...ABfocus on THERAPEuTIc AnTIBoDIEs REVIEWS Therapeutic antibodies for autoimmunity and inflammation Andrew C. Chan* and Paul J. Carter‡ Abstract | The development of therapeutic antibodies has evolved over the past decade into a mainstay of therapeutic options for patients with autoimmune and inflammatory diseases. Substantial advances in understanding the biology of human diseases have been made and tremendous benefit to patients has been gained with the first generation of therapeutic antibodies. The lessons learnt from these antibodies have provided the foundation for the discovery and development of future therapeutic antibodies. Here we review how key insights obtained from the development of therapeutic antibodies complemented by newer antibody engineering technologies are delivering a second generation of therapeutic antibodies with promise for greater clinical efficacy and safety. Effector functions Fc-mediated antibody properties that are involved in target cell destruction: antibody-dependent cell-mediated cytotoxicity (ADCC), antibodydependent cellular phagocytosis (ADCP) and complement-dependent cytotoxicity (CDC). Half-life The time taken for the plasma concentration of a drug to fall to half of its original value. Initial half-life and terminal half-life refer to the first (distribution) and second (elimination) phase for bi-exponential pharmacokinetics, respectively. *Department of Immunology, Genentech, Inc.,1 DNA Way, South San Francisco, California...
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...because A, B antigens are strongly immunogenic and upon stimulation elicit a strong antibody response and their alloantibody can cause destruction of transfused red cells (Enosolease & Bazuaye, 2008). The ABO blood group system is considered to be safe and cost effective in most transfusion except in case of multiple transfusions where extensive cross matching is required even for minor antigen to prevent alloimmunization (Hassan et al., 2004). ABO antigen is the integral part of cell membrane and has different biochemical composition despite similar basic antigen (Dean, 2005). B phenotype is most common...
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...IgG and how might such an understanding influence the choice of IgG subclass in potential antibody-based therapies? Our body is under constant attack whether from external with viruses, bacteria and parasites or from the internal; with the development of tumour cells in cancer. We have a number of ways to prevent organisms from entering our body and surviving. This includes our skin, mucous membranes and the low pH of our stomach acids. However, if an organisms pass this barriers, the body have specific self defence mechanisms to act on these invasions. Humans have an intricate network of highly specialised cells known collectively as leukocytes or more commonly as white blood cells. Each cells is highly specialised and plays a critical role in the human response. One example is the HIV virus which infects and kills one particular type of immune cell which cause devastating consequences to the entire immune system. When the human body immune system invasion can lead to severe harm, the importance of understanding the structure and functions of this system may be seen as a vital role in combating the effect of these foreign substances. This essay will give some insight into the human IgG class structures and functions which is highly important in human defence system studies and show how these understanding can help in the development of potential antibody-based therapies. Antibodies is a group of protein which is involved in the immune response against foreign substance such...
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...TCGF is required for growth and development of T cells followed by antigen encounters and to maintain them in long-term cultures. The expression of the human immune system reaction involves both the in take of TCGF synthesis and the development of particular TCGF membrane receptors (Leonard 1982). Monoclonal antibodies attached to TCGF have been assemble within the immune system. In contrast, antibodies particular for the TCGF membrane receptor have not been known, nor has the receptor been distinguished (Leonard 1982). A monoclonal antibody named anti-Tac, appears to attach to the human membrane receptor for TCGF (Leonard 1982). As a matter of fact, anti-Tac suppressors demonstrate that TCGF prompt growth of T cells and prevent attachment of TCGF to cells from a copied human T-cell lines (Leonard 1982). Also, TCGF receptor have been refined and...
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...Indirect ELISA The term "indirect ELISA" refers to an ELISA in which the antigen is bound by the primary antibody, which then is detected by an enzyme labeled secondary antibody. The Secondary antibodies were raised against the primary antibody in other species of animal by immunization. The indirect ELISA has advantages over the direct ELISA. 1) The Indirect ELISA consist mainly two antigen – antibody reactions; the first reaction is between coated antigen and primary antibody and a second reaction between the primary antibody and the enzyme-labeled secondary antibody (with reference to secondary antibody the primary antibody is an antigen). Therefore, when the secondary antibody is enzyme tagged instead of primary antibody the amplified...
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...medicinal compounds derived from animals In modern medication, monoclonal antibody has been used to treat various kinds of disease. For cancer therapy, monoclonal antibody is extremely success. Monoclonal antibody, an immune protein with specific binding site and purified from mouse, can bind with target protein (Campbell NA, 1996). Such as: Specific antigen, growth factor and so on. As tumor cell always avoid immune system and even try to suppress the immune response, they always avoid immune defense. However, if monoclonal antibody is presented, they will bind with the target protein and immune system can recognize. Finally, immune response will be triggered. Tumor cell can be killed by B-cell or Phagocyte. Over a hundred years ago, target drug idea has been proposed. If a drug can be delivery to the target site precisely, the adverse effect of the drug can be minimized. “Delivery the drug to the target site” became a challenge the scientist. In the 1970s, B-cell has been discovered and played essential role (Biotech Resources, 1995-7). Anyways, as the technology, antibody cannot be cloned directly. For this reason, mouse antibody is used. In the beginning, some antigen was injected into the mouse and induced B-cell proliferation. Then, purified the antibody from the mouse. Compare with traditional drug, monoclonal antibody has a relatively low adverse effect. However, as murine monoclonal antibody is not a human protein. It only has a short half- life and causes an...
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...AS Biology Unit 1 Key Terms and Definitions Make sure you use these terms when answering exam questions! Chapter 1 – Causes of Disease Book Ref | Key Term | Definition | 1.1 | Pathogen | A micro-organism that causes disease | 1.1 | Transmission | Passing a pathogen from one individual to another | 1.2 | Correlation | A change in one variable is reflected by a change in another e.g. incidence of cancer increases as number of cigarettes increases | 1.2 | Cause | There is experimental evidence to prove that one factor causes another | 1.3 | Risk | A measure of the probability that damage to health will occur as a result of a given hazard | 1.3 | Lifestyle Factors | Factors to do with how we live that contribute to suffering a disease. These are in our power to change. | Chapter 2 – Enzymes and the Digestive System Book Ref | Key Term | Definition | 2.1 | Digestion | Physical and chemical breakdown of food | 2.1 | Hydrolysis | Splitting up of molecules by adding water to them. Enzymes do this to help break down molecules. | 2.1 | Assimilation | Incorporating broken down molecules into body tissues/using them in processes | 2.2 | Monomer | One of many small molecules that combine to form a larger one | 2.2 | Polymer | Larger molecule made up of repeating smaller molecules | 2.3 | Condensation Reaction | When 2 monosaccharides combine, water is removed | 2.3 | Glycosidic Bond | The bond in a disaccharide | 2.5 | Peptide Bond | The bond between 2...
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...The immune system is your body's defense. It is comprised of organs, cells and other substances that work together to help the body fight any outside or abnormal organisms. This could include germs that could lead to infection or the abnormal cells that make up a cancer. The immune system attacks and destroys the invaders that are not normally in the body. Immunotherapy is when the body uses certain parts of the immune system to fight cancer. This can be achieved in two ways; by making the immune system work harder and smarter, and/or by giving the patient synthetic immune system proteins. Immunotherapy can also be called biotherapy or biologic therapy. Immunotherapy can be used to specifically attack cancer cells or to help boost the body’s...
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...“Rhesus (RH) Incompatibility Disease” Sharon C. Clatterbuck Ottawa University In partial fulfillment of the requirements for the Proseminar Class Dr. Richard Kimberly. November 9, 2004 All the technology of our medical institutions and doctors do no good unless each female who becomes pregnant takes advantage of the prenatal care that is offered to them. According to the article titled “Routine ABO and RH Typing: An Introduction”, Phillip Levine and R.E. Stetson were the first scientists to discover the rhesus blood groups in 1939. Soon after their amazing discovery, Karl Landsteiner and A.S. Weiner discovered the ABO blood typing system in the late 1940’s, which ultimately lead to discovery of the Rh differences. Several medical studies and journals have concluded that the father is the basis of all fetal blood typing. The problem arises when the father’s blood type is positive and the mother’s blood type is negative, thus causes a condition called Rhesus (RH) Incompatibility or the RH Incompatibility Disease. (Mark-Maris) Women who receive proper treatment and testing during their first prenatal visit and subsequent visits can avoid most complications in their pregnancy, including the Rhesus Incompatibility. John M Bowman of the Canadian Medical Association states “the condition was first described as a medical problem in pregnancies in 1609, during the birth of a set of twins by a French midwife. The first twin had a severe case of Rh Incompatibility...
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...MART-1 DESCRIPTION: Protein MelanA (Melanoma Antigen), also known as MART-1 (Melanocytic Antigen Recognized by cytotoxic T lymphocytes) is a common biomarker used to identify malignant melanoma (MM) in patients, it falls under the MHC (major histocompatability complex) I class. MART-1 is encoded by the MLANA gene in humans and is present normally on the surface of benign nevi (beauty marks), as well as on melanocytes, the pigment-producing cells of your skin that become abnormal and grow out of control if malignant melanoma has developed. Approximately 76,000 new cases of melanoma are diagnosed annually in the Unites States, which accounts for about 2% of the total skin cancer diagnosis in United States annually; however 75% of skin cancer related deaths are the result of MM which exhibits how devastating this form of cancer is. With early detection of melanoma being correlated highly to improved prognosis of patients, it is necessary to create a point of care device that can measure the presence of MART-1 antigen in peripheral blood as a screening technique during annual examinations and upon identification of suspicious skin lesions Protein melan-A is a protein that in humans is encoded by the MLANA gene . A fragment of the protein, usually consisting of the nine amino acids 27 to 35, is bound byMHC class I complexes which present it to T cells of the immune system. These complexes can be found on the surface of melanoma cells. Decameric...
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...DESCRIPTION Herceptin (trastuzumab) is a humanized IgG1 kappa monoclonal antibody that selectively binds with high affinity to the extracellular domain of the human epidermal growth factor receptor 2 protein, HER2. Trastuzumab is produced by recombinant DNA technology in a mammalian cell (Chinese Hamster Ovary) culture containing the antibiotic gentamicin. Gentamicin is not detectable in the final product. Herceptin is a sterile, white to pale yellow, preservative-free lyophilized powder for intravenous administration. Each multi-use vial of Herceptin contains 440 mg trastuzumab, 400 mg α, α-trehalose dihydrate, 9.9 mg L-histidine HCl, 6.4 mg L-histidine, and 1.8 mg polysorbate 20, USP. Reconstitution with 20 mL of the appropriate diluent...
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...neurotransmitters have been linked to the condition such as NMDA & Serotonin. N-methyl D-asparate (NMDA) modulation has been used with success for a number of other conditions such as pain control and Alzheimer’s disease. Due to the high incidence of relapse and treatment failure of current therapies, it is vitally important that medical science looks further into the modulation of the other neurotransmitters involved. Aim: To report one case that illustrates a novel presentation of treatment resistant schizophrenia, that through extensive investigation produced a diagnosis of anti-NMDA antibody encephalitis. Clinical details and outcome: The patient had experienced extensive treatment for schizophrenia over at least 5 documented years at a number of institutions & hospitals with varying degrees of success. The patient’s presentation to TPCH resulted in the detection of Anti-NMDA antibodies leading to the diagnosis. Treatments used included immunomodulators and antipsychotics. Conclusions: After a prolonged admission, the patient was discharged back to her family substantially improved and is receiving maintenance immunoglobulin doses every 3 months. The antipsychotic medications have been weaned over a prolonged period to ensure no relapse of symptoms. Abstract Word count: 206 Case report word count: 1601 INTRODUCTION Schizophrenia is a chronic neuropsychiatric disorder that has a worldwide prevalence of 1% and doesn’t vary significantly between geographical regions1...
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...USA. The American Journal of Tropical Medicine and Hygiene [1997, 57(5):519-525] Type: Journal Article Abstract Highlight Terms Gene Ontology(1) Diseases(1) Species(7) A multi-faceted investigation was conducted in the United Arab Emirates to characterize the epidemiologic and ecologic factors underlying an outbreak of Crimean-Congo hemorrhagic fever (CCHF) noted in November 1994 among abattoir workers. A chart review was conducted among hospitalized suspected cases of viral hemorrhagic fever with onset between January 1994 and March 1995 coupled with serologic testing of available specimens for the presence of virus antigen and IgG and IgM antibodies by ELISA. Livestock handlers and animal skin processors were interviewed and tested for the presence of IgG antibody. Sera from imported and domestic ruminants were examined for antibody for CCHF virus, and ticks collected from these animals were tested with an antigen-capture ELISA. Thirty-five...
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...CS#13 You work in a small family practice in rural Virginia, (much better than Texas!). A man in his early 50s comes in with a complaint of intermittent fever (102-103 F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the basis of these observations the physician prescribes streptomycin and asks the man to call if his symptoms don’t improve in three days. The physician asks you to draw blood and tells the patient he should return in four weeks for another blood sample. She says there is no need to culture the wound. 1. On the basis of the limited information above, the physician has obviously made a diagnosis. What is it? What does the causative organism look like when gram stained? 2. What is the most likely reservoir for the causative organism in this case? 3. Why draw blood twice? 4. Why not culture the wound to look for the bacterium? 5. What are four other common infections that humans acquire from animals? 1. Based on the limited information the physician’s diagnosis is Tularemia. Humans can acquire this illness through getting a bite from an infected (blood-sucking)tick, horsefly, or mosquito, inhaling infected dirt or plant material, eating infected meat which is very rare, but in this case with the...
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...In order for vaccines to work appropriately, they have to operate in a very convoluted way to make sure they live up to their standards. 1. Vaccines are developed by using the bacteria’s specimen that has been either killed or damaged which are dissolved in a solution. When the vaccine is injected into the body, the specimen revives that person’s immune system. After being injected, the immune system will now fight against the microbe by forming antibodies. Antibodies counteract with the vaccine and fight off the viruses. Regularly the immune system produces antibodies to fight off viruses, which are cells the immune system produces. 2. The immune system can later in the future recognize the same disease if it comes back and will automatically form antibodies. Unfortunately, there still many diseases for which it is impossible to create vaccines. B. Vaccines are the most beneficial and safest treatment for a disease. There are different kinds of vaccines to treat various amounts of...
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