Perini Guilherme Fleury, Pro Barbara
Hospital Israelita Albert Einstein, Sao Paulo, SP Brazil.
Fox Chase Cancer Center, Lymphoma Service, Philadelphia, PA USA.
Biol Ther. 2013;3(1):15-23. doi: 10.1007/s13554-013-0008-7. Epub 2013 Mar 1.
Monoclonal antibodies (mAb) have become an effective treatment strategy for hematologic malignancies. CD30 is a rational target for therapy due to its limited expression on normal tissues and the strong and uniform expression on malignant cells in classical Hodgkin's lymphoma (cHL) and anaplastic large-cell lymphoma (ALCL). Brentuximab vedotin, an anti-CD30 antibody-drug conjugate, utilizes the targeting properties of mAb to deliver a cytotoxic agent inside the malignant cell. Brentuximab vedotin has significant clinical activity in patients with relapsed or refractory cHL and relapsed or refractory ALCL, and has the potential to represent a significant advance in modern oncology.
单克隆抗体(mAb)已成为血液系统恶性肿瘤的一种有效治疗策略。CD30是一种合理的治疗靶点,因为它在正常组织上表达有限,而在经典霍奇金淋巴瘤(cHL)和间变性大细胞淋巴瘤(ALCL)的恶性细胞上表达强烈且一致。抗CD30抗体药物偶联物brentuximab vedotin利用单克隆抗体的靶向特性将细胞毒性药物递送至恶性细胞内。Brentuximab vedotin在复发或难治性cHL以及复发或难治性ALCL患者中具有显著的临床活性,并且有可能代表现代肿瘤学的一项重大进展。