Biopharmaceutical products ic5 and Hba1c, Insulin IC6 Flashcards

1
Q

2 purification techniques for antiserum

A

1) Protein A/G purification
2) Immunoaffinity column chromatography

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2
Q

Differences between Mouse MAB, Chimeric MAB, Humanised MAB, Recombinant Human MAB (structure, % human, immunogenicity)

A

Murine (mouse) MAB
Produced by 1 B cell clone from mouse, hence have the same CDRs → recognise 1 epitope
High specificity → used for immunoaffinity chromatography of polyclonal antibodies (prev point)
High homogeneity → Result is highly reproducible
Therapeutic molecule with less side effect
Diagnostic test kit
Limitations
Immunogenic → Have short half life
Develop antibodies against monoclonal antibodies

Chimeric MAB
Variable (Vh, Vl): Mouse
Constant: Human
Still retains antigen selectivity and affinity
75% human → less immunogenicity

Humanised MAB
Mouse: Hypervariable CDR domains in Vh, Vl
> 90% human
CDR binds to epitope

Recombinant Human MAB
Using culture human cells
Fully human
High cost

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3
Q

What are antibody derivatives and Why are antibody derivatives created

A

Antibody derivatives dont have Fc region compared to antibodies

Inhibit enzymes, bind to active site
Neutralise receptor ligands eg. hormones, cytokines
Overproduction of cytokines (cytokine storm)
Neutralise snake venom

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4
Q

What is the Fc domain for?

A

Fc domain binds to Fc receptor of first line innate immunity (effector cells) eg. macrophages, NK cells

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5
Q

Ig conjugate is a full length antibody. How can it be an antibody derivative?

A

Ig conjugate tagged to cytokine, radioisotope, toxin

When antibody binds to cell receptor to form complex, complex is taken up by cell
Cytokine / Radioisotope / Toxin exerts lethal effect on cell

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6
Q

Which enzymes cleaves to form Fab2 VS Fab

A

Fab2: pepsin
Fab: papain

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7
Q

What does fucose do

A

Fucose reduces binding affinity for Fc domain to bind to activating Fc receptor on effector cells eg. Macrophage, Neutrophils

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8
Q

What is Fc domain in Triomab used for?

A

Fc receptor needed to mediate Complement-dependent cytotoxicity (CDC) and Antibody-dependent cellular cytotoxicity (ADCC)

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9
Q

Describe TIL therapy (indication, process, advantages and limitations)

A

For solid tumours

Tumour infiltrating Lymphocytes are autologous, isolated from tumour masses and expanded by REP (Rapid Expansion Process). Then infused back into patient

Advantage: generally safe, because autologous (belong to patient)

Limitations: Low quantities of TIL, expanded T cells possess various antigen specificities, may not be specific enough, May not possess high affinity

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10
Q

Describe TCR therapy (indication, process, advantages and limitations)

A

For blood tumours

Genetically modify gene encoding for Va and Vb of TCR to create tumour antigen specific cells

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11
Q

Describe CAR-T therapy (indication, process, advantages and limitations)

A

Chimeric Antigen Receptor

ScFv region, bonded to signalling domains

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12
Q

Advantages of TCR and CAR-T therapy

A

TCR:
Context: TCR has full TCR complex. This allows them to:
1) Effective for both solid and blood tumours
2) Be activated at low antigen quantities -> TCR complex allows signal transduction and amplification
3) slower onset but longer killing

CAR:
1) Faster onset
2) ScFv only binds to cell surface antigens -> hence can only target blood tumours
3) Not limited to MHC binding, can bind to antigen without MHC

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13
Q

Disadvantages of TCR and CAR

A

Both:
Cytokine storm (CAR more than TCR)
On target off tumour toxicity
Off target toxicity

TCR:
1) Low specificity to MHC as MHC is polygenic and polymorphic
2) less safe than TIL therapy

CAR:
1) Activated only at higher antigen levels
2) Faster onset but less extended killing
3) Antigen independent mechanism

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14
Q

What form does B cells in pancreas produce insulin

A

Pre-proinsulin

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15
Q

What is removed in conversion from pre-proinsulin to proinsulin

A

Signal peptide (23 amino acid)

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16
Q

What is removed in conversion from proinsulin to insulin

A

Removal of C chain

17
Q

What 2 chemicals does intermediate acting insulin contain? And what are their uses

A

Zinc and protamine

Zinc: allows insulin to form hexamers

Protamine: allows insulin to form crystals, hence take longer for insulin to dissociate

18
Q

Mechanism of action of Long acting insulin

A

Long acting insulin more lipophilic, stay in subcutaneous tissues longer