Table 1.
Target | Antibodies | Anti-tumor effect | Reseaon of limited efficacy | Improving the therapeutic efficacy |
---|---|---|---|---|
CD20 | rituximab | complement-dependent cytotoxicity (CDC); direct target cell apoptosis; antibody-dependent phagocytosis; ADCC | the loss of CD20 antigen causing the increase of antigen-loss cells resistant to NK cell-mediated ADCC and reducing the efficacy as a result; poor affinity of rituximab to FcγRIIIa; increase the release of inhibitory substances suppressing the immune reaction through weakening NK cell-mediated ADCC; the impaired NK cell activity in the CLL patients | |
Obinutuzumab | glycoengineering | |||
Ofatumumab | ||||
Ublituximab | ||||
CD19 | inebilizumab (MEDI-551). | afucosylation: increase the binding affinity of mAbs to FcγRIIIa | ||
Fc-engineering | ||||
CD16 | BiKEs(a single-chain variable fragment (scFv) recognizing CD16 + a scFv recognizing tumor antigens) | transferring signals as immunological synapses and to induce cytotoxicity | ||
TriKEs | increasing the possibility of identifying tumor cells in the case of one antigen missing and reduces immunological evasion |