The immunotoxin-enhancing properties of monensin and of human-serum-albumin-monensin conjugates are severely impaired in the presence of human serum. In this study we have therefore investigated the interaction between serum proteins and monensin leading to the inactivation of monensin function as immunotoxin potentiator. We found that the binding of monensin-specific mAb to thioether-cross-linked or disulfide-cross-linked protein-monensin conjugates is negatively affected by serum, as indicated by immunoenzymic (ELISA) and radioimmunobinding analysis. Size-exclusion chromatography of serum samples indicated that the greatest blocking effect is due to protein components of 40-90 kDa eluting as a broad peak (peak 4). Analysis of the proteins contained within peak 4 by ion-exchange chromatography followed by microsequencing revealed that the major components of peak no. 4 were transferrin, human serum albumin and immunoglobulin fragments. Investigations on the nature of the interactions between serum proteins and monensin leading to monensin inactivation were conducted by affinity chromatography of serum on immobilized human-serum-albumin-monensin conjugates, size-exclusion chromatography, SDSPAGE analysis of serum-treated human-serum-albumin-monensin conjugates, and evaluation of the stability of immobilized human-serum-albumin-bound '251-monensin following treatment with serum. Addition of esterase inhibitors (e.g. EDTA, 4-nitrophenyl phosphate) or prior treatment of the serum at 56°C partially reversed the serum effects observed. We conclude that serum proteins block the immunotoxin-enhancing effect of monensin and of human-serum-albumin-monensin conjugates by multiple mechanisms involving hydrophobic and covalent interactions and enzyme-mediated cleavage of protein-bound monensin.Hybrid molecules formed by mAbAigands chemically or genetically linked to toxins (immunotoxins) have been proposed as a new class of anti-tumor pharmacological reagents [l]. In particular, immunotoxins made with mAb linked to ricin A chain (RTA) have been extensively studied in vitro and in animal models [2-111, and their anti-tumor potential clinically evaluated [ 12-171. Although RTA-immunotoxins show high target-cell selectivity and low in vivo toxicity [12,13,[15][16][17], their cytotoxic potency is variable, depending on the internalization rate [18, 191, the intracellular distribution (11, 20-231, the target-cell type [24, 251 and other parameters. As a result, clinical trials conducted with RTA-immunotoxins have met with limited success [12-171. To increase the anti-target cell potency of RTA-immunotoxins, lysosomotropic amines (e.g. chloroquine, methylamine, ammonium chloride) or ionophores (e.g. monensin,Correspondence to M. Colombatti, Istituto di Immunologia e Malattie Infettive, Universiti di Verona, c/o Policlinico Borgo Roma, 1-37134 Verona, ItalyAbbreviations. HSA, human serum albumin; RIB, radioimmunobinding ; Tfn, transferrin; Nph-P, 4-nitrophenyl phosphate; RTA, rich toxin A chain; SPDP, N-succinimidyl-3-(2-pyridyl...