CLIN CANCER RES:TRAIL-R2激动性抗体DS-8273a靶向MDSC治疗肿瘤患者

2017-07-01 MedSci MedSci原创

髓源性抑制细胞(MDSC)是肿瘤中存在免疫抑制的主要原因之一。已有基础实验证明MDSC对TRAIL受体2(TRAIL-R2)激动剂敏感。CANCER RES近期发表了一篇文章,研究在临床上靶向TRAIL-R2是否可以选择性清除MDSC

髓源性抑制细胞(MDSC)是肿瘤中存在免疫抑制的主要原因之一。已有基础实验证明MDSC对TRAIL受体2(TRAIL-R2)激动剂敏感。CANCER RES近期发表了一篇文章,研究在临床上靶向TRAIL-R2是否可以选择性清除MDSC。

Ⅰ期临床实验中共纳入16例晚期肿瘤患者。TRAIL-R2激动性抗体(DS-8273a)24mg/kg每3周1次通过静脉注射,直到出现病情进展、不可耐受的毒性反应或不同意继续进行治疗。作者评估了该抗体的安全性并检测外周血和肿瘤组织中髓系细胞及淋巴细胞比例。研究表明该治疗患者耐受性良好,针对该抗体只出现了轻度到中度的不良反应。与健康志愿者外周血MDSC数目相比,大部分接受DS-8273a治疗的患者外周血MDSC数目下降。几例患者在42天MDSC反弹到治疗前水平。同时,DS-8273a并不会影响中性粒细胞、单核细胞以及其他髓系细胞和淋巴细胞数量。MDSC数目下降与无进展生存时间呈负相关。可以提供治疗前及治疗活检标本的患者检测了肿瘤组织,其中50%的患者在接受DS8273a治疗后出现MDSC下降。

文章最后得出结论,靶向TRAIL-R2可以降低MDSC细胞数目,同时不影响成熟粒细胞及淋巴细胞。本研究中得到的数据支持该抗体在肿瘤免疫治疗中的应用。

原始出处:
George A.Dominguez,Thoams Condamine,et al.Selective Targeting of Myeloid-Derived Suppressor Cells in Cancer Patients Using DS-8273a, an Agonistic TRAIL-R2 Antibody.CLIN CANCER RES.June 2017 doi:10.1158/1078-0432.CCR-16-1784

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    2017-09-25 d830372
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    2017-12-04 bsmagic9140
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    2018-03-14 hxj0125
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    2017-07-03 zhaohui6734
  7. [GetPortalCommentsPageByObjectIdResponse(id=1842788, encodeId=7bd11842e88d2, content=<a href='/topic/show?id=9f061142249' target=_blank style='color:#2F92EE;'>#MDS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11422, encryptionId=9f061142249, topicName=MDS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80a244, createdName=d830372, createdTime=Mon Sep 25 09:27:00 CST 2017, time=2017-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1656824, encodeId=c85e165682428, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=757b24868428, createdName=bsmagic9140, createdTime=Mon Dec 04 06:27:00 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935409, encodeId=79301935409cc, content=<a href='/topic/show?id=efb91e73053' target=_blank style='color:#2F92EE;'>#TRAIL-R2#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17730, encryptionId=efb91e73053, topicName=TRAIL-R2)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7e622500011, createdName=12498484m46(暂无昵称), createdTime=Thu Jul 27 02:27:00 CST 2017, time=2017-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1647756, encodeId=d0f7164e756d5, content=<a href='/topic/show?id=bc4d1142602' target=_blank style='color:#2F92EE;'>#MDSC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11426, encryptionId=bc4d1142602, topicName=MDSC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=057d23479763, createdName=hxj0125, createdTime=Wed Mar 14 10:27:00 CST 2018, time=2018-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424186, encodeId=f63a1424186ca, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Mon Jul 03 10:27:00 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1488607, encodeId=b691148860ef2, content=<a href='/topic/show?id=7f111e72957' target=_blank style='color:#2F92EE;'>#TRAIL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17729, encryptionId=7f111e72957, topicName=TRAIL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8aa8453364, createdName=zhaohui6734, createdTime=Mon Jul 03 10:27:00 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218083, encodeId=3a422180833c, content=感谢分享!继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Mon Jul 03 09:45:48 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218022, encodeId=417621802206, content=好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Mon Jul 03 07:33:16 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=217579, encodeId=74c521e57955, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sun Jul 02 00:30:08 CST 2017, time=2017-07-02, status=1, ipAttribution=)]
    2017-07-03 明天会更好!

    感谢分享!继续关注!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1842788, encodeId=7bd11842e88d2, content=<a href='/topic/show?id=9f061142249' target=_blank style='color:#2F92EE;'>#MDS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11422, encryptionId=9f061142249, topicName=MDS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80a244, createdName=d830372, createdTime=Mon Sep 25 09:27:00 CST 2017, time=2017-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1656824, encodeId=c85e165682428, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=757b24868428, createdName=bsmagic9140, createdTime=Mon Dec 04 06:27:00 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935409, encodeId=79301935409cc, content=<a href='/topic/show?id=efb91e73053' target=_blank style='color:#2F92EE;'>#TRAIL-R2#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17730, encryptionId=efb91e73053, topicName=TRAIL-R2)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7e622500011, createdName=12498484m46(暂无昵称), createdTime=Thu Jul 27 02:27:00 CST 2017, time=2017-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1647756, encodeId=d0f7164e756d5, content=<a href='/topic/show?id=bc4d1142602' target=_blank style='color:#2F92EE;'>#MDSC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11426, encryptionId=bc4d1142602, topicName=MDSC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=057d23479763, createdName=hxj0125, createdTime=Wed Mar 14 10:27:00 CST 2018, time=2018-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424186, encodeId=f63a1424186ca, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Mon Jul 03 10:27:00 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1488607, encodeId=b691148860ef2, content=<a href='/topic/show?id=7f111e72957' target=_blank style='color:#2F92EE;'>#TRAIL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17729, encryptionId=7f111e72957, topicName=TRAIL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a8aa8453364, createdName=zhaohui6734, createdTime=Mon Jul 03 10:27:00 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218083, encodeId=3a422180833c, content=感谢分享!继续关注!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Mon Jul 03 09:45:48 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218022, encodeId=417621802206, content=好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=1, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Mon Jul 03 07:33:16 CST 2017, time=2017-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=217579, encodeId=74c521e57955, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sun Jul 02 00:30:08 CST 2017, time=2017-07-02, status=1, ipAttribution=)]
    2017-07-03 ylzr123

    好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!

    0

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    2017-07-02 184****9840

    学习了谢谢分享

    0