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Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

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16.5.1 Treatment of Tumor Metastases with Immunocytokines 330<br />

16.5.2 Tumor Targeting of LT-aInduces a Peripheral Lymphoid-like Tissue<br />

Leading to an Efficient <strong>Immune</strong> Response against Melanoma 333<br />

16.5.3 ch14.18±IL-2 Immunocytokine Boosts Protective Immunity Induced<br />

<strong>by</strong> an Autologous Oral DNA Vaccine against Murine Melanoma 334<br />

16.6 Neuroblastoma 337<br />

16.6.1 Treatment with ch14.18±IL-2 Immunocytokine 337<br />

16.6.2 Immunocytokine Treatment of Bone Marrow <strong>and</strong> Liver Metastases 337<br />

16.6.3 Mechanism of Immunocytokine-mediated <strong>Immune</strong> Responses 338<br />

16.6.4 Amplification of Suboptimal CD8 + T Memory Cells <strong>by</strong> a Cellular<br />

Vaccine 340<br />

16.6.5 Synergy between Targeted IL-2 <strong>and</strong> Antiangiogensis 341<br />

16.7 Conclusions <strong>and</strong> Perspectives 342<br />

Acknowledgments 342<br />

References 343<br />

17 Immunotoxins <strong>and</strong> Recombinant Immunotoxins in <strong>Cancer</strong> <strong>Therapy</strong> 347<br />

Yoram Reiter <strong>and</strong> Avital Lev<br />

17.1 Introduction 347<br />

17.2 First- <strong>and</strong> Second-Generation Immunotoxins 350<br />

17.3 The Development of Recombinant DNA-based Immunotoxins: Design of<br />

Recombinant Immunotoxins 351<br />

17.3.1 The Toxin Moiety 351<br />

17.3.1.1 Plant toxins 351<br />

17.3.1.2 Bacterial toxins: DT<strong>and</strong> DT derivatives 352<br />

17.3.1.3 Bacterial toxins: PE <strong>and</strong> PE derivatives 353<br />

17.3.2 The Targeting Moiety ± Recombinant Antibody Fragments 354<br />

17.4 Construction <strong>and</strong> Production of Recombinant Immunotoxins 357<br />

17.5 Preclinical Development of Recombinant Immunotoxins 358<br />

17.6 Application of Recombinant Immunotoxins 360<br />

17.6.1 Recombinant Immunotoxins against Solid Tumors 360<br />

17.6.2 Recombinant Immunotoxins against Leukemias <strong>and</strong> Lymphomas 361<br />

17.7 Isolation of New <strong>and</strong> Improved Antibody Fragments as Targeting<br />

Moieties: Display Technologies for the Improvement of Immunotoxin<br />

Activity 363<br />

17.8 Improving the Therapeutic Window of Recombinant Immunotoxins:<br />

The Balance of Toxicity, Immunogenicity <strong>and</strong> Efficacy 366<br />

17.8.1 <strong>Immune</strong> Responses <strong>and</strong> Dose-limiting Toxicity 367<br />

17.8.2 Specificity Dictated <strong>by</strong> the Targeting Moiety 368<br />

17.9 Conclusions <strong>and</strong> Perspectives 369<br />

References 369<br />

Glossary 380<br />

Index 395<br />

Contents<br />

XV

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