Abstract.Immunotherapy is a promising strategy for the treatment of human epidermal growth factor receptor 2 (HER2)-positive tumors. Previously, we constructed an immuno-carboxy terminal fragment of Bid (immuno-tBid) and reported its specific and effective destruction of HER2-positive tumor cells. In this study, in order to further reduce the immunogenicity of the previous immuno-proapoptotic protein, we constructed a novel immuno-tBid by replacing domain II of Pseudomonas exotoxin A with a short furin cleavage sequence from the diphtheria toxin. In order to explore the possible application of this novel immuno-tBid in the treatment of osteosarcoma, we first examined the expression of the HER2 protein in a subclone of a human osteosarcoma cell line with relatively high metastatic potential (SOSP-9607-E10), as well as in clinical specimens of osteosarcoma. Quantitative real-time PCR and Western blot analysis revealed that the expression of HER2 was upregulated in the SOSP-9607-E10 cells, while immunohistochemical analysis revealed that HER2 was overexpressed in 37% of the tissue specimens examined. Both HER2-positive SOSP-9607-E10 and SKBR-3 cells, as well as HER2-negative HeLa cells were transiently transfected with the novel immuno-tBid in order to study its specific pro-apoptotic effect. We demonstrate here that this novel immuno-tBid induces the specific destruction of HER2-overexpressing SOSP-9607-E10 cells through the release of cytochrome C. These results suggest that the novel immuno-tBid with a minimized exogenous fragment could represent a competitive approach for the treatment of HER2-positive osteosarcoma.
IntroductionImmunotoxins, which are hybrid proteins composed of plant or bacterial toxins linked with a targeting molecule, such as a monoclonal antibody (MAb), an antibody fragment, a growth factor, or a cytokine (1-4), have been proven to be effective in destroying tumor cells specifically. Similar to certain other well-demonstrated anti-tumor immunotoxins (5-7), the Pseudomonas exotoxin A (PEA)-based human epidermal growth factor receptor 2 (HER2)-targeted immunotoxin, e23sFv-PEA40, has shown potent and selective cytotoxicity to HER2-positive tumors both in vitro and in vivo (8). However, most of the clinical trials of the immunotoxin encountered the same obstacle, in that the foreign toxin fragments in immunotoxins induced strong humoral immune responses (9-14). In addition to the development of neutralizing antibodies against the plant or bacteria-derived toxins (9,10) which profoundly diminished the anti-tumor efficiency of the therapy, other side-effects including vascular leakage, and non-specific toxicity to vascular endothelial, liver, or renal cells (7,(10)(11)(12)(13)(14) were also induced by immunotoxins. Therefore, studies are now focusing on immunotoxins containing human-derived effector proteins, such as human pro-apoptotic proteins, in order to minimize non-specific toxicity and immunogenicity (15).Previously, we reported the potent and specific suppressing effect of the partially h...