2018
DOI: 10.1080/2162402x.2018.1486948
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Daratumumab induces CD38 internalization and impairs myeloma cell adhesion

Abstract: Daratumumab (Dara), a human immunoglobulin G1 kappa (IgG1κ) monoclonal anti-CD38 antibody, has been approved by the U.S. Food and Drug Administration for the treatment of relapsed multiple myeloma (MM) as a single agent as well as in combination with immunomodulatory drugs (IMiDs) and proteasome inhibitors (PI). Although the scientific rationale behind the use of Dara in combination with IMiDs has been extensively explored, the molecular mechanisms underlying Dara-PI regimens have not yet been investigated. He… Show more

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Cited by 48 publications
(36 citation statements)
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“…Resistance to ADCC (e.g., fratricidal depletion of CD38+ NK cells), CDC (e.g., upregulation of complement-inhibitory molecules) and ADCP (e.g., upregulation of CD47 inhibiting phagocytosis) have been observed during anti-CD38 mAb treatment and strategies to overcome them are under clinical investigation [96]. Nevertheless, the most relevant issue limiting retreatment with anti-CD38 mAbs is the long-lasting downregulation of CD38 on plasma cell surfaces after anti-CD38 therapy [97]. Even though strategies to reinduce CD38 expression in malignant plasma cells are under clinical investigation [98,99], changing the target antigen may be a more appealing strategy in RRMM patients who are refractory to anti-CD38 treatment.…”
Section: Future Directions and Conclusionmentioning
confidence: 99%
“…Resistance to ADCC (e.g., fratricidal depletion of CD38+ NK cells), CDC (e.g., upregulation of complement-inhibitory molecules) and ADCP (e.g., upregulation of CD47 inhibiting phagocytosis) have been observed during anti-CD38 mAb treatment and strategies to overcome them are under clinical investigation [96]. Nevertheless, the most relevant issue limiting retreatment with anti-CD38 mAbs is the long-lasting downregulation of CD38 on plasma cell surfaces after anti-CD38 therapy [97]. Even though strategies to reinduce CD38 expression in malignant plasma cells are under clinical investigation [98,99], changing the target antigen may be a more appealing strategy in RRMM patients who are refractory to anti-CD38 treatment.…”
Section: Future Directions and Conclusionmentioning
confidence: 99%
“…Lower basal levels of the target antigen have been proposed as a possible mechanism of intrinsic resistance to mAbs [122,123]. Regarding daratumumab, the downregulation of CD38 on cell surfaces could partially explain the loss of response to mAb therapy [124]. Interestingly, myeloma cells exposed to isatuximab and MOR202 did not show such a downregulation [125,126].…”
Section: Discussionmentioning
confidence: 99%
“…These results indicate that dynasore somehow inhibited CCND1 and CDK4 expression so that CCND1-CDK4 complexes decreased, which leads to hypophosphorylation of pRb and block G1-S transition. Since identified, dynasore was widely used in the researches of endocytosis and macropinocytosis as a dynamin inhibitor 11,12,3133 . In the latest reports, dynasore was found to be able to repress cell proliferation, migration of lung cancer cell lines in vitro 18,19 , and, consist with our results, dynasore augmented the anti-cancer effects of cisplatin 18 .…”
Section: Discussionmentioning
confidence: 99%