Knowledge (XXG)

Immunotoxin

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Sometimes recombinant fusion proteins containing a toxin and a growth factor are also referred to as recombinant immunotoxins, although they do not contain an antibody fragment. A more specific name for this latter kind of protein is recombinant fusion toxin.
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cell surface receptor on these leukemic cells. In two uncontrolled clinical studies, about half of participants achieved a complete response after BL22 treatment. This therapeutic has been superseded by
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protein derived from a bacterial or plant protein, from which the natural binding domain has been removed so that the Fv directs the toxin to the antigen on the target cell.
138:. This subgroup was Stage IB-IIB with mSWAT scores of less than 50. The complete response rate was 50% (two of which are over 72 months duration and could represent cures). 358:
Angimmune: Clinical Trials: Identification of a Cutaneous T-Cell Lymphoma (CTCL) Subgroup Experiencing a High Treatment Response Rate: Paragraph 1
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They were originally produced by attaching the antibody to the toxin using a chemical linker. They are now made using
35:, and the toxin kills the cell. They are used for the treatment of some kinds of cancer and a few viral infections. 157: 135: 375: 56: 173: 356: 167: 283:
Pastan I, Ho M (2010). "Recombinant immunotoxins for treating cancer.". In Kontermann R, DΓΌbel S (eds.).
391: 318:"Efficacy of the anti-CD22 recombinant immunotoxin BL22 in chemotherapy-resistant hairy-cell leukemia" 147: 115: 156:, or A-dmDT390-bisFv(UCHT1), an experimental anti-T cell immunotoxin in clinical trials to treat 112: 339: 296: 265: 226: 44: 17: 329: 288: 257: 218: 80: 222: 371: 385: 176:, most, if not all, are immunotoxins but use whole antibodies and non-protein drugs 64: 292: 118:. These patients were treated with the recombinant immunotoxin which targets the 334: 317: 32: 153: 131: 343: 269: 230: 161: 60: 48: 100: 27:
is an artificial protein consisting of a targeting portion linked to a
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The best clinical success has been achieved in treating patients with
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on the target cell and the toxin then enters and kills the cell.
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found an 89% response rate in a subgroup of nine patients with
31:. When the protein binds to that cell, it is taken in through 316:
Kreitman RJ, Wilson WH, Bergeron K, et al. (July 2001).
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Pastan I, Hassan R, Fitzgerald DJ, Kreitman RJ (July 2006).
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that targets a specific cell type. The toxin is usually an
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Pastan I, Hassan R, FitzGerald DJ, Kreitman RJ (2007).
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The antibody (or other targeting moiety) binds to an
287:. Berlin, Heidelberg: Springer. pp. 127–146. 51:or antibody fragment, attached to a fragment of a 150:, an immunotoxin used to treat T cell leukemias 200: 198: 8: 55:. The targeting portion is composed of the 83:techniques, are produced in bacteria like 374:at the U.S. National Library of Medicine 333: 194: 181:Immunopharmacology and Immunotoxicology 170:, being tested in hairy cell leukemia 7: 223:10.1146/annurev.med.58.070605.115320 14: 207:"Immunotoxin treatment of cancer" 246:"Immunotoxin therapy of cancer" 127:, a slightly modified version. 47:are usually made of a modified 1: 293:10.1007/978-3-642-01147-4_10 335:10.1056/NEJM200107263450402 408: 130:A recent Phase I study of 57:Fab portion of an antibody 15: 158:cutaneous T-cell lymphoma 136:cutaneous T cell lymphoma 376:Medical Subject Headings 174:Antibody-drug conjugates 89:recombinant immunotoxins 168:Anti-CD22 immunotoxins 285:Antibody Engineering 107:Clinical application 16:For other uses, see 148:Denileukin diftitox 116:hairy cell leukemia 302:978-3-642-01146-7 184:(medical journal) 45:chimeric proteins 18:Immunosuppressant 399: 359: 354: 348: 347: 337: 313: 307: 306: 280: 274: 273: 250:Nat. Rev. Cancer 241: 235: 234: 202: 407: 406: 402: 401: 400: 398: 397: 396: 382: 381: 368: 363: 362: 355: 351: 322:N. Engl. J. Med 315: 314: 310: 303: 282: 281: 277: 262:10.1038/nrc1891 243: 242: 238: 204: 203: 196: 191: 160:and metastatic 144: 109: 97: 81:recombinant DNA 77: 41: 21: 12: 11: 5: 405: 403: 395: 394: 384: 383: 380: 379: 367: 366:External links 364: 361: 360: 349: 308: 301: 275: 236: 211:Annu. Rev. Med 193: 192: 190: 187: 186: 185: 177: 171: 165: 151: 143: 140: 108: 105: 96: 93: 76: 73: 40: 37: 13: 10: 9: 6: 4: 3: 2: 404: 393: 390: 389: 387: 377: 373: 370: 369: 365: 357: 353: 350: 345: 341: 336: 331: 327: 323: 319: 312: 309: 304: 298: 294: 290: 286: 279: 276: 271: 267: 263: 259: 256:(7): 559–65. 255: 251: 247: 240: 237: 232: 228: 224: 220: 216: 212: 208: 201: 199: 195: 188: 183: 182: 178: 175: 172: 169: 166: 163: 159: 155: 152: 149: 146: 145: 141: 139: 137: 133: 128: 126: 121: 117: 114: 106: 104: 102: 94: 92: 90: 86: 82: 74: 72: 68: 66: 62: 58: 54: 50: 46: 38: 36: 34: 30: 26: 19: 392:Immunotoxins 372:immunotoxins 352: 328:(4): 241–7. 325: 321: 311: 284: 278: 253: 249: 239: 214: 210: 179: 129: 110: 98: 88: 84: 78: 69: 42: 24: 22: 33:endocytosis 25:immunotoxin 217:: 221–37. 189:References 113:refractory 75:Production 154:Resimmune 132:Resimmune 65:cytotoxic 386:Category 344:11474661 270:16794638 231:17059365 162:melanoma 142:See also 95:Function 61:AB toxin 49:antibody 101:antigen 87:called 85:E. coli 378:(MeSH) 342:  299:  268:  229:  43:These 39:Design 53:toxin 29:toxin 340:PMID 297:ISBN 266:PMID 227:PMID 125:HA22 120:CD22 63:, a 330:doi 326:345 289:doi 258:doi 219:doi 23:An 388:: 338:. 324:. 320:. 295:. 264:. 252:. 248:. 225:. 215:58 213:. 209:. 197:^ 91:. 346:. 332:: 305:. 291:: 272:. 260:: 254:6 233:. 221:: 164:. 20:.

Index

Immunosuppressant
toxin
endocytosis
chimeric proteins
antibody
toxin
Fab portion of an antibody
AB toxin
cytotoxic
recombinant DNA
antigen
refractory
hairy cell leukemia
CD22
HA22
Resimmune
cutaneous T cell lymphoma
Denileukin diftitox
Resimmune
cutaneous T-cell lymphoma
melanoma
Anti-CD22 immunotoxins
Antibody-drug conjugates
Immunopharmacology and Immunotoxicology


"Immunotoxin treatment of cancer"
doi
10.1146/annurev.med.58.070605.115320
PMID

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