Mabuchi Seiji, Kimura Tadashi
Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
Discov Med. 2010 Mar;9(46):197-203.
Despite the recent advances in its management using cytoreductive surgery and chemotherapy, ovarian cancer remains the most lethal gynecological malignancy. One possible treatment strategy that may improve patient outcome is the use of monoclonal antibodies (mAb) that selectively target tumor cells expressing tumor-associated antigens, and thus offer potential benefits such as avoiding the cytotoxic side effects in normal tissue caused by traditional chemotherapeutic agents. Based on the promising results of preclinical studies, various mAb are currently being evaluated in patients with ovarian cancer. Some of them have already demonstrated favorable clinical outcomes in phase I/II studies. However, in contrast to its use for hematological malignancies and certain solid malignancies such as breast and colorectal cancer, mAb-based therapy has not been convincingly proven to be clinically effective in patients with ovarian cancer. As the preclinical results of mAb's therapeutic effects on ovarian cancer have been encouraging, further investigations are needed to establish a more effective, specific, and less toxic treatment strategy for this malignancy.
尽管在采用减瘤手术和化疗对卵巢癌进行治疗方面取得了近期进展,但卵巢癌仍是最致命的妇科恶性肿瘤。一种可能改善患者预后的治疗策略是使用单克隆抗体(mAb),其可选择性靶向表达肿瘤相关抗原的肿瘤细胞,从而带来诸如避免传统化疗药物对正常组织产生细胞毒性副作用等潜在益处。基于临床前研究的 promising 结果,目前正在对多种单克隆抗体在卵巢癌患者中进行评估。其中一些在 I/II 期研究中已显示出良好的临床疗效。然而,与用于血液系统恶性肿瘤以及某些实体恶性肿瘤(如乳腺癌和结直肠癌)不同,基于单克隆抗体的疗法尚未在卵巢癌患者中被令人信服地证明具有临床有效性。由于单克隆抗体对卵巢癌治疗效果的临床前结果令人鼓舞,因此需要进一步研究以建立针对这种恶性肿瘤更有效、更具特异性且毒性更小的治疗策略。