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对B细胞淋巴瘤具有强抗肿瘤活性的抗CD20双特异性抗体的结构与特征
Construction and characterization of a bispecific anti-CD20 antibody with potent antitumor activity against B-cell lymphoma
Li B ,Zhang X ,Shi S ,Zhao L ,Zhang D ,Qian W ,Zheng L ,Gao J ,Wang H ,Guo Y  2010/9/13 9:17:00 
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Cancer Research, 2010, Volume 70, Issue 15 
 

To develop more effective anti-CD20 reagents for B-cell lymphoma, we designed and constructed a bispecific tetravalent anti-CD20 antibody, 11B8/2F2(ScFvHL)4-Fc, derived from two fully human monoclonal antibodies (mAb), 2F2 and 11B8. 2F2 is a type I CD20 mAb, which is potent in complement-dependent cytotoxicity (CDC) assays but poor at inducing apoptosis, whereas 11B8 is a type II CD20 mAb, which is effective in induction of apoptosis but ineffective in CDC. Our results showed that 11B8/2F2(ScFvHL)4-Fc possessed apoptosis-inducing activity markedly superior to that of 2F2, and even 11B8, 11B8 plus 2F2, and 2F2(ScFvHL)4-Fc, a 2F2-derived monospecific tetravalent antibody developed previously. Interestingly, 11B8/2F2(ScFvHL)4-Fc displayed a similar ability to mediate CDC as 2F2(ScFvHL)4-Fc, although two of its four antigen-binding arms originated from 11B8. To explore why 11B8/2F2(ScFvHL)4-Fc was so potent in both CDC and apoptotic activity, a bispecific divalent antibody composed of 2F2 and 11B8, denoted as 11B8/2F2-ScFvFc, was constructed and characterized. Our results partially explained the reason for the potent CDC and apoptosis-inducing activity of 11B8/2F2(ScFvHL)4-Fc. Further in vivo therapy studies showed that 11B8/2F2 (ScFvHL)4-Fc had a significantly more potent antitumor activity compared with 2F2, 11B8, 2F2 plus 11B8, and 2F2(ScFvHL)4-Fc. These data suggest that 11B8/2F2(ScFvHL)4-Fc may serve as a potential therapeutic agent for B-cell lymphoma. ©2010 AACR.

Correspondence Address: Guo, Y; International Joint Cancer Institute, Second Military Medical University, New Building, 800 Xiang Yin Road, Shanghai 200433, China, email:yjguo@smmu.edu.cn 
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 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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