frequency, yield of antigen-specific hybridomas, cloning efficiencies, growth rate, and clone stability shows no significant advantages of LCLs or plasmacytomas as fusion partners. The limitation of LCLs seems to be the sustained level of human MAb production in these hybrids. Cell morphology obviously correlates with the amount of antibody being produced; abundant rough endoplasmatic reticulum correlates with higher specific expression.

82 Kunert and Katinger HUMAN/MOUSE HYBRID MYELOMAS AS FUSION PARTNERS Human/mouse heteromyeloma cell lines efficient for human B-cell immortalization have been described by different authors (93). The CB-F7 cell line was derived from xenogeneic somatic cell hybridization between normal human B-lymphocytes and the murine hypoxanthine/aminopterine/thymidine (HAT)-sensitive P3X63Ag8/653 cell line (94). It displays rapid cell growth, high cloning efficiency, and a hybridizing efficiency of 2–6 clones/10 5 seeded lymphocytes. CB-F7 is ouabain-resistant and is therefore suitable for fusion with EBV-transformed lymphoblastoid cell lines, which, as human cells, are not resistant to ouabain. Several human monoclonal antibodies directed against HIV-1 were expressd from CB-F7 hybrids (95). Selection Screening and Stabilization for Antibody-Producing Hybridomas After cell fusion, the primary hybrids contain a pool of primary transformants. These are mostly generated by random fusion events. In these inhomogenous cell pools, only a limited number of hybrids have the capacity to express antibodies of particular specificities. Furthermore, during fusion of the two karyons, the chromosomes capable of antibody expression may be lost. Therefore screening must be combined with an efficient selection system that eliminates all lymphocyte/lymphocyte and myeloma/ myeloma primary hybrids. The HAT selection system is usually applied (96), in which only hybrids fused between myelomas and lymphocytes can survive. Since only a minor fraction of the lymphocytes are antibody-producing B-lymphocytes, efficient screening procedures for antibody-secreting hybridomas are essential. Using, for example, human peripheral blood as a source of lymphocytes, it is often not possible to get more than 5 � 10 7 lymphocytes with approximately 10% B-cells. Calculating a fusion frequency of 1 � 10 �4 , the fusion of 5 � 10 7 lymphocytes will yield approx. 5000 surviving hybrids containing only 500 B-cell hybridomas. The first screening step is performed after 2 weeks when hybrids are starting to grow exponentially in the selective HAT medium. The surviving cell pool is then further stabilized by repeated subcloning with limited dilution techniques. Other immunologic methods have been established to screen the hybridoma supernatant, either with immunomagnetic catcher beads (97) or by dot immunobinding assay (98,99). Repeated subcloning after every screening step is necessary to ensure that specific, high-producing subclones are selected. To establish monoclonal cell lines capable of large-scale industrial manufacture, an extensive stabilization procedure is essential. The stabilization procedure, by limiting dilution plating, can be assumed to be finished if at least 90% of the subclones show comparable IgG production as well as constant productivity over a period of 50–100 passages. Recombinant Antibodies In vivo application of murine MAbs shows reduced half-lives and induces human anti-mouse antibodies (HAMAs). Biochemical or recombinant engineering techniques are used to create more or less chimeric or humanized antibodies. Various methods can be used to generate functional antibody fragments or to replace regions of the protein backbone. To replace the murine Fc part of mouse-derived antibodies, the immunoglobulin molecule can be cleaved proteolytically by applying enzymes such as papain or pepsin. The smaller fragments can be separated chromatographically. According to the specificity of enzymes applied, Fab and/or F(ab) 2 fragments are generated. The F(ab) 2

Production of Igs and MAbs Targeting <strong>Infectious</strong> <strong>Diseases</strong> 81<br />

duction, the B-lymphocytes are fused. In vitro immunization procedures <strong>for</strong> B-cells<br />

producing high-affinity IgG have also been described (81). However, none of these<br />

complex techniques have achieved widespread industrial application.<br />

Amplification of human B-lymphocytes<br />

Especially <strong>for</strong> the immortalization of human B-lymphocytes, very small amounts<br />

of cells are often available. The enrichment of the desired population of human<br />

B-lymphocytes prior to immortalization can be achieved by two methods. Peripheral<br />

B-lymphocytes expressing the receptor <strong>for</strong> EBV (82) can be immortalized by<br />

EBV trans<strong>for</strong>mation. Only a subset of 20% of the total B-cell population is actually<br />

immortalized (83,84), whereas a large fraction of activated antibody-producing plasma<br />

cells is resistant to trans<strong>for</strong>mation (85). These findings and the fact that fully differentiated<br />

plasma cells lack the receptor <strong>for</strong> EBV indicate an increasing resistance of highspecificity,<br />

antibody-producing B-cells to EBV trans<strong>for</strong>mation as these mature into<br />

plasma cells following antigen or mitogen stimulation.<br />

The second method <strong>for</strong> enrichment of primed B-lymphocytes uses growth factors<br />

(IL-4, IL-6, IL-14), mitogens such as plant mitogens (pokeweed mitogen), bacterial<br />

products (SAC), and chemical compounds such as phorbol myristate acetate or different<br />

antigens (tetanus toxoid, Candida albicans). This method needs no viral agents, and the<br />

cells are subsequently immortalized by fusion. Alternatively, primed B-lymphocytes can<br />

be enriched in the cell population by catching the cells with surface-bound, antigenspecific<br />

antibody (86).<br />

Fusion Partners <strong>for</strong> the Generation of Hybridomas<br />

Several laboratories are still engaged in developing human myelomas or lymphoblastoid<br />

cells capable of establishing human hybridomas that stably produce human<br />

MAbs with a high yield (87,88). However, only a few myeloma cell lines have been<br />

established that are capable of generating human-human hybridomas. Generally, these<br />

cell lines show low growth rates with doubling times of 40–60 hours. They also often<br />

tend to become senescent, possibly because of their nearly normal diploid chromosomal<br />

content (89,90). The fusion of human lymphocytes with non-human fusion partners<br />

generates xenohybridomas preferentially segregating human chromosomes. Since<br />

the chromosomal constitution of intraspecific human hybrids is much more stable,<br />

human fusion partners <strong>for</strong> hybrid generation are preferable.<br />

HUMAN FUSION PARTNERS<br />

Plasmacytomas are differentiated human lymphoid neoplasias characterized in vivo by<br />

myeloma protein expression and in vitro by immunoglobuline synthesis (91). These cell<br />

lines are very difficult to establish in continuous cell culture. Lymphoblastoid cell lines<br />

(LCLs) as fusion partners were taken into consideration because of the paucity of human<br />

myeloma cell lines (92). LCLs are established from malignant or normal hematopoietic tissue<br />

and are easily maintained in tissue culture. Most of the cell lines described <strong>for</strong> human<br />

fusion are of lymphoblastoid origin. A comparison of different properties like hybridization<br />

frequency, yield of antigen-specific hybridomas, cloning efficiencies, growth rate, and clone<br />

stability shows no significant advantages of LCLs or plasmacytomas as fusion partners. The<br />

limitation of LCLs seems to be the sustained level of human MAb production in these<br />

hybrids. Cell morphology obviously correlates with the amount of antibody being produced;<br />

abundant rough endoplasmatic reticulum correlates with higher specific expression.

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