Evidence map›Paper›PMID 18988862›Full record

ArticleBlood2009

A protease-resistant immunotoxin against CD22 with greatly increased activity against CLL and diminished animal toxicity.

John E Weldon, Laiman Xiang, Oleg Chertov, Inger Margulies, Robert J Kreitman, David J FitzGerald, Ira Pastan

Abstract read
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed.

  1. Phase II trial of recombinant immunotoxin RFB4(dsFv)-PE38 (BL22) in patients with hairy cell leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2009
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Synthesis of an Anti-CD7 Recombinant Immunotoxin Based on PE24 in CHO andInternational journal of molecular sciences · 2022
    Article
  13. Review
  14. Article
  15. Article
  16. CD3e-immunotoxin spares CD62LFrontiers in immunology · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. Review

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John E WeldonLaboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892-4264, USA.
Laiman Xiang
Oleg Chertov
Inger Margulies
Robert J Kreitman
David J FitzGerald
Ira Pastan

Funding

Immunotoxin Therapy of Solid and Hematopoietic Tumors: Preclinical StudiesZIABC008753 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PASTAN, IRA · 2009 to 2024
$33.1M
Development of Recombinant Toxins to Treat Hematologic MalignanciesZIABC010301 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KREITMAN, ROBERT · 2009 to 2025
$21.7M
Bio-Therapies for the Treatment of Cancer and Infectious DiseaseZIABC008757 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI FITZGERALD, DAVID · 2009 to 2025
$21.0M
Intramural NIH HHSNCI NIH HHS N01-CO-12 400
6 · The paper itself

Abstract

Immunotoxins based on Pseudomonas exotoxin A (PE) are promising anticancer agents that combine a variable fragment (Fv) from an antibody to a tumor-associated antigen with a 38-kDa fragment of PE (PE38). The intoxication pathway of PE immunotoxins involves receptor-mediated internalization and trafficking through endosomes/lysosomes, during which the immunotoxin undergoes important proteolytic processing steps but must otherwise remain intact for eventual transport to the cytosol. We have investigated the proteolytic susceptibility of PE38 immunotoxins to lysosomal proteases and found that cleavage clusters within a limited segment of PE38. We subsequently generated mutants containing deletions in this region using HA22, an anti-CD22 Fv-PE38 immunotoxin currently undergoing clinical trials for B-cell malignancies. One mutant, HA22-LR, lacks all identified cleavage sites, is resistant to lysosomal degradation, and retains excellent biologic activity. HA22-LR killed chronic lymphocytic leukemia cells more potently and uniformly than HA22, suggesting that lysosomal protease digestion may limit immunotoxin efficacy unless the susceptible domain is eliminated. Remarkably, mice tolerated doses of HA22-LR at least 10-fold higher than lethal doses of HA22, and these higher doses exhibited markedly enhanced antitumor activity. We conclude that HA22-LR advances the therapeutic efficacy of HA22 by using an approach that may be applicable to other PE-based immunotoxins.

Indexed as

Sialic Acid Binding Ig-like Lectin 2Xenograft Model Antitumor AssaysADP Ribose TransferasesAnimalsAntibodies, MonoclonalBacterial ToxinsClinical Trials as TopicEndosomesExotoxinsFemaleHumansImmunoglobulin Variable RegionImmunotoxinsLeukemia, Lymphocytic, Chronic, B-CellLysosomesMiceADP Ribose TransferasesAntibodies, MonoclonalBacterial ToxinsCD22 protein, humanCd22 protein, mouseExotoxinsImmunoglobulin Variable RegionImmunotoxinsPseudomonas aeruginosa Exotoxin ASialic Acid Binding Ig-like Lectin 2Virulence Factors

Identifiers

PMID18988862
PMCPMC2670794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.