Iron is an essential nutrient for normal cell growth, and reprogramming of
iron metabolism is essential to
tumor cell survival and progression. HTLV-1-associated
adult T-cell leukemia/lymphoma (
ATLL) has no effective
therapy and high levels of cell surface
transferrin receptor 1 (TFR1) expression have been reported in
ATLL by us and other groups. In this study, to develop a novel
molecular-targeted therapy against TFR1 to modulate
iron metabolism, we initially determined the expression pattern of several
iron-related genes along with TFR1 and found that
ATLL cells presented characteristic of an
iron-deficiency state such as high expression of
iron-regulatory protein 2 (IRP2) and low expression of its
E3 ubiquitin-ligase, FBXL5. Therefore, we developed human
IgG monoclonal antibodies to human TFR1 using a phage display method (ICOS method) to block the incorporation of the
transferrin (TF)-
iron complex into
ATLL cells for inhibiting cell growth. One of the mAbs, JST-TFR09, presented its greater affinity to TFR1 on
ATLL cells in flow cytometry (FCM) analysis than those of commercially available anti-TFR1
antibodies and identified high expression of TFR1 in most of the acute-type
ATLL cells. Moreover, JST-TFR09 could interfere with binding between TFR1 and TF, which resulted in effective blockade of TFR1 internalization and induction of cell apoptosis by the treatment of
ATLL cells with JST-TFR09. JST-TFR09 showed dual activities through direct cell cytotoxicity and antibody-dependent cellular cytotoxicity (ADCC), and the treatment of JST-TFR09 significantly suppressed cell growth of
ATLL cells with induction of apoptosis in in vitro and in vivo experiments. Thus, JST-TFR09 described here may become a promising therapeutic antibody for the treatment of
ATLL.