Targeting granzyme B to tumor cells using a yoked human chorionic gonadotropin
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- Kanatani, I., Lin, X., Yuan, X. et al. Cancer Chemother Pharmacol (2011) 68: 979. doi:10.1007/s00280-011-1573-4
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Luteinizing hormone receptor (LHR) is found in abundance on human ovarian, breast, endometrial and prostate carcinomas but at only low levels on non-gonadal tissues. To selectively kill LHR-expressing tumors, granzyme B (GrB) was linked to a protein in which both chains of human chorionic gonadotropin were yoked together (YCG).
GrB-YCG was expressed and secreted from insect Sf9 cells. Its GrB enzymatic activity and binding affinity for hLHR were then characterized. The differential cytotoxicity of GrB-YCG versus GrB alone was tested in a panel of LHR-expressing tumor cells by SRB assay, and the mechanisms involved in the cell death were investigated by confocal fluorescence microscopy, flow cytometry, and western blot analysis.
GrB-YCG was successfully expressed and secreted from Sf9 insect cells and purified from cell culture supernatants. The serine protease activity of GrB-YCG was equivalent to that of human recombinant GrB. An in vitro hormone binding assay revealed that the GrB-YCG molecule also retained the ability to bind to the LHR receptor with an affinity similar to that of native hCG. Upon cell binding, GrB-YCG was rapidly internalized into LHR-expressing human ovarian cancer cells and produced selective and potent tumor cell killing by inducing apoptosis through activation of caspase-3.
These results validate LHR as a therapeutic target and indicate that delivery of the human pro-apoptotic enzyme GrB to tumor cells by yoked hCG has substantial selectivity and therapeutic potential for human tumors that express high levels of LHR such as ovarian carcinomas.
KeywordsGranzyme BHuman chorionic gonadotropinLuteinizing hormone receptorTargeted therapy
Human chorionic gonadotropin
Luteinizing hormone receptor
Yoked human chorionic gonadotropin
Ovarian cancer remains the most lethal gynecologic malignancy in the United States. Although many patients with advanced-stage disease initially respond to standard combinations of surgical and cytotoxic therapy, nearly 90% develop recurrence and inevitably die from the development of resistance to cytotoxic chemotherapy . There is an urgent need to develop novel therapeutics that more selectively kill ovarian cancer cells. The luteinizing hormone receptor (abbreviated hLHR) is an attractive target for this approach. This receptor specifically binds luteinizing hormone (LH) and human chorionic gonadotropin (hCG) [2, 3], which normally have effects only on gonadal tissues where they play an essential role in reproductive function. While the hLHR is expressed at low levels on a variety of other normal tissues [4–6], knockout of LHR in mice does not affect the development of any tissues other than reproductive organs . hLHR is expressed at high levels on ovarian [8–11], prostate , breast [13–15], and endometrial [9, 16] cancers.
Granzyme B (GrB), a serine-dependent and aspartate-specific protease, is the major effector molecule of cellular immune defense and is released from the granules of activated cytotoxic T lymphocytes or natural killer cells during their attack on other cells. The mechanism by which GrB is normally translocated into the cell is not fully understood, although mannose-6-phosphate receptor-mediated endocytosis appears to play some part . Once in the target cell GrB is activated by the removal of two amino acids at the N-terminus; the activated protein then induces apoptosis through either caspase-dependent or independent pathways . Engineering the active form of GrB into an immunotoxin not only confines the delivery of the toxin to the antigen-expressing tumor cells, but also eliminates the need for proteolytic activation once internalized into the target cell. Recently, we have demonstrated that an immunotoxin consisting of GrB linked to a single-chain antibody that targets the gp240 antigen (GrB/scFvMEL) was highly cytotoxic to melanoma cells in vitro and was effective in producing a fourfold reduction in the growth of human melanoma A375 xenografts . Other successful immunotoxins developed using human GrB have included GrB/TGFα and GrB/anti-ErbB2 scFv that selectively kill tumor cells expressing EGFR or ErbB2 , and GrB/VEGF121 that targets endothelial cells involved in tumor angiogenesis .
Although several monoclonal antibodies to hLHR have been reported [22, 23], there are currently no therapeutic antibodies that are sufficiently specific to be used to direct drugs to this target. However, extensive pre-clinical studies have been completed using a peptide derived from the β-chain of hCG to direct lytic peptides to breast and prostate cancers that express hLHR (reviewed in [24, 25]). The studies demonstrated that such fusion toxins could produce responses in mice carrying human tumor xenografts, and one of these molecules was selected for further development through the RAID program at the NCI. The in vivo response to these toxins was reported to be directly related to LHR density on the tumor cells [15, 25, 26]. Two groups have made attempts to use hCG itself to target either a membrane-disrupting lytic peptide  or ribosomal inactivating plant toxin gelonin  to this receptor. However, because these molecules were immunogenic, relatively impotent, and displayed very short half-lives in the systemic circulation, neither molecule moved forward into clinical development. Thus, we developed a novel type of fusion toxin in which the α- and β-chains of hCG are linked together to form a single protein (“yoked” hCG, YCG) that is then fused to human granzyme B (GrB). This protein molecule is designed to contain the tumor-targeting moiety YCG that binds hLHR, and the toxin GrB that is a potent apoptotic inducer capable of killing the hLHR-overexpressing cancer cells. Here, we report that GrB-YCG displays potent and selective cytotoxicity toward tumor cells expressing the target LH receptors.
Materials and methods
Tissue culture media were purchased from Life Technologies (Frederick, MD) and Thermo Fischer Scientific (Waltham, MA). Bac-to-Bac® Baculovirus Expression system with TOP10 and DH10Bac competent cells, and Sf9 insect cell lines were purchased from Invitrogen (Carlsbad, USA). The BacPak baculovirus titration kit was obtained from Clontech (Mountain View, CA), and metal affinity resin Ni–NTA agarose from Qiagen (Valencia, CA). Rabbit anti-His polyclonal antibody, mouse anti-human granzyme B monoclonal antibody, and rabbit polyclonal anti-LHR antibody were purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). Rabbit polyclonal antibody against active + pro Caspase 3 was purchased from Abcam, Inc. (Cambridge, MA). Horseradish peroxisome (HRP) or Texas red-labeled secondary antibodies against mouse or rabbit immunoglobulin were obtained from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA). Human recombinant granzyme B and N-α-t-butoxycarbonyl-l-alanyl-l-alanyl-l-aspartyl-thiobenzyl ester (BAADT) were purchased from Alexis Biochemicals (San Diego, CA) and 5-,5′-dithiobis (2-nitro benzoic acid) (DTNB, Ellman’s reagent) from Thermo Scientific. A native hCG was purchased from Sigma–Aldrich (Saint Louis, MO), and 125I-hCG was obtained from PerkinElmer Life Sciences (Boston, MA).
Cell lines and cell culture
The fall armyworm ovarian Sf9 cell line was maintained at 27°C in HyClone SFX-INSECT medium supplemented with 5% fetal bovine serum (FBS, Sigma–Aldrich, St. Louis, MO), 100 U/ml penicillin, 100 mg/ml streptomycin, and 25 μg/ml amphotericin B. The mouse Leydig tumor cell line MA-10 expressing high levels of LH receptor  was grown in RPMI 1640 (Gibco, Grand Island, NY, USA) supplemented with 10% FBS, 4.5 g/l glucose, 2 mM l-glutamine, 100 U/ml penicillin, 100 mg/ml streptomycin, 10 mM HEPES (N-2-hydroxyethylpiperazine, N-2-ethanesulfonic acid), 2.2 M sodium pyruvate, and 1.5 g/l sodium bicarbonate (all from Invitrogen, Carlsbad, CA), and cultures were maintained at 37°C in a humidified atmosphere of 5% CO2 and 95% air. The human ovarian carcinoma cell lines 2008 and CA-OV-3 were grown in RPMI 1640 supplemented with 5% fetal bovine serum.
Vector construction and virus preparation
A GrB-YCG fusion DNA construct was generated by an overlapping PCR method. The human mature GrB gene was amplified from the plasmid GrB-scFvMEL  by PCR using the forward primer GrB-YCG-50 (5′-T CTT ACA TCT ATG CCG ATC ACC ATC ATC ATC ATC ATG ACG ACG ACG ACA AGA TCA TCG GGG GAC-3′) and the reverse primer GrB-YCG-4 (5′-GGA GCC ACC GCC ACC GTA GCG TTT CAT GGT-3′). The resulting PCR fragment was further extended at its 5′ end in a second PCR using the primers GrB-YCG-48 (5′-C ACC ATG AAA TTC TTA GTC AAC GTT GCC CTTGTT TTT ATG GTC GTA TAC ATT TCT TAC ATC TAT GCC-3′) and GrB-YCG-4. The two-step PCR generated the fragment containing BamHI restriction site, the 30-amino acid honey bee melittin (HBM) secretion signal, a six-histidine tag, and an enterokinase (EK) cleavage site. The YCG gene was amplified from plasmid yoked hCG-pVL1393  by PCR using the primers GrB-YCG-5 (5′-GG TGG CGG TGG CTC CTC CAA GGA GCC GCT TCG-3′) and GrB-YCG-51 (5′-CT ATT AAG ATT TGT GAT AAT AAC AAG TAC TGC-3′). The fused GrB-YCG genes were linked together by using primers GrB-YCG-48 and GrB-YCG-5. The final GrB-YCG gene product from the splice overlap extension PCR (SOE-PCR) was purified and cloned into the pFastBac1 vector at BamHI and XhoI. The resulting plasmid pFastBac-GrB-YCG was sequence-verified and used to prepare recombinant bacmids by transposition in DH10Bac competent cells. Isolated recombinant bacmid DNA was transfected into Sf9 cells to produce the recombinant baculovirus coding for GrB-YCG according to the manufacturer’s instructions for the Bac-to-Bac Baculovirus Expression system (Invitrogen). The virus was amplified to generate a stock with viral titers of greater than 1 × 108 plaque-forming units/ml, as determined with the BacPak baculovirus titration kit (Clontech), and used for protein production.
Large-scale expression and purification of GrB-YCG fusion protein
Large-scale expression was performed using Sf9 cells grown in 2.8 l plastic shaker flasks (900 ml of culture per flask) in serum-free HyQ SFX-Insect medium at 27°C and shaking speed of 100 rpm. Cells were infected at an MOI of 1 at a cell density of 1.0 × 106/ml. Cells were harvested 96 h after infection. All steps hereafter were performed at 4°C except where otherwise noted. First, cells and cellular debris were removed by centrifugation for 20 min at 3,000g. The supernatant was concentrated to one-thirtieth of its initial volume by using Sartorius 10 kDa cut-off Hydrosart Microfilter Cassette (Goettingen, Germany). The concentrated medium that contained the soluble fraction of the recombinant protein was loaded onto a Ni–NTA column. After washing the column 4 times with a wash buffer (50 mM NaH2PO4, 300 mM NaCl, and 20 mM imidazole, pH 8.0), the bound proteins were eluted with an elution buffer containing 50 mM NaH2PO4, 300 mM NaCl, and 250 mM imidazole (pH 8.0). The buffer of the eluate was exchanged by a PD-10 column (GE Healthcare, Piscataway, NJ) to 20 mM Tris–HCl (pH 7.4) and 50 mM NaCl. The fusion protein was incubated with rEK (Novagen, Madison, WI) to remove the 6xHis tag. rEK was removed using EKapture Agarose according to manufacturer’s instructions. The mixture without rEK was further applied to a Ni–NTA column to remove incompletely digested material, the cleaved N-terminal part of the protein containing the 6xHis tag as well as other contaminating proteins. The final protein product was collected in the wash buffer and buffer-exchanged with PBS using a PD-10 column.
Serine protease activity bioassay
The enzymatic activity of the GrB component was determined using a continuous colorimetric assay that utilized N-α-t-butoxycarbonyl-l-alanyl-l-alanyl-l-aspartyl-thiobenzyl ester (BAADT) as a specific substrate for the serine protease activity of GrB . Assays were performed in a total volume of 100 μl and consisted of either recombinant human GrB, GrB-YCG fusion protein before and after cleavage by EK, or EK (control) in buffer A (0.2 M HEPES, 0.2 M NaCl, 1 mM EDTA, 0.05% (v/v) Triton X-100, pH 7.0), 0.3 mM 5,5′-dithiobis-2-nitrobenzoic acid, and 0.2 mM substrate BAADT at 25°C. The change in absorbance at A405nm was measured on a Versamax microplate reader (Molecular Devices, Sunnyvale, CA). Increases in sample absorbance were converted to enzymatic rates by using an extinction coefficient of 13,100 cm−1 M−1 at 405 nm. The specific activity (SA) of GrB-YCG was calculated using native GrB (Enzyme Systems Products, Livermore, CA) as the standard.
Knockdown of LH receptor expression in Leydig cells using shRNAi lentivirus MISSION™
Lentiviral Transduction Particles for knockdown of LHR expression were purchased from Sigma (www.sigma-aldrich.com/missionsearch). Briefly, a culture containing 70–80% confluent Leydig cells was transduced with shRNAi lentiviral constructs at various MOIs for 24 h. The media containing lentiviral particles was then replaced with fresh media, and after a subsequent 24 h successfully transduced cells were selected by exposure to 10 μg/ml puromycin. The puromycin-containing media was refreshed every 3–4 days until resistant colonies were identified. A minimum of 5 puromycin-resistant clones was picked and expanded into individual cell lines and assayed for knockdown of LHR by a quantitative RT–PCR as described below and by Western blot analysis.
Quantitation of LHR mRNA by real-time PCR
Total RNA was extracted with TRIzol® reagent (Invitrogen). First-strand cDNA was synthesized using SuperScript II reverse transcriptase (Invitrogen) and random primers. Real-time PCR was done using the Bio-Rad iCycler iQ detection system in the presence of SYBR Green I dye (Bio-Rad Laboratories, Inc., Hercules, CA). For the LHR gene expression, the forward (5′-CGC TTT CCA AGG GAT GAA TA-3′) and reverse (5′-CAT TGA ATG CAT GGC TTT GT-3′) primers were used for amplification with a iCycler protocol consisting of a denaturation program (95°C for 3 min), amplification and quantification program repeated 40 times (95°C for 10 s and 55°C for 45 s), and melting curve analysis. The data were analyzed by using the comparative Ct method, where Ct is the cycle number at which fluorescence first exceeds the threshold. The Ct values from each cell line were obtained by subtracting the values for β-actin Ct from the sample Ct. A 1-unit difference of Ct value represents a twofold difference in the level of mRNA.
Analysis of binding of GrB-YCG to LHR by competitive binding assay
The specificity of the binding of GrB-YCG to LHR was determined using a competitive binding assay. Briefly, cells were plated at a density of 2.0 × 105 cells/well in 24-well plates and allowed to adhere overnight. The cells were then exposed to 200 pM of 125I-hCG in Waymouth medium containing 0.1% FBS in the presence of increasing concentrations of unlabeled hCG or GrB-YCG for 6 h. The final total volume of the reaction mixture was 500 μl. After washing with PBS 3 times, cells were lysed in 500 μl of 1N NaOH and counted in a γ-counter. An estimate of nonspecific counts was determined in the presence of 1 μg/ml hCG by adding 20 μl of 25 μg/ml hCG stock into 480 μl cell culture containing 200 pM of 125I-hCG. The specific binding after subtracting the nonspecific counts in the absence of competitor was normalized to 100%. The competition curves were plotted as a percentage of the specific binding vs. increasing concentrations of hCG or GrB-YCG on a log scale. The data were fitted to a sigmoidal equation to calculate IC50 values using the Prism software (GraphPad Software, Inc., San Diego, CA).
Internalization and intracellular distribution of GrB and GrB-YCG detected by immunofluorescent staining
Cells were plated onto polylysine-coated 8-well chamber slides at 105 cells/well and incubated at 37°C overnight in 5% CO2 and air. Cells were treated with 50 nM GrB or GrB-YCG at 37°C for 1, 3 and 6 h and then washed with glycine buffer (500 mM NaCl, 0.1 M glycine, pH 2.5) for 2 min to remove GrB-YCG from the cell surface, fixed in 3.7% formaldehyde, permeabilized in PBS containing 0.2% Triton X-100 and washed with PBS. After nonspecific binding was blocked with 1% BSA, cells were incubated with primary antibodies at room temperature for 1 h and then washed 3 times in PBS containing 0.1% Tween 20 for 10 min followed by staining with Texas red-coupled secondary antibodies. After 3 final washes with PBS containing 0.1% Tween 20, cells were incubated with 0.1% Hoechst 33342 for 15 min and mounted in DABCO mounting medium. Microscopic imaging was performed at the University of California San Diego Cancer Center Digital Imaging Shared Resource using a Zeiss LSM510 confocal microscope system (Carl Zeiss, Inc. Thornwood, NY). Images were captured from 0.8-μm sections with a 63× lens and analyzed by SoftWorx software (Applied Precision, Inc).
In vitro cytotoxicity of GrB versus GrB-YCG
The cells to be tested were plated into 96-well plates at a density of 2,000 cells/well and allowed to adhere overnight and then exposed to different concentrations of either recombinant GrB or purified GrB-YCG. The effects of GrB and GrB-YCG on the growth of tumor cells in culture were determined by SRB assay as described previously . Briefly, cells were allowed to grow for 96 h in the presence of drugs, after which the media were removed, and the protein was precipitated with 50% trichloroacetic acid and stained using 100 μl of 0.4% sulforhodamine B in 1% acetic acid at room temperature for 15 min. After washing, the absorbance of each well at a wavelength of 515 nm was recorded using a Versamax microplate reader (Molecular Devices, Sunnyvale, CA). To examine the protective effect of hCG on GrB-YCG cytotoxicity, the MA-10 cells were treated with the indicated concentrations of hCG for 1 h, washed twice, and challenged with 250 nM GrB-YCG for 96 h. Cell viability was determined by the SRB assay as described above. All experiments were repeated at least 3 times using 3 cultures for each drug concentration.
Flow cytometric analysis of cell death and caspase-3 cleavage assay
For determining phase distribution of DNA content within the cells treated with 50 nM GrB-YCG for 24, 48, and 72 h, propidium iodide (PI) staining was performed. Briefly, 2 × 106 cells collected were washed once and fixed in 70% ethanol for 24 h. After centrifugation at 400g for 10 min at 4°C, cell pellet was stained with 50 μg/ml PI (Sigma, St. Louis, MO) plus 0.5 mg/ml RNaseA in PBS buffer for 15 min at room temperature in the dark. Analysis was performed with FACScan flow cytometer (Becton–Dickinson, Mansfield, MA). The analysis of cell percentage in the sub-G1 phase of cell cycle was performed using the CellQuest software. For detection of caspase-3 cleavage, the cells were exposed to 50 nM GrB-YCG for various times (0, 24 and 48 h), and the cell lysate was analyzed by 4–15% SDS–PAGE and immunoblotting using a rabbit polyclonal anti-caspase-3 antibody (Abcam, Cambridge, MA) recognizing both a proform and active/cleaved forms of caspase-3.
Expression, purification, and identification of GrB-YCG fusion protein
Generation and characterization of LHR knockdown cells
Binding of GrB-YCG to LHR on tumor cells
Internalization of GrB-YCG into LHR-expressing tumor cells
In vitro cytotoxic effects of GrB-YCG
GrB-YCG-induced apoptosis and caspase-3 cleavage
Epithelial tumors of the ovary are highly lethal, but at least 40% of these tumors express the luteinizing hormone receptor (LHR) at high levels, as do many prostate and breast cancers . Therefore, the LH receptor is of interest with respect to the selective delivery of cytotoxic agents directly into these malignant cells. While efforts have been made to use a 15-amino acid segment of the beta chain of hCG to target a membrane-disrupting lytic peptide  or to use full-length hCG itself to target a ribosomal inactivating plant toxin gelonin  to this receptor, these molecules were potentially immunogenic, relatively impotent and have very short half-lives in the systemic circulation. In addition, these molecules are chemical conjugates. On the one hand, premature release of cytotoxic agents from such conjugates due to linker degradation can result in nonspecific toxicity; on the other hand, linkers that are too stable can result in failure to release the active agent in a timely manner, thereby compromising the effectiveness of the successfully delivered agent . Two developments support the approach of directly fusing a toxin to hCG rather than utilizing chemical conjugation. First, it has now been shown that the β- and α-chains of hCG can be connected by a short linker and produced as a single polypeptide chain (“yoked hCG”) that retains high affinity and specificity for the LHR . Second, human GrB has been validated as a highly effective toxin that, when introduced into the interior of the cell through linkage to a targeting moiety, rapidly triggers apoptosis . Such fusion toxins have already been shown to have attractive pharmacokinetic characteristics and to have efficacy in a variety of different tumor models [21, 36]. A single protein containing GrB fused to a targeting moiety is more attractive as a therapeutic than a molecule to which a toxin has been chemically conjugated due to the fact that the former approach eliminates concern about the linker and results in a molecule that is likely less immunogenic and thus compatible with multiple cycles of administration.
We have successfully expressed the GrB-YCG fusion toxin, consisting of the human pro-apoptotic serine protease GrB and the β- and α-chains of hCG yoked together, as secreted protein in insect Sf9 cells with the yields of approximately 1.5 mg per liter of culture medium. This protein was designed to contain a hexahistidine tag and enterokinase cleavage site at the N-terminal end such that the fusion protein could be easily purified by affinity chromatography and active GrB could be released by cleavage with enterokinase. The rEK-cleaved final product was recognized by both anti-GrB and anti-hCG antibodies but not by antibody to the hexahistidine tag consistent with the removal of the N-terminal tag. The GrB-YCG containing the histidine tag, or from which it had been removed, were then tested for their ability to cleave an artificial peptide substrate Boc-AlaAlaAsp-thiobenzyl ester. The protein from which the tag had been removed, but not that containing the tag, cleaved the synthetic GrB substrate, and its activity was indistinguishable from that of native GrB. The final fusion protein GrB-YCG was bifunctional in that it contained GrB activity and was also capable of binding specifically to MA-10 cells expressing high levels of the LHR receptor. The affinity of the GrB-YCG for LHR was only twofold lower than that of native urinary hCG (IC50 132.4 nM vs. 70.6 nM), presumably due to differences in glycosylation between the recombinant and native hCG. It is known that baculovirus-expressed glycoprotein does not contain sialic acid because Sf9 cells, while having a glycosylation apparatus capable of synthesizing high mannose type carbohydrates and simple O-linked chains , lack sialytransferases .
Wild-type GrB is able to internalize slowly into target cells, but localizes in vesicular structures inside the cytoplasm where it remains inactive . Induction of apoptosis is only observed after the addition of perforin which is thought to liberate GrB from these vesicles, allowing assess of the protease to the cytosol. Recent studies have suggested that the mannose-6-phosphate receptor  could also mediate GrB entry by receptor-mediated endocytosis  and that under these circumstances perforin may act to release endosomal GrB into the cytosol of the target cell . The current study clearly demonstrates that the yoked hCG can mediate the selective cellular accumulation of GrB in cells expressing the LHR. Based on the fact that such uptake is accompanied by cellular cytotoxicity, some fraction of the GrB must gain access to the cytoplasm even in the absence of perforin. Although nonspecific cellular entry of GrB could possibly be mediated by the mannose-6-phosphate receptor, the substantially enhanced cytotoxicity of GrB-YCG compared to unmodified GrB indicated that YCG is the carrier molecule that delivers the attached GrB into the cytoplasm of target tumor cells after binding to the cell surface LHR. Consistent with this finding, immunofluorescent staining clearly showed that GrB-YCG was found in much greater abundance than GrB alone in LHR-positive MA-10 cells following a 3-h exposure to equal concentrations, and that GrB staining was minimal in LHR-knockdown cells exposed to either GrB-YCG or GrB only.
An ideal carrier would be a nonimmunogenic molecule binding to a cell surface receptor expressed predominantly in cancer cells. Furthermore, after binding to the cell surface, the fusion toxin should be transferred into the cytoplasm. hCG fulfills most of these criteria since it is nonimmunogenic, has a long plasma half-life, binds avidly to a cell surface LHR, and is transferred into the cell after binding. hCG receptors are expressed at high levels in tissues of the female genital tract, and its malignancies but not in most other tissues. The function of hCG and hCG receptors in gynecologic malignancies is still somewhat unclear. Kuroda et al.  studied the biological aspect of LH/hCG action in ovarian cancer using the LH/hCG receptor-positive OVCAR-3 and LHR-negative SK-OV-3 cell lines and showed that treatment with hCG did not affect cell proliferation in either cell line, consistent with our finding that hCG alone even at 12.5 μM did not affect the viability of MA-10 cells. It is reasonable to speculate that the increased cytotoxic activity of GrB-YCG is attributable to specific uptake of the molecule due to YCG binding to the LHR not to any additional toxic effect of YCG itself. Furthermore, treatment with a mixture of hCG and GrB that had not been fused together did not show any enhancement of cell killing over that produced by GrB on LHR-positive cell lines (Fig. 3, supplementary material).
Our data demonstrate that GrB-YCG can be readily expressed in Sf9 cells and that, upon specific binding to the LHR on the surface of tumor cells, the fusion molecules are internalized and distributed into the cytosol resulting in efficient cell killing. Since both the GrB and yoked hCG components of GrB-YCG are of human origin, the risk that the molecule will be immunogenic is substantially reduced. Toxins such as gelonin, Pseudomonas exotoxin, or ricin toxin A chain, which are derived from plants or bacteria, are highly immunogenic in humans  and tend to induce drug resistance after several treatments . Because GrB activates numerous independent cascade events through enzymatic mechanisms of action, the development of resistance to GrB is unlikely. GrB-YCG has potential as the first of new class of cancer chemotherapeutic agents for the treatment of ovarian, breast, and prostate carcinomas, as well as other types of tumors that express high levels of the LH receptor.
The authors would like to thank Dr. David Puett for generously providing the Yoked hCG pVL1393 vector. This work was supported by the Clayton Medical Research Foundation and conducted, in part, by the Clayton Foundation for Research.
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