Department of Internal Medicine, New York Presbyterian/Weill Cornell Medical Center, New York, NY, USA; Division of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY, USA.
Weill Cornell Graduate School of Medical Science, Doha, Qatar.
Trends Cancer. 2024 Aug;10(8):708-732. doi: 10.1016/j.trecan.2024.06.001. Epub 2024 Jul 10.
Over the past 30 years the incorporation of monoclonal antibody (mAb) treatments into the management of hematologic malignancies has led to significant improvements in patient outcomes. The key limitation of mAb treatments is the necessity for target antigen presentation on major histocompatibility complex (MHC) and costimulatory molecules to elicit a cytotoxic immune response. With the advent of bispecific antibodies (BsAbs), these limitations can be overcome through direct stimulation of cytotoxic T cells, thus limiting tumor cell evasion. BsAbs are rapidly being incorporated into treatment regimens for hematologic malignancies, and there are now seven FDA-approved treatments in this class, six of which have been approved in the past year. In this review we describe the function, complications, and clinical trial data available for CD3 BsAbs in the treatment of lymphoma, myeloma, and leukemia.
在过去的 30 年中,将单克隆抗体 (mAb) 治疗纳入血液系统恶性肿瘤的治疗方法显著改善了患者的预后。mAb 治疗的主要限制在于需要主要组织相容性复合物 (MHC) 和共刺激分子上的靶抗原呈递以引发细胞毒性免疫反应。随着双特异性抗体 (BsAb) 的出现,这些限制可以通过直接刺激细胞毒性 T 细胞来克服,从而限制肿瘤细胞的逃逸。BsAb 正在迅速被纳入血液系统恶性肿瘤的治疗方案中,目前已有七种 FDA 批准的此类药物,其中六种在过去一年中获得批准。在这篇综述中,我们描述了 CD3 BsAb 在治疗淋巴瘤、骨髓瘤和白血病中的作用、并发症和临床试验数据。