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The novel immunotoxin HM1.24-ETA' induces apoptosis in multiple myeloma cells.
[severe combined immunodeficiency]
Despite
new
treatment
modalities
,
the
clinical
outcome
in
a
substantial
number
of
patients
with
multiple
myeloma
(
MM
)
has
yet
to
be
improved
.
Antibody-based
targeted
therapies
for
myeloma
patients
could
make
use
of
the
HM
1
.
24
antigen
(
CD
317
)
,
a
surface
molecule
overexpressed
on
malignant
plasma
cells
and
efficiently
internalized
.
Here
,
a
novel
immunotoxin
,
HM
1
.
24
-
ETA
'
,
is
described
.
HM
1
.
24
-
ETA
'
was
generated
by
genetic
fusion
of
a
CD
317
-
specific
single
-chain
Fv
(
scFv
)
antibody
and
a
truncated
variant
of
Pseudomonas
aeruginosa
exotoxin
A
(
ETA
'
)
.
HM
1
.
24
-
ETA
'
inhibited
growth
of
interleukin
6
(
IL
-
6
)
-
dependent
and
-
independent
myeloma
cell
lines
.
Half-maximal
growth
inhibition
was
observed
at
concentrations
as
low
as
0
.
3
 
nM
.
Target
cell
killing
occurred
via
induction
of
apoptosis
and
was
unaffected
in
co
-culture
experiments
with
bone
marrow
stromal
cells
.
HM
1
.
24
-
ETA
'
efficiently
triggered
apoptosis
of
freshly
isolated
/
cryopreserved
cells
of
patients
with
plasma
cell
leukemia
and
MM
and
was
active
in
a
preclinical
severe
combined
immunodeficiency
(
SCID
)
mouse
xenograft
model
.
Importantly
,
HM
1
.
24
-
ETA
'
was
not
cytotoxic
against
CD
317
-
positive
cells
from
healthy
tissue
(
monocytes
,
human
umbilical
vein
endothelial
cells
)
.
These
results
indicate
that
CD
317
may
represent
a
promising
target
structure
for
specific
and
efficient
immunotoxin
therapy
for
patients
with
plasma
cell
tumors
.
Diseases
Validation
Diseases presenting
"positive cells"
symptom
canavan disease
carcinoma of the gallbladder
coats disease
congenital diaphragmatic hernia
dedifferentiated liposarcoma
epidermolysis bullosa simplex
erythropoietic protoporphyria
esophageal adenocarcinoma
hodgkin lymphoma, classical
severe combined immunodeficiency
werner syndrome
x-linked adrenoleukodystrophy
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