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Updated: May 27, 2026

In Vitro Methods for Comparing Target Binding and CDC Induction Between Therapeutic Antibodies: Applications in Biosimilarity Analysis
Published on: May 4, 2017
Lonely killers: effector cell- and complement-independent non-proapoptotic cytotoxic antibodies inducing membrane
Yuniel Fernández-Marrero1, Alejandro López-Requena
1Immunobiology Division, Center of Molecular Immunology, Havana, Cuba. yuniel@cim.sld.cu
Abstract:
The majority of the most effective monoclonal antibodies (mAbs) currently in the clinics bind to cancer or immune cells. Classic mechanisms of cell killing by therapeutic mAbs include antibody-dependent cell-mediated cytotoxicity, complement-dependent cytotoxicity and induction of apoptosis by engagement of specific cell ligands. A few reports have described mAbs whose cytotoxic activity is Fc-independent and that do not induce the morphological and biochemical changes associated with the apoptosis-type of cell death. Even fewer works describe mAbs able to directly induce membrane lesions. Here, we discuss the available data on those molecules and their cell killing activity, with particular attention to the case of a mAb specific for the tumor-associated N-glycolyl (Neu5Gc)-GM3 ganglioside (GM3(Neu5Gc)). Some similarities are found in the cell death pathways triggered by these mAbs, but data are not abundant. We conclude that the usefulness of mAbs with a direct cytotoxic activity for immunotherapeutic strategies deserves deeper research.
Insights
Therapeutic monoclonal antibodies (mAbs) can kill cancer cells through direct membrane damage, independent of traditional immune responses. Further research into these direct cytotoxic mAbs, like those targeting GM3(Neu5Gc), is warranted for immunotherapy.
Area of Science:
- Immunology
- Oncology
- Biochemistry
Background:
- Most effective therapeutic monoclonal antibodies (mAbs) target cancer or immune cells via antibody-dependent cell-mediated cytotoxicity, complement-dependent cytotoxicity, or apoptosis.
- Some mAbs exhibit Fc-independent cytotoxic activity without inducing apoptosis.
- Direct membrane lesion induction by mAbs is a less explored mechanism.
Purpose of the Study:
- To review and discuss data on monoclonal antibodies (mAbs) with direct cytotoxic activity.
- To highlight the role of mAbs targeting tumor-associated antigens, specifically GM3(Neu5Gc) ganglioside.
- To assess the potential of direct cytotoxic mAbs in immunotherapeutic strategies.
Main Methods:
- Literature review and data analysis of existing studies on cytotoxic monoclonal antibodies.
- Focus on mAbs inducing cell death independent of Fc-mediated mechanisms or apoptosis.
- Case study analysis of a mAb targeting the tumor-associated GM3(Neu5Gc) ganglioside.
Main Results:
- Monoclonal antibodies (mAbs) can induce cell death through direct membrane damage, distinct from classical cytotoxic pathways.
- The mAb targeting GM3(Neu5Gc) ganglioside demonstrates direct cytotoxic potential.
- Similarities in cell death pathways exist among these direct-acting mAbs, though data remain limited.
Conclusions:
- Monoclonal antibodies (mAbs) with direct cytotoxic activity represent a promising, yet under-researched, therapeutic avenue.
- Further investigation into the mechanisms and efficacy of direct cytotoxic mAbs is crucial for advancing cancer immunotherapy.
- Targeting tumor-associated gangliosides like GM3(Neu5Gc) with direct-acting mAbs warrants deeper exploration.
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