Wang Luyao, Wei Zhenhua, Xiong Weijia, Bai Suhang, Yu Changyuan, Yang Zhao
College of Life Science and Technology, Beijing University of Chemical Technology, Beijing 100029, China.
Sheng Wu Gong Cheng Xue Bao. 2021 Feb 25;37(2):513-529. doi: 10.13345/j.cjb.200327.
Bispecific antibody (BsAb) has two different antigen-binding sites, divided into the "IgG-like" format and the "non-IgG-like" format. Different formats have different characteristics and applications. BsAb has higher sensitivity and specificity than conventional antibodies, with special functions such as recruitment of immune cells and blocking of dual signaling pathways, playing an important role in immune-diagnosis and therapy. With the deterioration of the global environment and the irregular living habits of people, the incidence of tumor is becoming higher and higher. Tumor becomes the most serious fatal disease threatening human health after cardiovascular disease. There are 12 million estimated new tumor cases each year worldwide. The major clinical treatments of tumor are surgical resection, chemoradiotherapy, target therapy. Tumor immunotherapy is a novel approach for tumor treatment in recent years, and activates human immune system to control and kill tumor cells. Although the traditional monoclonal antibodies have already acquired some therapeutic effects in tumor targeted therapy and immunotherapy, they induce drug resistance resulted from the heterogeneity and plasticity of tumors. Binding to two target antigens at the same time, BsAb has been used in the clinical treatment of tumors and obtained promising outcomes. This review elaborates the research progress and applications of bispecific antibody in clinical tumor therapy.
双特异性抗体(BsAb)具有两个不同的抗原结合位点,分为“IgG样”形式和“非IgG样”形式。不同形式具有不同的特点和应用。BsAb比传统抗体具有更高的敏感性和特异性,具有募集免疫细胞和阻断双信号通路等特殊功能,在免疫诊断和治疗中发挥着重要作用。随着全球环境的恶化和人们生活习惯的不规律,肿瘤的发病率越来越高。肿瘤成为继心血管疾病之后威胁人类健康最严重的致命疾病。全球每年估计有1200万新肿瘤病例。肿瘤的主要临床治疗方法是手术切除、放化疗、靶向治疗。肿瘤免疫治疗是近年来一种新型的肿瘤治疗方法,可激活人体免疫系统来控制和杀死肿瘤细胞。尽管传统单克隆抗体在肿瘤靶向治疗和免疫治疗中已取得了一些治疗效果,但由于肿瘤的异质性和可塑性,它们会诱导耐药性。BsAb同时结合两个靶抗原,已用于肿瘤的临床治疗并取得了有前景的结果。本文综述阐述了双特异性抗体在临床肿瘤治疗中的研究进展及应用。