[The immunotherapy potential of agonistic anti-CD137 (4-1BB) monoclonal antibodies for malignancies and chronic viral diseases]

An Sist Sanit Navar. 2006 Jan-Apr;29(1):77-96. doi: 10.4321/s1137-66272006000100007.
[Article in Spanish]

Abstract

Pharmacological intervention on the immune system to achieve more intense lymphocyte responses has potential application in tumour immunology and in the treatment of chronic viral diseases. Immunostimulating monoclonal antibodies are defined as a new family of drugs that augment cellular immune responses. They interact as artificial ligands with functional proteins of the immune system, either activating or inhibiting their functions. There are humanized monoclonal antibodies directed to the inhibitory receptor CD152 (CTLA-4) that are being tested in clinical trials with evidence of antitumoural activity. As a drawback, anti-CTLA-4 monoclonal antibodies induce severe autoimmunity reactions in a fraction of the patients. Anti-CD137 monoclonal antibodies have the ability to induce potent immune responses mainly mediated by cytotoxic lymphocytes with the result of frequent complete tumour eradications in mice. Comparative studies in experimental models indicate that the antitumour activity of anti-CD137 monoclonal antibodies is superior to that of anti-CD152. CD137 (4-1BB) is a leukocyte differentiation antigen selectively expressed on the surface of activated T and NK lymphocytes, as well as on dendritic cells. Monoclonal antibodies acting as artificial stimulatory ligands of this receptor (anti-CD137 agonist antibodies) enhance cellular antitumoural and antiviral immunity in a variety of mouse models. Paradoxically, anti-CD137 monoclonal antibodies are therapeutic or preventive in the course of model autoimmune diseases in mice. In light of these experimental results, a number of research groups have humanized antibodies against human CD137 and early clinical trials are about to start.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use*
  • Antigens, CD* / immunology
  • Antigens, Differentiation* / immunology
  • Antineoplastic Agents / therapeutic use*
  • Autoimmunity
  • Bone Marrow Transplantation / immunology
  • CTLA-4 Antigen
  • Cancer Vaccines / immunology
  • Cancer Vaccines / therapeutic use
  • Chronic Disease
  • Clinical Trials as Topic
  • Clinical Trials, Phase II as Topic
  • Clinical Trials, Phase III as Topic
  • Cytokines / immunology
  • Humans
  • Immunotherapy*
  • Mice
  • Mice, Transgenic
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Neoplasms, Experimental / drug therapy
  • Neoplasms, Experimental / immunology
  • Receptors, Nerve Growth Factor* / immunology
  • Receptors, Tumor Necrosis Factor* / immunology
  • Transplantation, Homologous
  • Tumor Cells, Cultured
  • Tumor Necrosis Factor Receptor Superfamily, Member 9
  • Viral Vaccines / immunology
  • Viral Vaccines / therapeutic use
  • Virus Diseases / immunology
  • Virus Diseases / therapy*

Substances

  • Antibodies, Monoclonal
  • Antigens, CD
  • Antigens, Differentiation
  • Antineoplastic Agents
  • CTLA-4 Antigen
  • CTLA4 protein, human
  • Cancer Vaccines
  • Ctla4 protein, mouse
  • Cytokines
  • Receptors, Nerve Growth Factor
  • Receptors, Tumor Necrosis Factor
  • TNFRSF9 protein, human
  • Tnfrsf9 protein, mouse
  • Tumor Necrosis Factor Receptor Superfamily, Member 9
  • Viral Vaccines