Pharmacology · Cytotoxic and Targeted Therapy (Monoclonal Antibodies)

Brentuximab vedotin is used in relapsed Hodgkin lymphoma and anaplastic large cell lymphoma. Its antitumour action depends on which pair of target antigen and attached cytotoxic payload?

  • A CD20 conjugated to iodine-131
  • B CD33 conjugated to calicheamicin
  • C CD30 conjugated to monomethyl auristatin E
  • D CD22 conjugated to ozogamicin-derived toxin
Correct answer: C. CD30 conjugated to monomethyl auristatin E

Explanation

Brentuximab vedotin is an antibody-drug conjugate linking an anti-CD30 antibody to monomethyl auristatin E, a microtubule-disrupting agent released after internalisation, causing G2/M arrest and apoptosis. CD30 is strongly expressed on Reed-Sternberg cells and anaplastic large cell lymphoma. Gemtuzumab ozogamicin pairs CD33 with calicheamicin in acute myeloid leukaemia, and ibritumomab tiuxetan delivers yttrium-90 to CD20, so options A, B and D describe different real drugs with mismatched pairings.

Reference: Katzung Basic and Clinical Pharmacology, 15th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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