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 Articles and
Reports
Alternatives to Animal Research and Testing
Alternatives to Ascites Production of Monoclonal Antibodies
by John McArdle, Ph.D.
Alternatives Research and Development Foundation
Eden Prairie, Minnesota
www.nal.usda.gov/awic/newsletters/v8n3/8n3mcard.htm
Pros And Cons: Ascites vs. In Vitro
Support for continued use of ascites methods are usually based on
claims of: (1) more rapid production and high yields of highly
concentrated monoclonal antibodies; (2) minimal requirements for
materials, labor, and technical expertise; (3) most hybridomas will grow
in mice; (4) relatively less expensive; and (5) either an inherit
resistance to or lack of familiarity with in vitro methods.
Experience in European laboratories strongly suggests that "these
arguments are increasingly being challenged by documents showing that,
depending on the amount and concentration of MAbs needed, in vitro
production methods are equally well suited"as ascites (Hendriksen,
personal communication). With continually increasing expenses associated
with the care of laboratory animals and decreasing prices associated
with either the newer in vitro methods or decreased production costs for
existing in vitro equipment, the cost differential between animal- and
non-animal-based methods is rapidly disappearing.
In contrast with in vivo methods, in vitro approaches to monoclonal
antibody production have many positive attributes. In general, MAbs
derived from in vitro alternatives express immunoreactivity in ranges of
90 to 95 percent regardless of the method used. This is significantly
higher than that with MAbs produced by ascites. Similarly, in vitro
cultures rarely fail (3 percent or less), while a much higher percentage
of ascitic mice do not produce antibodies. Further, the quality of in
vitro MAbs is equal to or better than that derived from in vivo methods.
Glycosylation has been raised as an issue with in vitro methods for
producing Mabs. (Ed. note: Glycosylation can influence the
antigen-binding capacity, the resistance of an antibody to proteolysis,
and other biologically important processes.) However, glycosylation
patterns are more easily regulated in vitro, since with ascites, they
can vary between each individual animal. The ECVAM committee concluded
that "there are no reasonable arguments based on antibody glycosylation
which support the use of in vivo methods." (15)
Ascites is also subject to criticism on both technical and humane
criteria. The major disadvantages of animal-based methods include: (1)
association with severe cruelty and suffering to the animals; (2)
ascitic fluids may be contaminated with rodent plasma proteins,
immunoglobulins (reducing its immunoreactivity), infectious agents and
bioreactive cytokines; (3) the need for extensive animal facilities,
associated support services with each of the individual animals
requiring daily monitoring 7 days a week; (4) some hybridomas (for
example, human) are difficult to grow in rodents; (5) rodents only
produce MAbs for a few days; (6) from 60 to 80 percent of mice may not
produce ascites due to premature death, development of solid tumors, or
failure to establish in vivo hybridoma growth (14); and (7) individual
batches of ascites may vary significantly in quality and quantity.

Figure 1. Mouse showing swollen abdomen typical of ascites.
The most compelling arguments against in vivo production of
monoclonal antibodies are based on the suffering associated with the
induction of ascites in the animals. It is known from human clinical
experience that the growth of abdominal tumors is very painful (fig. 1).
Further, ascites fluid accumulation in human patients is associated with
abdominal distension, anorexia, nausea, vomiting, respiratory distress,
edema, decreased mobility and fatigue. Such individuals are treated for
discomfort and pain while never being allowed to progress to advanced
stages routinely seen during ascites production in animals.
Animals used for ascites accumulation of MAbs frequently exhibit a
spectrum of clinical symptoms including: (1) roughened haircoat, hunched
posture, abdominal distention, anorexia, cachexia, anemia; (2) decreased
activity and body mass, dehydration, shrunken eyes; (3) difficulty
walking, respiratory distress due to an elevated diaphragm; (4)
circulatory shock due to excessive fluid removal; (5) decreased venous,
arterial and renal blood flow; (6) classical peritonitis; (7)
immunosuppression associated with adjuvant use; and (8) up to 20 percent
mortality after removal of ascitic fluid. It is not uncommon for fluid
to be withdrawn in amounts greater than the entire blood volume of the
animal. These symptoms become increasingly severe the longer the animals
are allowed to survive (1, 9).
Pathological changes associated with ascites production of MAbs are
known for each step in the process. Use of adjuvants produces mild to
severe peritonitis and inflammation. Fluid removal may cause hemorrhage,
edema, and death. As expected, growth of the ascitic tumors creates a
variety of responses including: (1) adhesions of the abdominal wall,
bladder, diaphragm, kidneys, liver, seminal vesicles, testicles and
ureters; (2) linear lesions in diaphragm muscles; (3) enlarged thoracic
lymph nodes and lymphatic obstruction; (4) tumors with extensive
hemorrhagic and necrotic areas; (5) disseminated tumors in mesenteric,
lumbar, kidney, and testicular regions; (6) centro-lobular liver
necrosis; and (7) solid tumors throughout the abdomen. (1, 9)
The significance of the list of abnormalities associated with ascites
production is further emphasized by observations that the animals may
experience severe pathologic changes in their abdomens and chests, but
appear to be clinically normal. By themselves, frequent abdominal
injections are known to be a major stressful factor. Further, although
abdominal distention is the most obvious consequence of ascites
production, severe pain from infiltrated growth of tumors and
peritonitis is a significantly more serious problem for the animals.
From all of the above, it is apparent that animals used for ascites
production of monoclonal antibodies are routinely subjected to chronic
pain and distress. Use of adjuvants further complicates this situation
by injuring the animals before the process begins.
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In Vitro Alternatives
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Alternatives to Ascites Production
of Monoclonal Antibodies
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