Abstract
Rituximab, a chimeric CD20 monoclonal antibody (mAb), is widely used in the treatment of patients with low-grade non-Hodgkin's lymphoma. Possible anti-tumour mechanisms involve complement-mediated lysis and/or antibody-dependent cellular cytotoxicity (ADCC). Because G-CSF greatly enhances the cytotoxicity of neutrophils (PMN) in ADCC, the clinical efficacy of rituximab might be enhanced by the addition of G-CSF. Therefore, we investigated the neutrophil-mediated CD20-dependent cellular cytotoxicity in B cell lines. In contrast to previous studies by others, we found that G-CSF-primed PMN are capable of functioning as effector cells in CD20-dependent cellular cytotoxicity. However, HLA class II mAbs were far more effective. The differences between HLA class II- and CD20-mediated PMN-ADCC were not due to: (1) the use of chimeric (hIgG1) mAbs vs mIgG2a mAbs; (2) HLA class II-induced apoptosis as an ‘ADCC-sensitising’ mechanism; (3) CD20-induced inhibition of ADCC; (4) inferior membrane mobility of CD20. Analysis of Fcγreceptor (FcγR) involvement showed that although CD20-induced ADCC was mediated mainly via FcγRI, for optimal lysis FcγRI and FcγRII were both required. In contrast, in HLA class II-dependent ADCC both FcγRI and II were capable of independently inducing maximum lysis. The mechanism underlying these differences in FcγR-binding and activation remains to be elucidated.
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van der Kolk, L., de Haas, M., Grillo-López, A. et al. Analysis of CD20-dependent cellular cytotoxicity by G-CSF-stimulated neutrophils. Leukemia 16, 693–699 (2002). https://doi.org/10.1038/sj.leu.2402424
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DOI: https://doi.org/10.1038/sj.leu.2402424
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