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单克隆抗体在癌症患者治疗中的应用

Monoclonal antibodies in the management of carcinoma patients.

作者信息

Roselli M, Casciani C U, Guadagni F, Buonomo O, Iorio B, Diodati A, Vittorini V, Greiner J W, Colcher D, Schlom J

机构信息

Department of Surgery, II University of Rome, School of Medicine, Italy.

出版信息

Med Oncol Tumor Pharmacother. 1991;8(4):223-8. doi: 10.1007/BF02987190.

DOI:10.1007/BF02987190
PMID:1820487
Abstract

The use of monoclonal antibodies (MAbs) in the clinical management of carcinoma patients is reported in the present review. Among the various MAbs generated, MAb B72.3 (LTIB, National Cancer Institute, U.S.A.) has been extensively used in clinical trials either for antigen identification (TAG-72) in sera, or for tumor localization in carcinoma patients. Serum assay results, in colorectal cancer patients, showed the usefulness of the MAb B72.3 in monitoring the clinical course of the malignant disease. Its specific tumor localization (70% of the biopsy specimens) and the immunoscintigraphy studies, after in vivo administration, have also been discussed. The positive results obtained, markedly contributed in the development of a new intraoperative methodology termed "radioimmunoguided surgery".

摘要

本综述报道了单克隆抗体(MAb)在癌症患者临床管理中的应用。在产生的各种单克隆抗体中,单克隆抗体B72.3(LTIB,美国国立癌症研究所)已广泛用于临床试验,用于血清中的抗原鉴定(TAG-72)或癌症患者的肿瘤定位。在结直肠癌患者中,血清检测结果显示单克隆抗体B72.3在监测恶性疾病临床病程方面有用。还讨论了其特异性肿瘤定位(70%的活检标本)以及体内给药后的免疫闪烁显像研究。所获得的阳性结果对一种称为“放射免疫导向手术”的新术中方法的发展有显著贡献。

相似文献

1
Monoclonal antibodies in the management of carcinoma patients.单克隆抗体在癌症患者治疗中的应用
Med Oncol Tumor Pharmacother. 1991;8(4):223-8. doi: 10.1007/BF02987190.
2
[In vivo application of monoclonal antibodies in the management of human carcinomas].
Gan To Kagaku Ryoho. 1988 Apr;15(4 Pt 2-1):1109-14.
3
Enhanced tumor binding using immunohistochemical analyses by second generation anti-tumor-associated glycoprotein 72 monoclonal antibodies versus monoclonal antibody B72.3 in human tissue.在人体组织中,使用第二代抗肿瘤相关糖蛋白72单克隆抗体与单克隆抗体B72.3通过免疫组织化学分析增强肿瘤结合。
Cancer Res. 1990 Feb 15;50(4):1291-8.
4
Generation and characterization of B72.3 second generation monoclonal antibodies reactive with the tumor-associated glycoprotein 72 antigen.与肿瘤相关糖蛋白72抗原反应的B72.3第二代单克隆抗体的产生与特性分析
Cancer Res. 1988 Aug 15;48(16):4588-96.
5
Intraoperative radioimmunolocalization of colorectal carcinoma with a hand-held gamma probe and MAb B72.3: comparison of in vivo gamma probe counts with in vitro MAb radiolocalization.
Int J Cancer. 1988 Sep 15;42(3):352-8. doi: 10.1002/ijc.2910420308.
6
Serological mapping of the TAG-72 tumor-associated antigen using 19 distinct monoclonal antibodies.使用19种不同的单克隆抗体对TAG-72肿瘤相关抗原进行血清学图谱分析。
Cancer Res. 1990 Aug 15;50(16):4872-9.
7
The use of monoclonal antibody B72.3 in the management of gynecologic malignancies.单克隆抗体B72.3在妇科恶性肿瘤治疗中的应用。
Yale J Biol Med. 1988 Jul-Aug;61(4):351-66.
8
Complementation of intracavitary and intravenous administration of a monoclonal antibody (B72.3) in patients with carcinoma.癌患者体内腔内和静脉内给予单克隆抗体(B72.3)的补充治疗
Cancer Res. 1987 Aug 1;47(15):4218-24.
9
Applications of monoclonal antibodies in clinical cytology as exemplified by studies with monoclonal antibody B72.3. The George N. Papanicolaou award lecture.以单克隆抗体B72.3的研究为例谈单克隆抗体在临床细胞学中的应用。乔治·N·帕潘尼古拉乌奖获奖演讲。
Acta Cytol. 1987 Sep-Oct;31(5):537-56.
10
Pilot study evaluating the intraoperative localization of radiolabeled monoclonal antibody CC83 in patients with metastatic colorectal carcinoma.
Surgery. 1995 Jul;118(1):103-8. doi: 10.1016/s0039-6060(05)80016-9.

本文引用的文献

1
Use of radiolabelled monoclonal anti-CEA antibodies for the detection of human carcinomas by external photoscanning and tomoscintigraphy.使用放射性标记的抗癌胚抗原单克隆抗体通过体外光扫描和断层闪烁扫描检测人类癌症。
Immunol Today. 1981 Dec;2(12):239-49. doi: 10.1016/0167-5699(81)90011-6.
2
Monoclonal antibody detection of a circulating tumor-associated antigen. II. A longitudinal evaluation of patients with colorectal cancer.循环肿瘤相关抗原的单克隆抗体检测。II. 结直肠癌患者的纵向评估。
J Clin Immunol. 1982 Apr;2(2):141-9. doi: 10.1007/BF00916898.
3
Monoclonal antibody detection of a circulating tumor-associated antigen. I. Presence of antigen in sera of patients with colorectal, gastric, and pancreatic carcinoma.
循环肿瘤相关抗原的单克隆抗体检测。I. 结直肠癌、胃癌和胰腺癌患者血清中抗原的存在情况。
J Clin Immunol. 1982 Apr;2(2):135-40. doi: 10.1007/BF00916897.
4
Antibody-directed cytotoxic agents: use of monoclonal antibody to direct the action of toxin A chains to colorectal carcinoma cells.抗体导向细胞毒性剂:利用单克隆抗体将毒素A链的作用导向结肠癌细胞。
Proc Natl Acad Sci U S A. 1980 Aug;77(8):4539-43. doi: 10.1073/pnas.77.8.4539.
5
Differential reactivity of monoclonal antibodies with human colon adenocarcinomas and adenomas.单克隆抗体与人结肠腺癌和腺瘤的差异反应性。
Int J Cancer. 1983 May 15;31(5):543-52. doi: 10.1002/ijc.2910310504.
6
Definition of antigenic heterogeneity and modulation among human mammary carcinoma cell populations using monoclonal antibodies to tumor-associated antigens.利用针对肿瘤相关抗原的单克隆抗体对人乳腺癌细胞群体中的抗原异质性和调节进行定义。
Cancer Res. 1983 Feb;43(2):728-35.
7
A spectrum of monoclonal antibodies reactive with human mammary tumor cells.一系列与人类乳腺肿瘤细胞发生反应的单克隆抗体。
Proc Natl Acad Sci U S A. 1981 May;78(5):3199-203. doi: 10.1073/pnas.78.5.3199.
8
Detection of metastatic tumor in normal-sized retroperitoneal lymph nodes by monoclonal-antibody imaging.通过单克隆抗体成像检测正常大小的腹膜后淋巴结中的转移性肿瘤。
N Engl J Med. 1984 Jul 12;311(2):106-7. doi: 10.1056/NEJM198407123110207.
9
Radionuclide selection and model absorbed dose calculations for radiolabeled tumor associated antibodies.放射性标记肿瘤相关抗体的放射性核素选择与模型吸收剂量计算
Med Phys. 1984 Sep-Oct;11(5):638-45. doi: 10.1118/1.595559.
10
Immunoscintigraphy of colon carcinoma.结肠癌的免疫闪烁显像
J Nucl Med. 1984 Mar;25(3):307-14.