Department of Biochemistry, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
Department of Biochemistry, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Anticancer Res. 2014 Aug;34(8):4481-8.
Novel treatment strategies for cancer that are based on a more detailed understanding over the tumor biology are based on the latest new technology and are expected to improve the current treatment outcome for patients with cancer. However, many of these strategies still have one common and critical problem, being their limited specificity for tumor cells. In this context, antibodies against tumor-associated antigens (TAAs) are used in several ways to increase the tumor specificity of these novel strategies. Firstly, photodynamic or sonodynamic therapy using anti-TAA antibodies conjugated with new sensitizers offers additional therapeutic approaches. Secondly, re-targeting of T-cell immunotherapy using an anti-TAA antibody fusion protein was shown to be useful for the success of cancer immunotherapy, because the down-regulation of HLA class I molecules in tumor tissues constitutes a major tumor escape mechanism associated with tumor-specific cellular immunity. Thirdly, in oncolytic virotherapy, targeting viral vectors carrying cytolytic activity against tumor tissues by modifying the tropisms with anti-TAA antibodies is also very promising from a practical point of view.
基于对肿瘤生物学更深入了解的癌症新治疗策略是基于最新的新技术,有望改善癌症患者的当前治疗效果。然而,这些策略中的许多仍然存在一个共同的关键问题,即它们对肿瘤细胞的特异性有限。在这种情况下,针对肿瘤相关抗原(TAA)的抗体以几种方式用于提高这些新策略的肿瘤特异性。首先,使用与新敏化剂偶联的抗 TAA 抗体进行光动力或声动力疗法提供了额外的治疗方法。其次,使用抗 TAA 抗体融合蛋白重新靶向 T 细胞免疫疗法已被证明对癌症免疫疗法的成功有用,因为肿瘤组织中 HLA Ⅰ类分子的下调构成了与肿瘤特异性细胞免疫相关的主要肿瘤逃逸机制。第三,在溶瘤病毒治疗中,通过用抗 TAA 抗体修饰对肿瘤组织具有细胞毒性的病毒载体的趋向性,从实际角度来看也是非常有前途的。