Weiner Louis M, Dhodapkar Madhav V, Ferrone Soldano
Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.
Lancet. 2009 Mar 21;373(9668):1033-40. doi: 10.1016/S0140-6736(09)60251-8.
Monoclonal antibodies are effective treatments for many malignant diseases. However, the ability of antibodies to initiate tumour-antigen-specific immune responses has received less attention than have other mechanisms of antibody action. We describe the rationale and evidence for the development of antibodies that can stimulate host tumour-antigen-specific immune responses. Such responses can be induced through the induction of antibody-dependent cellular cytotoxicity, promotion of antibody-targeted cross-presentation of tumour antigens, or by triggering of the idiotypic network. Future treatment modifications or combinations might be able to prolong, amplify, and shape these immune responses to increase the clinical benefits of antibody therapy for human cancer.
单克隆抗体是治疗多种恶性疾病的有效方法。然而,与抗体作用的其他机制相比,抗体引发肿瘤抗原特异性免疫反应的能力受到的关注较少。我们阐述了开发能够刺激宿主肿瘤抗原特异性免疫反应的抗体的基本原理和证据。这种反应可以通过诱导抗体依赖性细胞毒性、促进抗体靶向的肿瘤抗原交叉呈递或触发独特型网络来诱导。未来的治疗改进或联合使用可能能够延长、放大并塑造这些免疫反应,以增加抗体疗法对人类癌症的临床益处。
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