Watier Hervé
Université François Rabelais de Tours, Laboratoire d'immunologie, Faculté de médecine, 10, boulevard Tonnellé, 37032 Tours Cedex, France.
Med Sci (Paris). 2009 Dec;25(12):999-1009. doi: 10.1051/medsci/20092512999.
Monoclonal antibodies and molecular engineering have renewed the ancient serotherapy, multiplying the possibilities of therapeutic interventions and providing many new clinical successes! Standing back about this history allows us to better understand the evolution of concepts underlying the therapeutic use of antibodies, as well as the maturation of the tool itself. The different principles of therapeutic targeting will be successively tackled, from their sometimes hundred year-old conception until the most recent clinical developments: antibodies neutralizing toxins and soluble antigens, anti-microbial antibodies, cytotoxic antibodies, tumour-specific antibodies, cell function -modifying antibodies, etc. This overview will finally offer the opportunity to introduce a new pharmacological classification of the entire class of unconjugated -therapeutic antibodies.
单克隆抗体和分子工程技术复兴了古老的血清疗法,成倍增加了治疗干预的可能性,并带来了诸多新的临床成功案例!回顾这段历史能让我们更好地理解抗体治疗应用背后概念的演变,以及该工具本身的成熟过程。我们将依次探讨治疗靶向的不同原理,从其有时已有百年历史的构想一直到最新的临床进展:中和毒素和可溶性抗原的抗体、抗微生物抗体、细胞毒性抗体、肿瘤特异性抗体、细胞功能修饰抗体等等。这一概述最终将提供机会引入针对整个未偶联治疗性抗体类别的新药理学分类。