达利珠单抗(抗 Tac,赛尼哌)治疗白血病/淋巴瘤

Daclizumab (anti-Tac, Zenapax) in the treatment of leukemia/lymphoma.

作者信息

Waldmann T A

机构信息

Metabolism Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20892-1374, USA.

出版信息

Oncogene. 2007 May 28;26(25):3699-703. doi: 10.1038/sj.onc.1210368.

Abstract

Daclizumab (Zenapax) identifies the alpha subunit of the interleukin-2 (IL-2) receptor and blocks the interaction of this cytokine with its growth factor receptor. The scientific basis for the choice of the IL-2 receptor alpha subunit as a target for monoclonal antibody-mediated therapy of leukemia/lymphoma is that very few normal cells express IL-2R alpha, whereas the abnormal T cells in patients with an array of lymphoid malignancies express this receptor. In 1997, daclizumab was approved by the FDA for use in the prevention of renal allograft rejection. In addition, anti-Tac provided effective therapy for select patients with T-cell malignancies and an array of inflammatory autoimmune disorders. Finally, therapy with this antibody armed with (90)Y has led to clinical responses in the majority of patients with adult T-cell leukemia. These insights concerning the IL-2/IL-2 receptor system facilitated the development of effective daclizumab antibody therapy for select patients with leukemia/lymphoma.

摘要

达利珠单抗(赛尼哌)可识别白细胞介素-2(IL-2)受体的α亚基,并阻断该细胞因子与其生长因子受体的相互作用。选择IL-2受体α亚基作为单克隆抗体介导的白血病/淋巴瘤治疗靶点的科学依据是,很少有正常细胞表达IL-2Rα,而一系列淋巴恶性肿瘤患者体内的异常T细胞表达该受体。1997年,达利珠单抗获美国食品药品监督管理局(FDA)批准用于预防肾移植排斥反应。此外,抗Tac为部分T细胞恶性肿瘤患者和一系列炎症性自身免疫性疾病提供了有效的治疗方法。最后,用携带(90)Y的这种抗体进行治疗已使大多数成人T细胞白血病患者产生临床反应。这些关于IL-2/IL-2受体系统的见解促进了针对部分白血病/淋巴瘤患者的有效达利珠单抗抗体疗法的开发。

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