MONOCLONAL ANTIBODY (“MAGIC BULLETS”) - A PROMISING TREATMENT FOR CANCER
ANURIMA MODI
TECHNO INDIA UNIVERSITY, KOLKATA-700091
REVIEW PAPER
ABSTRACT
Background: Monoclonal antibodies (mAb) are an old immunological tool in the field of biotechnology, immunology, biochemistry and applied biology. The use of monoclonal antibodies for cancer therapy is one of the most versatile, powerful and important strategies in the treatment of cancer. Over a past couple of years, the US Food and Drug Administration has approved more than a dozen mAb’s to treat certain cancers (Brain cancer, Breast cancer ,Chronic lymphocytic leukemia, Colorectal cancer, Head and neck cancers, Hodgkin 's lymphoma, Lung cancer, Melanoma, Non-Hodgkin 's lymphoma,
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In the early stage of a drug discovery process, researchers may be faced with little or no structure activity relationship (SAR) information. The process by which a new drug is brought to market stage is referred to by a number of names most commonly as the development chain or “pipeline” and consists of a number of distinct stages. To design a rational drug, we must firstly find out which proteins can be the drug targets in pathogenesis.
MECHANISM OF ACTION
Monoclonal antibodies achieve their therapeutic effect through various mechanisms. They can have direct effects in producing apoptosis or programmed cell death. They can block growth factor receptors, effectively arresting proliferation of tumor cells. In cells that express monoclonal antibodies, they can bring about anti-idiotype antibody formation. Indirect effects include recruiting cells that have cytotoxicity, such as monocytes and macrophages. This type of antibody-mediated cell kill is called antibody-dependent cell mediated cytotoxicity (ADCC). Monoclonal antibodies also bind complement, leading to direct cell toxicity, known as complement dependent cytotoxicity (CDC).
Antibody therapy can be used in a variety of ways to treat cancer. As described above, they may act through ADCC or CDC. An alternative approach is to conjugate the monoclonal antibody to a toxin, a cytotoxic agent, or a radioisotope. With
Some of traditional drugs may be effective in patients whose cancers have a specific molecular target, and not for other patients. To solve this problem of patient-specificity, pharmaceutical research have seen the expansion of individually tailored cancer treatment, which is an application of targeted therapy, and this is where biopharmaceuticals are. As an increasing part of the population is diagnosed with cancer and as these patients live longer, increasing care will be given to patients who have received these drugs. Moreover, in the case of cancer therapy, those drugs and especially with mABs are a promise of less side effects : recombinant DNA technology makes it possible to genetically engineer an antibody to reduce the risk of host immune response.
Wolchok does not name specific instruments used for measurements, discuss reliability in terms of type and size of reliability coefficients, or name specific control procedures. The success rates of the different types of treatments are determined by visible tumor growth difference after treatment is administered as well as overall survival. Wolchok also notes that measuring success among immunotherapy treatments can be difficult and take nearly double the time to see results than other treatment methods. Even in patients whose brain scans show tumor growth 12 weeks after the treatment has begun, the growth may be indicative of T cells and other immune cells flooding the tumor. Henceforth, the difficulty of determining success among patients being treated with immunotherapies is far more perplexing than patients who have undergone chemotherapy or
Many doctors, physicians, researchers and biotech companies--including the revolutionary Seattle Genetics research facility--are now turning to antibody-assisted cancer treatments and precisely targeted cures instead of treating cancer with a cocktail of chemicals and radiation that generate risky side effects and damage the healthy tissue that patients need to recover. Cancers are among the most frightening and difficult-to-treat illnesses. Ranked as the leading cause of death and disability, cancer is actually an umbrella term that covers many different diseases. Each person faces a unique disease because cancers interact with the body's existing cells, so each case has a
Immunotherapy is a form of medical treatment intended to stimulate or restore the ability of the immune system to fight infection and disease. This can be by inducing, enhancing, or suppressing an immune response. Immunotherapies designed to elicit or amplify an immune response are classified as activation immunotherapies, while those that reduce or suppress immune response are suppression immunotherapies. Active immunotherapy has been effective against agents that normally cause acute self-limiting infectious disease. However, a more effective immunotherapy for chronic infectious diseases or cancer requires the use of appropriate target antigens; the
Monoclonal antibodies to treat disease, one application of this would be the use of the antibodies in therapy. In this therapeutic application, the mouse monoclonal antibody for CD3 antigen on the human T cells. The use of this was to prevent the rejection of the transplanted kidneys for patients with T cell mediated graft rejection.
It would attach itself to a cancer cell and aggressively aggravate the body to draw in the bodies’ defenses to all out assault that area. In theory, if you kept the patients immune system going, you could bombard the cancer and not have to worry about chemical side effects. Lots of treatments like chemotherapy weaken the immune system, so this would be an interesting alternative. One would first need to figure out a way to attach a “decoy” drug to the cancer cells and have it be one that the body would want to attack.
This vaccine will be used in conjunction with the anti-CTLA-4 antibody, Ipilumumab, to keep T cells active for longer by blocking CTLA-4 T cell inhibitory signals. Anti-PD-1 antibodies such as MDX-1106 will also be used to block the PD-1 ligand from binding the PD-1 receptor. This receptor when activated can promote T cell apoptosis and also reduce T-reg apoptosis. Tumour cells frequently upregulate PD-1 to downregulate the immune system in the tumour microenvironment, so the use of this antibody is almost essential when trying to produce active immunotherapy. Niacin will also be given to patients to increase blood flow within the tumour, in turn allowing increased access to the tumour site for immune cells. Radiotherapy will be
Throughout the years, a diagnosis of cancer has been an uphill battle for both patients and doctors alike. An individual faces an incurable disease that is notorious for taking away lives by the numbers. Victims of the pathogen are at risk of it spreading to other parts of the body, facing an excruciating amount of pain and eventual death. If caught in an early stage the carcinogen can be removed through various treatments. However, throughout the years treatments have been limited to patients which can cause physical, and financial hardships. It is not until the age of biotechnology and more scientific research occurred that immunotherapy became a possible treatment for those in need. Immunology has been in the scientific world since the
CAR-T cell therapy is a revolutionary treatment from the area of immuno-oncology. It is the most recent form of therapy to be hailed as a ‘miracle cure’ for cancer and is one of the most impressive forms of immunotherapy to date. CAR-T cell therapy takes advantage of our own immune system and uses it to fight cancer, the second leading cause of death in the world. It is a form of immunotherapy that also intertwines with gene therapy, and cell therapy. CAR-T cell therapy is a deviation to traditional medicine. It comprises of modified T lymphocytes (T cells) that have been genetically engineered to produce Chimeric Antigen Receptors (CARs) on their surface, which allow the T cells to identify an antigen located on
Immunotherapy has caught the interest of researchers as these treatments use the own body immune system to to detect and destroy cancerous cells. A cancer vaccine has been the most appealing as it could be made of whole pancreatic cancer cells, so that the body can detect these foreign cells and build up antibodies, so when these cells do show up later the body can recognize and attack the production of cancerous cells. Fortunately, antibodies have been helpful in various cancers, but it has not worked with treating pancreatic cancers.
The Vk∗MYC mice that received all three monoclonal antibody types would appear last in antitumor activity, regardless of the presence of increased interferon concentration, as the monoclonal antibodies
Immunotherapy uses the body’s immune system to fight against mesothelioma. This therapy has been used successfully when combined with other treatment options. And unlike other treatments, there are no toxic side effects.
As the world continues to suffer from these devastating diseases, researchers continue to find alternative therapeutic ways of addressing cancer treatment. It is on this premise that various immunotherapeutic alternatives have emerged and currently garnering the greatest level of attention and already raising hope throughout the world in addressing the treatment of NSCLC. However, this can no longer be viewed as a discovery but a wave in the medicine world that began in the 20th century. Various researchers have found the importance of the role of immune systems in fighting the growth of tumor caused by cancer cells. A study by Huncharek (2000) stated that specific immune boosters are capable of eliminating preclinical cancers. In contrast, Jermal et al. (2011) found that immunotherapy is an effective approach for the treatment of tumors that have already turned into solid. Similarly, the researchers highlighted that immunotherapy can be an effective approach to the treatment of melanoma as well as renal cell cancers (Lasalvia-Prisco, 2008). However, Jemal et al. (2011) noted that immunotherapy cannot achieve much in cancer treatment due to limitation brought about by the emission of immunosuppressive cytokines and subsequent loss of antigen expressions. Recent development in research studies on the immunotherapy approach to cancer treatment continues to elicit mixed reactions among researchers of medicinal ecology (Jadad et al., 1996). However, recent development in
When I Consider the lives of the men who never get to leave the cave, I believe their behaviors contradict with Maslow’s theory of human motivations and needs. I believe this because it doesn’t seem that they are trying to progress to the highest level of the pyramid. Instead, it seems that they are becoming content at the level of self-esteem needs and refusing to progress any further. They become comfortable in their position within the cave and ignore the fact that there may be a world beyond the cave. From this, they fail to achieve true self-actualization because they neglect that the world outside the cave could unlock their full potential in the world.
Have you ever heard of the cancer treatment Immunotherapy? Well Immunotherapy is treatment that uses certain parts of a person’s immune system to fight diseases such as cancer, which can be done in a few different ways. One way is stimulating your own immune system to work harder or smarter to attack cancer cells. Second, giving your immune system components , such as man-made immune system proteins. The immune system is a collection of organs, special cells, and substances that help protect you from infections and some other diseases. Immune cells and the substances they make travel through your body to protect it from germs that cause infections. There are 4 main types of cancer immunotherapy. Those 4 types are Monoclonal antibodies ( man-made