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. 2010;35(8):665.
doi: 10.1358/dof.2010.035.08.1513490.

Anti-GD2 Strategy in the Treatment of Neuroblastoma

Anti-GD2 Strategy in the Treatment of Neuroblastoma

Richard K Yang et al. Drugs Future. 2010.

Abstract

The prognosis for advanced neuroblastoma remains poor with high risk of recurrence after consolidation. Therapies based on monoclonal antibodies that specifically target disialoganglioside GD2 on tumor cells are improving treatment results for high-risk neuroblastoma. This article reviews the use of anti-GD2 antibodies either as monotherapy or as part of a larger and more complex treatment approach for advanced neuroblastoma. We review how anti-GD2 antibodies can be combined with other treatments or strategies to enhance their clinical effects. Tumor resistance and other problems that decrease the efficacy of anti-GD2 antibodies are discussed. Future developments in the area of anti-GD2 immunotherapies for neuroblastoma are also addressed.

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Figures

Figure 1
Figure 1
Monoclonal Antibodies and Immunocytokines. (a) A chimeric monoclonal antibody (mAb) combines the constant region of a human antibody with the variable domain of a murine antibody. The antigen specificity is conferred by the murine variable domain. (b) In the humanised mAb, the murine framework determinants of both the heavy and light chains are replaced with human framework determinants, but the antigen specificity of the original murine mAb is retained. (c,d) Fusion proteins or immunocytokines combine the mAb with covalently linked cytokines, such as molecules of interleukin 2 (IL-2), to the end of each of the heavy chains at the C-terminus.

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