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78     CHAPTER 4  Immunotherapy


































                         FIGURE 4.3  Antibody fragments.


                         antibody fragment, using fluorescence to produce a specific imaging probe. Then
                         this labeled ScFvD2B injected into the mice having prostate tumors and then, after
                         studying fluorescence, they have seen that these labeled anti-PSMA scFv fragment
                         are closely connected to PSMA. They have shown that ScFvD2B can be a suitable
                         agent for detection of PSMA-expressing cells in patients suspected to having pros-
                         tate cancer [22].


                         4.2.3  Immunoconjugates and unconjugated antibody
                         Antibodies are used in both forms of immunoconjugates or unconjugated form to
                         fight against tumor cells. Unconjugated or naked antibody by the methods described
                         in Fig. 1 generally results in the destruction of tumor cells. While in the immuno-
                         conjugates antibody, antibodies are associated with radionuclides, drugs or toxins;
                         and carry them to the target. As indicated at the beginning of the chapter, the most
                         important goal of cancer therapies is to destroy tumor cells without harming or at
                         least effect on healthy cells. Immunoconjugates illustrate an important tool on the
                         way to this direction. The components of the immunoconjugates method are: anti-
                         body as carrier, a cytotoxic agent (i.e., divided into three categories: radionuclides,
                         drugs, and toxins) and a chemical linker which attaches this cytotoxic agent to anti-
                         body [23]. The advantage and disadvantages of each of these three cytotoxic agents
                         are discussed in detail later in this chapter.
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