A genetically engineered fusion protein consisting of a chimeric anti-ganglioside GD2 antibody (chl4.18) and interleukin 2 (IL2) was tested for its ability to enhance the killing of autologous GD2-expressing melanoma target cells by a tumor-infiltrating lymphocyte line (660 TIL). The fusion of IL2 to the carboxyl terminus of the immunoglobulin heavy chain did not reduce IL2 activity as measured in a standard proliferation assay using either mouse or human T-cell lines. Antigen-binding activity was greater than that of the native chimeric antibody. While IL2 treatment in vivo leads to increases in both natural killer and ADCC activities, the cytolytic activity of antigen-specific, major histocompatibility complex (MHC)-restricted T cells may actually be reduced (5). Treatment of T cells with anti-CD3 antibody prior to IL2 exposure greatly increases T-cell cytolytic activity (6). Likewise, expansion of tumor-irfiltrating lymphocytes (TIL) by culture in the presence of high concentrations of IL2 with periodic target-cell stimulation leads to substantial increases in cytolytic activity (7). Both approaches involve costimulation of IL2 and T-cell antigen receptors for expansion and maintenance of T-cell cytolytic activity. Thus, an optimal therapy might combine IL2 activation and tumor antigen presentation together with a tumor-specific antibody that mediates both complementdependent cytotoxicity (CDC) and ADCC activities. By combining a chimeric anti-ganglioside GD2 antibody (chl4.18) which has potent CDC and ADCC activities (8), with IL2, we hope to target this cytokine to tumors such as neuroblastoma (9, 10) and melanoma (11) expressing GD2. In this way, relatively large amounts of tumor antigens should be present during IL2 activation for expansion of cytotoxic T cells, since melanoma cell lines have been reported to express an average of 1.5 x 1 sites per cell for ch14.18 (8). Furthermore, the antibody would also be available to target Fc receptor-bearing cells that have been activated by the targeted IL2.The chl4.18 antibody used in this report has already been shown to mediate potent ADCC activity by IL2-activated peripheral blood mononuclear cells from cancer patients (12). We have focused on the ability of a chl4.18-IL2 fusion protein to stimulate the proliferation and cytolytic activity of a human T-cell line against autologous melanoma targets.This cell line, 660 TIL, is CD3', CD8', antigen-specific, and MHC class I-restricted and was originally obtained by outgrowth from a human metastatic melanoma (13). A melanoma line, 660 mel, was derived from the same tumor and serves as a source for antigen stimulation and as an autologous target for 660 TIL (14). Results of this study show that tumor cells coated with a fusion protein in which IL2 is at the carboxyl terminus of the heavy-chain constant region 3 (CH3) exon of ch14.18 (CH3-1L2) efficiently stimulate resting 660 TIL cells to kill autologous targets. These coated cells serve as a model for tumors that have been targeted in vivo.
MATERIALS AND M...