RT Journal Article SR Electronic T1 B-Cell Depletion In Vitro and In Vivo with an Afucosylated Anti-CD19 Antibody JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 213 OP 222 DO 10.1124/jpet.110.168062 VO 335 IS 1 A1 Ronald Herbst A1 Yue Wang A1 Sandra Gallagher A1 Nanette Mittereder A1 Ellen Kuta A1 Melissa Damschroder A1 Rob Woods A1 Daniel C. Rowe A1 Li Cheng A1 Kim Cook A1 Krista Evans A1 Gary P. Sims A1 David S. Pfarr A1 Michael A. Bowen A1 William Dall'Acqua A1 Mark Shlomchik A1 Thomas F. Tedder A1 Peter Kiener A1 Bahija Jallal A1 Herren Wu A1 Anthony J. Coyle YR 2010 UL http://jpet.aspetjournals.org/content/335/1/213.abstract AB The pan B-cell surface antigen CD19 is an attractive target for therapeutic monoclonal antibody (mAb) approaches. We have generated a new afucosylated anti-human (hu)CD19 mAb, MEDI-551, with increased affinity to human FcγRIIIA and mouse FcγRIV and enhanced antibody-dependent cellular cytotoxicity (ADCC). During in vitro ADCC assays with B-cell lines, MEDI-551 is effective at much lower mAb concentrations than the fucosylated parental mAb anti-CD19-2. Furthermore, the afucosylated CD19 mAb MEDI-551 depleted B cells from normal donor peripheral blood mononuclear cell samples in an autologous ADCC assay, as well as blood and tissue B cells in human CD19/CD20 double transgenic (Tg) mice at lower concentrations than that of the positive control mAb rituximab. In huCD19/CD20 Tg mice, both macrophage-mediated phagocytosis and complement-dependent cytotoxicity contribute to depletion with rituximab; MEDI-551 did not require complement for maximal B-cell depletion. Furthermore, extended B-cell depletion from the blood and spleen was achieved with MEDI-551, which is probably explained by bone marrow B-cell depletion in huCD19/CD20 Tg mice relative to the control mAb rituximab. In summary, MEDI-551 has potent B-cell-depleting activity in vitro and in vivo and may be a promising new approach for the treatment of B-cell malignancies and autoimmune diseases.