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T 细胞结合双特异性抗体(T-BsAb):从技术到治疗学。

T cell engaging bispecific antibody (T-BsAb): From technology to therapeutics.

机构信息

Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.

Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.

出版信息

Pharmacol Ther. 2018 Feb;182:161-175. doi: 10.1016/j.pharmthera.2017.08.005. Epub 2017 Aug 20.

Abstract

Harnessing the power of the human immune system to treat cancer is the essence of immunotherapy. Monoclonal antibodies engage the innate immune system to destroy targeted cells. For the last 30years, antibody-dependent cell-mediated cytotoxicity and complement-dependent cytotoxicity have been the main mechanisms of anti-tumor action of unconjugated antibody drugs. Efforts to exploit the potentials of other immune cells, in particular T cells, culminated in the recent approval of two T cell engaging bispecific antibody (T-BsAb) drugs, thereby stimulating new efforts to accelerate similar platforms through preclinical and clinical trials. In this review, we have compiled the worldwide effort in exploring T cell engaging bispecific antibodies. Our special emphasis is on the lessons learned, with the hope to derive insights in this fast evolving field with tremendous clinical potential.

摘要

利用人体免疫系统治疗癌症是免疫疗法的本质。单克隆抗体利用先天免疫系统来摧毁靶向细胞。在过去的 30 年中,抗体依赖性细胞介导的细胞毒性和补体依赖性细胞毒性一直是未缀合抗体药物抗肿瘤作用的主要机制。利用其他免疫细胞(特别是 T 细胞)潜力的努力最终促成了两种 T 细胞结合双特异性抗体(T-BsAb)药物的最近批准,从而刺激了通过临床前和临床试验加速类似平台的新努力。在这篇综述中,我们汇集了全球探索 T 细胞结合双特异性抗体的努力。我们特别强调所吸取的经验教训,希望从这个具有巨大临床潜力的快速发展领域中获得一些见解。

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