A critical review of the role of Fc gamma receptor polymorphisms in the response to monoclonal antibodies in cancer.

A critical review of the role of Fc gamma receptor polymorphisms in the response to monoclonal antibodies in cancer.
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DOI:
10.1186/1756-8722-6-1
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发表时间:
2013-01-04
影响因子:
28.5
通讯作者:
Dobrovic A
Dobrovic A
中科院分区:
医学1区
文献类型:
--
作者:
Mellor JD;Brown MP;Irving HR;Zalcberg JR;Dobrovic A

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抗体依赖性细胞毒性(ADCC)是治疗性单克隆抗体(mAb)如西妥昔单抗、利妥昔单抗和曲妥珠单抗的主要作用机制。人白色血细胞上的Fc γ受体(FcgR)是ADCC途径的组成部分。据报道,对治疗性mAb的差异反应与这些基因中的两个基因的特异性多态性相关:FCGR2A(H131R)和FCGR3A(V158F)。这些多态性与受体对mAb的不同亲和力相关。这篇评论严格审查了目前的证据,基因分型相应的单核苷酸多态性(SNP),以预测癌症患者对单克隆抗体的反应。
Antibody-dependent cellular cytotoxicity (ADCC) is a major mechanism of action of therapeutic monoclonal antibodies (mAbs) such as cetuximab, rituximab and trastuzumab. Fc gamma receptors (FcgR) on human white blood cells are an integral part of the ADCC pathway. Differential response to therapeutic mAbs has been reported to correlate with specific polymorphisms in two of these genes: FCGR2A (H131R) and FCGR3A (V158F). These polymorphisms are associated with differential affinity of the receptors for mAbs. This review critically examines the current evidence for genotyping the corresponding single nucleotide polymorphisms (SNPs) to predict response to mAbs in patients with cancer.
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