CLIN CANCER RES:BAFF受体抗体治疗耐药性B细胞恶性肿瘤

2018-03-08 MedSci MedSci原创

单抗类药物如抗CD20 rituximab在B细胞恶性肿瘤中具有疗效,但是许多患者会出现耐药。需要靶向其他靶点的治疗方案以避开耐药机制。CLIN CANCER RES近期发表了一篇文章,作者合成了靶向人B细胞活化因子受体(BAFF-R/TNFRSF13C)的单抗,靶向该靶点在肿瘤治疗中尚未得到成功。

单抗类药物如抗CD20 rituximab在B细胞恶性肿瘤中具有疗效,但是许多患者会出现耐药。需要靶向其他靶点的治疗方案以避开耐药机制。CLIN CANCER RES近期发表了一篇文章,作者合成了靶向人B细胞活化因子受体(BAFF-R/TNFRSF13C)的单抗,靶向该靶点在肿瘤治疗中尚未得到成功。

作者在体内和体外实验中评估了嵌合BAFF-R单抗的单药治疗毒性,利用B细胞瘤肿瘤细胞系,患者原发肿瘤样本和耐药肿瘤样本检测嵌合单抗效果。研究结果表明,嵌合抗体与多个人恶性B细胞系具有高度亲和力,可以诱导针对多种人淋巴瘤白血病亚型的抗体依赖细胞毒性(ADCC),包括接受过抗CD20治疗后出现复发患者的原发肿瘤。嵌合抗体还可以诱导针对ibrutinib耐药和rituximab不敏感CD20缺陷淋巴瘤的ADCC反应。更重要的是,该抗体在耐药肿瘤免疫缺陷鼠模型中具有显着的抑制肿瘤生长的作用。

文章最后认为,抗BAFF-R抗体治疗具有显着的单药抗肿瘤效果。这类抗体为靶向和治疗耐药性B细胞恶性肿瘤提供了新的治疗策略,需要进一步研究。

原始出处:
Hong Qin,Guowei Wei,et al.Novel BAFF-Receptor Antibody to Natively Folded Recombinant Protein Eliminates Drug-Resistant Human B-cell Malignancies In Vivo.CLIN CANCER RES.March 2018 doi:10.1158/1078-0432.CCR-17-1193

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    2018-12-22 徐岩
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