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Evaluation and clinical relevance of patient immune responses to intravenous therapy with murine monoclonal antibodies conjugated to adriamycin. 阿霉素偶联小鼠单克隆抗体静脉治疗对患者免疫反应的评价及其临床意义。
Pub Date : 1991-03-01
B Avner, L Swindell, E Sharp, S K Liao, J R Ogden, B P Avner, R K Oldham

A retrospective study was performed in order to examine the clinical relevance of human anti-murine antibodies (HAMA) to concurrent clinical events in 21 patients receiving intravenous therapy with cocktails of murine monoclonal antibodies conjugated to Adriamycin. In vivo tumor localization of the murine antibodies was also evaluated. Serum levels of HAMA, human-murine immune complexes (HMIC), and murine antibodies were measured using an automated fluorescence immunoassay. Immunohistochemical staining was performed on frozen sections of tumor biopsies from eight of the patients to examine the in vivo binding of the murine antibodies. The patients were divided into low, intermediate, and high antibody dose groups. The incidence of allergic symptoms (80%) and HAMA correlation (75%) were highest in the low dose group. Specific IgM HAMA was the most highly correlated with allergic reactions, being present in 61.5% of the allergic patients. Thirteen of the 21 patients studied (61.9%) developed allergic symptoms after one or more doses of the murine monoclonal antibody conjugates. The percentages of total antibody doses in the patients' sera at varying intervals post-infusion varied widely from patient to patient for any given time point and dose, suggesting complex factors in the distribution and clearance of the murine antibodies. All eight of the patients biopsied during or post-therapy exhibited tumor localization of the murine monoclonal antibodies. Six of the eight had concurrent HAMA in their sera. Thus, the presence of HAMA did not prevent in vivo localization of the murine antibodies in the target tumors.(ABSTRACT TRUNCATED AT 250 WORDS)

为了检查21例接受阿霉素偶联小鼠单克隆抗体鸡尾酒静脉治疗的患者的人抗小鼠抗体(HAMA)与并发临床事件的临床相关性,进行了回顾性研究。小鼠抗体的体内肿瘤定位也进行了评估。采用自动荧光免疫分析法测定血清HAMA、人鼠免疫复合物(HMIC)和小鼠抗体水平。对其中8例患者的冷冻肿瘤切片进行免疫组化染色,以检测小鼠抗体的体内结合。将患者分为低、中、高抗体剂量组。低剂量组过敏症状发生率(80%)和HAMA相关性(75%)最高。特异性IgM HAMA与过敏反应的相关性最高,61.5%的过敏患者存在特异性IgM HAMA。21例患者中有13例(61.9%)在服用一次或多次小鼠单克隆抗体偶联物后出现过敏症状。在任何给定的时间点和剂量下,注射后不同时间间隔患者血清中总抗体剂量的百分比在患者之间差异很大,表明小鼠抗体的分布和清除中存在复杂的因素。在治疗期间或治疗后活检的所有8例患者均显示小鼠单克隆抗体的肿瘤定位。8人中有6人血清中同时存在HAMA。因此,HAMA的存在并不能阻止小鼠抗体在靶肿瘤中的体内定位。(摘要删节250字)
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引用次数: 0
Human monocytes inhibit lymphokine-activated killer cell expansion in vitro. 人单核细胞体外抑制淋巴因子激活的杀伤细胞扩增。
Pub Date : 1991-03-01
P L Triozzi, W A Aldrich, J J Rinehart

Depleting monocytes from human peripheral blood mononuclear cells (PBMC) enhances the in vitro activation of lymphokine-activated killer (LAK) cells. To determine if monocytes also altered LAK-cell expansion, we evaluated two methods of depleting monocytes from PBMC: nylon wool adherence (NWA) and phenylalanine methyl ester (PME) treatment. Both methods of depleting monocytes enhanced interleukin-2 (IL-2) driven, LAK-cell expansion; LAK expansion, however, was significantly greater after depletion with NWA than after PME. LAK cytotoxicity after NWA and PME depletion was equivalent. The degree of monocyte depletion, determined by evaluating morphology and the number of Leu-M3 (CD14) positive cells, and the proliferation of Leu 19 (CD56), OKT-3 (CD3), Leu2 (CD8), and Leu 3a (CD4) positive cells was also equivalent. Exposure of IL-2 activated cells to PME did not alter their cytotoxic activity. However, sequential treatment of PBMC with NWA, then PME, or with PME and then NWA, resulted in reduced expansion. This reduction in expansion was similar to PBMC treated with PME alone. Exposure of PME-depleted cells to nylon wool or to supernatants obtained from cells adherent to nylon wool further decreased LAK expansion relative to cells treated with NWA alone. We conclude that even at relatively low cell density, human monocytes markedly inhibit LAK-cell expansion in IL-2 driven PBMC cultures. Further, depletion of monocytes by NWA adherence is more effective than by treatment with PME, possibly due to subtle cellular damage induced by this latter treatment. These findings have implication for the in vitro and in vivo generation of LAK-cells by IL-2.

从人外周血单核细胞(PBMC)中消耗单核细胞增强了淋巴因子激活杀伤细胞(LAK)的体外活化。为了确定单核细胞是否也改变了lac细胞的扩增,我们评估了两种从PBMC中消耗单核细胞的方法:尼龙羊毛粘附(NWA)和苯丙氨酸甲酯(PME)处理。两种消耗单核细胞的方法都增强了白细胞介素-2 (IL-2)驱动的细胞增殖;然而,NWA耗尽后LAK的扩张明显大于PME。NWA和PME耗竭后LAK细胞毒性相当。单核细胞耗损程度(通过评估形态和Leu- m3 (CD14)阳性细胞的数量来确定)以及Leu 19 (CD56)、OKT-3 (CD3)、Leu (CD8)和Leu 3a (CD4)阳性细胞的增殖也相同。IL-2激活的细胞暴露于PME不改变其细胞毒性活性。然而,先用NWA,再用PME,或者先用PME,再用NWA治疗PBMC,会导致扩张减少。这种扩张的减少与PME单独治疗的PBMC相似。与单独使用NWA处理的细胞相比,将pme耗尽的细胞暴露于尼龙羊毛或从尼龙羊毛粘附的细胞中获得的上清液中进一步降低LAK的扩增。我们得出的结论是,即使在相对较低的细胞密度下,人单核细胞在IL-2驱动的PBMC培养中也能显著抑制lak细胞的扩增。此外,与PME治疗相比,NWA依从性对单核细胞的消耗更有效,这可能是由于后者治疗引起的细微细胞损伤。这些发现对IL-2在体外和体内产生的lak细胞具有重要意义。
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引用次数: 0
Comparison of biologic activities of synthetic lipopentapeptide analogs of bacterial lipoprotein in mice. 细菌脂蛋白脂五肽类似物在小鼠体内的生物活性比较。
Pub Date : 1991-03-01
T Shimizu, Y Ohtsuka, Y Yanagihara, M Kurimura, M Takemoto, K Achiwa

Mitogenicity, lethal toxicity, induction of tumor necrotizing factor (TNF), and antitumor activity against Meth A fibrosarcoma of four chemically synthesized lipopentapeptide analogs, S-[2,3-bis(palmitoyloxy)-2R (designated as KAB-1), -2S(KAB-3)-propyl]-N-palmitoyl-(R)-cysteinyl-(S)-seryl- (S)-seryl-(S)-asparaginyl-(S)-alanine, S-[2,3-bis(palmitoyloxy)-2R(KAB-2), and -2S(KAB-4)-propyl]-N-[(2,2,2)-trichloroethoxycarbonyl]-(R)- cysteinyl-(S)-seryl-(S)-seryl-(S)-asparaginyl-(S)-alanine, of bacterial lipoprotein were investigated. These four analogs, as well as bacterial lipopolysaccharide (LPS) or synthetic Escherichia coli-type lipid A (506), were capable of increasing of [3H]thymidine into splenocytes of C3H/He mice. Although LPS and 506 did not exhibit the mitogenic activity in C3H/HeJ mice, KAB compounds showed remarkable mitogenicity. These analogs did not show the lethal toxicity at a high dose of 50 micrograms/mouse in galactosamine-loaded C57BL/6 mice. Peritoneal macrophages, stimulated with four analogs, caused the production of TNF which induces the L929 cell lysis in vitro. Twice, intravenous injections of 50 micrograms/mouse of these analogs showed weak growth inhibition of Meth A fibrosarcoma in BALB/c mice. The inhibitory effect of KAB-2 compound, which caused the strong TNF-induction among the four analogs, was the most potent. These results indicate that the biological activity of KAB-2 (R-configuration of the C-2 position in glycerol moiety with dipalmitoyl) is stronger than that of the other three analogs.

四种化学合成的脂肽类似物S-[2,3-二(棕榈酰氧基)- 2r(称为KAB-1), - 2s (KAB-3)-丙基]- n -[2,3-二(棕榈酰氧基)- 2r (S)-丝氨酸-(S)-丝氨酸-(S)-丝氨酸-(S)-天冬酰胺-(S)-丙氨酸]- n -[(2,2,2)-三氯乙氧基]-(R)-半胱氨酸-(S)-丝氨酸-(S)-丝氨酸-(S)-丝氨酸-(S)-丝氨酸]和- 2s (KAB-4)-丙基]-(R)-半胱氨酸-(S)-丝氨酸-(S)-丝氨酸-(S)-丝氨酸-(S)-天冬酰胺-(S)-丙氨酸,对细菌脂蛋白进行了研究。这四种类似物以及细菌脂多糖(LPS)或合成大肠杆菌型脂质A(506)均能使[3H]胸腺嘧啶进入C3H/He小鼠脾细胞。虽然LPS和506在C3H/HeJ小鼠中没有表现出有丝分裂活性,但KAB化合物表现出显著的有丝分裂性。这些类似物对半乳糖胺负荷的C57BL/6小鼠在50微克/只的高剂量下没有显示出致死毒性。四种类似物刺激腹腔巨噬细胞产生TNF,诱导L929细胞体外裂解。两次静脉注射50微克/只这些类似物,对BALB/c小鼠甲胺磷A纤维肉瘤的生长有微弱的抑制作用。在4种类似物中,KAB-2化合物的抑制作用最强,具有较强的tnf诱导作用。这些结果表明,KAB-2(甘油部分C-2位与双棕榈酰的r构型)的生物活性比其他三种类似物强。
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引用次数: 0
Generation of MC-38 adenocarcinoma tumor-specific tumor infiltrating lymphocytes by murine anti-CD3 antibody and recombinant interleukin-2. 用小鼠抗cd3抗体和重组白细胞介素-2诱导MC-38腺癌肿瘤特异性肿瘤浸润淋巴细胞。
Pub Date : 1991-03-01
R Lafreniere, K Borkenhagen, L D Bryant

The growth, in vitro cytolytic activity and phenotype of murine MC-38 adenocarcinoma tumor infiltrating lymphocytes (TILs) stimulated with anti-CD3 monoclonal antibody (mAb) and recombinant interleukin-2 (RIL-2) as compared to RIL-2 alone was investigated. When assayed for growth, anti-CD3 mAb + RIL-2 MC-38 TILs demonstrated an enhanced proliferative activity compared to RIL-2 alone (fold expansion, 16,228 and 365,713 compared to 112 and 5594, culture times: 55 and 118 days, experiments 1 and 2, respectively). TILs cultured with anti-CD3 mAb alone demonstrated little expansion (fold expansion 6 and 3, experiments 1 and 2, respectively). Early during culture, the anti-CD3 mAb + RIL-2 MC-38 expanded TILs demonstrated broad cytolytic activity (LU: day 17, against MCA-102: greater than 125, YAC-1: greater than 125, MC-38, greater than 125). This lytic picture reversed with time with increasing specificity demonstrated against MC-38 (LU: day 53, MCA-102: less than 1, YAC-1: less than 1, MC-38: 8). TILs expanded with RIL-2 alone demonstrated more lysis of the YAC-1 target and little lysis of the other targets.(ABSTRACT TRUNCATED AT 250 WORDS)

用抗cd3单克隆抗体(mAb)和重组白细胞介素-2 (RIL-2)刺激小鼠MC-38腺癌肿瘤浸润淋巴细胞(TILs)的生长、体外细胞溶解活性和表型,并与单独使用il -2进行比较。当检测生长时,anti-CD3 mAb + RIL-2 MC-38 TILs比单独使用RIL-2表现出更强的增殖活性(扩增倍数分别为16,228和365,713倍,分别为112和5594倍,培养时间分别为55和118天,实验1和2)。单独使用抗cd3单抗培养的til几乎没有扩增(分别为实验1和实验2的6倍扩增和3倍扩增)。在培养早期,抗cd3 mAb + RIL-2 MC-38扩增TILs表现出广泛的细胞溶解活性(LU: 17天,抗MCA-102:大于125,抗YAC-1:大于125,抗MC-38,大于125)。随着时间的推移,这一裂解图与MC-38相反,显示出对MC-38的特异性增加(LU: 53天,MCA-102:小于1,YAC-1:小于1,MC-38: 8)。RIL-2单独扩增的TILs显示出对YAC-1靶点的裂解更多,而对其他靶点的裂解很少。(摘要删节250字)
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引用次数: 0
A specific and potent immunotoxin composed of antibody ZME-018 and the plant toxin gelonin. 一种由ZME-018抗体和植物毒素凝胶蛋白组成的特异性强效免疫毒素。
Pub Date : 1991-03-01
M G Rosenblum, J L Murray, L Cheung, R Rifkin, S Salmon, R Bartholomew

Murine monoclonal antibody ZME-018 recognizes a 240 Kda glycoprotein present on the surface of most human melanoma cells and on over 80% of human biopsy specimens tested. Gelonin is a ribosome-inactivating plant toxin similar in nature and rivaling the activity of ricin A chain. ZME-018 was coupled to purified gelonin using the reagents SPDP and 2-iminothiolane. The ZME-gelonin conjugate was purified by S-300 Sephacryl and Blue Sepharose chromatography, removing unreacted gelonin and antibody, respectively. PAGE analysis showed that ZME was coupled to 1, 2, or 3 gelonin molecules. The ZME-gelonin conjugate was 10(6)-fold more active than gelonin itself in inhibiting the growth of log-phase human melanoma cells in culture. The immunoconjugate was not cytotoxic to antigen negative T-24 (human bladder carcinoma) cells. Treatment of melanoma cells with recombinant IFN-alpha or TNF substantially augmented the cytotoxicity of the immunoconjugate while treatment with IFN-gamma had a minor effect. Using the human tumor colony assay of melanoma cells obtained from fresh biopsy specimens, greater than 90% growth suppression was observed in 2 of 4 samples tested at a concentration of 250 ng/ml. In addition, 25% growth suppression was observed with a third sample tested, and no growth suppression was observed in 1 sample. Thus, clonogenic melanoma cells are sensitive in vitro to the cytotoxic activity of this immunotoxin at concentrations which we presume are pharmacologically relevant.

小鼠单克隆抗体ZME-018可识别大多数人黑色素瘤细胞表面和80%以上的人活检标本表面存在的240 Kda糖蛋白。蓖麻毒素是一种与蓖麻毒素a链活性相似的核糖体失活植物毒素。ZME-018用SPDP试剂和2-亚氨基硫烷试剂偶联纯化明胶。ZME-gelonin偶联物采用S-300 Sephacryl层析和Blue Sepharose层析纯化,分别去除未反应的gelonin和抗体。PAGE分析显示ZME与1、2或3个gelonin分子偶联。ZME-gelonin偶联物在抑制培养的对数期人类黑色素瘤细胞生长方面的活性比gelonin本身高10(6)倍。免疫偶联物对抗原阴性的T-24(人膀胱癌)细胞无细胞毒性。用重组ifn - α或TNF治疗黑色素瘤细胞可显著增强免疫偶联物的细胞毒性,而用ifn - γ治疗效果较小。使用从新鲜活检标本中获得的黑色素瘤细胞的人类肿瘤集落测定,在250 ng/ml浓度下,4个样本中有2个样本的生长抑制大于90%。此外,在第三个样品中观察到25%的生长抑制,在1个样品中没有观察到生长抑制。因此,克隆源性黑色素瘤细胞在体外对这种免疫毒素的细胞毒性活性敏感,我们认为这种免疫毒素的浓度与药理学有关。
{"title":"A specific and potent immunotoxin composed of antibody ZME-018 and the plant toxin gelonin.","authors":"M G Rosenblum,&nbsp;J L Murray,&nbsp;L Cheung,&nbsp;R Rifkin,&nbsp;S Salmon,&nbsp;R Bartholomew","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Murine monoclonal antibody ZME-018 recognizes a 240 Kda glycoprotein present on the surface of most human melanoma cells and on over 80% of human biopsy specimens tested. Gelonin is a ribosome-inactivating plant toxin similar in nature and rivaling the activity of ricin A chain. ZME-018 was coupled to purified gelonin using the reagents SPDP and 2-iminothiolane. The ZME-gelonin conjugate was purified by S-300 Sephacryl and Blue Sepharose chromatography, removing unreacted gelonin and antibody, respectively. PAGE analysis showed that ZME was coupled to 1, 2, or 3 gelonin molecules. The ZME-gelonin conjugate was 10(6)-fold more active than gelonin itself in inhibiting the growth of log-phase human melanoma cells in culture. The immunoconjugate was not cytotoxic to antigen negative T-24 (human bladder carcinoma) cells. Treatment of melanoma cells with recombinant IFN-alpha or TNF substantially augmented the cytotoxicity of the immunoconjugate while treatment with IFN-gamma had a minor effect. Using the human tumor colony assay of melanoma cells obtained from fresh biopsy specimens, greater than 90% growth suppression was observed in 2 of 4 samples tested at a concentration of 250 ng/ml. In addition, 25% growth suppression was observed with a third sample tested, and no growth suppression was observed in 1 sample. Thus, clonogenic melanoma cells are sensitive in vitro to the cytotoxic activity of this immunotoxin at concentrations which we presume are pharmacologically relevant.</p>","PeriodicalId":18809,"journal":{"name":"Molecular biotherapy","volume":"3 1","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13066437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is informed consent a function of who pays? 知情同意是谁付钱的一个功能吗?
Pub Date : 1991-03-01
R K Oldham
{"title":"Is informed consent a function of who pays?","authors":"R K Oldham","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18809,"journal":{"name":"Molecular biotherapy","volume":"3 1","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13225737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Studies of the effect of acemannan on retrovirus infections: clinical stabilization of feline leukemia virus-infected cats. 阿赛曼南对逆转录病毒感染的影响研究:猫白血病病毒感染猫的临床稳定。
Pub Date : 1991-03-01
M A Sheets, B A Unger, G F Giggleman, I R Tizard

Feline leukemia is a disease induced by an oncornavirus infection that inevitably causes clinically affected cats to die. It has been estimated that 40% of cats are dead within 4 weeks and 70% within 8 weeks of the onset of clinical symptoms. Acemannan is a complex carbohydrate with both immunostimulatory and direct antiviral properties. Administration of acemannan for 6 weeks intraperitoneally to clinically symptomatic cats significantly improved both the quality of life and the survival rate. Twelve weeks after initiation of treatment, 71% of treated cats were alive and in good health.

猫白血病是一种由冠状病毒感染引起的疾病,不可避免地导致临床感染的猫死亡。据估计,40%的猫在出现临床症状后4周内死亡,70%在8周内死亡。葡甘露聚糖是一种复杂的碳水化合物,具有免疫刺激和直接抗病毒特性。对有临床症状的猫腹腔注射阿西曼南6周,显著改善了猫的生活质量和生存率。在开始治疗12周后,71%的接受治疗的猫存活且健康状况良好。
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引用次数: 0
Modulation of tumor-induced angiogenesis by proteins of extracellular matrix. 细胞外基质蛋白对肿瘤诱导血管生成的调节作用。
Pub Date : 1991-03-01
A M Eiján, L Davel, S Oisgold-Dagá, E S de Lustig

The formation of new vessels is a known event in enlarging tumors. Furthermore, the metastatic potential is abrogated or reduced markedly in the absence of neovascularization. Shedding of tumor cells into the circulation is not observed until vascularization has occurred. As a result, the interruption of neovascularization could be a good target for cancer control. This research was an attempt to see if two proteins present in extracellular matrix, collagen and fibronectin (FN), could modify the tumor-induced angiogenesis. The strong angiogenic response induced by S13 tumor cells in the skin of BALB/c mice was blocked by treatment with FN and FN-derived peptides. In contrast, collagen did not modify tumor-induced angiogenesis.

新血管的形成是肿瘤扩大的一个已知事件。此外,在没有新血管形成的情况下,转移潜力被消除或显着降低。直到血管化发生后才观察到肿瘤细胞进入循环。因此,新生血管的中断可能是癌症控制的一个很好的靶点。本研究旨在观察存在于细胞外基质中的胶原蛋白和纤维连接蛋白(FN)是否能改变肿瘤诱导的血管生成。FN和FN衍生肽可阻断BALB/c小鼠皮肤中S13肿瘤细胞诱导的强血管生成反应。相反,胶原蛋白不能改变肿瘤诱导的血管生成。
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引用次数: 0
Does vinblastine add to the potency of alpha interferon in the treatment of renal cell carcinoma? 长春碱是否增加了干扰素治疗肾细胞癌的效力?
Pub Date : 1991-03-01
O Merimsky, B I Shnider, S Chaitchik

The combination of alpha interferon and vinblastine has been reported to yield a response rate of 30-40% in previously untreated patients with metastatic renal cell carcinoma. This combination was given to nine patients with advanced metastatic renal carcinoma after they failed or relapsed on alpha-interferon alone, to attempt to evaluate the role of vinblastine in this combination. Neither complete nor partial response was observed. Two patients had disease stabilization for two and seven months. Our preliminary results suggest that vinblastine did not add to the efficacy of interferon in this group of patients.

据报道,α干扰素和长春花碱联合治疗转移性肾细胞癌患者的有效率为30-40%。对9例单独使用干扰素治疗失败或复发的晚期转移性肾癌患者给予这种联合治疗,试图评估长春碱在这种联合治疗中的作用。未观察到完全或部分反应。2例患者病情稳定2个月和7个月。我们的初步结果表明长春花碱在这组患者中没有增加干扰素的疗效。
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引用次数: 0
Rationales for combining chemotherapy and biotherapy in the treatment of cancer. 化疗与生物疗法联合治疗癌症的基本原理。
Pub Date : 1990-12-01
R O Dillman

Chemotherapy and biotherapy are the two systemic modalities available for cancer treatment. In vitro assays and animal studies suggest various rationales for combining these two modalities. The first approach is to take advantage of apparent additive or synergistic cytotoxic and/or cytostatic effects of both modalities. A second approach is the use of chemotherapy to maximally cytoreduce tumor, followed by biotherapy to restore the immune system and/or to enhance immunologic elimination of microscopic tumor. The third approach uses biotherapy to diminish chemotherapy toxicities so that higher and more intense doses of chemotherapy can be used. The fourth approach involves the use of biologics to modify the tumor environment in order to enhance the delivery of chemotherapy molecules. A fifth approach is the use of chemotherapy as a biologic response modifier to enhance antitumor effects of biotherapy. The sixth strategy is to use biologics to reduce or overcome cell resistance to chemotherapy. Clinical trials are in progress exploring these various strategies. The end point of all of these approaches must be an improved risk to benefit or toxicity to efficacy ratio in the context of cancer treatment.

化疗和生物疗法是两种可用于癌症治疗的全身方式。体外实验和动物实验显示了将这两种方法结合起来的各种理由。第一种方法是利用两种方式明显的加性或协同细胞毒性和/或细胞抑制作用。第二种方法是使用化疗来最大限度地减少肿瘤细胞,然后使用生物疗法来恢复免疫系统和/或增强对微观肿瘤的免疫消除。第三种方法是使用生物疗法来减少化疗的毒性,以便使用更高、更大剂量的化疗。第四种方法涉及使用生物制剂来改变肿瘤环境,以增强化疗分子的递送。第五种方法是使用化疗作为生物反应调节剂来增强生物治疗的抗肿瘤效果。第六种策略是使用生物制剂来减少或克服细胞对化疗的耐药性。临床试验正在探索这些不同的策略。在癌症治疗的背景下,所有这些方法的终点必须是改善风险-获益或毒性-疗效比。
{"title":"Rationales for combining chemotherapy and biotherapy in the treatment of cancer.","authors":"R O Dillman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chemotherapy and biotherapy are the two systemic modalities available for cancer treatment. In vitro assays and animal studies suggest various rationales for combining these two modalities. The first approach is to take advantage of apparent additive or synergistic cytotoxic and/or cytostatic effects of both modalities. A second approach is the use of chemotherapy to maximally cytoreduce tumor, followed by biotherapy to restore the immune system and/or to enhance immunologic elimination of microscopic tumor. The third approach uses biotherapy to diminish chemotherapy toxicities so that higher and more intense doses of chemotherapy can be used. The fourth approach involves the use of biologics to modify the tumor environment in order to enhance the delivery of chemotherapy molecules. A fifth approach is the use of chemotherapy as a biologic response modifier to enhance antitumor effects of biotherapy. The sixth strategy is to use biologics to reduce or overcome cell resistance to chemotherapy. Clinical trials are in progress exploring these various strategies. The end point of all of these approaches must be an improved risk to benefit or toxicity to efficacy ratio in the context of cancer treatment.</p>","PeriodicalId":18809,"journal":{"name":"Molecular biotherapy","volume":"2 4","pages":"201-7"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Molecular biotherapy
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