BIotherapeutics Flashcards

1
Q

What is the projected size of the biologics market by 2025?

A

Expected to be a $200 billion market by 2025

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2
Q

What microorganisms produce a significant amount of antibiotics?

A

Actinomycetes and fungi are responsible for the production of a lot of antibiotics (secondary metabolites)

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3
Q

How do nucleic acid vaccines work?

A

DNA plasmid enters nucleus, translated into mRNA for expression of protein

OR

mRNA can be injected. More direct (no transcription required, only translation), but less stable than DNA
Ex. Covid-19 mRNA vaccines

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4
Q

What are antisense oligonucleotides (ASO)?

A

ASOs are short NDA analogues that hybridize with the complementary mRNA in a sequence-specific manner

Hybridization of ASO to target mRNA can result in specific inhibition of gene expression (reduced translation, helps normalized gene over-expression)

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5
Q

How exactly do antisense oligonucleotides inhibit gene expression?

A

There are two places where ASOs can limit gene expression

  1. If ASO enters the nucleus, it can bind to pre-mRNA and prevent the formation of a 5’ cap, inhibit exon splicing, and activates nucleases
  2. If ASO enters the cytosol, ASO will bind to the processed mRNA, before translation occurs. This blocking results in steric hindrance with RNA polymerases or ASO will activate RNAases (RNA breakdown)

All of these actions effectively reduce the amount of protein produced (inhibition)

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6
Q

What are some gene therapy techniques?

A
  1. Most common technique:
    A normal gene is inserted into a non-coding location. This is done to replace a nonfunctional gene
  2. Abnormal gene is swapped for normal gene through homologous recombination
  3. Abnormal gene is repaired via selective reverse mutation
  4. Modify the regulation of how much the gene expression
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7
Q

What happens in ex-vivo gene therapy?

A

Take sample from patient

Culture cell

Transfer gene into cell (via virus or plasmid)

Insert cultured cells back into patient

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8
Q

What happens in in-vivo gene therapy?

A

Some organs are less suited for ex-vivo therapy, so we use in-vivo when dealing with lung, brain, and heart tissue

Inject plasmid into target tissue

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9
Q

What was the first FDA-approved gene therapy?

A

Luxturna was the first gene therapy and it was used to prevent genetic retinal dystrophy

Luxturna works by introducing a normal copy of the RPE65 gene, a gene when mutated was associated with retinal dystrophy

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10
Q

What are the basic building blocks of an antibody?

A

2 heavy chains

2 light chains

Heavy and light changes are bonded to each other with a disulfide linkage

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11
Q

How are antibodies used in cancer therapy?

A
  1. Antibodies that attract Natural Killer cells after binding to cancer cells
  2. Antibody-toxin conjugates (toxin is directed to cancer cells, avoids prolonged contact with healthy tissue)
  3. Radioactive antibody binds to cancer cell and delivers localized “radiotherapy”
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12
Q

What are polyclonal antibodies?

A

A protein may contain more than one site that can elicit an immune response. These sites are called epitopes. An antibody can be created for each epitope, resulting in many different antibodies for a single protein.

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13
Q

How are monoclonal antibodies made?

A

Immunize mouse with antigen

Isolate antibodies specific to antigen

Fuse mouse antibody forming cell (plasma cells) with tumour cell. This forms a hybridoma

The hybridoma is a antibody manufacturing cell (has both the ability to create antibodies at a high rate for a prolonged period of time)

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14
Q

What are the differences between polyclonal and monoclonal antibodies?

A

Polyclonal antibodies:
Cheaper
Mixed population of antibodies
Bind to different epitopes

Monoclonal antibodies:
Expensive
Single antibody species
Bind to single specific site

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15
Q

How can HER2+ tumours be treated?

A

Herceptin (Trastuzumab) will reduce the production of HER2 protein in tumour cells

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16
Q

How does Bacillus Calmette-Guerin (BCG) treatment for a bladder tumour work?

A

A liquid drug from a strain of Mycobacterium bovis can be injected into the bladder. The introduction of bacillus calmette-guerin can induce an immune response, the byproduct of this immune response leads to the destruction of the bladder tumour