Aw Biologicals Flashcards
Biologicals are isolated from 3 sources…
Humans
Microorganism
Animal
Three eg of biologicals
Vaccines
Recombinant proteins and peptides
Gene therapy
Why are bio at the front of the market.
They’ve already evolved to rurally bind to a particular target which is an advantage
May be used to treat conductions where there is nothing else available:
-oncology -rheumatology -cardiology
In 2006 the bio market was % of sales and worth…
10% and worth £35 bn
Earliest example of a biological
Insulin
Fuzeon
Aniti HIV fuzeon inhibitor
Fuzeon works by
Blocking entry of HIV into CD4 or T cells
Fuzeon mimics
GP41 on the surface of the virus, parenting normal fusion.
Why can we used fuzeon with other theroapies?
Targets alternative mechanism
Fuzeon is composed of ….. And is produced…
36 amino acids, produced synthetically
HIV membrane contains trimeric glycoprotein spikes containing …
gp41 and gp120 subunits
Fusion begins with ….. binding to CD4 chemikine receptor and co receptor
Gp120
Binding to CD4 chemokine receptor causes
Conformational change in gp120 - move aside exposing GP41
GP41 is made up of …
two heptad repeat domains, HR1 (tightly wound could) and HR2 (random chain - closest to virus)
How do the membrane come into contact?
H2 coils into h1, zipping together, punches a fusion pre into both membranes, allows HIV caspid to pass
Fuzeon mimics… Which has the what effect…
H2 region Of gp41
Prevents zipping so membranes never come into contact
Advantages of fuzeon
- Revolutionary class of HIV therapy
- unique mode of action - no cross resistance with other classes
- Shows antiviral activity in vitro against wild-type virus as well as virus resistant to all three of the currently available classes of antiretroviral
Disadvantages of fuzeon
Treatment is £13000 a year
Administered by sub cut bd
Why this admin technique
Not orally bio, does not obey lipinksis rules
Many ionisable groups so rapidly excreted and endogenous proteases degrade so short half life