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RENCAREX®
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About RCC
Therapeutic Target
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Therapeutic Target
CA IX Antigen – A Highly Specific Tumour Target
RENCAREX® (WX-G250) binds specifically to the protein
carbonic anhydrase IX (CA IX, MN, or G250 antigen). CA IX is expressed
on the cell surface in over 90% of all clear cell RCC, but not expressed
in normal kidney tissue. The antigen is also present in bladder cancer
and a variety of other solid tumours, including cervical, colon,
breast, and non-small cell lung cancer. The antigen is expressed at low
levels
in the gastric epithelium, upper intestinal tract epithelium, and
the bile ducts, but is undetected in normal kidney and other tissues.
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Mode of Action of RENCAREX®– ADCC
The WX-G250 antibody binds to the CA IX antigen
expressed on the tumour cells, thereby triggering an immune reaction
called Antibody-Dependent Cellular Cytotoxicity (ADCC). Through this
mechanism,
effector cells, e.g. NK (natural killer) cells, of the immune system
are activated
to kill the tumour cells.
Fig.: ADCC mechanism of action. The variable region
of the WX-G250 antibody binds to CA IX expressed on the tumour cells.
The constant region of
WX-G250 binds to the Fc receptor of natural killer cells (NK cells). NK
cells act as effector cells, which destroy the tumour cells.
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