Rituximab, an anti-CD20 monoclonal antibody: History and mechanism of action

被引:448
作者
Pescovitz, MD [1 ]
机构
[1] Indiana Univ, Dept Surg, Indianapolis, IN 46204 USA
[2] Indiana Univ, Dept Microbiol Immunol, Indianapolis, IN 46204 USA
关键词
anti-CD20; mechanism; pharmacokinetics; rituximab; transplant;
D O I
10.1111/j.1600-6143.2006.01288.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Rituximab, chimeric anti-human CD20, is approved for treatment of B-cell lymphoma in adults. It is being used experimentally in other various immune-related diseases such as immune thrombocytopenic purpura, systemic lupus erythematosus, myasthenia gravis and rheumatoid arthritis. In transplant recipients, it is used for treatment of post-transplant lymphoproliferative disease, to anecdotally reduce pre-formed anti-HLA and anti-ABO antibodies and for the prevention and treatment of acute rejection. This article primarily reviews the science behind rituximab: its history, pharmacokinetics and potential mechanism of action. A need for controlled clinical trials is clearly indicated before the widespread use of this drug in transplant.
引用
收藏
页码:859 / 866
页数:8
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