Mechanisms of Resistance to Anti-CD38 Daratumumab in Multiple Myeloma

被引:86
|
作者
Saltarella, Ilaria [1 ]
Desantis, Vanessa [1 ]
Melaccio, Assunta [1 ]
Solimando, Antonio Giovanni [1 ]
Lamanuzzi, Aurelia [1 ]
Ria, Roberto [1 ]
Storlazzi, Clelia Tiziana [2 ]
Mariggio, Maria Addolorata [3 ]
Vacca, Angelo [1 ]
Frassanito, Maria Antonia [3 ]
机构
[1] Univ Bari Aldo Moro, Unit Internal Med & Clin Oncol, Dept Biomed Sci & Human Oncol, I-70124 Bari, Italy
[2] Univ Bari Aldo Moro, Dept Biol, I-70125 Bari, Italy
[3] Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Unit Gen Pathol, I-70124 Bari, Italy
关键词
multiple myeloma; CD38; antigen; daratumumab; drug resistance; MONOCLONAL-ANTIBODY THERAPY; DRUG-RESISTANCE; CD38; EXPRESSION; COMPLEMENT REGULATORS; MEDIATED PHAGOCYTOSIS; ANTITUMOR-ACTIVITY; CELLS; BONE; GAMMA; BORTEZOMIB;
D O I
10.3390/cells9010167
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Daratumumab (Dara) is the first-in-class human-specific anti-CD38 mAb approved for the treatment of multiple myeloma (MM). Although recent data have demonstrated very promising results in clinical practice and trials, some patients do not achieve a partial response, and ultimately all patients undergo progression. Dara exerts anti-MM activity via antibody-dependent cell-mediated cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP), complement-dependent cytotoxicity (CDC), and immunomodulatory effects. Deregulation of these pleiotropic mechanisms may cause development of Dara resistance. Knowledge of this resistance may improve the therapeutic management of MM patients.
引用
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页数:14
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