Abstract
[131 I]Metuximab injection (Licartin) was an efficient therapeutic anti-hepatocellular
carcinoma (HCC) radioimmunological agent generated by labeling 131 I with the murine
monoclonal antibody fragment HAb18-F(ab’)2 but human anti-mouse antibody (HAMA)
response in some patients after administration limited its clinical use. To reduce the
immunogenicity of murine antibody, we attempted to humanize HAb18 by variable domain
resurfacing based on the three-dimensional structure of Fv fragment. Considering the
surface accessibility of non-human like framework residues and the potential to form a
molecular hydrogen bond within the context of the homology modeled Fv of HAb18, three
residues in a single chain fragment of antibody variable region of HAb18 (HAb18scFv)
were replaced by their human counterparts. We fabricated a humanized version of
HAb18scFv, HAb18-huscFv, to the human IgG1 Fc fragment to form (HAb18-huscFv)2-Fc.
The reactivity of (HAb18-huscFv)2-Fc to the serum of patients with HAMA response was
decreased while its specificity and similar binding activity (KD = 1.5 × 10-9 M) were
retained compared with its parental antibody. In addition, this antibody is an efficient
mediator of antibody-dependent cell-mediated cytotoxicity (ADCC) and
complement-dependent cytotoxicity (CDC). These results suggest (HAb18-huscFv)2-Fc
could be a more efficient antibody fragment with less immunogenicity and additional
cytotoxicity function.