Table 1

Important examples of trogocytosis mediated by mAbs

Target EpitopemAbKey observations
CD3 Muromonab-CD3 (OKT3) Early clinical report of antigenic modulation. In vitro experiments demonstrated requirements for monocytes and intact IgG.36,37  
CD5 T101 Loss of CD5 was induced by treatment of patients with CLL or cutaneous T-cell lymphoma with mAb T101. In vitro studies indicated FcγR on monocytes and intact IgG were required.38-44,75,76  
CD8 Hit8a When whole blood samples are probed with CD8 mAbs for standard flow cytometry analyses, CD8 is transferred to and internalized by monocytes and neutrophils.19,21,30  
CD20 RTX (Rituxan) Both mAbs promote in vivo and in vitro trogocytosis.8,12-14,17,18,20,22,52,55-58,61,64,67  
 OFA (Arzerra) 
 CD20-6 This type II CD20 mAb promotes trogocytosis.57  
CD22 Epratuzumab Treatment of SLE patients with epratuzumab resulted in trogocytosis of CD22 and other cell surface proteins from circulating B cells.15,66  
CD25 Daclizumab (Zenapax) Treatment of patients with multiple sclerosis with daclizumab resulted in trogocytosis of CD25 from T cells.15  
CD33 Gemtuzumab ozogamicin (Mylotarg) Trogocytosis, mediated by FcγRIIb on LSECs, may explain why some patients who receive Mylotarg therapy experience severe liver damage.22,68-70,72  
EGF-R Cetuximab (Erbitux) Cetuximab mediates trogocytosis by monocytes of the EGF receptor on 3 different cell lines in vitro.18,77  
Her2/Neu Trastuzumab (Herceptin) Trastuzumab mediates trogocytosis by monocytes of the Her2/Neu antigen on a breast cancer cell line in vitro.18  
Target EpitopemAbKey observations
CD3 Muromonab-CD3 (OKT3) Early clinical report of antigenic modulation. In vitro experiments demonstrated requirements for monocytes and intact IgG.36,37  
CD5 T101 Loss of CD5 was induced by treatment of patients with CLL or cutaneous T-cell lymphoma with mAb T101. In vitro studies indicated FcγR on monocytes and intact IgG were required.38-44,75,76  
CD8 Hit8a When whole blood samples are probed with CD8 mAbs for standard flow cytometry analyses, CD8 is transferred to and internalized by monocytes and neutrophils.19,21,30  
CD20 RTX (Rituxan) Both mAbs promote in vivo and in vitro trogocytosis.8,12-14,17,18,20,22,52,55-58,61,64,67  
 OFA (Arzerra) 
 CD20-6 This type II CD20 mAb promotes trogocytosis.57  
CD22 Epratuzumab Treatment of SLE patients with epratuzumab resulted in trogocytosis of CD22 and other cell surface proteins from circulating B cells.15,66  
CD25 Daclizumab (Zenapax) Treatment of patients with multiple sclerosis with daclizumab resulted in trogocytosis of CD25 from T cells.15  
CD33 Gemtuzumab ozogamicin (Mylotarg) Trogocytosis, mediated by FcγRIIb on LSECs, may explain why some patients who receive Mylotarg therapy experience severe liver damage.22,68-70,72  
EGF-R Cetuximab (Erbitux) Cetuximab mediates trogocytosis by monocytes of the EGF receptor on 3 different cell lines in vitro.18,77  
Her2/Neu Trastuzumab (Herceptin) Trastuzumab mediates trogocytosis by monocytes of the Her2/Neu antigen on a breast cancer cell line in vitro.18  

CLL, chronic lymphocytic leukemia; EGF-R, epidermal growth factor receptor; LSEC, liver sinusoidal endothelial cells; OFA, ofatumumab; RTX, rituximab; SLE, systemic lupus erythematosus.

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