Med Hypotheses. 2013 Apr;80(4):425-30. doi: 10.1016/j.mehy.2012.12.034. Epub 2013 Jan 31.
Natural anti-tumor IgM antibodies are prevalent in the serum of cancer patients and normal subjects. Extensive research has been directed toward the ultimate goal of achieving a therapeutic effect from these antibodies either augmented by vaccination or by passive infusion. To date, the therapeutic effects have been limited. This thesis asserts that thiols within solid tumors reduce pentameric IgM to monomeric or other subunit form resulting in inactivation of its complement fixing and cross linking apoptosis inducing properties. A rationale for this normal physiological inactivation mechanism, possibly necessary for wound healing and pregnancy, is proposed along with therapeutic approaches, which would potentially suppress IgM inactivation.
天然抗肿瘤 IgM 抗体存在于癌症患者和正常受试者的血清中。人们广泛研究这些抗体,以期通过接种疫苗或被动输注来实现治疗效果。但到目前为止,治疗效果有限。本论文认为,实体瘤中的巯基将五聚体 IgM 还原为单体或其他亚单位形式,从而使其丧失补体固定和交联诱导细胞凋亡的特性。本文提出了一种可能的机制,即这种正常的生理失活机制对于伤口愈合和妊娠是必要的,同时还提出了一些治疗方法,这些方法可能会抑制 IgM 的失活。