Wahl R L, Parker C W, Philpott G W
J Nucl Med. 1983 Apr;24(4):316-25.
Monoclonal anti-tumor antibodies have great promise for radioimmunodetection and localization of tumors. Fab and F(ab')2 fragments, which lack the Fc fragment of antibody (Ab), are cleared more rapidly from the circulation and may have less nonspecific tissue binding than intact Ab. In radioimaging studies using a murine monoclonal antibody to carcinoembryonic antigen in a human colon carcinoma xenografted into hamsters, F(ab')2 fragments were shown superior to Fab fragments and intact antibody for scintiscanning. In double-label experiments with anti-CEA antibody and control monoclonal IgG, F(ab')2 fragments were found to give better and more rapid specific tumor localization than intact antibody or Fab fragments. F(ab')2 fragments offer significant promise for tumor imaging and possibly therapy.
单克隆抗肿瘤抗体在肿瘤的放射免疫检测和定位方面具有巨大潜力。Fab和F(ab')2片段缺乏抗体(Ab)的Fc片段,从循环中清除得更快,并且与完整抗体相比,非特异性组织结合可能更少。在将人结肠癌异种移植到仓鼠体内的放射成像研究中,使用针对癌胚抗原的鼠单克隆抗体,结果显示F(ab')2片段在闪烁扫描方面优于Fab片段和完整抗体。在抗CEA抗体与对照单克隆IgG的双标记实验中,发现F(ab')2片段比完整抗体或Fab片段能产生更好、更快速的特异性肿瘤定位。F(ab')2片段在肿瘤成像乃至治疗方面都具有重大潜力。