Table Of ContentSpringer-Verlag Berlin Heidelberg GmbH
Wayne A. Marasco, M.D., Ph.D. (Ed.) 
Intrabodies 
Basic Research and Clinical Gene Therapy 
Applications 
Springer
Wayne A. Marasco, M.D., Ph.D. 
Division of Human Retrovirology 
Dana-Farber Cancer Institute 
Boston, Massachusetts, U.S.A. 
Library of Congress Cataloging-in-Publication data 
Intrabodies-Basic research and clinica! gene therapy applications / Wayne A. Marasco. 
p. cm. - (Biotechnology intelligence unit) 
Includes bibliographical references and index. 
ISBN 978-3-662-12121-4  ISBN 978-3-662-12119-1 (eBook) 
DOI 10.1007/978-3-662-12119-1 
1. Immunoglobulins--Biotechnology.  2. Gene targeting. 3. Gene therapy. 4. Cellular signal 
transduction.  1. Marasco, Wayne A., 1953- . II. Series. 
[DNLM: 1. Antibodies--physiology. 2. Signal Transduction--physiology. 3. Gene 
Expression--physiology. QW 575168519971 
TP248.65.I49156 1997 
616.07'98-dc21 
DNLM/DLC  97-36323 
for Library of Congress  CIP 
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Originally published by Springer-Verlag Berlin Heidelberg New York in 1998 
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DEDICATION 
Dedicated to the memory of Anthony S. Marasco. 
((Special Thanks" to Viola Kempf and to my girls, Je ny, 
Mariah and Madison.
=====PREFACE===== 
A
ntibodies have long been used in biomedical science as in vitro tools 
for the identification, purification and functional manipulation of 
target antigens; they have been exploited in vivo for diagnostic and 
therapeutic applications as well. Recent advances in antibody engineer 
ing have allowed the genes encoding antibodies to be manipulated so 
that the antigen binding domain can be expressed intracellularly. The 
specific and high-affinity binding properties of antibodies, combined 
with their ability to be stably expressed in precise intracellular loca 
tions inside mammalian cells and to unique epitopes on a target mol 
ecule, has provided an extraordinary powerful new family of molecules 
called intracellular antibodies or "intrabodies., 
This book is about intrabodies and contains chapters by leading 
investigators in the fields of antibody engineering, signals transduc 
tion as well as cancer and AIDS research. These investigators are using 
intrabodies in their laboratories as tools for gene inactivation and/or 
as therapeutic molecules in clinical gene transfer applications. There 
are ten chapters in the book. 
The first chapter is an introduction to the intrabody technology 
and the use of intracellular trafficking signals to direct intrabodies to 
precise subcellular locations.  I have tried to briefly review published 
work on intrabodies in this area as well as to discuss new vector de 
signs that are currently being tested in my laboratory to broaden the 
subcellular targeting potentials of these molecules. I have also discussed 
where I believe this technology can go in the future. 
The second chapter by Drs. Poul and Marks is an extensive review 
of antibody phage display technology.  Using powerful new 
immunotechnological tools, the creation of large human immunoglo 
bulin libraries from naive individuals has been achieved and when com 
bined with phage display technology, has allowed investigators to by 
pass in vivo immunization and produce high affinity human antibod 
ies to human proteins. These powerful new methods have provided a 
rich source of rearranged human antibody genes and, when combined 
with the use of classical intracellular trafficking signals, greatly extends 
and will markedly enable the further development of this new 
technology. 
The third chapter describes studies on the use of intrabodies to 
obtain phenotypic knockout of the high affinity component of the hu 
man interleukin-2 receptor a chain.  These studies by Dr. Richardson
and myself demonstrate the power of this technology to obtain pheno 
typic knockout of an integral membrane growth factor receptor on both 
leukemic T cell lines and PBMCs. The ability to use this technology to 
systematically examine different components of the IL-2 receptor path 
way for their involvement in constitutive signaling and in the growth of 
HTLV-I transformed cells and adult T cell leukemia cells (ATL) are dem 
onstrated and discussed in detail. 
In chapter four, Drs. Beerli, Graus-Porta and Hynes present their 
elegant biochemical studies on the use of intrabodies as tools to study 
erbB2 receptor kinases.  Epidermal growth factor (EGF) receptor and 
erbB-2, two receptors whose aberrant expression is frequently involved 
in human cancer, were chosen as targets. Their studies withER-directed 
sFv intrabodies to EGFR could compete with EGF and inhibit EGF re 
ceptor function in an autocrine manner while, in contrast, the KDEL 
containing sFv intrabody inactivated the EGF receptor by ER retention. 
Additional studies with two KDEL-tagged sFv intrabodies against erbB-
2 have demonstrated a marked decrease in the cell-surface expression 
of erbB2 in NIH3T3 fibroblasts that express an oncogenically activated 
form of erbB2. Functional inactivation of the receptor is suggested by a 
reduction in the phosphotyrosine content of the cells and, more impor 
tantly, by the reversion of the cells to a non-transformed phenotype. 
These  latter  studies  also  show the  importance  of receptor 
transmodulation among the type I RTKs. 
Neuroantibodies or recombinant antibody expression in the cen 
tral nervous system is the topic of chapter five.  Here, Drs. Cattaneo, 
Piccioli and Ruberti present their pioneering work on expressing re 
combinant antibodies in the central nervous system of transgenic mice. 
They describe their studies with glial and neuronal cell expression of 
anti-neurotrophic factor (NGF) and anti-substance P (SP) recombinant 
antibodies and their neutralizing activity of the corresponding anti 
gens.  They also discuss the potential applications of this approach of 
local production of antibodies within the CNS as a promising thera 
peutic strategy. 
Chapters six and seven contain very valuable contributions from 
two leading laboratories on the use of intrabodies for the gene therapy 
of cancer. In chapter six, Dr. Curiel presents a number of studies from 
his laboratory, complementary to those presented by Drs. Beerli, Graus 
Porta and Hynes, on an ER-directed sFv intrabody that has been used 
to downregulate erbB2 in the human ovarian-carcinoma cell line SKOV3. 
They demonstrate that constitutive downregulation of erbB2 is incom 
patible with the long-term survival of these cells which are killed by
apoptosis. When ex vivo transduced SKOV3 cells were introduced sub 
cutaneously into nude mice, no tumors grew and complete tumor eradi 
cation at necropsy was observed. Tumor cell eradication in transduced 
primary cultures of human ovarian carcinoma cells could also be dem 
onstrated.  Using a replicative-defective adenovirus to in vivo trans 
duce the anti-erbB2 sFv intrabody gene into i.p. transplanted SKOV3 
cells, these investigators further demonstrated in vivo tumor cell kill 
ing and a significantly prolonged survival of animals compared to con 
trol groups. These preclinical studies form the basis of a clinical gene 
therapy protocol to treat a metastatic ovarian cell carcinoma in patients 
that have failed conventional chemotherapy. 
Chapter seven describes in vitro and in vivo studies by Dr. Cochet 
and colleagues on an anti-ras sFv intrab ody. They demonstrate first in 
Xenopus laevis oocytes that the anti-ras sFv intrabody can inhibit mei 
otic maturation in response to insulin which activates the Ras signaling 
pathway. Germinal vesical breakdown ( GVBD ), a hallmark of matura 
tion and activation of maturation promoting factor or P34cdc• were also 
inhibited. In mammalian cells, the anti-Ras sFv could also inhibit the 
activation of the transcriptional AP-1 complex by oncogenic ras.  Cell 
death by apoptosis was observed in human lung carcinoma H460 cells 
which express the mutant Ki-ras gene. When direct intratumor injec 
tion of an adenovirus expressing the anti-ras sFv intrabody was per 
formed in nude mice, pronounced tumor regression was observed. Fi 
nally, they discuss their proposed studies to determine if selected anti 
P53 sFv intrabodies can restore wild-type p53-associated properties such 
as specific DNA binding and transcriptional activation, which may re 
sult in cell cycle arrest and/or apoptosis of certain tumor cells that con 
tain point mutations in one of the P53 alleles. 
Chapters eight through ten detail studies from both my labora 
tory and the laboratories of Drs. Duan and Pomerantz on the use of 
anti-HIV- 1 intrabodies for the gene therapy ofHIV- 1-infection and AIDS. 
In chapter eight, Dr. Mhashilkar and I describe studies that evaluate 
anti-tat and anti-rev sFv intrabodies for "intracellular immunization'' 
against HIV-1 infection. In these studies we present experimental data 
that demonstrate that the epitope of the target protein is critical for 
inhibition of HIV-1 replication, both for anti-tat and anti-rev sFv 
intrabodies. 
In chapter nine, Dr. Rondon and I describe studies on intrabodies 
that are directed against the HIV-1 gag proteins, p17 (matrix (MA)) and 
p7 (nucleocapsid (NC) ). A Fab intrabody against MA was used to block 
both afferent and efferent arms of the viral life cycle since the matrix
protein is both required for nuclear import of the viral preintegration 
complex and for particle assembly.  In these studies we show that a 
marked inhibition of proviral gene expression occurred in stably trans 
fected T cell lines when single-round HIV-1 CAT virus was used for 
infections. In challenge experiments using both laboratory strains and 
syncytium -inducing primary isolates of HIV -1, a substantial reduction 
in the infectivity of virions released from the cells was also observed. 
We also present preliminary data with an anti-NC sFv intrabodywhich 
suggests that the anti-viral activity that is observed is due to a blockade 
at both the afferent and efferent arms of the life cycle. 
The final chapter prepared by Drs. Duan and Pomerantz details 
their studies on sFv intrabodies against HIV-1 integrase and reverse 
transcriptase. These two targets are critical for the afferent arm of the 
HIV-1life cycle and it is thought that intracellular immunization which 
results in preventing the establishment of infection may be more effi 
cient than strategies aimed at inhibiting gene expression after integra 
tion of the provirus has occurred. These investigators present data to 
demonstrate that the anti-IN and anti-RT sFv intrab ody transduced cells 
are protected against HIV-1 challenge. They also discuss their studies 
on combining sFv intrabodies with ribozymes to increase the anti-viral 
activity of their retroviral transduced cells. 
In summary, this book will broaden the interest and knowledge of 
scientists already familiar with specific aspects of antibody engineer 
ing and gene therapy, for whom the extensive and up-to-date data list 
will prove particularly useful. It will also be useful to students of cell 
biology, biochemistry, microbiology, molecular biology and gene 
therapy. Finally, this book will grab the attention of scientists that are 
involved in the human genome project and in identifying small mol 
ecule drugs for the treatment of human diseases who may wish to uti 
lize intrabodies as a means to achieve their goals. They will surely learn 
a great deal about intracellular protein trafficking along the way.
CONTENTS 
1.  Designing Intrabodies: Structural Features and the Use 
of Intracellular Trafficking Signals ............................................ 1 
Wayne A. Marasco 
Introduction ................................................................................. 1 
Starting Materials For lntrabody Construction ....................... 2 
Intracellular Trafficking ............................................................. 2 
Summary and Future Prospects ............................................... 15 
2.  Phage Libraries for Generation of Single Chain Fv Antibodies 
for Intracellular Immunization ................................................. 23 
Marie Alix Poul and ]ames D. Marks 
Introduction ............................................................................... 23 
3·  Phenotypic Knockout of the Human Interleukin-2 
Receptor a Chain On Primary and HTLV -I 
Transformed T Cells .................................................................... 47 
Jennifer H. Richardson and Wayne A. Marasco 
Introduction ............................................................................... 47 
Functional Studies ..................................................................... 50 
Conclusions ............................................................................... 56 
4·  Intracellular Antibodies as Tools to Study ErbB 
Receptor Tyrosine Kinases ......................................................... 61 
Roger R. Beerli, Diana Graus-Porta and Nancy E. Hynes 
Introduction ............................................................................... 61 
5·  Neuroantibodies: The Use of Recombinant Antibody 
Expression in the Central Nervous System .............................. 75 
Antonino Cattaneo, Patrizia Piccioli and Francesca Ruberti 
Introduction ............................................................................... 75 
Refining the Mode of Action of Ne uroantibodies .................. 86 
Bypassing the Blood-Brain Barrier: Grafting 
of Engineered Cells or Direct Gene Transfer ...................... 87 
Antibody Expression in the CNS 
for Intercellular Immunization ............................................ 91 
Conclusions ............................................................................... 92 
6.  Intracellular Antibody-Mediated Knockout of the ErbB-2 
Oncoprotein as a Cancer Gene Therapy Approach ................ 97 
David T. Curiel 
Introduction ............................................................................... 97 
Summary .................................................................................. 124
7·  Intracellular Targeting of Oncogenes: A Novel Approach 
for Cancer Therapy ................................................................... 129 
Olivier Cochet, Isabelle Delumeau, Mireille Kenigsberg, 
Nadege Grue~ Fabien Schweighoffer, Laurent Bracco, 
Jean Luc Teillaud and Bruno Tocque 
Introduction ............................................................................. 129 
Future Directions .................................................................... 142 
8.  Intrabodies Against the HIV -1 Regulatory Proteins: 
Tat and Rev as Targets for Gene Therapy .............................. 147 
Abner M. Mhashilkar and Wayne A. Marasco 
Introduction .............................................................................. 147 
9·  Gene Therapy for HIV-1 Using Intracellular Antibodies 
Against HIV -1 Gag Proteins ..................................................... 163 
Isaac]. Rondon and Wayne A. Marasco 
Introduction .............................................................................. 163 
Genetic-Based Strategies Used to Inhibit 
HIV-1 Replication ................................................................. 163 
Intracellular Antibodies Against HIV -1 ................................ 164 
Matrix (p17) .............................................................................. 164 
Nucleocapsid (p7) .................................................................... 173 
Conclusion ............................................................................... 176 
10.  Single Chain Variable Fragment-Based Strategies 
for Anti-HIV-1 Gene Therapy: Targeting the Viral 
Preintegration Complex and Combination 
Molecular Approaches .............................................................. 183 
Roger]. Pomerantz and Lingxun Duan 
Introduction .............................................................................. 183 
Conclusion ............................................................................... 205 
Index ..................................................................................................... 209