1982a, b; Vogel and Muller-Eberhard, 1984). However, it is not well known if immunotoxin
conjugates formed by this procedure retain their ability to inhibit ribosomal activity.
Suggested procedures for using reductive amination techniques may be found in Chapter 1,
Section 4.4 and Chapter 3, Section 4.
Periodate-Oxidized Dextran as Crosslinking Agent
Dextran polymers consist of glucose residues bound together predominantly in -1,6 link-
ages. The main repeating unit is an isomaltose group. Most preparations of dextran contain
some branching, mainly incorporating 1,2, 1,3, and 1,4 linkages. The degree of branching is
characteristic of its source—the strain and species of yeast or bacteria from which the dextran
originated. The terminating monosaccharide in a dextran polymer is often a fructose group.
Dextrans of MW 10,000–40,000 provide long, hydrophilic arms that can accommodate multi-
ple attachment points for macromolecules along their length. Soluble dextrans can be oxidized
in aqueous solution to create numerous aldehyde residues suitable for use in reductive amina-
tion techniques (Hurwitz et al., 1978, 1985; Manabe et al., 1983; Sela and Hurwitz, 1987).
Periodate oxidation results in the cleavage of the carbon–carbon bonds between the No. 2 and
3 carbons within each monosaccharide unit of the chain, transforming the associated hydroxyl
groups into aldehydes (Chapter 1, Section 4.4).
Periodate-oxidized dextran can be used as a protein modifi cation or crosslinking agent (Chapter
25, Section 2). Conjugation of antibody molecules to toxins can be done with dextran to produce
immunotoxins suitable for in vivo administration. Mixing of the antibody and toxin together with
the oxidized dextran under alkaline conditions results in the formation of Schiff base interactions
with the amines on both proteins. Reduction of these Schiff base linkages with sodium borohy-
dride or sodium cyanoborohydride results in stable amide bonds, covalently attaching multiple
antibody and toxin molecules along the length of the polysaccharide chain ( Figure 21.15 ).
Chemoimmunoconjugates consisting of drugs attached to antibody-targeting molecules also
can be formed using oxidized dextran carriers. Cancer therapeutic agents such as adriamy-
cin, bleomycin, and daunomycin can be coupled to the oxidized dextran through their amine
groups. After formation of Schiff base linkages between these drugs and the carrier, the anti-
body is added and a reducing agent used to create the fi nal amide bond linkages (Sela and
Hurwitz, 1987). The dextran backbone provides many more drug molecules associated with
each antibody than could be accomplished by direct conjugation to the antibody itself.
Although dextran can be a versatile crosslinking agent for the preparation of many forms of
macromolecular conjugates, immunotoxin conjugation may be impeded by the nonreversibility
of the multiple amide bond linkages formed during reductive amination. Certainly, only intact
A–B toxins have a chance of succeeding with this method, since A-chain or single-subunit
toxins would not be capable of release from the complex after cellular docking. Even intact
two-subunit toxins, however, may not be capable of releasing an A-chain unit, due to the mul-
tivalent nature of the oxidized dextran linker. For this reason, activated dextran may be more
useful for constructing antibody conjugates consisting of some cytotoxic component other than
protein toxins—for example, drug, hormone, or radioactive complexes.
Methods for using oxidized dextran, including reductive amination techniques, can be
found in Chapter 1, Section 4.4, Chapter 3, Section 4, and especially Chapter 25, Section
2). Reference also should be made to the use of dendrimers as carriers for making cytotoxic-
targeting complexes (Chapter 7).
2. Preparation of Immunotoxin Conjugates 857