University of Saskatchewan , Saskatoon, Saskatchewan, Canada .
Cancer Biother Radiopharm. 2018 Oct;33(8):330-335. doi: 10.1089/cbr.2018.2481. Epub 2018 Aug 22.
In the past several decades, many antimicrobial agents have been used in treating different fungal, bacterial, and viral infections. However, these agents have faced challenges such as pronounced side-effect profiles and pathogen resistance. In addition, a cure for many chronic infections such as human immunodeficiency virus (HIV) has not been achieved, and the incidence of opportunistic infections in immunocompromised patients has increased significantly in the past decades. Therefore, an alternative strategy for combating these infections is needed. Radioimmunotherapy (RIT) has been proposed to be a valuable tool in the management of such infections. The side-effects associated with RIT are minimal as the targeted antigens are only expressed on microbial or infected cells. RIT demonstrated impressive potency in eradicating pathogens in animal models and patient samples. Cryptococcus neoformans, HIV, and Bacillus anthracis are few examples of infections for which RIT has been an effective treatment using radionuclides such as bismuth-213 (Bi) or rhenium-188 (Re).
在过去的几十年中,许多抗菌药物被用于治疗不同的真菌感染、细菌感染和病毒感染。然而,这些药物面临着明显的副作用和病原体耐药性等挑战。此外,许多慢性感染(如人类免疫缺陷病毒(HIV))仍未得到治愈,在过去几十年中,免疫功能低下患者的机会性感染发生率显著增加。因此,需要寻找对抗这些感染的替代策略。放射免疫疗法(RIT)被提议作为治疗这些感染的一种有价值的工具。由于靶向抗原仅在微生物或感染细胞上表达,因此 RIT 相关的副作用极小。RIT 在动物模型和患者样本中证明了在消除病原体方面具有令人印象深刻的效力。新型隐球菌、HIV 和炭疽芽孢杆菌是少数几种使用放射性核素(如铋-213(Bi)或铼-188(Re))进行 RIT 治疗有效的感染的例子。