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The novel immunotoxin HM1.24-ETA' induces apoptosis in multiple myeloma cells.
[severe combined immunodeficiency]
Despite
new
treatment
modalities
,
the
clinical
outcome
in
a
substantial
number
of
patients
with
multiple
myeloma
(
MM
)
has
yet
to
be
improved
.
Antibody-based
targeted
therapies
for
myeloma
patients
could
make
use
of
the
HM
1
.
24
antigen
(
CD
317
)
,
a
surface
molecule
overexpressed
on
malignant
plasma
cells
and
efficiently
internalized
.
Here
,
a
novel
immunotoxin
,
HM
1
.
24
-
ETA
'
,
is
described
.
HM
1
.
24
-
ETA
'
was
generated
by
genetic
fusion
of
a
CD
317
-
specific
single
-chain
Fv
(
scFv
)
antibody
and
a
truncated
variant
of
Pseudomonas
aeruginosa
exotoxin
A
(
ETA
'
)
.
HM
1
.
24
-
ETA
'
inhibited
growth
of
interleukin
6
(
IL
-
6
)
-
dependent
and
-
independent
myeloma
cell
lines
.
Half-maximal
growth
inhibition
was
observed
at
concentrations
as
low
as
0
.
3
 
nM
.
Target
cell
killing
occurred
via
induction
of
apoptosis
and
was
unaffected
in
co
-culture
experiments
with
bone
marrow
stromal
cells
.
HM
1
.
24
-
ETA
'
efficiently
triggered
apoptosis
of
freshly
isolated
/
cryopreserved
cells
of
patients
with
plasma
cell
leukemia
and
MM
and
was
active
in
a
preclinical
severe
combined
immunodeficiency
(
SCID
)
mouse
xenograft
model
.
Importantly
,
HM
1
.
24
-
ETA
'
was
not
cytotoxic
against
CD
317
-
positive
cells
from
healthy
tissue
(
monocytes
,
human
umbilical
vein
endothelial
cells
)
.
These
results
indicate
that
CD
317
may
represent
a
promising
target
structure
for
specific
and
efficient
immunotoxin
therapy
for
patients
with
plasma
cell
tumors
.
Diseases
Validation
Diseases presenting
"multiple myeloma"
symptom
erdheim-chester disease
esophageal adenocarcinoma
familial mediterranean fever
severe combined immunodeficiency
systemic capillary leak syndrome
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated