School of Medicine and Pharmacology, University of Western Australia, Perth, Australia.
Int Rev Immunol. 2012 Aug;31(4):246-66. doi: 10.3109/08830185.2012.698338.
Agonistic anti-CD40 antibody is a potent stimulator of anti-tumor immune responses due to its action on both immune and tumor cells. It has the ability to "precondition" dendritic cells, allowing them to prime effective cytotoxic T-cell responses. Thus, anti-CD40 antibody provides an ideal therapy for combination with traditional cancer treatments (i.e., chemotherapy, surgery) in order to elicit immune-mediated anti-tumor effects. This review summarizes the mechanisms of action of agonistic anti-CD40, the use of mouse models to investigate its effects and combinations with other therapies in vivo, and current clinical trials combining humanized anti-CD40 antibody with chemotherapy and/or other immunotherapies.
激动型抗 CD40 抗体通过作用于免疫细胞和肿瘤细胞而成为一种强有力的抗肿瘤免疫反应刺激剂。它具有“预处理”树突状细胞的能力,使其能够引发有效的细胞毒性 T 细胞反应。因此,抗 CD40 抗体为与传统癌症治疗方法(如化疗、手术)联合使用提供了理想的治疗选择,以引发免疫介导的抗肿瘤作用。本文综述了激动型抗 CD40 的作用机制、利用小鼠模型研究其体内作用以及与其他疗法联合应用的情况,以及目前正在进行的将人源化抗 CD40 抗体与化疗和/或其他免疫疗法联合应用的临床试验。