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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2021.8124</article-id>
<article-id pub-id-type="publisher-id">OR-0-0-8124</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Anti-HER3 monoclonal antibody exerts antitumor activity in a mouse model of colorectal adenocarcinoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Asano</surname><given-names>Teizo</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref>
<xref rid="fn1-or-0-0-8124" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Ohishi</surname><given-names>Tomokazu</given-names></name>
<xref rid="af2-or-0-0-8124" ref-type="aff">2</xref>
<xref rid="fn1-or-0-0-8124" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Takei</surname><given-names>Junko</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref>
<xref rid="af3-or-0-0-8124" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Nakamura</surname><given-names>Takuro</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Nanamiya</surname><given-names>Ren</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Hosono</surname><given-names>Hideki</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Tanaka</surname><given-names>Tomohiro</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Sano</surname><given-names>Masato</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Harada</surname><given-names>Hiroyuki</given-names></name>
<xref rid="af3-or-0-0-8124" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Kawada</surname><given-names>Manabu</given-names></name>
<xref rid="af2-or-0-0-8124" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Kaneko</surname><given-names>Mika K.</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kato</surname><given-names>Yukinari</given-names></name>
<xref rid="af1-or-0-0-8124" ref-type="aff">1</xref>
<xref rid="af4-or-0-0-8124" ref-type="aff">4</xref>
<xref rid="c1-or-0-0-8124" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-0-0-8124"><label>1</label>Department of Antibody Drug Development, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8575, Japan</aff>
<aff id="af2-or-0-0-8124"><label>2</label>Institute of Microbial Chemistry (BIKAKEN), Numazu, Microbial Chemistry Research Foundation, Numazu-shi, Shizuoka 410-0301, Japan</aff>
<aff id="af3-or-0-0-8124"><label>3</label>Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo 113-8510, Japan</aff>
<aff id="af4-or-0-0-8124"><label>4</label>Department of Molecular Pharmacology, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8575, Japan</aff>
<author-notes>
<corresp id="c1-or-0-0-8124"><italic>Correspondence to</italic>: Professor Yukinari Kato, Department of Molecular Pharmacology, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan, E-mail: <email>yukinarikato@med.tohoku.ac.jp</email></corresp>
<fn id="fn1-or-0-0-8124"><label>&#x002A;</label><p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>08</month>
<year>2021</year></pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>06</month>
<year>2021</year></pub-date>
<volume>46</volume>
<issue>2</issue>
<elocation-id>173</elocation-id>
<history>
<date date-type="received"><day>02</day><month>03</month><year>2021</year></date>
<date date-type="accepted"><day>21</day><month>05</month><year>2021</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Asano et al.</copyright-statement>
<copyright-year>2021</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>HER3 belongs to the epidermal growth factor receptor (EGFR) family and is known to form an active heterodimer with other three family members EGFR, HER2, and HER4. HER3 is overexpressed in lung, breast, colon, prostate, and gastric cancers. In the present study, we developed and validated an anti-HER3 monoclonal antibody (mAb), H<sub>3</sub>Mab-17 (IgG<sub>2a</sub>, kappa), by immunizing mice with HER3-overexpressed CHO-K1 cells (CHO/HER3). H<sub>3</sub>Mab-17 was found to react specifically with endogenous HER3 in colorectal carcinoma cell lines, using flow cytometry. The <italic>K</italic><sub>D</sub> for H<sub>3</sub>Mab-17 in CHO/HER3 and Caco-2 (a colon cancer cell line) were determined to be 3.0&#x00D7;10<sup>&#x2212;9</sup> M and 1.5&#x00D7;10<sup>&#x2212;9</sup> M via flow cytometry, respectively, suggesting high binding affinity of H<sub>3</sub>Mab-17 to HER3. Then, we assessed the H<sub>3</sub>Mab-17 antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC) against Caco-2, and evaluated its antitumor capacity in a Caco-2 &#x00D7;enograft model. <italic>In vitro</italic> experiments revealed H<sub>3</sub>Mab-17 had strongly induced both ADCC and CDC against Caco-2 cells. <italic>In vivo</italic> experiments on Caco-2 &#x00D7;enografts revealed that H<sub>3</sub>Mab-17 treatment significantly reduced tumor growth compared with the control mouse IgG. These data indicated that H<sub>3</sub>Mab-17 could be a promising treatment option for HER3-expressing colon cancers.</p>
</abstract>
<kwd-group>
<kwd>HER3</kwd>
<kwd>monoclonal antibody</kwd>
<kwd>antibody-dependent cellular cytotoxicity</kwd>
<kwd>complement-dependent cytotoxicity</kwd>
<kwd>antitumor activity</kwd>
<kwd>colorectal cancer</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Japan Agency for Medical Research and Development (AMED)</funding-source>
<award-id>JP21am0401013 (to YK)</award-id>
<award-id>JP21am0101078 (to YK)</award-id>
</award-group>
<award-group>
<funding-source>Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI)</funding-source>
<award-id>21K15523 (to TA)</award-id>
<award-id>21K07168 (to MKK)</award-id>
<award-id>19K07705 (to YK)</award-id>
<award-id>20K16322 (to MS)</award-id>
</award-group>
<funding-statement>This research was supported in part by the Japan Agency for Medical Research and Development (AMED) under grant nos. JP21am0401013 (to YK) and JP21am0101078 (to YK), and by the Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) grant nos. 21K15523 (to TA), 21K07168 (to MKK), 19K07705 (to YK) and 20K16322 (to MS).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The epidermal growth factor receptor (EGFR) family, also known as HER or ErbB, has a tyrosine kinase domain in its intracellular region (<xref rid="b1-or-0-0-8124" ref-type="bibr">1</xref>). The EGFR family transduces extracellular to intracellular signals through the activation of tyrosine kinase domain (<xref rid="b1-or-0-0-8124" ref-type="bibr">1</xref>). By binding to the ligand, the extracellular domain promotes the formation of homodimers or heterodimers between the EGFR family receptors (<xref rid="b2-or-0-0-8124" ref-type="bibr">2</xref>,<xref rid="b3-or-0-0-8124" ref-type="bibr">3</xref>). This dimerization is essential for the activation of the tyrosine kinase domain and intracellular signaling pathways such as Ras/MAPK, PI3K/Akt, and JAK/STAT (<xref rid="b4-or-0-0-8124" ref-type="bibr">4</xref>,<xref rid="b5-or-0-0-8124" ref-type="bibr">5</xref>).</p>
<p>The EGFR family consists of four members [EGFR (HER1, ErbB1), HER2 (ErbB2), HER3 (ErbB3), and HER4 (ErbB4)] and each member has different ligands: EGFR binds to seven ligands such as EGF, TGF-&#x03B1;, and epigen; HER3 binds to neuregulin1 and neuregulin2; HER4 binds to seven ligands such as heparin binding-EGF, betacellulin, and epiregulin. In contrast, there is no ligand for HER2 (<xref rid="b6-or-0-0-8124" ref-type="bibr">6</xref>,<xref rid="b7-or-0-0-8124" ref-type="bibr">7</xref>). Although HER3 has a tyrosine kinase domain, its kinase activity is impaired (<xref rid="b8-or-0-0-8124" ref-type="bibr">8</xref>,<xref rid="b9-or-0-0-8124" ref-type="bibr">9</xref>). Therefore, transphosphorylation by other members of the EGFR family is required to activate HER3. HER3 can form an active heterodimer with the other three members of the EGFR family (<xref rid="b2-or-0-0-8124" ref-type="bibr">2</xref>,<xref rid="b10-or-0-0-8124" ref-type="bibr">10</xref>&#x2013;<xref rid="b13-or-0-0-8124" ref-type="bibr">13</xref>).</p>
<p>The EGFR family plays an essential role in regulating cell growth and in the differentiation, proliferation, and survival of normal cells. Insufficient EGFR signaling is associated with Alzheimer&#x0027;s disease and multiple sclerosis (<xref rid="b14-or-0-0-8124" ref-type="bibr">14</xref>), while the overexpression of EGFR family is associated with the development of tumors (<xref rid="b15-or-0-0-8124" ref-type="bibr">15</xref>&#x2013;<xref rid="b17-or-0-0-8124" ref-type="bibr">17</xref>). The EGFR family has been found to be overexpressed in many cancers as below: EGFR in breast, non-small cell lung, and prostate cancers (<xref rid="b18-or-0-0-8124" ref-type="bibr">18</xref>); HER2 in breast, colon, lung, and pancreatic cancers (<xref rid="b18-or-0-0-8124" ref-type="bibr">18</xref>); HER3 in lung, breast, colon, prostate, and stomach cancers (<xref rid="b2-or-0-0-8124" ref-type="bibr">2</xref>,<xref rid="b19-or-0-0-8124" ref-type="bibr">19</xref>); HER4 in non-small cell lung, and ovarian cancers (<xref rid="b20-or-0-0-8124" ref-type="bibr">20</xref>,<xref rid="b21-or-0-0-8124" ref-type="bibr">21</xref>). Therefore, the EGFR family is thought to be a valid target for candidates in cancer therapy.</p>
<p>High expression of HER3 is thought to be an established negative prognostic factor in several solid tumors including colorectal cancer (<xref rid="b22-or-0-0-8124" ref-type="bibr">22</xref>,<xref rid="b23-or-0-0-8124" ref-type="bibr">23</xref>). Metastatic colorectal cancer is one of the most aggressive tumors, associated with high mortality rates worldwide (<xref rid="b24-or-0-0-8124" ref-type="bibr">24</xref>). In a previous study, 79&#x0025; of primary tumors were found to present a high HER3 expression and there was a correlation between HER3 expression in primary tumors and corresponding lymph node metastases in 236 colorectal cancer patients (<xref rid="b25-or-0-0-8124" ref-type="bibr">25</xref>). In addition, elevated HER3 expression was associated with shorter overall survival and disease-free survival in patients with colorectal cancer (<xref rid="b25-or-0-0-8124" ref-type="bibr">25</xref>). Furthermore, HER3 downregulation in colorectal cancer cell lines caused G2-M cell-cycle arrest, leading to apoptosis and abrogated cell proliferation, migration, and invasion (<xref rid="b22-or-0-0-8124" ref-type="bibr">22</xref>). Altogether, these results suggest that HER3 can be a potential therapeutic target for colorectal cancer.</p>
<p>Several monoclonal antibodies (mAbs) have been established as an innovative immunotherapy against tumors. Programmed cell death 1 (PD-1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) are inhibitory receptors for immune checkpoints, which are expressed on the surface of T cells (<xref rid="b26-or-0-0-8124" ref-type="bibr">26</xref>&#x2013;<xref rid="b29-or-0-0-8124" ref-type="bibr">29</xref>). Anti-PD-1 and anti-CTLA-4 mAbs have been reported as potential anticancer drugs (<xref rid="b30-or-0-0-8124" ref-type="bibr">30</xref>,<xref rid="b31-or-0-0-8124" ref-type="bibr">31</xref>). Nivolumab and pembrolizumab are anti-PD-1 mAbs, which were approved by the US Food and Drug Administration (<xref rid="b32-or-0-0-8124" ref-type="bibr">32</xref>&#x2013;<xref rid="b34-or-0-0-8124" ref-type="bibr">34</xref>). Both mAbs activate the immune system to attack tumors, by blocking the interaction between PD-1 and its ligand, PD-L1, which is expressed in cancer cells. DNA mismatch repair deficient tumors have very high levels of DNA microsatellite instability, and it is known that microsatellite instable tumors have highly upregulated expression of multiple immune checkpoint proteins, including PD-1 compared with microsatellite stable tumors; therefore, nivolumab and pembrolizumab are available for the treatment of DNA mismatch repair deficiency and microsatellite instable subset of colorectal cancer (<xref rid="b35-or-0-0-8124" ref-type="bibr">35</xref>&#x2013;<xref rid="b37-or-0-0-8124" ref-type="bibr">37</xref>).</p>
<p>Several antibody drugs have been developed against ligands, such as transforming growth factor (TGF)-&#x03B1; and EGF, or receptors, such as EGFR (<xref rid="b38-or-0-0-8124" ref-type="bibr">38</xref>). These mAbs neutralize the interaction between ligands and receptors. Antibody-drug conjugate (ADC) is a complex molecule, which is composed of an antibody, linker, and an anticancer drug, and delivers the anticancer drug to target cells (<xref rid="b39-or-0-0-8124" ref-type="bibr">39</xref>). Moreover, some mAbs possess antibody-dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC). Cetuximab, a mouse/human chimeric IgG<sub>1</sub> against EGFR, binds to the ligand-binding site of EGFR, and inhibits the activation and dimerization of EGFR (<xref rid="b38-or-0-0-8124" ref-type="bibr">38</xref>). Cetuximab has been used for the treatment of metastatic colorectal cancer, metastatic non-small cell lung cancer, and head and neck squamous cell carcinomas (HNSCC) (<xref rid="b38-or-0-0-8124" ref-type="bibr">38</xref>). Trastuzumab, a humanized mAb against HER2, has been used to treat HER2-positive cancers, such as breast cancers and gastric cancers (<xref rid="b40-or-0-0-8124" ref-type="bibr">40</xref>,<xref rid="b41-or-0-0-8124" ref-type="bibr">41</xref>). Trastuzumab binds to the extracellular domain of HER2 and downregulates activation of AKT (<xref rid="b42-or-0-0-8124" ref-type="bibr">42</xref>). Moreover, trastuzumab exhibited ADCC in a mouse model (<xref rid="b43-or-0-0-8124" ref-type="bibr">43</xref>). However, it has been shown that some types of cancers are resistant to cetuximab and trastuzumab (<xref rid="b44-or-0-0-8124" ref-type="bibr">44</xref>,<xref rid="b45-or-0-0-8124" ref-type="bibr">45</xref>).</p>
<p>Most HNSCCs are resistant to cetuximab, because cetuximab treatment induces HER2/HER3 dimerization and HER3 activation in HNSCC cell lines (<xref rid="b44-or-0-0-8124" ref-type="bibr">44</xref>). It has been reported that anti-HER3-ADC exerts antitumor effect on breast cancer cells, which have resistance to trastuzumab (<xref rid="b45-or-0-0-8124" ref-type="bibr">45</xref>). For this reason, the development of anti-HER3 mAbs has been required for cancer therapy. Seribantumab and lumretuzumab are anti-HER3 mAbs, which block HER3-neuregulin interaction and inhibit HER3 heterodimerization and phosphorylation (<xref rid="b46-or-0-0-8124" ref-type="bibr">46</xref>,<xref rid="b47-or-0-0-8124" ref-type="bibr">47</xref>). Lumretuzumab is also known to have ADCC activity (<xref rid="b46-or-0-0-8124" ref-type="bibr">46</xref>). Phase II and phase Ib/II trial are now ongoing concerning seribantumab and lumretuzumab, respectively (<xref rid="b47-or-0-0-8124" ref-type="bibr">47</xref>,<xref rid="b48-or-0-0-8124" ref-type="bibr">48</xref>). An anti-HER3-ADC (U3-1402), composed of an anti-HER3 mAb (patritumab) and a novel topoisomerase I inhibitor (DX-8951 derivative; DXd) has entered phase I and II trials for the treatment of HER3-positive non-small cell lung cancers (NCT04676477), metastatic breast cancers (NCT02980341), and colorectal cancers (NCT04479436) (<xref rid="b49-or-0-0-8124" ref-type="bibr">49</xref>&#x2013;<xref rid="b51-or-0-0-8124" ref-type="bibr">51</xref>). Preliminary results demonstrate that U3-1402 treatment appears to be safe and exhibits antitumor activity, suggesting that HER3-targeting therapy may be effective for HER3-overexpressing metastatic breast cancers (<xref rid="b50-or-0-0-8124" ref-type="bibr">50</xref>).</p>
<p>It has been reported that one amino acid substitution in EGFR in tumors causes acquisition of resistance to gefitinib after gefitinib treatment (<xref rid="b52-or-0-0-8124" ref-type="bibr">52</xref>,<xref rid="b53-or-0-0-8124" ref-type="bibr">53</xref>); therefore, HER3 may also acquire resistance to seribantumab and lumretuzumab in the future. To characterize the HER3 and HER3-targeting cancer therapy, the development of further anti-HER3 specific mAbs is required. In this study, we developed a novel anti-HER3 mAb against colon cancers using a Cell-Based Immunization and Screening (CBIS) method (<xref rid="b54-or-0-0-8124" ref-type="bibr">54</xref>). Furthermore, we investigated whether a novel anti-HER3 mAb shows ADCC/CDC activities or antitumor activities for colon cancers.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Construction of plasmids</title>
<p>The Genome Network Project clone IRAK174J18 (HER3) was provided by the RIKEN BioResource Research Center through the National BioResource Project of the MEXT and AMED agencies of Japan. HER3 DNA plus N-terminal PA16 tag, recognized by NZ-1, was subcloned into a pCAG-Ble vector (FUJIFILM Wako Pure Chemical Corp.) and named pCAG/PA16-HER3. HER3 DNA plus C-terminal PA tag, recognized by NZ-1, was subcloned into a pCAG-Neo vector (FUJIFILM Wako Pure Chemical Corp.) and named pCAG/HER3-PA.</p>
</sec>
<sec>
<title>Cell lines</title>
<p>A mouse myeloma cell line (P3X63Ag8U.1; P3U1), Chinese hamster ovary (CHO)-K1 cells, a glioblastoma cell line (LN229), colorectal adenocarcinoma cell lines (Caco-2, LS 174T, COLO 201, HCT-8, SW1116, and HT-29), and a colorectal carcinoma cell line (HCT 116) were obtained from the American Type Culture Collection. Colon adenocarcinoma cell lines (HCT-15, COLO 205, and DLD-1) and a breast adenocarcinoma cell line (MCF7) were obtained from the Cell Resource Center for Biomedical Research Institute of Development, Aging and Cancer at Tohoku University. CHO/PA16-HER3 and CHO/HER3-PA were established by transfecting pCAG/PA16-HER3 and pCAG/HER3-PA, respectively, into CHO-K1 cells using the Neon Transfection System (Thermo Fisher Scientific, Inc.). A few days after transfection, cells positive for anti-HER3 mAb (clone D22C5; cat. no. 12708; Cell Signaling Technology, Inc.) were sorted using a cell sorter (SH800; Sony Biotechnology Corp.). CHO/mock (Ble) and CHO/mock (Neo) were established by transfection of the pCAG-Ble vector and pCAG-Neo vector, respectively. Stable transfectants of CHO/mock (Ble) and CHO/PA16-HER3 were cultured at 37&#x00B0;C for 14 days on media containing 0.5 mg/ml of Zeocin (InvivoGen), and stable transfectants of CHO/mock (Neo) and CHO/HER3-PA were cultured at 37&#x00B0;C for 14 days on media containing 0.5 mg/ml of G418 (Nacalai Tesque, Inc.). BINDS-30 [MCF7/HER3-knockout (KO) cells] were produced using CRISPR/Cas9 plasmids targeting human HER3 (<uri xlink:href="https://www.med-tohoku-antibody.com/topics/001_paper_cell.htm">http://www.med-tohoku-antibody.com/topics/001_paper_cell.htm</uri>). Using TruGuide gRNA tool, gRNA of HER3/ERBB3 (NM_001005915) was selected from GeneArt predesigned gRNAs database (Thermo Fisher Scientific, Inc.). gRNA sequence used was GTCCCGTGAGCACAATCTCA(agg), which targeted exon 3 of HER3 (Assay ID: CRISPR764358). Double strand gRNA sequence was subcloned into GeneArt CRISPR Nuclease Vector with OFP Reporter (Thermo Fisher Scientific, Inc.). P3U1, CHO-K1, CHO/PA16-HER3, CHO/HER3-PA, COLO 201, COLO 205, SW1116, DLD-1, MCF7, and BINDS-30 were cultured in Roswell Park Memorial Institute (RPMI)-1640 media (Nacalai Tesque, Inc.). LN229, Caco-2, HCT 116, HCT-15, HT-29, LS 174T, and HCT-8 were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM; Nacalai Tesque, Inc.). RPMI-1640 and DMEM were supplemented with 10&#x0025; heat-inactivated fetal bovine serum (FBS; Thermo Fisher Scientific Inc.), 100 U/ml of penicillin (Nacalai Tesque, Inc.), 100 &#x00B5;g/ml streptomycin (Nacalai Tesque, Inc.), and 0.25 &#x00B5;g/ml amphotericin B (Nacalai Tesque, Inc.), and incubated at 37&#x00B0;C in a humidified atmosphere containing 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>Preparation of the purified antibodies</title>
<p>Purified mouse IgG (cat. no. I8765) and mouse IgG<sub>2a</sub> (cat. no. M7769) were purchased from Sigma-Aldrich; Merck KGaA. An anti-HER3 mAb was purified using Protein G-Sepharose (GE Healthcare BioSciences).</p>
</sec>
<sec>
<title>Hybridoma production</title>
<p>Female BALB/c mice (6 weeks old) were purchased from CLEA Japan and kept under specific pathogen-free conditions. All animal experiments were conducted in accordance with the relevant guidelines and regulations in order to minimize animal suffering and distress in the laboratory. The Animal Care and Use Committee of Tohoku University approved all the animal experiments (permit no. 2019NiA-001). Mice were euthanized by cervical dislocation under inhalation anesthesia using 2&#x0025; of isoflurane for both induction and maintenance, and the death was verified to be respiratory and cardiac arrest.</p>
<p>CBIS method was used as previously reported (<xref rid="b54-or-0-0-8124" ref-type="bibr">54</xref>) to develop mAbs against HER3 (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1</xref>). Two eight-week-old BALB/c female mice were intraperitoneally (i.p.) immunized with CHO/PA16-HER3 cells (1&#x00D7;10<sup>8</sup>) along with Imject Alum adjuvant (Thermo Fisher Scientific, Inc.) (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1A</xref>). The procedure included three additional immunizations, followed by a final booster injection administered i.p. two days before the spleen cell harvesting. Spleen cells were then fused with P3U1 cells using PEG1500 (Roche Diagnostics) (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1B</xref>). The developed hybridomas were seeded into 96-well plates, and hybridomas were grown at 37&#x00B0;C for 10 days in RPMI-1640 media with HAT Supplement (50X) (cat. no. 21060017; Thermo Fisher Scientific, Inc.) for selection. Supernatants positive for CHO/HER3-PA and negative for CHO-K1 were selected by flow cytometry (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1C</xref>). After limiting dilution, supernatants positive for LN229 were selected by flow cytometry. Finally, anti-HER3 mAb-producing hybridomas were established (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1D</xref>).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cell pellets were resuspended in phosphate-buffered saline (PBS; Nacalai Tesque, Inc.) with 1&#x0025; Triton X-100 (cat. no. 168-11805; FUJIFILM Wako Pure Chemical Corp.) and 50 &#x00B5;g/ml aprotinin (product no. 03346-84; Nacalai Tesque, Inc.). Cell debris was removed by centrifugation at 21,880 &#x00D7; g for 10 min at 4&#x00B0;C. Protein concentration was determined by BCA method. Cell lysates (10 &#x00B5;g) were boiled in sodium dodecyl sulfate (SDS) sample buffer (Nacalai Tesque, Inc.). Proteins were electrophoresed on 5&#x2013;20&#x0025; polyacrylamide gels (FUJIFILM Wako Pure Chemical Corp.) and transferred onto polyvinylidene difluoride (PVDF) membranes (Merck KGaA). After blocking with 4&#x0025; skim milk (Nacalai Tesque, Inc.) at room temperature for 30 min, PVDF membranes were incubated with an anti-HER3 mAb (diluted 1:1,000; clone D22C5) and anti-&#x03B2;-actin mAb (1 &#x00B5;g/ml; clone AC-15; cat. no. A1978; Sigma-Aldrich; Merck KGaA) at room temperature for 30 min, followed by incubation with peroxidase-conjugated anti-rabbit immunoglobulins (diluted 1:1,000; cat. no. P0448; Agilent Technologies Inc.) and peroxidase-conjugated anti-mouse immunoglobulins (diluted 1:1,000; cat. no. P0260; Agilent Technologies Inc.), respectively, at room temperature for 30 min. Blots were developed using ImmunoStar LD (cat. no. 290-69904; FUJIFILM Wako Pure Chemical Corp.) or Pierce&#x2122; ECL Plus Western Blotting Substrate (cat. no. 32132; Thermo Fisher Scientific, Inc.) and imaged with a Sayaca-Imager (DRC Co., Ltd.). Qcapture Pro software (DRC Co., Ltd) was used for the densitometry.</p>
</sec>
<sec>
<title>Flow cytometry analyses</title>
<p>Cells (2&#x00D7;10<sup>5</sup> cells/ml) were harvested after brief exposure to 0.25&#x0025; trypsin in 1 mM ethylenediaminetetraacetic acid (EDTA; Nacalai Tesque, Inc.). After being washed with 0.1&#x0025; bovine serum albumin (BSA, Nacalai Tesque, Inc.) in PBS, cells were treated with 1 &#x00B5;g/ml of anti-HER3 mAbs, for 30 min at 4&#x00B0;C, and with Alexa Fluor 488-conjugated anti-mouse IgG (1:1,000; cat. no. 4408; Cell Signaling Technology, Inc.). Fluorescence data were collected using a flow cytometer: the EC800 Cell Analyzer (Sony Biotechnology Corp.).</p>
</sec>
<sec>
<title>Determination of the binding affinity</title>
<p>Cells (2&#x00D7;10<sup>5</sup> cells/ml) were suspended in 100 &#x00B5;l of serially diluted anti-HER3 mAb (6 ng/ml-25 &#x00B5;g/ml), followed by the addition of Alexa Fluor 488-conjugated anti-mouse IgG (1:200). Fluorescence data were collected using a flow cytometer: The BD FACSLyric (BD Biosciences). The dissociation constant (<italic>K</italic><sub>D</sub>) was calculated by fitting binding isotherms to built-in one-site binding models in GraphPad Prism 8 (GraphPad Software, Inc.).</p>
</sec>
<sec>
<title>ADCC activity of an anti-HER3 mAb</title>
<p>ADCC inducement by HER3 was assayed as follows. Four female five-week-old BALB/c nude mice (mean weight, 15&#x00B1;3 g) were purchased from Charles River Laboratories, Inc. Mice were kept under specific pathogen-free condition on an 11-h light/13-h dark cycle at a temperature of 23&#x00B1;2&#x00B0;C and 55&#x00B1;5&#x0025; humidity with food and water supplied <italic>ad libitum</italic> during the experimental periods. After euthanasia by cervical dislocation, spleens were removed aseptically, and single-cell suspensions were obtained by forcing spleen tissues through a sterile cell strainer (product no. 352360; Corning, Inc.) with a syringe. Erythrocytes were lysed with a 10-sec exposure to ice-cold distilled water. The splenocytes were washed with DMEM and resuspended in DMEM with 10&#x0025; FBS; this preparation was designated as effector cells. The target tumor cells were labeled with 10 &#x00B5;g/ml Calcein-AM (Thermo Fisher Scientific, Inc.) and resuspended in the same medium. The target cells were then transferred to 96-well plates, at 2&#x00D7;10<sup>4</sup> cells/well, and mixed with effector cells at an effector-to-target ratio of 100:1, along with 100 &#x00B5;g/ml of anti-HER3 antibodies or control mouse IgG<sub>2a</sub>. After a 4.5-h incubation at 37&#x00B0;C, Calcein release into the supernatant was measured for each well. Fluorescence intensity was assessed using a microplate reader (Power Scan HT; BioTek Instruments, Inc.) with an excitation wavelength of 485 nm and an emission wavelength of 538 nm. Cytolytic activity was measured as a percentage of lysis and calculated using the equation: Percentage of lysis (&#x0025;) = (E-S)/(M-S) &#x00D7;100, where E is the fluorescence measured in combined cultures of target and effector cells, S is the spontaneous fluorescence of the target cells, and M is the maximum fluorescence measured after lysis of all cells with buffer containing 0.5&#x0025; Triton X-100, 10 mM Tris-HCl (pH 7.4), and 10 mM EDTA. Animal studies for ADCC were approved by the Institutional Committee for experiments of the Institute of Microbial Chemistry (permit no. 2020-024).</p>
</sec>
<sec>
<title>CDC activity of an anti-HER3 mAb</title>
<p>CDC inducement by HER3 was assayed as follows. Target cells were labeled with 10 &#x00B5;g/ml Calcein-AM (Thermo Fisher Scientific, Inc.), resuspended in medium and plated in 96-well plates, at 2&#x00D7;10<sup>4</sup> cells/well, with 15&#x0025; rabbit complement (Low-Tox-M rabbit complement; Cedarlane Laboratories), 100 &#x00B5;g/ml of anti-HER3 antibodies, or control IgG (mouse IgG<sub>2a</sub>) added to each well. After 4.5 h of incubation at 37&#x00B0;C, Calcein release into the supernatant was measured for each well. Fluorescence intensity was calculated as described in the ADCC section above.</p>
</sec>
<sec>
<title>Antitumor activity of an anti-HER3 mAb in xenografts of colon cancers</title>
<p>Sixteen five-week-old female BALB/c nude mice (mean weight, 15&#x00B1;3 g) were purchased from Charles River Laboratories, Inc. All animal experiments were performed in accordance with institutional guidelines and regulations to minimize animal suffering and distress in the laboratory. The Institutional Committee for experiments of the Institute of Microbial Chemistry (permit no. 2020-024) approved the animal studies for antitumor activity here described. Mice were maintained in a pathogen-free environment on an 11-h light/13-h dark cycle at a temperature of 23&#x00B1;2&#x00B0;C and 55&#x00B1;5&#x0025; humidity with food and water supplied <italic>ad libitum</italic> throughout the experiments. Mice were monitored for health and weight every three or five days. Experiments on mice were conducted in four weeks. Weight loss exceeding 25&#x0025; or tumor volume exceeding 3,000 mm<sup>3</sup> were identified as humane endpoints for euthanasia. At humane and experimental endpoints, mice were euthanized by cervical dislocation, and death was verified by validating respiratory and cardiac arrest.</p>
<p>After a one-week acclimation period, these mice were used in experiments at six weeks of age (mean weight, 16&#x00B1;2 g). Caco-2 cells (0.3 ml of 1.33&#x00D7;10<sup>8</sup> cells/ml in DMEM) were mixed with 0.5 ml BD Matrigel Matrix Growth Factor Reduced (BD Biosciences), and 100 &#x00B5;l of this suspension (5&#x00D7;10<sup>6</sup> cells) was injected subcutaneously into the left flank of each animal. On the eighth day post-inoculation, 16 mice were divided into two groups (n=8 in each group) with equal mean tumor volume: An anti-HER3 mAb group or a control mouse IgG group. Then, 100 &#x00B5;g of an anti-HER3 mAb or control mouse IgG in 100 &#x00B5;l PBS was injected i.p. Additional antibody inoculations were performed on days 15 and 23. Twenty-six days after cell implantation, all mice were euthanized by cervical dislocation, and tumor diameters and volumes were measured and recorded.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>All data are expressed as mean &#x00B1; standard error of the mean (SEM). Statistical analysis was conducted with ANOVA and Tukey&#x0027;s multiple comparisons tests for ADCC and CDC, ANOVA and Sidak&#x0027;s multiple comparisons tests for tumor volume and mouse weight, and Welch&#x0027;s t-test for tumor weight. All calculations were performed with GraphPad Prism 8 (GraphPad Software, Inc.). A P-value of &#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Development of anti-HER3 mAbs</title>
<p>We employed the CBIS method to develop anti-HER3 mAbs using CHO/PA16-HER3 cells both for the immunization and flow cytometry screening (<xref rid="f1-or-0-0-8124" ref-type="fig">Fig. 1</xref>). The developed hybridomas were seeded into 96-well plates and cultivated for 10 days. Supernatants positive for CHO/HER3-PA and negative for CHO-K1 were selected by flow cytometry. After limiting dilution and several additional screenings, an anti-HER3 mAb, H<sub>3</sub>Mab-17 (mouse IgG<sub>2a</sub>, kappa), was finally established.</p>
</sec>
<sec>
<title>Confirmation of HER3 expression by western blot analysis</title>
<p>We established CHO/mock (Ble), CHO/PA16-HER3, CHO/mock (Neo), and CHO/HER3-PA, and investigated whether HER3 was overexpressed in those cell lines. As shown in <xref rid="f2-or-0-0-8124" ref-type="fig">Fig. 2A</xref>, overexpression of HER3 in CHO/PA16-HER3 and CHO/HER3-PA was confirmed by western blot analysis using an anti-HER3 mAb (clone D22C5). Endogenous HER3 expression in MCF7 cells was also detected by an anti-HER3 mAb. In contrast, knockout of endogenous HER3 in BINDS-30 (MCF7/HER3-KO) was confirmed by western blot analysis using an anti-HER3 mAb.</p>
</sec>
<sec>
<title>Flow cytometry analyses of H<sub>3</sub>Mab-17</title>
<p>We performed flow cytometry using H<sub>3</sub>Mab-17 against CHO-K1, CHO/HER3-PA, MCF7, and BINDS-30 (MCF7/HER3-KO). H<sub>3</sub>Mab-17 recognized the CHO/HER3-PA cells, but not the parental CHO-K1 cells (<xref rid="f2-or-0-0-8124" ref-type="fig">Fig. 2B</xref>). H<sub>3</sub>Mab-17 also recognized the endogenous HER3 in MCF7 breast cancer cells (<xref rid="f2-or-0-0-8124" ref-type="fig">Fig. 2B</xref>). The reaction of H<sub>3</sub>Mab-17 to BINDS-30 was lost after the knockout of HER3 in MCF7 cells (<xref rid="f2-or-0-0-8124" ref-type="fig">Fig. 2B</xref>), indicating the specificity of H<sub>3</sub>Mab-17 for HER3.</p>
<p>Next, we investigated whether H<sub>3</sub>Mab-17 reacts with colon cancer cell lines. As shown in <xref rid="f2-or-0-0-8124" ref-type="fig">Fig. 2C</xref>, H<sub>3</sub>Mab-17 reacted with 10 colon cancer cell lines, Caco-2, HCT 116, HCT-15, HT-29, LS 174T, COLO 201, COLO 205, HCT-8, SW1116, and DLD-1. Among them, Caco-2 was known to be useful for the mouse xenograft model (<xref rid="b55-or-0-0-8124" ref-type="bibr">55</xref>). Therefore, we used Caco-2 cells for the ADCC/CDC assay or <italic>in vivo</italic> xenograft models.</p>
</sec>
<sec>
<title>Determination of the binding affinity of H<sub>3</sub>Mab-17</title>
<p>A kinetic analysis of the interactions of H<sub>3</sub>Mab-17 with CHO/HER3-PA and Caco-2 cells was then conducted using flow cytometry. The <italic>K</italic><sub>D</sub> for H<sub>3</sub>Mab-17 in CHO/HER3-PA and Caco-2 cells were 3.0&#x00D7;10<sup>&#x2212;9</sup> and 1.5&#x00D7;10<sup>&#x2212;9</sup> M, respectively (<xref rid="f3-or-0-0-8124" ref-type="fig">Fig. 3</xref>), indicating high binding affinity of H<sub>3</sub>Mab-17 against HER3-expressing cells.</p>
</sec>
<sec>
<title>ADCC and CDC activities of H<sub>3</sub>Mab-17 in colon cancer cell lines</title>
<p>We then examined whether H<sub>3</sub>Mab-17 (mouse IgG<sub>2a</sub>) induced ADCC and CDC activity in HER3-expressing Caco-2 colon cancer cell lines. H<sub>3</sub>Mab-17 exhibited higher ADCC (14.8&#x0025; cytotoxicity) in Caco-2 cells than that of control mouse IgG<sub>2a</sub> (5.2&#x0025; cytotoxicity; P&#x003C;0.05) or control PBS (3.2&#x0025; cytotoxicity; P&#x003C;0.05) treatment (<xref rid="f4-or-0-0-8124" ref-type="fig">Fig. 4A</xref>). H<sub>3</sub>Mab-17 was also associated with a more robust CDC activity (30.4&#x0025; cytotoxicity) in Caco-2 cells than the control mouse IgG<sub>2a</sub> (7.7&#x0025; cytotoxicity; P&#x003C;0.05) or the control with PBS treatment (8.8&#x0025; cytotoxicity; P&#x003C;0.05) (<xref rid="f4-or-0-0-8124" ref-type="fig">Fig. 4B</xref>). These favorable ADCC/CDC activities indicated that H<sub>3</sub>Mab-17 may induce strong antitumor activity against colon cancer cells <italic>in vivo</italic> as well as <italic>in vitro</italic>.</p>
</sec>
<sec>
<title>Antitumor effect of H<sub>3</sub>Mab-17 in mouse xenografts of colon cancer cells</title>
<p>Tumor formation of 16 Caco-2-bearing mice was observed on day eight. Then, these 16 Caco-2-bearing mice were divided into an H<sub>3</sub>Mab-17-treated group and a control group. On days 8, 15 and 23 after Caco-2 cell injections into the mice, H<sub>3</sub>Mab-17 (100 &#x00B5;g) or control mouse IgG (100 &#x00B5;g) were injected i.p. in the Caco-2 &#x00D7;enograft model mice. The tumor volume was measured on days 8, 11, 15, 18, 23 and 26 after the Caco-2 cell injection. H<sub>3</sub>Mab-17-treated mice exhibited significantly less tumor growth on day 18 (P&#x003C;0.01), day 23 (P&#x003C;0.01), and day 26 (P&#x003C;0.01), compared with the IgG-treated control mice (<xref rid="f5-or-0-0-8124" ref-type="fig">Fig. 5A</xref>). The reduction in the volume of the tumors by H<sub>3</sub>Mab-17 treatment was of 54&#x0025; on day 26. Tumors from the H<sub>3</sub>Mab-17-treated mice weighed significantly less than tumors from the IgG-treated control mice (59&#x0025; reduction, P&#x003C;0.01; <xref rid="f5-or-0-0-8124" ref-type="fig">Fig. 5B</xref>). Resected tumors on day 26 are presented in <xref rid="f5-or-0-0-8124" ref-type="fig">Fig. 5C</xref>. The total body weights did not significantly differ between the treatment and control groups (<xref rid="f6-or-0-0-8124" ref-type="fig">Fig. 6A and B</xref>). These results indicated that H<sub>3</sub>Mab-17 reduced the growth of Caco-2 &#x00D7;enografts, without eliminating them completely.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Many commercially available anti-HER3 mAbs have been developed using recombinant HER3 protein, peptide or cDNA as an immunogen. Seribantumab was developed by phage display (<xref rid="b56-or-0-0-8124" ref-type="bibr">56</xref>,<xref rid="b57-or-0-0-8124" ref-type="bibr">57</xref>) and lumretuzumab was developed using recombinant HER3 extracellular domain as an immunogen (<xref rid="b46-or-0-0-8124" ref-type="bibr">46</xref>). In this study, we succeeded in the development of an anti-HER3 mAb using the CBIS method, which used HER3-expressed cells for both immunization and screening. The CBIS method can help us effectively develop mAbs that are useful in flow cytometry. We recently succeeded in developing numerous useful mAbs that target membrane proteins, including podoplanin (<xref rid="b58-or-0-0-8124" ref-type="bibr">58</xref>&#x2013;<xref rid="b61-or-0-0-8124" ref-type="bibr">61</xref>), CD20 (<xref rid="b62-or-0-0-8124" ref-type="bibr">62</xref>), CD44 (<xref rid="b63-or-0-0-8124" ref-type="bibr">63</xref>), CD133 (<xref rid="b54-or-0-0-8124" ref-type="bibr">54</xref>), and TROP2 (<xref rid="b64-or-0-0-8124" ref-type="bibr">64</xref>,<xref rid="b65-or-0-0-8124" ref-type="bibr">65</xref>). Importantly, these mAbs are very useful for various experiments, including not only flow cytometry, but also western blot analysis and immunohistochemistry. Furthermore, those mAbs possess ADCC/CDC activities and antitumor activities (<xref rid="b61-or-0-0-8124" ref-type="bibr">61</xref>). Using the CBIS method, proteins for immunogen expressed on cells maintain its native conformation and glycosylation pattern. Previously, we successfully established a cancer-specific mAb (CasMab) against podoplanin, which recognizes the cancer cell-specific glycosylation of podoplanin (<xref rid="b66-or-0-0-8124" ref-type="bibr">66</xref>). Therefore, we may develop CasMab against HER3 using the CBIS method in the future. The CBIS method is advantageous for the development for specific and sensitive mAbs for antibody therapy.</p>
<p>New highly accurate therapeutic options are possible to treat most solid tumors. In the case of colorectal cancer, HER3 overexpression is found in ~17-75&#x0025;, although the definition of its cutoff signals for HER3 expression are different in each immunohistochemical study (<xref rid="b67-or-0-0-8124" ref-type="bibr">67</xref>). It has been reported that the incidence of HER3 overexpression in metastatic colorectal cancer is much higher than that of HER2 (<xref rid="b68-or-0-0-8124" ref-type="bibr">68</xref>). In this study, we developed an anti-HER3 mAb, H<sub>3</sub>Mab-17, which specifically reacted with endogenous HER3 in colorectal carcinoma cell lines in flow cytometry. The <italic>K</italic><sub>D</sub> for H<sub>3</sub>Mab-17 in CHO/HER3-PA and Caco-2 cells were determined to be 3.0&#x00D7;10<sup>&#x2212;9</sup> and 1.5&#x00D7;10<sup>&#x2212;9</sup> M, respectively, suggesting high binding affinity of H<sub>3</sub>Mab-17 for HER3. <italic>In vitro</italic> experiments revealed strong ADCC and CDC inducement against Caco-2 cells by H<sub>3</sub>Mab-17. <italic>In vivo</italic> experiments on Caco-2 &#x00D7;enografts revealed that the treatment with H<sub>3</sub>Mab-17 significantly reduced the tumor growth, compared with the control mouse IgG. Based on these findings, H<sub>3</sub>Mab-17 may be useful in therapeutic approach for patients with colorectal cancer.</p>
<p>Although H<sub>3</sub>Mab-17 recognizes both overexpressed and endogenous HER3 by flow cytometric analyses, it is not applicable to western blot and immunohistochemical analyses (data not shown). H<sub>3</sub>Mab-17 did not recognize denatured HER3, such as SDS-treated and formalin-fixed HER3 probably because it might recognize the three-dimensional structure of HER3. Since the antitumor activity mechanism of H<sub>3</sub>Mab-17 has not been clarified, we need to identify the epitope of H<sub>3</sub>Mab-17 and investigate the inhibitory activity of HER3-neureglin interaction of H<sub>3</sub>Mab-17. Furthermore, HER3-ADC and HER3-chimeric antigen receptor (CAR)-T should be developed in future research.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We would like to thank Ms. Miyuki Yanaka, Ms. Saori Handa, and Mr. Yu Komatsu (Department of Antibody Drug Development, Tohoku University Graduate School of Medicine) for technical assistance in the <italic>in vitro</italic> experiments, and Ms. Akiko Harakawa [Institute of Microbial Chemistry (BIKAKEN), Numazu, Microbial Chemistry Research Foundation] for technical assistance in the animal experiments.</p>
</ack>
<sec>
<title>Funding</title>
<p>This research was supported in part by the Japan Agency for Medical Research and Development (AMED) under grant nos. JP21am0401013 (to YK) and JP21am0101078 (to YK), and by the Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) grant nos. 21K15523 (to TA), 21K07168 (to MKK), 19K07705 (to YK) and 20K16322 (to MS).</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>TA, TO, TN, RN, HHo, TT, and MS performed the experiments. JT and MKK analyzed the experimental data. HHa, MK, and YK designed the present study. TA, TO, and YK wrote the manuscript. All the authors read and approved the final manuscript for publishing.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The Animal Care and Use Committee of Tohoku University approved all the animal experiments (permit no. 2019NiA-001). Animal studies for ADCC and the antitumor activity were approved by the Institutional Committee for experiments of the Institute of Microbial Chemistry (permit no. 2020-024).</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>ADC</term><def><p>antibody-drug conjugate</p></def></def-item>
<def-item><term>ADCC</term><def><p>antibody-dependent cellular cytotoxicity</p></def></def-item>
<def-item><term>BSA</term><def><p>bovine serum albumin</p></def></def-item>
<def-item><term>CBIS</term><def><p>Cell-Based Immunization and Screening</p></def></def-item>
<def-item><term>CDC</term><def><p>complement-dependent cytotoxicity</p></def></def-item>
<def-item><term>DMEM</term><def><p>Dulbecco&#x0027;s modified Eagle&#x0027;s medium</p></def></def-item>
<def-item><term>EDTA</term><def><p>ethylenediaminetetraacetic acid</p></def></def-item>
<def-item><term>FBS</term><def><p>fetal bovine serum</p></def></def-item>
<def-item><term>mAb</term><def><p>monoclonal antibody</p></def></def-item>
<def-item><term>PBS</term><def><p>phosphate-buffered saline</p></def></def-item>
<def-item><term>SEM</term><def><p>standard error of the mean</p></def></def-item>
</def-list>
</glossary>
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<floats-group>
<fig id="f1-or-0-0-8124" position="float">
<label>Figure 1.</label>
<caption><p>Production of anti-HER3 mAbs. Procedure of the Cell-Based Immunization and Screening (CBIS) method. (A) CHO/PA16-HER3 cells were immunized into BALB/c mice using an intraperitoneal injection. (B) Spleen cells were fused with P3U1 cells. (C) Culture supernatants were screened using flow cytometry. (D) After limiting dilution and several additional screenings, an anti-HER3 mAb was finally established. mAb, monoclonal antibody.</p></caption>
<graphic xlink:href="or-46-02-8124-g00.tif"/>
</fig>
<fig id="f2-or-0-0-8124" position="float">
<label>Figure 2.</label>
<caption><p>Characterization of H<sub>3</sub>Mab-17. (A) Confirmation of HER3 expression by western blot analysis. Cell lysates were electrophoresed and transferred onto PVDF membranes. After blocking, PVDF membranes were incubated with an anti-HER3 mAb (clone D22C5) or anti-&#x03B2;-actin (clone AC-15), followed by incubation with peroxidase-conjugated anti-rabbit immunoglobulins or peroxidase-conjugated anti-mouse immunoglobulins. Blots were developed using ImmunoStar LD or ECL Plus Western Blotting Substrate and imaged with a Sayaca-Imager. (B) Flow cytometry analysis. CHO-K1, CHO/HER3-PA, MCF7, and BINDS-30 cells were treated with 1 &#x00B5;g/ml of H<sub>3</sub>Mab-17, followed by treatment with Alexa Fluor 488-conjugated anti-mouse IgG. Black line, negative control. (C) Flow cytometry analysis. Colon cancer cell lines, such as Caco-2, HCT 116, HCT-15, HT-29, LS 174T, COLO 201, COLO 205, HCT-8, SW1116, and DLD-1 cells were treated with 1 &#x00B5;g/ml of H<sub>3</sub>Mab-17, followed by treatment with Alexa Fluor 488-conjugated anti-mouse IgG. Black line, negative control. mAb, monoclonal antibody.</p></caption>
<graphic xlink:href="or-46-02-8124-g01.tif"/>
</fig>
<fig id="f3-or-0-0-8124" position="float">
<label>Figure 3.</label>
<caption><p>Determination of the binding affinity of H<sub>3</sub>Mab-17. CHO/HER3-PA and Caco-2 were suspended in 100 &#x00B5;l of serially diluted H<sub>3</sub>Mab-17 (0.006&#x2013;25 &#x00B5;g/ml) prior to Alexa Fluor 488-conjugated anti-mouse IgG addition. Fluorescence data were collected using a BD FACSLyric. <italic>K</italic><sub>D</sub>, dissociation constant.</p></caption>
<graphic xlink:href="or-46-02-8124-g02.tif"/>
</fig>
<fig id="f4-or-0-0-8124" position="float">
<label>Figure 4.</label>
<caption><p>Evaluation of ADCC and CDC activities by H<sub>3</sub>Mab-17. (A) ADCC activities by H<sub>3</sub>Mab-17, control mouse IgG<sub>2a</sub>, and control PBS in Caco-2 cells. (B) CDC activities by H<sub>3</sub>Mab-17, control mouse IgG<sub>2a</sub>, and control PBS in Caco-2 cells. Values are mean &#x00B1; SEM. Asterisk indicates statistical significance (&#x002A;P&#x003C;0.05; n.s., not significant, ANOVA and Tukey-Kramer&#x0027;s test). ADCC, antibody-dependent cellular cytotoxicity; CDC, complement-dependent cytotoxicity.</p></caption>
<graphic xlink:href="or-46-02-8124-g03.tif"/>
</fig>
<fig id="f5-or-0-0-8124" position="float">
<label>Figure 5.</label>
<caption><p>Evaluation of antitumor activity of H<sub>3</sub>Mab-17 in Caco-2 &#x00D7;enografts. (A) Caco-2 cells (5&#x00D7;10<sup>6</sup> cells) were injected subcutaneously into the left flank. After day 8, 100 &#x00B5;g of H<sub>3</sub>Mab-17 and control mouse IgG in 100 &#x00B5;l PBS were injected i.p. into the treated and control mice, respectively. Additional antibodies were then injected on days 15 and 23. Tumor volume was measured on days 8, 11, 15, 18, 23 and 26. Values are mean &#x00B1; SEM. Asterisk indicates statistical significance (&#x002A;&#x002A;P&#x003C;0.01; n.s., not significant, ANOVA and Sidak&#x0027;s multiple comparisons test). &#x25CB;, control; &#x2206;, H<sub>3</sub>Mab-17. (B) Tumors of Caco-2 &#x00D7;enografts were resected from H<sub>3</sub>Mab-17 and control mouse IgG groups. Tumor weight on day 26 was measured from excised xenografts. Values are mean &#x00B1; SEM. Asterisk indicates statistical significance (&#x002A;&#x002A;P&#x003C;0.01, Welch&#x0027;s t-test). &#x25CB;, control; &#x2206;, H<sub>3</sub>Mab-17. (C) Resected tumors of Caco-2 &#x00D7;enografts from H<sub>3</sub>Mab-17 and control mouse IgG groups on day 26. The tumor in the square dotted region was the largest tumor in this experiment. The vertical and horizontal lengths for Caco-2 cells were 1.6 and 1.3 cm, respectively (estimated tumor volume, 1,352 mm<sup>3</sup>, tumor weight, 661 mg). Scale bar, 1 cm.</p></caption>
<graphic xlink:href="or-46-02-8124-g04.tiff"/>
</fig>
<fig id="f6-or-0-0-8124" position="float">
<label>Figure 6.</label>
<caption><p>Body weights of mice implanted with Caco-2 &#x00D7;enografts. Caco-2 cells (5&#x00D7;10<sup>6</sup> cells) were injected subcutaneously into the left flank. After day 8, 100 &#x00B5;g of H<sub>3</sub>Mab-17 and control mouse IgG in 100 &#x00B5;l PBS were injected i.p. into treated and control mice, respectively. Additional antibodies were then injected on days 15 and 23. (A) Body weights of the mice with the Caco-2 &#x00D7;enografts of H<sub>3</sub>Mab-17 group and control group were recorded on days 8, 11, 15, 18, 23 and 26. Values are mean &#x00B1; SEM. n.s. indicates no statistical significance (ANOVA and Sidak&#x0027;s multiple comparisons test). (B) Body appearance of mice with the Caco-2 &#x00D7;enografts of H<sub>3</sub>Mab-17 and control mouse IgG groups on day 26. Scale bar, 1 cm.</p></caption>
<graphic xlink:href="or-46-02-8124-g05.tiff"/>
</fig>
</floats-group>
</article>
