Xinjiang Production and Construction Corps Hospital, 5 Division Hospital 84 Regiment Branch, Shuanghe, China.
Int J Immunopathol Pharmacol. 2023 Jan-Dec;37:3946320231181464. doi: 10.1177/03946320231181464.
The complement system is an important part of innate immunity. Through complement-dependent cytotoxicity (CDC), it plays an important role in the clearance of invading pathogens but also cancerous host cells. Therapy with anti-CD20 monoclonal antibodies (mAbs), for example, rituximab and ofatumumab, is a well-established treatment for lymphoid malignancies, and CDC is one of the main mechanisms underlying their anti-cancer activity. However, there are still some issues with the clinical application of anti-CD20 antibodies. On the one hand, anti-CD20 can cause some clinical side effects; on the other hand, anti-CD20 has low potency in some patients, and increasing the dosage does not enhance its effectiveness in these patients. Previous studies have reported that a gain-of-function in a certain complement component can boost the cytolytic activity of anti-CD20 mAbs. Through reviewing the literature on complement system control and anti-CD20 mAbs, this article aims to provide a thorough understanding of the potential of targeting complement components in lymphoma therapy.
补体系统是先天免疫系统的重要组成部分。通过补体依赖性细胞毒性(CDC),它在清除入侵病原体和癌变宿主细胞方面发挥着重要作用。例如,用抗 CD20 单克隆抗体(mAbs),如利妥昔单抗和奥法妥木单抗进行治疗,是治疗淋巴恶性肿瘤的一种成熟疗法,CDC 是其抗癌活性的主要机制之一。然而,抗 CD20 抗体在临床应用中仍然存在一些问题。一方面,抗 CD20 可能会引起一些临床副作用;另一方面,在一些患者中,抗 CD20 的效力较低,增加剂量并不能提高其在这些患者中的疗效。先前的研究报道,补体成分的功能获得性增益可以增强抗 CD20 mAbs 的细胞溶解活性。通过回顾补体系统调控和抗 CD20 mAbs 的文献,本文旨在深入了解靶向补体成分在淋巴瘤治疗中的潜力。