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Review

Receptor-Directed Therapy of T-Cell Leukemias and Lymphomas

, &
Pages 235-248 | Received 31 Dec 2007, Accepted 01 Mar 2008, Published online: 09 Oct 2008
 

Abstract

T-Cell leukemias and lymphomas represent a less common and heterogeneous group of lymphoid neoplasms. Overall, they respond less well to chemotherapy and have a poorer prognosis than their B-cell counterparts. T-Cell tumors express a number of potential targets for receptor-directed antibody therapy; however, there is no available therapeutic monoclonal antibody for these diseases with comparable activity to that of rituximab in B-cell disorders. Despite this, alemtuzumab, a humanized anti-CD52 monoclonal antibody has demonstrated meaningful anti-tumor activity in a variety of T-cell malignancies. A number of other antibodies, modified antibodies and immunotoxins directed against targets such as CD2, CD4, CD5, CD25, CD30 and CD122 expressed on malignant T-cells are under investigation. The current status of receptor-directed antibody therapy for T-cell leukemia and lymphoma is reviewed.

Abbreviations
ACID,=

Activation-induced cell death

ATL,=

Adult T-cell leukemia/lymphoma

ALCL,=

Anaplastic large cell lymphoma

ADCC,=

Antibody-dependent cellular cytotoxicity

AIL,=

Angioimmunoblastic T-cell lymphoma

CD,=

Cluster designation

CHOP,=

Cyclophosphamide, doxorubicin, vincristine and prednisone

CTCL,=

Cutaneous T-cell lymphoma

CMV,=

Cytomegalovirus

CLL,=

Chronic lymphocytic leukemia

DT,=

Diphtheria toxin

EPOCH,=

Etoposide, prednisone, vincristine, cyclophosphamide and doxorubicin

EBV-LPD,=

Epstein-Barr virus-related B-cell lymphoproliferative disease, GPI, Glycophosphoinositol

GvHD,=

Graft-versus-host disease

HAMA,=

Human anti-mouse antibodies

HL,=

Hodgkin's lymphoma

HTLV-1,=

Human T-cell lymphotrophic virus type-1

IL,=

Interleukin

JAK,=

Janus kinase

Kd,=

Dissociation constant

LAK,=

Lymphokine-activated killer

LFA,=

Lymphocyte function antigen

MHC,=

Major histocompatibility complex, NK, natural killer

NOD/SCID,=

non-obese diabetic/severe combined immunodeficiency

PE,=

Pseudomonas exotoxin A

PTCL,=

Peripheral T-cell lymphoma

LGL,=

large granular lymphocyte

T-PLL,=

T-cell prolymphocytic leukemia

TCR,=

T-cell receptor

TNFα,=

Tumor necrosis factor-alpha

WHO,=

World Health Organization

Abbreviations
ACID,=

Activation-induced cell death

ATL,=

Adult T-cell leukemia/lymphoma

ALCL,=

Anaplastic large cell lymphoma

ADCC,=

Antibody-dependent cellular cytotoxicity

AIL,=

Angioimmunoblastic T-cell lymphoma

CD,=

Cluster designation

CHOP,=

Cyclophosphamide, doxorubicin, vincristine and prednisone

CTCL,=

Cutaneous T-cell lymphoma

CMV,=

Cytomegalovirus

CLL,=

Chronic lymphocytic leukemia

DT,=

Diphtheria toxin

EPOCH,=

Etoposide, prednisone, vincristine, cyclophosphamide and doxorubicin

EBV-LPD,=

Epstein-Barr virus-related B-cell lymphoproliferative disease, GPI, Glycophosphoinositol

GvHD,=

Graft-versus-host disease

HAMA,=

Human anti-mouse antibodies

HL,=

Hodgkin's lymphoma

HTLV-1,=

Human T-cell lymphotrophic virus type-1

IL,=

Interleukin

JAK,=

Janus kinase

Kd,=

Dissociation constant

LAK,=

Lymphokine-activated killer

LFA,=

Lymphocyte function antigen

MHC,=

Major histocompatibility complex, NK, natural killer

NOD/SCID,=

non-obese diabetic/severe combined immunodeficiency

PE,=

Pseudomonas exotoxin A

PTCL,=

Peripheral T-cell lymphoma

LGL,=

large granular lymphocyte

T-PLL,=

T-cell prolymphocytic leukemia

TCR,=

T-cell receptor

TNFα,=

Tumor necrosis factor-alpha

WHO,=

World Health Organization

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