Biologicals and Gene therapy Flashcards

1
Q

What are biopharmaceuticals

A

They include protein, antibodies used as drugs
e.g vaccines

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2
Q

Define affinity, potency, efficacy

A

Affinity
- how well the drug binds to the receptor(lower dose, higher affinity)

potency
- Amount of drug needed to produce therapeutic effect

Efficacy
- ability of a drug-receptor complex to produce a maximum functional response.

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3
Q

Explain FOUR intrinsic challenges in the use of protein therapeutics

A

Delivery
- Can’t be delivered orally (esp. if peptide/protein)
- Can’t/difficult to cross the blood brain barrier
- May require surgery
- Broken down by ubiquitous proteases
Even if injected rapidly metabolised

Manufacture
-Cost more to make than organic chemicals
- Yields may be low

Stability
- Proteins often unstable as are sensitive to heat, light, etc
- Storage/shelf life is also an issue

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4
Q

Give an example of a protein used in biopharmaceutical, itsindication and mechanism of action

A

Insulin,
used in type I diabetes mellitus
works as an insulin receptor agonist

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5
Q

What are monoclonal antibodies

A
  • they are very specific antagonists that bind to natural ligand to neutralise the effect
    *May contain part of receptor
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6
Q

what is gene therapy

A

Replacement of a defective gene(s) with a normal, healthy gene(s) to manage or cure disease. e.g in cystic fibrosis

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7
Q

give an example of a disease where monoclonal antibodies are used

A

Crohn’s disease, cancer, cystic fibrosis

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8
Q

Describe TWO types of gene therapy

A

Germ-line (sperm/egg)
- Possible permanent cure however ethical concerns such as IQ, hair/eye/ skin colour

Somatic cell (diploid)
- Targeting only cells that live in the patient and not the patients descendants

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9
Q

What are nanobodies

A

They are used to develop treatments for difficult target.
antibodies are big so hard for them to access their target sites nano-bodies are used for treatment of difficult targets.

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10
Q

Advantage of nanobodies

A
  • theres no accessibility issues because they are smaller
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