L1 cell adhesion molecule (L1CAM) is overexpressed in many human cancers, confers bad prognosis and augments cell motility, invasion and metastasis. Results from xenograft mouse models suggested that L1CAM antibodies might be promising tools for cancer therapy. Here, we generated human L1CAM-transgenic mice to study therapeutic efficacy and putative side effects in a model system. We established three transgenic lines (M2, M3 and F4) expressing the human L1CAM transgene in brain, kidney and colon with decreasing intensity (M2, M3 > F4). The expression pattern was similar to that of L1CAM in humans. No interference of the transgene with the expression of endogenous L1CAM was observed. Immunohistochemical analysis revealed correct expression of the transgene in mouse cortex and collective duct of the kidney. Injection of 125 Ilabeled L1CAM antibodies resulted in specific enrichment in the kidney but not in the brain. The injection of the therapeutic anti-human L1CAM mAb L1-9.3/2a into transgenic mice even at high doses did not cause behavioral changes or other side effects. Similar results were obtained using a mouse specific L1CAM mAb in normal mice. Tumor therapy experiments were performed using syngeneic mouse tumor cells (RET melanoma and Panc02 pancreatic adenocarcinoma) transduced with human L1CAM. MAb L1-9.3/2a efficiently and specifically attenuated local tumor growth in both model systems without apparent side effects. The therapeutic effect was dependent on immune effector mechanisms. Analysis of Panc02-huL1CAM tumors after therapy showed elevated levels of EGF and evidence of immune-induced epithelial-mesenchymal transition. The results suggest that our transgenic mice are valuable tools to study L1CAM-based antibody therapy.The L1 cell adhesion molecule (L1CAM) is a 200-220 kDa transmembrane glycoprotein of the immunoglobulin (Ig) superfamily composed of six Ig-like domains and five fibronectin Type III repeats followed by a transmembrane region and a highly conserved cytoplasmic tail. 1 L1CAM can interact with itself (homophilic) and with heterophilic ligands such as integrins, CD24, neurocan, neuropilin-1 (NRP-1) and other members of the neural cell adhesion family. Cumulative evidence indicates that L1CAM (CD171) is ectopically expressed at high levels in a variety of cancers, including pancreatic, colorectal, ovarian and endometrial cancers, melanoma and neuroblastoma.2-6 Furthermore, high levels of L1CAM were found associated with increased grade of malignancy, 5,6 epithelial-mesenchymal transition (EMT), 6 poor patient prognosis 5,7,8 and worse response to chemotherapy.
4,7These findings prompted extensive research towards development and preclinical testing of L1CAM specific mAbs for selective targeting of cancers. In line with the role of this molecule in cell motility, invasion and tumorigenesis, [9][10][11] L1CAM-specific mAbs were shown to suppress tumor cell outgrowth and metastasis in xenograft models. [12][13][14] The in vivo action of these mAbs was shown to depend on a combination of im...