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癌症治疗中单克隆抗体的作用机制与临床进展综述

A Comprehensive Review of the Mechanisms and Clinical Development of Monoclonal Antibodies in Cancer Therapy.

作者信息

Gencsoy Eker Selen, Inetas Yengin Gizem, Tatar Cansu, Oktem Gulperi

机构信息

Department of Stem Cell, Graduate School of Health Sciences, Ege University, Izmir, Turkey.

Department of Genetics and Bioengineering, Yeditepe University, Istanbul, Turkey.

出版信息

Adv Exp Med Biol. 2025;1479:181-203. doi: 10.1007/5584_2024_838.

Abstract

Cancer is still the disease that ranks first in human mortality in the twenty-first century. In the last 20 years, the concept of molecular targeted therapy has come to the fore with the use of small molecule agents or signal transduction inhibitors that show anticancer effects for certain types of cancer. Monoclonal antibodies, which have a therapeutic effect, especially by providing signal transduction inhibition, are used clinically as first-line treatment in various types of cancer. Molecular targeted therapies are critical for eliminating the adverse effects and drug resistance problems that occur in traditional cancer treatments. This review summarizes current information on various targeted therapeutic agents, including the structure and classification of monoclonal antibodies, their production methods and mechanisms of action, the monoclonal antibodies used in clinical trials, the complement system mechanism and cancer relationship, and the relationship between complement-dependent cytotoxicity and monoclonal antibodies.

摘要

癌症仍然是21世纪人类死亡率排名第一的疾病。在过去20年里,分子靶向治疗的概念随着对某些类型癌症具有抗癌作用的小分子药物或信号转导抑制剂的使用而备受关注。单克隆抗体具有治疗作用,特别是通过提供信号转导抑制作用,在临床上被用作各种类型癌症的一线治疗药物。分子靶向治疗对于消除传统癌症治疗中出现的副作用和耐药性问题至关重要。本综述总结了各种靶向治疗药物的当前信息,包括单克隆抗体的结构和分类、其生产方法和作用机制、临床试验中使用的单克隆抗体、补体系统机制与癌症的关系以及补体依赖性细胞毒性与单克隆抗体的关系。

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