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Volume 360:192-193 January 8, 2009 Number 2
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Monoclonal Antibody Therapy and Non-Hodgkin's Lymphoma

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 by Cheson, B. D.
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To the Editor: In their review of monoclonal antibody therapy for B-cell non-Hodgkin's lymphoma (Aug. 7 issue),1 Cheson and Leonard did not mention a potential cause of resistance to this treatment. Statins, by depleting cholesterol in the cell membrane, have been shown to diminish the antitumor effects of rituximab in vitro (as well as in a small exploratory study in vivo) by inducing conformational changes in CD20, resulting in reduced anti-CD20 binding.2 It is plausible that statins also induce changes in other surface antigens and likewise reduce the antitumor effects of other monoclonal antibodies. Physicians should be aware of this . . . [Full Text of this Article]


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