Abstract
Conventional cytotoxic therapies of cancer often suffer from a lack of specificity, leading to a poor therapeutic index and toxicities to normal organs. The targeted delivery of bioactive molecules (cytokines, radionuclides, drugs, photosensitizer, etc.) by means of an antibody specific to tumor-associated markers of the tumor stroma and endothelium offers an elegant way to overcome these drawbacks. In fact, tumor markers of the endothelium and extracellular matrix are particularly attractive, because of their accessibility for intravenously administered agents, their genomic stability and the various therapeutic options they offer, ranging from direct tumor cell killing, to tumor infarction and to the recruitment of immune cells.
In this chapter, we will review therapeutic strategies and concepts for antibody-based pharmacodelivery applications based on target proteins located in the subendothelial extracellular matrix. We also describe methodologies for the discovery of novel tumor markers and outline the advances in preclinical and clinical development of vascular targeting agents for cancer therapy.
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Abbreviations
- CDR:
-
Complementarity determining region
- EDA:
-
Extra-domain A of fibronectin
- EDB:
-
Extra-domain B of fibronectin
- EGF:
-
Epidermal growth factor
- IgG:
-
Immunoglobulin G
- PDT:
-
Photodynamic therapy
- RIT:
-
Radioimmunotherapy
- SAGE:
-
Serial analysis of gene expression
- scFv:
-
Single-chain Fragment variable
- SIP:
-
Small immunoprotein
- TEM:
-
Tumor endothelial marker
- PET:
-
Positron emission tomography
- SPECT:
-
Single photon emission computed tomography
- GM-CSF:
-
Granulocyte-macrophage colony-stimulating factor
- IFN:
-
Interferon
- IL-2, -12, -15:
-
Interleukin-2, -12, -15
- TNF:
-
Tumor necrosis factor
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Frey, K., Neri, D. (2011). Antibody-Based Targeting of Tumor Vasculature and Stroma. In: Mueller, M., Fusenig, N. (eds) Tumor-Associated Fibroblasts and their Matrix. The Tumor Microenvironment, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0659-0_22
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