Abstract

Novel ADCC effector cells expressing the V-variant or F-variant of FcγRIIIa (CD16a) and firefly luciferase under the control of a chimeric promoter incorporating recognition sequences for the principal transcription factors involved in FcγRIIIa signal transduction, together with novel target cells overexpressing a constant high level of the specific antigen recognized by rituximab, trastuzumab, cetuximab, infliximab, adalimumab, or etanercept, confer improved sensitivity, specificity, and dynamic range in an ADCC assay relative to effector cells expressing a NFAT-regulated reporter gene and wild-type target cells. The effector cells also contain a normalization gene rendering ADCC assays independent of cell number or serum matrix effects. The novel effector and target cells in a frozen thaw-and-use format exhibit low vial-to-vial and lot-to-lot variation in their performance characteristics reflected by CVs of 10% or less. Homologous control target cells in which the specific target gene has been invalidated by genome editing providing an ideal control and a means of correcting for nonspecific effects were observed with certain samples of human serum. The novel effector cells and target cells expressing noncleavable membrane-bound TNFα have been used to quantify ADCC activity in serum from patients with Crohn's disease treated with infliximab and to relate ADCC activity to drug levels.

Highlights

  • The activity of numerous therapeutic antibodies is mediated in part by immune-mediated effector cell function following binding of the variable regions of the antibody to a specific antigen on the surface of target cells and the interaction of the Fc moiety of the antibody with an Fc receptor on an immune effector cell [1]

  • These limitations have been overcome in part by the use of engineered effector cells expressing the low-affinity Fc receptor, FcγRIIIA (CD16a), that responds to ligation of the Fc moiety of an antibody bound to the specific antigen expressed on target cells by activation of a NFAT responsive reporter gene construct [5, 6]; there is a need, for a method for the evaluation of antibody-dependent cellular cytotoxicity (ADCC) activity with improved sensitivity and specificity

  • We describe a method for Journal of Immunology Research the quantification of ADCC activity based on the use of novel engineered effector cells carrying a reporter gene with binding sites for the principal transcription factors involved in FcγRIIIA signal transduction [7,8,9,10,11] that reflects more closely signaling from the FcγRIIIA receptor and exhibits improved sensitivity, specificity, and dynamic range when used to quantify ADCC activity relative to the reporter gene effector cell lines described previously [5, 6]

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Summary

Introduction

The activity of numerous therapeutic antibodies is mediated in part by immune-mediated effector cell function following binding of the variable regions of the antibody to a specific antigen on the surface of target cells and the interaction of the Fc moiety of the antibody with an Fc receptor on an immune effector cell [1]. The traditional 51CR release assay has been largely replaced by alternative assays using 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide (MTT), calcein-acetoxymethyl, or lactate dehydrogenase-release assays or various flow cytometric assays using Annexin V, propidium iodide, or 7-aminoactinomycin D, all these assays are subject to poor reproducibility, low sensitivity, and high levels of spontaneous release [4] These limitations have been overcome in part by the use of engineered effector cells expressing the low-affinity Fc receptor, FcγRIIIA (CD16a), that responds to ligation of the Fc moiety of an antibody bound to the specific antigen expressed on target cells by activation of a NFAT responsive reporter gene construct [5, 6]; there is a need, for a method for the evaluation of ADCC activity with improved sensitivity and specificity. The specific antigen negative target cells provide a means for detecting and correcting of the nonspecific effects observed in the presence of certain samples of human serum

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