Non-Hodgkin's lymphoma is the most common hematologic cancerin adults, with more than 66,000 incident cases anticipatedin the United States in 2008.1 Approximately 85% of non-Hodgkin'slymphomas in adults are of B cell origin.2 Some B-cell non-Hodgkin'slymphomas are indolent, or slow-growing, yet incurable. In contrast,others are aggressive or very aggressive, and may be rapidlyfatal, yet are often curable.
There has been a revolution in the treatment of B-cell non-Hodgkin'slymphomas, owing largely to the availability of therapeuticmonoclonal antibodies. The concept that antibodies might beeffective for the treatment of cancers originated more thana century . . . [Full Text of this Article]
Rationale for the Use of Monoclonal Antibodies in B-Cell Lymphomas
Mechanisms of Action
Resistance to Monoclonal Antibodies
Antiidiotype Antibodies
Rituximab for Follicular and Low-Grade Lymphoma
Antibodies as Maintenance Therapy
Chemoimmunotherapy for Diffuse Large-B-Cell Non-Hodgkin's Lymphoma
Combinations of Antibody Therapy and Chemotherapy in Mantle-Cell Lymphoma
Radioimmunotherapy
90Y-Labeled Ibritumomab Tiuxetan
131I-Labeled Tositumomab
Toxicity of Radioimmunotherapy
Other Antibodies
Anti-CD20 Antibodies in Development
Alemtuzumab
Galiximab
Anti-CD40 Antibodies
Epratuzumab
Lumiliximab
Hu1D10
Other Antibody Approaches
Future Directions
Source Information
From the Division of Hematology-Oncology, Georgetown University Hospital, Washington, DC (B.D.C.); and the Center for Lymphoma and Myeloma, Weill Cornell Medical College, New York (J.P.L.).
Address reprint requests to Dr. Cheson at Georgetown University Hospital, 3800 Reservoir Rd., NW, Washington, DC 20007, or at bdc4@georgetown.edu.
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