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The anti-CLL-1 antigen-armed antibody (AgAb) is an experimental immunotherapy designed for the treatment of acute myeloid leukemia (AML). This novel therapeutic modality consists of a monoclonal antibody targeting the C-type lectin-like molecule-1 (CLL-1/CLEC12A), which is highly expressed on AML blasts and leukemic stem cells, fused to immunodominant epitopes from the Epstein-Barr virus (EBV). Upon binding to CLL-1, the AgAb undergoes receptor-mediated endocytosis, delivering the viral epitopes to the endosomal compartments of the leukemia cells. These epitopes are then processed and presented on the cell surface via MHC class II molecules. This mechanism redirects the patient's pre-existing, endogenous memory EBV-specific CD4+ cytotoxic T cells to recognize and lyse the AML cells. By harnessing potent anti-viral immunity, this approach aims to overcome the typically low immunogenicity of malignant myeloid cells.
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