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[利妥昔单抗与血液系统恶性肿瘤]

[Rituximab and hematological malignancy].

作者信息

Hatake Kiyohiko, Mishima Yuko, Terui Yasuhito

机构信息

Division of Medical Oncology, The Cancer Chemotherapy Center of the Japanese Foundation for Cancer Research.

出版信息

Nihon Rinsho. 2004 Jul;62(7):1321-4.

Abstract

After genetic recombination with murine and human cDNA, monoclonal antibody has been produced in chimeric form. CD20 is a B cell antigen, which can be a target molecule for antibody therapy. Rituximab is an anti-CD20 monoclonal antibody that has an efficacy against B cell lymphomas. Combination therapy with CHOP regimen as well as single therapy will give rise to new treatment strategy for CD20+B cell lymphomas. Mechanism is not clarified, but induction of apoptosis, complement-mediated cell toxicity, and antibody-dependent cell toxicity are considered. Synergy with chemotherapy agents such as CHOP, ICE, DHAP and stem cell transplantation will help the patients who suffer lymphomas, CLL and Waldenstrom's macroglobulinemia. Treatment with rituximab is well tolerated and we must be careful about infusion reaction after administration.

摘要

与鼠源和人源cDNA进行基因重组后,单克隆抗体已以嵌合形式产生。CD20是一种B细胞抗原,可作为抗体治疗的靶分子。利妥昔单抗是一种抗CD20单克隆抗体,对B细胞淋巴瘤有效。CHOP方案联合治疗以及单一治疗将为CD20+B细胞淋巴瘤带来新的治疗策略。其机制尚不清楚,但考虑与诱导凋亡、补体介导的细胞毒性和抗体依赖性细胞毒性有关。与CHOP、ICE、DHAP等化疗药物以及干细胞移植协同作用,将有助于治疗淋巴瘤、慢性淋巴细胞白血病和华氏巨球蛋白血症患者。利妥昔单抗治疗耐受性良好,但给药后我们必须注意输液反应。

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