Because if ADCC was a meaningful driver, the toxin wouldn't have much of an additional effect.
And again, if ADCC was a meaningful driver, then it would be difficult to explain trastuzumab refractory Her2+ cancer, would it not?
Quite a few other cell types. And if a genuine immune response is generated that breaks self tolerance, then we know the immune system is rather efficient and it would do a good job of going after the other cells that display detectable expression.
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