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Monoclonal antibody-based therapeutics for leukemia.

机译:基于单克隆抗体的白血病治疗药物。

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Monoclonal antibodies (mAbs) represent a unique class of therapeutics because of their exquisite antigen specificity and effector mechanisms. Clinically, antibody-based therapy has increasingly become an established modality for the treatment of cancer. Among the nine mAbs and immunoconjugates approved by the FDA for therapeutic indications in oncological diseases, five are for use in hematological malignancies. Alemtuzumab is approved for B cell chronic lymphocytic leukemia; rituximab, an anti-CD20 antibody approved for the treatment of B cell non-Hodgkin's lymphoma, is being tested in patients with chronic lymphocytic leukemia; and gemtuzumab ozogamicin is marketed for relapsed acute myelogenous leukemia in patients of > 60 years of age. A number of other mAbs are in different stages of clinical development for antileukemia therapy. This article discusses the general aspects and mechanisms of action of therapeutic mAbs, and highlights the development of antibody-based therapies in leukemia.
机译:单克隆抗体(mAb)由于其精湛的抗原特异性和效应器机制而代表了一类独特的治疗方法。临床上,基于抗体的疗法已日益成为治疗癌症的既定方法。在FDA批准的用于肿瘤疾病治疗适应症的9种mAb和免疫偶联物中,有5种用于血液系统恶性肿瘤。 Alemtuzumab被批准用于B细胞慢性淋巴细胞性白血病;利妥昔单抗是一种被批准用于治疗B细胞非霍奇金淋巴瘤的抗CD20抗体,目前正在慢性淋巴细胞性白血病患者中进行测试;吉妥珠单抗ozogamicin用于治疗60岁以上的复发性急性骨髓性白血病。许多其他单克隆抗体正处于抗白血病治疗的临床开发的不同阶段。本文讨论了治疗性单克隆抗体的一般方面和作用机理,并重点介绍了白血病中基于抗体的疗法的发展。

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