Immunociblage des tumeurs: situation et perspectives en 2000
Détails
Télécharger: BIB_FD40192431E7.P001.pdf (225.77 [Ko])
Etat: Public
Version: de l'auteur⸱e
Etat: Public
Version: de l'auteur⸱e
ID Serval
serval:BIB_FD40192431E7
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Immunociblage des tumeurs: situation et perspectives en 2000
Périodique
Bulletin du Cancer
ISSN
0007-4551 (Print)
ISSN-L
0007-4551
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
87
Numéro
11
Pages
777-791
Langue
français
Notes
[Immunotargeting of tumors: state of the art and prospects in 2000].
Résumé
Following 15 years of experimental studies, tumor immunotargeting using monoclonal antibodies directed against tumor associated antigens shows now important monoclonal antibodies directed against tumor associated antigens shows now important clinical developments. This is mainly due to encouraging therapeutic results which have obtained using humanized antibodies such as the anti-CD20 rituximab in follicular B lymphomas and the anti-DrbB2 herceptin in breast carcinomas. Thanks to genetic engineering it is possible to graft variable or hypervariable regions from murine antibodies to human IgG, and even to obtain fully human antibodies by using either transgenic mice containing a large part of the human repertoire of human IgG, or selection of human antibody fragments expressed by phages. Radiolabeling of antibodies played a major role to demonstrate the tumor immunotargeting specificity and remains attractive for the diagnosis by immunoscintigraphy as well as for the treatment by radioimmunotherapy of some cancers. In this review, the current results and the prospects of diagnostic and therapeutic uses of anti-tumor antibodies and their fragments will be described. Concerning diagnosis, 123-iodine or 99m-technetium labeled Fab fragments allowed very demonstrative tumor images but this technique has a limited effect upon the therapeutic attitude. Immuno-PET (positron emission tomography) could enhance the sensitivity of this imaging method. Radio-immunoguided surgery and immunophotodetection are attractive techniques still under evaluation. Concerning therapy, 131-iodine labeled anti-CD20 antibodies gave spectacular results in non-Hodgkin's B lymphomas. In solid tumors which as less radiosensitive, radioimmunotherapy could concern small tumors and need the use of two-steps targeting and/or alpha emitters radioisotopes. Some other strategies will be described such as bispecific antibodies directed against tumors and immune effector cells, some antibody fragments expressed on T cells called T-bodies or some biological studies using intrabodies. Published data and works in progress demonstrate that immunotargeting of tumors will have a growing place in the treatments of cancer patients.
Mots-clé
Animals, Antibodies, Bispecific/therapeutic use, Antibodies, Monoclonal/chemistry, Antibodies, Monoclonal/diagnostic use, Bacteriophages/genetics, Genetic Engineering/methods, Humans, Immunoglobulin Fragments/diagnostic use, Immunoglobulin Fragments/genetics, Immunotoxins/chemistry, Immunotoxins/therapeutic use, Interprofessional Relations, Liposomes, Mice, Neoplasms/radionuclide imaging, Neoplasms/radiotherapy, Radioimmunotherapy/methods, Radiopharmaceuticals/diagnostic use, Radiopharmaceuticals/therapeutic use, Technology Transfer, Tomography, Emission-Computed/methods
Pubmed
Web of science
Création de la notice
25/01/2008 11:27
Dernière modification de la notice
20/08/2019 16:28