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Last Updated: April 26, 2024

Claims for Patent: 8,377,435


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Summary for Patent: 8,377,435
Title:Antibody induced cell membrane wounding
Abstract: Compositions and methods for inducing cell membrane wounding, cell permeabilization and cell killing are provided. The composition comprises a polyvalent agent that binds to a highly expressed cell surface antigen present on the surface of a cell. Preferably, the cell surface antigen is associated with the cytoskeleton of the cell. A preferred polyvalent agent is an IgM, and enhanced cell wounding and killing can be provided by the addition of a crosslinking agent. At sublethal concentrations in vivo, the cell wounding antibodies permeabilize cells and dramatically enhance response to chemotherapeutic agents, even in patients refractory to the chemotherapeutic agents.
Inventor(s): Bhat; Neelima M. (Los Altos, CA), Bieber; Marcia M. (Los Altos, CA), Teng; Nelson N. H. (Hillsborough, CA), Sanders; Martin E. (Hillsborough, CA)
Assignee: The Board of Trustees of the Leland Stanford Junior University (Palo Alto, CA)
Application Number:11/267,935
Patent Claims:1. A method of treating a mammal suffering from a condition characterized by hyperproliferation of B cells, wherein said hyperproliferating B-cells are cancer cells, comprising administering a cell membrane-wounding VH4-34 antibody that binds to the CDIM epitope on the surface of B cells, in combination with a second cytotoxic agent, wherein said cell membrane wounding VH4-34 antibody is administered at a dosage that was determined to cause membrane pores that allow the second cytotoxic agent to enter said hyperproliferating B-cells to synergistically reduce viability of said hyperproliferating B cells.

2. The method of claim 1, wherein the mammal is a human.

3. The method of claim 1, wherein the mammal is a nonhuman mammal.

4. The method of claim 1, wherein the hyperproliferating B cells are stimulated into a hyperproliferating condition by growth factors, cytokines, or Epstein Barr Virus infection.

5. The method of claim 1, wherein the second cytotoxic agent is a chemotherapeutic agent, a radioactive isotope, a cytotoxic antibody, an immunoconjugate, a ligand conjugate, an immunosuppressant, a cell growth regulator or inhibitor, a toxin, or mixtures thereof.

6. The method of claim 5, wherein the chemotherapeutic agent is vincristine, daunorubicin, L-asparaginase, or colchicine.

7. The method of claim 1, wherein the condition characterized by a hyperproliferation of B cells is lymphoid cancer.

8. The method of claim 1, wherein the viability of hyperproliferating B cells is reduced to 42 percent.

9. The method of claim 1, wherein the viability of hyperproliferating B cells is reduced to 30 percent.

10. The method of claim 1, wherein said cell membrane wounding VH4-34 antibody is administered at a dosage of 1.25 mg/kg bodyweight.

11. A method of killing neoplastic B cells in a mammal, comprising administering to neoplastic B cells a cytotoxic amount of a cell membrane wounding VH4-34 antibody that binds to the CDIM epitope on the surface of the neoplastic B cells in combination with a second cytotoxic agent, wherein said cell membrane wounding VH4-34 antibody is administered at a dosage that was determined to cause membrane pores that allow the second cytotoxic agent to enter said neoplastic B cells to synergistically reduce the viability of the neoplastic B cells.

12. The method of claim 11, wherein the mammal is a human.

13. The method of claim 11, wherein the mammal is a nonhuman mammal.

14. The method of claim 11, wherein the neoplastic B cells are stimulated into a hyperproliferating condition by growth factors, cytokines, or Epstein Barr Virus infection.

15. The method of claim 11 wherein the second cytotoxic agent is a chemotherapeutic agent, a radioactive isotope, a cytotoxic antibody, an immunoconjugate, a ligand conjugate, an immunosuppressant, a cell growth regulator or inhibitor, a toxin, or mixtures thereof.

16. The method of claim 11, wherein the second cytotoxic agent is vincristine, daunorubicin, L-asparaginase, or colchicine.

17. The method of claim 11, wherein the mammal has lymphoid cancer.

18. The method of claim 11, wherein the viability of neoplastic B cells is reduced to 42 percent.

19. The method of claim 11, wherein the viability of neoplastic B cells is reduced to 30 percent.

20. The method of claim 11, wherein said cell membrane wounding VH4-34 antibody is administered at a dosage of 1.25 mg/kg bodyweight.

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