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Monoclonal Antibodies

The role of monoclonal serotherapy:
The role of monoclonal serotherapy in cancer management is
established. The United States Food and Drug Administration
(FDA) to date has approved about nine monoclonal antibodies
(unmodified and modified) in the treatment of cancer.
The unmodified (naked) monoclonal antibodies include:
Naked Monoclonal Antibodies :
- MAbs that interact
directly with the body immune system.
This type acts through
enhancing the recognition of the body immune system to cancer
cells by binding to
them like:
Rituximab (Rituxan): Rituximab is a monoclonal antibody
against the CD20 antigen, present on B-lymphocytes. It is used
in the treatment of relapsed or refractory low-grade
non-Hodgkin's lymphoma (NHL).
Alemtuzumab (Campath): Alemtuzumab is an antibody against
the CD52 antigen, which is found on B and T lymphocytes.
Alemtuzumab is used in the treatment of B-cell chronic
lymphocytic leukemia (B-CLL).
- MAbs that directly interact with specific tumor antigens
that promotes tumor growth.
MAbs
of this type include:
Trastuzumab (Herceptin): Trastuzumab is an antibody
against the HER2/neu receptors. HER2/neu is overexpressed in
20- 30% of breast cancer and promotes their growth. Trastuzumab
is used in the treatment of breast cancers that overexpress
HER-2 receptors.
Cetuximab (Erbitux): Cetuximab is an antibody against the
epidermal growth factor receptor (EGFR) that is overexpressed in
a number of carcinomas, including non-small-cell lung cancer,
head and neck cancer, pancreatic cancer, and 70% of colorectal
cancers. It is approved in the treatment of colorectal and head
& neck cancer.
Panitumumab (Vectibix): This MAb also targets the EGFR
antigen. It is used to treat some cases of advanced colorectal
cancer.
Bevacizumab (Avastin):
Bevacizumab targets the proangiogenic vascular
endothelial growth factor (VEGF) that acts as a vascular
permeability factor (VPF)
which promote new blood vessels to feed tumor growth. It is used
along with chemotherapy to treat some colorectal, lung, and
breast cancers.
For more information
click here visit the web site
FDA website.
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