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Anti-cancer Immunotoxins, Challenges, and Approaches
Maryam Dashtiahangar1, Leila Rahbarnia2, Safar Farajnia3
1Department of Biology, Faculty of Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.
Abstract:
The development of recombinant immunotoxins (RITs) as a novel therapeutic strategy has made a revolution in the treatment of cancer. RITs result from the fusion of antibodies to toxin proteins for targeting and eliminating cancerous cells by inhibiting protein synthesis. Despite indisputable outcomes of RITs regarding inhibition of multiple cancer types, high immunogenicity has been known as the main obstacle in the clinical use of RITs. Various strategies have been proposed to overcome these limitations, including immunosuppressive therapy, humanization of the antibody fragment moiety, generation of immunotoxins originated from endogenous human cytotoxic enzymes, and modification of the toxin moiety to escape the immune system. This paper is devoted to review recent advances in the design of immunotoxins with lower immunogenicity.
Insights
Recombinant immunotoxins (RITs) show promise for cancer treatment by targeting cancer cells. Strategies are being developed to reduce RITs immunogenicity, a key challenge for clinical application.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Recombinant immunotoxins (RITs) are engineered proteins combining antibodies and toxins to target cancer cells.
- RITs function by inhibiting protein synthesis within cancerous cells, leading to cell death.
- Despite their efficacy against various cancers, RITs often trigger an immune response, limiting their clinical use.
Purpose of the Study:
- To review recent advancements in designing RITs with reduced immunogenicity.
- To explore strategies for overcoming immune system rejection of RITs.
- To highlight innovations in RIT development for improved cancer therapy.
Main Methods:
- Review of current literature on RIT development and immunogenicity.
- Analysis of strategies employed to mitigate immune responses to RITs.
- Examination of modifications to antibody and toxin components of RITs.
Main Results:
- Several strategies show promise in lowering RIT immunogenicity.
- Humanization of antibody fragments and modification of toxin moieties are effective approaches.
- Utilizing endogenous human cytotoxic enzymes can also reduce immune reactions.
Conclusions:
- Reducing RIT immunogenicity is crucial for successful clinical translation.
- Ongoing research focuses on engineering safer and more effective RITs.
- These advancements pave the way for broader application of RITs in cancer treatment.
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