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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Immunotoxins for targeted cancer therapy
1Clinical Immunotherapy Section, Laboratory of Molecular Biology, Centers for Cancer Research, National Cancer Institute, National Institutes of Health, 9000 Rockville Pike, Building 37, Room 5124B, Bethesda, MD 20892-4255, USA. kreitmar@mail.nih.gov
Abstract:
Immunotoxins are proteins that contain a toxin along with an antibody or growth factor that binds specifically to target cells. Nearly all protein toxins work by enzymatically inhibiting protein synthesis. For the immunotoxin to work, it must bind to and be internalized by the target cells, and the enzymatic fragment of the toxin must translocate to the cytosol. Once in the cytosol, 1 molecule is capable of killing a cell, making immunotoxins some of the most potent killing agents. Various plant and bacterial toxins have been genetically fused or chemically conjugated to ligands that bind to cancer cells. Among the most active clinically are those that bind to hematologic tumors. At present, only 1 agent, which contains human interleukin-2 and truncated diphtheria toxin, is approved for use in cutaneous T-cell lymphoma. Another, containing an anti-CD22 Fv and truncated Pseudomonas exotoxin, has induced complete remissions in a high proportion of cases of hairy-cell leukemia. Refinement of existing immunotoxins and development of new immunotoxins are underway to improve the treatment of cancer.
Insights
Immunotoxins are potent cancer therapies that deliver toxins to specific cells. Ongoing research aims to refine these targeted protein agents for improved cancer treatment outcomes.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Immunotoxins are engineered proteins combining a toxin with a cell-targeting molecule.
- Protein toxins primarily function by inhibiting cellular protein synthesis.
- Effective immunotoxin action requires cell binding, internalization, and toxin fragment translocation to the cytosol.
Purpose of the Study:
- To review the mechanism, clinical applications, and future directions of immunotoxin therapy in cancer treatment.
- To highlight the potency of immunotoxins as targeted cancer-killing agents.
Main Methods:
- Review of existing literature on immunotoxin development and clinical trials.
- Analysis of the molecular mechanisms underlying immunotoxin efficacy.
- Examination of specific immunotoxin examples targeting hematologic malignancies.
Main Results:
- Immunotoxins are highly potent, with a single molecule capable of inducing cell death.
- Approved immunotoxins include agents targeting cutaneous T-cell lymphoma and hairy-cell leukemia.
- Clinical trials show significant efficacy, with some agents inducing complete remissions.
Conclusions:
- Immunotoxins represent a powerful therapeutic strategy for cancer, particularly hematologic tumors.
- Continued refinement and development of novel immunotoxins hold promise for advancing cancer therapy.
- Targeted delivery and potent cytotoxic mechanisms underscore the therapeutic potential of immunotoxins.
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