Immunogenicity of therapeutic recombinant immunotoxins.

Abstract:

:Recombinant immunotoxins (RITs) are chimeric proteins designed to treat cancer. They are made up of an Fv or Fab that targets an antigen on a cancer cell fused to a 38-kDa portion of Pseudomonas exotoxin A (PE38). Because PE38 is a bacterial protein, it is highly immunogenic in patients with solid tumors that have normal immune systems, but much less immunogenic in patients with hematologic malignancies where the immune system is suppressed. RITs have shown efficacy in refractory hairy cell leukemia and in some children with acute lymphoblastic leukemia, but have been much less effective in solid tumors, because neutralizing antibodies develop and prevent additional treatment cycles. In this paper we will (i) review data from clinical trials describing the immunogenicity of PE38 in different patient populations; (ii) review results from clinical trials using different immunosuppressive drugs; and (iii) describe our efforts to make new less-immunogenic RITs by identifying and removing T- and B-cell epitopes to hide the RIT from the immune system.

journal_name

Immunol Rev

journal_title

Immunological reviews

authors

Mazor R,Onda M,Pastan I

doi

10.1111/imr.12390

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

152-64

issue

1

eissn

0105-2896

issn

1600-065X

journal_volume

270

pub_type

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