Daclizumab (anti-Tac, Zenapax) in the treatment of leukemia/lymphoma

被引:56
作者
Waldmann, T. A. [1 ]
机构
[1] NCI, Metab Branch, Ctr Canc Res, NIH, Bethesda, MD 20892 USA
关键词
IL-2; receptor; adult T-cell leukemia; anti-Tac; monoclonal antibody;
D O I
10.1038/sj.onc.1210368
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Daclizumab (Zenapax) identifies the alpha subunit of the interleukin-2 (IL-2) receptor and blocks the interaction of this cytokine with its growth factor receptor. The scientific basis for the choice of the IL-2 receptor alpha subunit as a target for monoclonal antibody-mediated therapy of leukemia/lymphoma is that very few normal cells express IL-2R alpha, whereas the abnormal T cells in patients with an array of lymphoid malignancies express this receptor. In 1997, daclizumab was approved by the FDA for use in the prevention of renal allograft rejection. In addition, anti-Tac provided effective therapy for select patients with T-cell malignancies and an array of inflammatory autoimmune disorders. Finally, therapy with this antibody armed with Y-90 has led to clinical responses in the majority of patients with adult T-cell leukemia. These insights concerning the IL-2/IL-2 receptor system facilitated the development of effective daclizumab antibody therapy for select patients with leukemia/lymphoma.
引用
收藏
页码:3699 / 3703
页数:5
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