Utilization of monoclonal antibodies in the treatment of leukemia and lymphoma.

作者: J Ritz , SF Schlossman

DOI: 10.1182/BLOOD.V59.1.1.1

关键词: AntibodyBone marrowImmune systemMonoclonal antibodyLymphomaAntigenMedicineLeukemiaImmunologyAntigenic Modulation

摘要: The generation of murine monoclonal antibodies reactive with human leukemia and lymphoma cells has recently led to clinical trials that have begun evaluate the use these reagents in treatment various leukemias lymphomas. Several studies demonstrated infusion antibody can cause rapid specific clearance leukemic from peripheral blood. Intravenously administered also rapidly binds bone marrow lymphoblasts, one instance, resulted partial regression tumor cell infiltrates lymph nodes skin. Unfortunately, clinically significant responses not general been achieved, but identified factors result development resistance antibody-mediated lysis vivo. These include presence circulating antigen, antigenic modulation, reactivity normal cells, immune response antibody, inefficiency natural effector mechanisms. Current research is now being directed towards developing methods circumvent each obstacles. Future utilizing vitro or different specificity may demonstrate greater therapeutic efficacy. In addition, be used as carriers other cytotoxic agents conjunction will reduce total load. Monoclonal represent new powerful near future become an additional modality for patients malignant disease.

参考文章(93)
Lee D. Leserman, Jacques Barbet, François Kourilsky, John N. Weinstein, Targeting to cells of fluorescent liposomes covalently coupled with monoclonal antibody or protein A Nature. ,vol. 288, pp. 602- 604 ,(1980) , 10.1038/288602A0
S. C. Bansal, R. Hargreaves, H. O. Sjögren, Facilitation of polyoma tumor growth in rats by blocking sera and tumor eluate. International Journal of Cancer. ,vol. 9, pp. 97- 108 ,(1972) , 10.1002/IJC.2910090112
Ingegerd Hellström, Hans Olov Sjögren, Glenn Warner, Karl Erik Hellström, Blocking of cell-mediated tumor immunity by sera from patients with growing neoplasms International Journal of Cancer. ,vol. 7, pp. 226- 237 ,(1971) , 10.1002/IJC.2910070206
A.J Barrett, D Brigden, J.T Roberts, R.C.D Staughton, N Byrom, J.R Hobbs, Antilymphocyte globulin in the treatment of advanced Sézary syndrome. The Lancet. ,vol. 307, pp. 940- 941 ,(1976) , 10.1016/S0140-6736(76)92716-1
P. M. Knopf, Antonia Destree, R. Hyman, Antibody-induced changes in expression of an immunoglobulin surface antigen. European Journal of Immunology. ,vol. 3, pp. 351- 359 ,(1973) , 10.1002/EJI.1830030502
L M Nadler, J Ritz, R Hardy, J M Pesando, S F Schlossman, P Stashenko, A unique cell surface antigen identifying lymphoid malignancies of B cell origin. Journal of Clinical Investigation. ,vol. 67, pp. 134- 140 ,(1981) , 10.1172/JCI110005
FERNANDO DE NORONHA, RAYMOND BAGGS, WERNER SCHÄFER, DANI P. BOLOGNESI, Prevention of oncornavirus-induced sarcomas in cats by treatment with antiviral antibodies. Nature. ,vol. 267, pp. 54- 56 ,(1977) , 10.1038/267054A0
Richard T. Smith, Possibilities and Problems of Immunologic Intervention in Cancer New England Journal of Medicine. ,vol. 287, pp. 439- 450 ,(1972) , 10.1056/NEJM197208312870905
E. A. Boyse, E. Stockert, L. J. Old, Modification of the antigenic structure of the cell membrane by thymus-leukemia (TL) antibody. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 58, pp. 954- 957 ,(1967) , 10.1073/PNAS.58.3.954