Abstract

<div>Abstract<p>Epstein–Barr virus (EBV) is a human gammaherpesvirus associated with the development of hematopoietic cancers of B-lymphocyte origin, including AIDS-related non-Hodgkin lymphoma (AIDS-NHL). Primary infection of B-cells with EBV results in their polyclonal activation and immortalization. The transferrin receptor 1 (TfR1), also known as CD71, is important for iron uptake and regulation of cellular proliferation. TfR1 is highly expressed in proliferating cells, including activated lymphocytes and malignant cells. We developed a mouse/human chimeric antibody targeting TfR1 (ch128.1/IgG1) that has previously shown significant antitumor activity in immunosuppressed mouse models bearing human malignant B-cells, including multiple myeloma and AIDS-NHL cells. In this article, we examined the effect of targeting TfR1 to inhibit EBV-driven activation and growth of human B-cells <i>in vivo</i> using an immunodeficient NOD.Cg-<i>Prkdc<sup>scid</sup> Il2rg<sup>tm1Wjl</sup></i>/SzJ [NOD/SCID gamma (NSG)] mouse model. Mice were implanted with T-cell–depleted, human peripheral blood mononuclear cells (PBMCs), either without EBV (EBV<sup>−</sup>), or exposed to EBV <i>in vitro</i> (EBV<sup>+</sup>), intravenously via the tail vein. Mice implanted with EBV<sup>+</sup> cells and treated with an IgG1 control antibody (400 μg/mouse) developed lymphoma-like growths of human B-cell origin that were EBV<sup>+</sup>, whereas mice implanted with EBV<sup>+</sup> cells and treated with ch128.1/IgG1 (400 μg/mouse) showed increased survival and significantly reduced inflammation and B-cell activation. These results indicate that ch128.1/IgG1 is effective at preventing the growth of EBV<sup>+</sup> human B-cell tumors <i>in vivo</i>, thus, indicating that there is significant potential for agents targeting TfR1 as therapeutic strategies to prevent the development of EBV-associated B-cell malignancies.</p>Significance:<p>An anti-TfR1 antibody, ch128.1/IgG1, effectively inhibits the activation, growth, and immortalization of EBV<sup>+</sup> human B-cells <i>in vivo</i>, as well as the development of these cells into lymphoma-like tumors in immunodeficient mice.</p></div>

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