Теория и практика иммунотерапии, направленной против антигена PRAME

В.А. Мисюрин

ФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава России, Каширское ш., д. 24, Москва, Российская Федерация, 115478

Для переписки: Всеволод Андреевич Мисюрин, канд. биол. наук, Каширское ш., д. 24, Moсква, Российская Федерация, 115478; тел.: +7(985)436-30-19; e-mail: vsevolod.misyurin@gmail.com

Для цитирования: Мисюрин В.А. Теория и практика иммунотерапии, направленной против антигена PRAME. Клиническая онкогематология. 2018;11(2):138-49.

DOI: 10.21320/2500-2139-2018-11-2-138-149


РЕФЕРАТ

Антиген PRAME, представляющий собой значимую мишень для моноклональных антител, является онкоспецифическим маркером, который активен на всех стадиях дифференцировки опухолевых клеток, и вызывает спонтанный T-клеточный ответ. Поскольку белок PRAME экспрессируется примерно у каждого второго больного с солидными опухолями и онкогематологическими заболеваниями, иммунотерапия против данного антигена имеет значительные перспективы. В настоящем обзоре обсуждается механизм развития спонтанного иммунного ответа против PRAME и роль данного антигена в иммунном надзоре. Рассматривается процесс развития PRAME-специфических T-клеток. Оцениваются риски применения иммунотерапии против PRAME-экспрессирующей клетки. Обсуждаются достоинства и недостатки различных подходов в иммунотерапии, в т. ч. использование дендритноклеточных вакцин, вакцинирование антигеном PRAME, выведение специфических T-клеток и разработка специфических моноклональных антител. Объяснены возможные причины неудач некоторых видов иммунотерапии, представлены пути их преодоления. Поиск литературы, на которой основан данный обзор, проводился в базах данных Pubmed, Scopus и eLibrary по ключевому слову «PRAME». Рассмотрены только те публикации, в которых изучались различные аспекты или создавались средства иммунотерапии, направленной против антигена PRAME.

Ключевые слова: PRAME, иммунотерапия, дендритноклеточные вакцины, пептидные вакцины, T-клеточные вакцины, терапевтические антитела.

Получено: 19 декабря 2017 г.

Принято в печать: 5 февраля 2018 г.

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