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C Shimazaki, D Wisniewski, DA Scheinberg, J Atzpodien, A Strife, S Gulati, J Fried, R Wisniewolski, CY Wang and BD Clarkson
Laboratory of Hematopoietic Cell Kinetics, Memorial Sloan-Kettering Cancer
Center, New York 10021.
The efficacy of immunomagnetic beads to purge human myeloma cells from bone
marrow ex vivo was evaluated. The optimal conditions for purging were
studied first by using three myeloma cell lines: RPMI-8226, SKO- 007, and
SKMM-2. Myeloma cells labeled with the vital fluorescent dye Hoechst 33342
were admixed with normal bone marrow cells, and two monoclonal antibodies
reactive with the myeloma cells (PCA-1 and BL-3) were added alone or in
combination with the cells. Magnetic beads coated with goat antimouse
immunoglobulin G were then added, and the tumor cells to which beads were
attached were separated from the mixture with a magnet. The efficacy of
tumor cell removal was dependent on the bead-to-tumor ratio; a ratio of
more than 500 was optimal in the presence of excess normal marrow cells.
The combination of monoclonal antibodies PCA-1 and BL-3 increased the tumor
cell removal as compared with either antibody alone. Two cycles of
treatment were more effective than one cycle was. Under optimal conditions,
2.3 to 4 logs of tumor cells could be removed from the mixture containing
10% myeloma cells without a significant loss of normal hematopoietic
progenitors as measured by CFU-GM, CFU-GEM, and BFU-E. When the efficacy of
this procedure was tested on fresh bone marrow from patients with multiple
myeloma (MM) by using the combination of PCA-1, BL-3, and J-5, 1.6 to 2.5
logs of tumor cells could be removed by one cycle of treatment, even from
marrows containing less than 10% myeloma cells. These observations support
the use of monoclonal antibody combinations and immunobeads as a reliable
and nontoxic method to eliminate contaminating myeloma cells ex vivo in
preparation for autologous bone marrow transplantation in patients with MM.
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