IMMUNOLOGICAL APPROACHES TO THE DIAGNOSIS AND THERAPY OF BREAST CANCER IMMUNOLOGICAL APPROACHES TO THE DIAGNOSIS AND THERAPY OF BREAST CANCER Edited by Ro berto L. Ceriani John MIIir Cancer and Aging Research Institute W"'nut Creek, C"'ifornia PLENUM PRESS • NEW YORK AND LONDON Library of Congress Cataloging in Publication Data International Workshop on Monoclonal Antibodies and Breast Cancer (2nd: 1986: San Francisco, Calif.) Immunological approaches to the diagnosis and therapy of breast cancer. "Proceedings of the Second International Workshop on Monoclonal Antibodies and Breast Cancer, held November 20-21,1986, in San Francisco, California"-T.p. verso. Includes bibliographies and index. 1. Breast-Cancer-Immunological aspects-Congresses. 2. Antibodies, Monoclonal Diagnostic use-Congresses. 3. Antibodies, Monoclonal-Therapeutic use-Congresses. 4. Breast - Cancer - Immunotherapy - Congresses. 5. Immunodiagnosis - Congresses. I. Ceriani, Roberto L. II. Title. [DNLM: 1. Antibodies, Monoclonal-immunology-congresses. 2. Breast Neoplasms-immunology-congresses. W3 IN932662nd 1986i / WP 879161 1986i] RC280.B8158 1986 616.99'449075 87-15373 ISBN-13: 978-1-4612-9059-9 e-ISBN-13: 978-1-4613-1903-0 DOl: 10.1007/978-1-4613-1903-0 Proceedings of the Second International Workshop on Monoclonal Antibodies and Breast Cancer, held November 20-21, 1986, in San Francisco, California © 1987 Plenum Press, New York Softcover reprint of the hardcover 1s t edition 1987 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfliming, recording, or otherwise, without written permission from the Publisher 2ND INTERNATIONAL WORKSHOP ON MONOCLONAL ANTIBODIES AND BREAST CANCER San Francisco, California November 20-21, 1986 organized by the John Muir Cancer & Aging Research Institute, with the cooperation of the International Association for Breast Cancer Research. CHAIRPERSON Dr. Roberto L. Ceriani John Muir Cancer & Aging Research Institute ORGANIZING COMMITTEE Chairpersons: Dr. Roberto L. Ceriani Dr. Jean Hager-Rich (AMC Cancer Research Center, Denver, Colorado) Members: Ms. Shannon Jackson Dr. Jerry A. Peterson Dr. Bernard Larner Ms. Kelly Travers Dr. Howard Maccabee Ms. Patricia Woycheese PROGRAM COMMITTEE Chairperson: Dr. Roberto L. Ceriani Members: Dr. Robert Cardiff Dr. Ricardo Mesa-Tejada Dr., Arthur Frankel Dr. Luciano Ozzello Dr. Kenneth McCarty, Jr. Dr. Jeffrey Schlom Dr. William L. McGuire v ACKNOWLEDGEMENTS The Organizing Committee for the 2nd International Workshop on Monoclonal Antibodies and Breast Cancer. together with the John Muir Cancer & Aging Research Institute. ~ratefully acknowledge the support of the following in making the Workshop possible: SPONSORS COULTER IMMUNOLOGY. HIALEAH. FLORIDA TRITON BIOSCIENCES. INC •• ALAMEDA. CALIFORNIA Abbott Laboratories. North Chicago. Illinois Cambridge Research Laboratory. cambridge. Massachusetts Cetus Corporation. Emeryville. California Medi+Physics. Inc •• Emeryville. California Stuart Pharmaceuticals. Wilmington. Delaware Bio-Rad Laboratories. Richmond. California Bristol-Myers Company. New York. New York Eli Lilly and Company. Indianapolis. Indiana Genelabs Incorporated. San Carlos. California CONTRIBUTORS The Christian Brothers Winery. FM Productions. Hyclone. Micco Office Equipment. Polysciences. Inc .• Zymed Laboratories. Inc. PREFACE Once again we have gathered to discover and evaluate advances made in our ability to understand. diagnose and possibly treat breast cancer with the new reagents provided by monoclonal antibody techniques. In the last two years since our first International Workshop on Monoclonal Antibodies and Breast Cancer there has been an enormous surge in the number and quality of applications for these new reagents. Solid achievements have been made in identification and quantitation of estrogen and progesterone receptors. in histopathological diagnostic procedures. in serum diagnosis. and we are witnessing now the first attempts to treat breast cancer with immunoconjugates. Cytosolic estrogen receptors can now be quantitated with monoclonal antibodies. and also their cellular distribution can be directly assessed histologically. In addition. monoclonal antibodies to progesterone receptors have been generated that show promise in having similar uses as those to the estrogen receptor. In the field of diagnosis. the use of monoclonal antibodies has permitted the development of serological approaches for early diagnosis by identifying and measuring breast epithelial antigens in serum. and of histological approaches for establishing criteria for breast cancer dissemination and prognosis. With great expectations we are all following developments in the area of breast cancer treatment using conjugates of anti-breast epithelial monoclonal antibodies which are now confirming earlier reports in affecting breast tumor control. The recent creation of newer monoclonal antibodies and conjugates await experimentation and clinical trials to determine their value. As a whole. we are at the threshold of an explosive development in uses of these reagents and the many contributions to this 2nd International Workshop attest to this fact. The enthusiasm and investment of many laboratories worldwide in these new techniques and approaches stems also no doubt from the steady progress made in basic aspects of the field for which we have evident proof here. This 2nd Workshop was made possible by the generosity of our Sponsors. the commitment of the members of the Program and Organizing Committee. and the strong dedication of the John Muir Cancer & Aging Research staff. A special mention Ins~itute should be made of the effort and care put into the preparation of this volume by Ms. Shannon Jackson. Evidence of the progress made is presented in this volume and the excitement generated by these accomplishments make us believe in the important role to be played by reagents produced with monoclonal antibodies in breast cancer diagnosis and treatment in the near future. Roberto L. Ceriani vm CONTENTS SESSIONS I AND II Characterization of Cross-Related Antigens of Human Milk Fat Globule Membrane and Breast Tumors Detected By A New Monoclonal Antibody Panel ... 3 A.S. Dion. P.P. Major and M. Ishida A Multiparametric Study by Monoclonal Antibodies in Breast Cancer • . • . . . . • . . • . . . .. .. 21 M.I. Colnaghi. S. Menard, M.G. Da Dalt. R. Agresti. G. Cattoretti. S. Andreola. G. Di Fronzo. M. Del Vecchio. L. Verderio. N. Cascinelli and F. Rilke Molecular and Immunological Analysis of Mucin Molecules Produced by Normal and Malignant Human Mammary Epithelial Cells . . • . . . . • 33 S. Gendler. J. Burchell. A.B. Griffiths and J. Taylor-Papadimitriou Single Cell Heterogeneity in Breast Cancer • • . . . . • • 41 J.A. Peterson Monoclonal Antibody Studies of Drug Resistance . . . . . . 55 W.L. McGuire. S.A.W. Fuqua. L.G. Dressler The Use of Multitumor/Tissue (Sausage) Blocks for Immunohistologic Screening of Monoclonal Antibodies . • • . . . . • . • . . . • . . • • • 63 H. Battifora Advances Towards Clinical Relevance of Breast Carcinoma Associated Antigens . . . • . . . . . . . . . . . . 69 F .A. Salinas SESSION III Detection and Assay of the 52K Estrogen-Regulated Protease in Mammary Tumors • . .. .... ., 85 H. Rochefort. V. Cavailles. G. Freiss. D. Derocq. G. Salazar. T. Maudelonde. S. Khalaf. H. Rogier. F. Paolucci. B. Pau and M. Garcia ix Diversity of Antigenic Expression on Normal and Malignant Human Mammary Cells Recognized By A New Panel of Monoclonal Antibodies • • . . . . 95 E. Gero. Ph. Hageman. J. Hilkens. J. Sugar and J. Hilgers Immunochemical Evaluation of Estrogen Receptor and Progesterone Receptor in Breast Cancer . .... 119 G.L. Greene and M.F. Press Application of Monoclonal Antibodies Against Estrogen and Progesterone Receptors in the Immunocytochemical Evaluation of Breast Carcinomas . . . . . . • . 137 L. Ozzello. C.M. DeRose and D.V. Habif Heterogeneity vs. Asynchrony of Receptor Expression in Breast Cancer as Determined by Monoclonal Antibodies . . . . . . . . . • . . • . . . . 145 L.B. Kinsel. J.L. Flowers. J. Konrath. G.S. Leight. G.L. Greene and K.S. McCarty Immunoaffinity Purification and Structural Analysis of Human Breast Cancer Progesterone Receptors . .. 157 D.P. Edwards. P.A. Estes. D. EI-Ashry. E. Suba. and J. Lawler-Heavner SESSION IV Analysis of the Humoral Immune Repertoire in Patients with Cancer . . . . . . . . . . . . . . . 171 R.J. Cote. D.M. Morrissey. A.N. Houghton. H.F. Oettgen and L.J. Old An Improved Method for the Radiohalogenation of Monoclonal Antibodies . . . . .. •.... 187 M.R. Zalutsky and A.S. Narula Studies on a Epithelial/Epithelial Malignancy Associated Antigen Associated with Human Adenocarcinomas .... 205 T.F. Bumol. J. Parrish. S.V. DeHerdt. M.E. Spearman. R. Pohland. M.J. Borowitz. S.L. Briggs. A.L. Baker. P. Marder. and L.D. Apelgren A Serum Test for the Diagnosis and Monitoring the Progress of Breast Cancer . . . . . . . .. '" 217 S. Stacker. N. Sacks. C. Thompson. C. Smart. R. Burton. J. Bishop. J. Golder. X. Pei-xiang. I.F.C. McKenzie Experimental Therapy of Breast Cancer with Anti-breast Epithelial Radioimmunoconjugates. ........ 229 R.L. Ceriani and E.W. Blank Antibody Guided Diagnosis and Therapy of Patients with Breast Cancer . . . .. ...... • 245 H.P. Kalofonos and A.A. Epenetos Contributors 259 Index • • • • • 265 x SESSIONS I AND II
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