The clinical and biological role of CD20 membrane antigen modulation under immunotherapy with anti-CD20 monoclonal antibody rituximab in lymphoprolipherative neoplastic disorders

被引:11
作者
Musto, Pellegrino [1 ]
D'Auria, Fiorella [1 ]
机构
[1] Ctr Riferimento Oncol Basilicata, Dept Oncohematol, IRCCS, I-85028 Rionero In Vulture, Pz, Italy
关键词
anti-CD20 monoclonal antibodies; CD20; antigen; modulation; chronic lymphocytic leukemia; non-Hodgkin's lymphoma; Richter's syndrome; rituximab; CHRONIC LYMPHOCYTIC-LEUKEMIA; B-CELL LYMPHOMA; NON-HODGKINS-LYMPHOMA; IMMUNOPHENOTYPIC CHANGES; THERAPEUTIC ACTIVITY; FOLLICULAR LYMPHOMA; DOWN-REGULATION; TUMOR-CELLS; EXPRESSION; COMPLEMENT;
D O I
10.1517/14712598.2011.567262
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Immunotherapy using an antibody (rituximab) targeting CD20 antigen in combination with chemotherapy has been recently associated with significantly improved response rate and survival in patients with various types of CD20-positive B-cell lymphoproliferative disorders. This treatment may induce the disappearance of CD20 surface expression on neoplastic B-cells. Several mechanisms have been proposed to explain CD20 loss after rituximab therapy, while the clinical significance (if any) of this phenomenon is still not clear. We have produced a brief overview of the biological aspects of CD20 modulation after rituximab treatment and its possible clinical implications.
引用
收藏
页码:551 / 557
页数:7
相关论文
共 52 条
[1]   Circulating CD52 and CD20 levels at end of treatment predict for progression and survival in patients with chronic lymphocytic leukaemia treated with fludarabine, cyclophosphamide and rituximab (FCR) [J].
Alatrash, Gheath ;
Albitar, Maher ;
O'Brien, Susan ;
Wang, Xuemei ;
Manshouri, Taghi ;
Faderl, Stefan ;
Ferrajoli, Alessandra ;
Burger, Jan ;
Garcia-Manero, Guillermo ;
Kantarjian, Hagop M. ;
Lerner, Susan ;
Keating, Michael J. ;
Wierda, William G. .
BRITISH JOURNAL OF HAEMATOLOGY, 2010, 148 (03) :386-393
[2]   CD20-negative DLBCL transformation after rituximab treatment in follicular lymphoma:: a new case report and review of the literature [J].
Alvaro-Naranjo, T ;
Jaén-Martínez, J ;
Gumá-Padró, J ;
Bosch-Príncep, R ;
Salvadó-Usach, MT .
ANNALS OF HEMATOLOGY, 2003, 82 (09) :585-588
[3]   Fractionated subcutaneous rituximab is well-tolerated and preserves CD20 expression on tumor cells in patients with chronic lymphocytic leukemia [J].
Aue, Georg ;
Lindorfer, Margaret A. ;
Beum, Paul V. ;
Pawluczkowycz, Andrew W. ;
Vire, Berengere ;
Hughes, Thomas ;
Taylor, Ronald P. ;
Wiestner, Adrian .
HAEMATOLOGICA-THE HEMATOLOGY JOURNAL, 2010, 95 (02) :329-332
[4]   Antigenic modulation limits the efficacy of anti-CD20 antibodies: implications for antibody selection [J].
Beers, Stephen A. ;
French, Ruth R. ;
Chan, H. T. Claude ;
Lim, Sean H. ;
Jarrett, Timothy C. ;
Vidal, Regina Mora ;
Wijayaweera, Sahan S. ;
Dixon, Sandra V. ;
Kim, Hyungjin ;
Cox, Kerry L. ;
Kerr, Jonathan P. ;
Johnston, David A. ;
Johnson, Peter W. M. ;
Verbeek, J. Sjef ;
Glennie, Martin J. ;
Cragg, Mark S. .
BLOOD, 2010, 115 (25) :5191-5201
[5]   The shaving reaction: Rituximab/CD20 complexes are removed from mantle cell lymphoma and chronic lymphocytic leukemia cells by THP-1 monocytes [J].
Beum, PV ;
Kennedy, AD ;
Williams, ME ;
Lindorfer, MA ;
Taylor, RP .
JOURNAL OF IMMUNOLOGY, 2006, 176 (04) :2600-2609
[6]   The epitope recognized by rituximab [J].
Binder, Mascha ;
Otto, Florian ;
Mertelsmann, Roland ;
Veelken, Hendrik ;
Trepel, Martin .
BLOOD, 2006, 108 (06) :1975-1978
[7]   Therapeutic activity of humanized anti-CD20 monoclonal antibody and polymorphism in IgG Fc receptor FcγRIIIa gene [J].
Cartron, G ;
Dacheux, L ;
Salles, G ;
Solal-Celigny, P ;
Bardos, P ;
Colombat, P ;
Watier, H .
BLOOD, 2002, 99 (03) :754-758
[8]   Ofatumumab, a Novel Anti-CD20 Monoclonal Antibody for the Treatment of B-Cell Malignancies [J].
Cheson, Bruce D. .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (21) :3525-3530
[9]  
Chu PG, 2002, LEUKEMIA LYMPHOMA, V43, P2335, DOI 10.1080/1042819021000040044
[10]   Cutaneous B-cell lymphoma with loss of CD20 immunoreactivity after rituximab therapy [J].
Clarke, LE ;
Bayerl, MG ;
Ehmann, WC ;
Helm, KF .
JOURNAL OF CUTANEOUS PATHOLOGY, 2003, 30 (07) :459-462