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Recombinant fusion toxins — A new class of targeted biologic therapeutics

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Book cover Immunoconjugate Therapy of Hematologic Malignancies

Part of the book series: Cancer Treatment and Research ((CTAR,volume 68))

Abstract

Fusion toxins are recombinant hybrid proteins composed of sequences encoding a targeting ligand, such as a growth factor, and those encoding fragments of a toxin, typically diphtheria toxin or Pseudomonas exotoxin [1,2]. These single-chain polypeptides are built upon a product template contained within each toxin molecule. The toxin molecule has three functional domains: (1) the receptor binding domain or targeting ligand recognizes and attaches the molecule to cell surface receptors, (2) the membrane translocation domain functions like a molecular syringe to release the toxic fragment into the cell cytosol, and (3) the toxic domain, which kills target cells by ADP ribosylation of elongation factor 2 and subsequent inhibition of protein synthesis. Genetic replacement of the native receptor binding domain of diphtheria toxin or Pseudomonas exotoxin A with either a eukaryotic cell receptor-specific growth factor or a peptide hormone sequence has resulted in the creation of a new class of targeted biological therapeutics that can target specific cell surface receptors on malignant or other disease-causing cells.

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References

  1. FitzGerald D, Pastan I. Targeted toxin therapy for the treatment of cancer. J Natl Cancer Inst 81:1455–1463, 1989.

    Article  PubMed  CAS  Google Scholar 

  2. Pastan I, FitzGerald D. Recombinant toxins for cancer treatment. Science 254:1173–1177, 1991.

    Article  PubMed  CAS  Google Scholar 

  3. Williams DP, Parker K, Bacha P, Borowski M, Genbauffe F, Strom TB, Murphy JR. Diphtheria toxin receptor binding domain substitution with interleukin-2: Genetic construction and properties of a diphtheria toxin-related interleukin-2 fusion protein. Protein Eng 1:493–498, 1987.

    Article  PubMed  CAS  Google Scholar 

  4. Bacha P, Williams DP, Waters C, Murphy JR, Strom TB. Interleukin-2 receptor-targeted cytotoxicity: Interleukin 2 receptor-mediated action of a diphtheria toxin-related interleukin 2 fusion protein. J Exp Med 167:612–622, 1988.

    Article  PubMed  CAS  Google Scholar 

  5. Waters CA, Schimke PA, Snider CE, Strom TB, Murphy JR. Interleukin 2 receptor-targeted cytotoxicity. Receptor binding requirements for entry of a diphtheria toxin-related interleukin 2 fusion protein into cells. Eur J Immunol 20:785–791, 1990.

    Article  PubMed  CAS  Google Scholar 

  6. Williams DP, Snider CE, Strom TB, Murphy JR. Structure/function analysis of interleukin-2-toxin (DAB486IL-2). J Biol Chem 265:1885–1889, 1990.

    Google Scholar 

  7. Smith KA. The two chain structure of the high-affinity IL-2 receptors. Immunol Today 8:11–13.7, 1987.

    Article  CAS  Google Scholar 

  8. Craig F, Banks P. Detection of the alpha and beta components of the interleukin-2 receptor using immunologic techniques. Modern Pathol 5:118, 1992.

    Google Scholar 

  9. Tsudo M, Kitamura F, Miyasaka M. Characterization of the interleukin 2 receptor β chain using three distinct monoclonal antibodies. Proc Natl Acad Sci USA 86:1982–1986, 1989.

    Article  PubMed  CAS  Google Scholar 

  10. LeMaistre CF, Meneghetti C, Rosenblum M, Reuben JH, Parker K, Shaw J, Deisseroth A, Woodworth T, Parkinson DR. Phase I trial of an interleukin-2 (IL-2) fusion toxin (DAB486LL-2) in hematologic malignancies expressing the IL-2 receptor. Blood 79:2547–2554, 1992.

    PubMed  CAS  Google Scholar 

  11. Hesketh P, Caguioa P, Koh H, Dewey H, Facada A, McCaffrey R, Parker K, Nylen P, Woodworth T. Clinical activity of a cytotoxic fusion protein (DAB4486IL-2) in the treatment of cutaneous T-cell lymphoma. Accepted for publication. J Clin Onc, 1993.

    Google Scholar 

  12. Schwartz G, Tepler L, Charette J, Kadin L, Parker K, Woodworth T, Schnipper L. Complete response of Hodgkin’s lymphoma in a Phase I trial of DAB486IL-2, an IL-2 diphtheria fusion toxin. Blood 76(Suppl 1):175, 1991.

    Google Scholar 

  13. LeMaistre CF, Craig F, Meneghetti CM, McMullin B, Rosenblum M, Reuben J, Banks P, Deisseroth A, VonHoff DD. IL-2 α (P55) expression is associated with antitumor activity in patients with hematologic malignances treated with an IL-2 fusion toxin (DAB486IL-2). Third International Symposium on Immunotoxins, June 19–23, 1992, Orlando, Florida.

    Google Scholar 

  14. Platanias LC, Ratain MJ, O’Brian S, Larson RA, Vardiman JW, Williams SF, Baron JM, Parker K, Woodworth TC. Phase I study of DAB486IL-2 in patients with hematologic malignancies. Proc Am Soc Clin Onc 11:843, 1992.

    Google Scholar 

  15. Kuzel T, Rosen S, Gordon L, Winter J, Samuelson E, Kaul K, Roenigk H, Nylen P, Woodworth T. Safety and biologic effects of DAB486IL-2 in IL-2 receptor expressing malignancies. Proc Am Assoc Cancer Res 33:227, 1358, 1992.

    Google Scholar 

  16. Woodworth T, LeMaistre CF, McCaffrey R, Schnipper L, Rosen S, Ratain M. unpublished. Phase I/II clinical studies of DAB486IL-2 fusion toxin in patients with refractory IL-2 receptor expressing hematopoietic malignancies. 7th NCI EORTC Symposium on New Drugs in Cancer Therapy, March 17–20, 1992, Amsterdam.

    Google Scholar 

  17. Sewell KL, Parker KC, Woodworth TG, Reuben J, Swartz W, Trentham DE. DAB486JL-2 fusion toxin in refractory rheumatoid arthritis. Submitted.

    Google Scholar 

  18. Boitard C, Timsit J, Assan R, Mogenet A, Debussche X, Kaloustian E, Attali J, Chansoon P, Chatenoud L, Woodworth T, Bach JF. Treatment of recent onset type-I (insulin-dependent) diabetes mellitus with DAB486IL-2, a toxin conjugate aiming at activated T-lymphocytes. Proceedings of the European Association for the Study of Diabetes, September 8–11, 1992, Prague.

    Google Scholar 

  19. Chaudhary VK, Mizukamni T, Fuerst TR, FitzGerald DJ, Moss B, Pastan I, Berger EA. Selective killing of HIV-infected cells by recombinant human CD4-Pseudomonas exotoxin hybrid protein. Nature 335:369–372, 1988.

    Article  PubMed  CAS  Google Scholar 

  20. Berger EA, Chaudhary VK, Mizukami T, Fuerst TR, FitzGerald DJ, Moss B, Pastan I. Recombinant CD4-Pseudomonas exotoxin hybrid protein selectively kills HIV-infected cells. J Cell Biochem (Suppl 0):240, 1989.

    Google Scholar 

  21. Davey RT, Jr., Boenning CM, Herpin BR, Batts DH, Walker RE, Polis MA, Falloon J, Koacs JA, Masur H, Metcalf JA, Smolskis M, Cox SR, Wathen L, Lane HC. A phase I study of recombinant CD4-pseudomonas exotoxin (CD4-PE40) in HIV-infected individuals. Proceedings of the World AIDS Congress, July 20–25, 1992.

    Google Scholar 

  22. Pai LH, Gallo MG, FitzGerald DJ, Pastan I. Antitumor activity of a transforming growth factor α-pseudomonas exotoxin fusion protein (TGF-α-PE40). Cancer Res 51:2808–2812, 1991.

    PubMed  CAS  Google Scholar 

  23. Bacha P, Perper SJ, Shaw JP, Waters CA, Nichols JC. Efficacy, toxicity and pharmacokinetic studies comparing interleukin 2 fusion toxins. The Third International Symposium on Immunotoxins, June 19–21, 1992, Orlando, Florida.

    Google Scholar 

  24. Bacha PA, Forte SE, McCarthy DM, Estis L, Yamada G, Nichols JC. Impact of interleukin-2-receptor-targeted cytotoxins on a unique model of murine interleukin-2-receptor-expressing malignancy. Int J Cancer 49:96–101, 1991.

    Article  PubMed  CAS  Google Scholar 

  25. Shaw JP, Akiyoshi DE, Arrigo DA, Rhoad AE, Sullivan B, Thomas J, Genbauffe FS, Bacha P, Nichols JC. Cytotoxic properties of DAB486EGF and DAB389EGF, epidermal growth factor (EGF) receptor-targeted fusion toxins. J Biol Chem 266:21118–21124, 1991.

    PubMed  CAS  Google Scholar 

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© 1993 Springer Science+Business Media New York

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Woodworth, T.G., Nichols, J.C. (1993). Recombinant fusion toxins — A new class of targeted biologic therapeutics. In: Rosen, S.T., Kuzel, T.M. (eds) Immunoconjugate Therapy of Hematologic Malignancies. Cancer Treatment and Research, vol 68. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3076-3_8

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  • DOI: https://doi.org/10.1007/978-1-4615-3076-3_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6343-9

  • Online ISBN: 978-1-4615-3076-3

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