Lecture 8 Antibodies Flashcards

1
Q

Describe the structure of an antibody.

A
  • Antibodies consist of two identical heavy chains and two identical light chains.
  • They have a Fab region at the top end of the Y portion, containing one constant and one variable domain from each chain.
  • The antigen-binding site is located in the CDRs,
  • the Fc domain, found at the stem of the Y, is composed of constant regions from the heavy chains.
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2
Q

What is the function of the Fc domain of an antibody?

A
  • Fc domain of an antibody binds to receptors and complement proteins
  • playing a role in triggering immune responses and interactions with other immune cells.
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3
Q

How is antibody specificity generated?

A
  • Antibody specificity is generated through the complementarity determining regions (CDRs), which are hypervariable loops crucial for the diversity of antigen specificities.
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4
Q

Define VDJ recombination in the context of antibodies.

A
  • VDJ recombination is the process by which the variable regions of antibodies are generated through the rearrangement of gene segments (V, D, and J) in B cells, leading to the diversity of antigen recognition.
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5
Q

What are the functions of antibodies in the immune system?

A
  • Antibodies play a vital role in preventing pathogens from entering or damaging cells,
  • stimulating the removal of pathogens by immune cells
  • triggering the destruction of pathogens through immune responses like the complement pathways.
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6
Q

Describe the difference between polyclonal and monoclonal antibodies.

A
  • Polyclonal antibodies are a mixture of antibodies from multiple B cell lineages,
  • monoclonal antibodies are derived from a single B cell lineage, providing more uniform and specific antigen recognition.
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7
Q

How are polyclonal antibodies typically produced?

A
  • an antigen is injected into an animal like a rabbit,
  • which activates B cells.
  • The plasma B cells then produce a mixture of antibodies,
  • and antiserum containing polyclonal antibodies is obtained from the animal.
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8
Q

Describe the process of creating monoclonal antibodies.

A
  • Mice are immunized with a specific antigen, leading to the production of antibodies by murine spleen cells.
  • These cells are fused with myeloma cells to form hybridomas, which produce the desired antibodies collected from the cell supernatant.
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9
Q

What are some hurdles to the development of monoclonal antibody therapeutics?

A
  • Rapid clearance,
  • intolerance problems,
  • the immune system recognizing the therapeutic antibody as foreign, leading to neutralizing antibodies being produced and removing the therapeutic antibody from the blood.
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10
Q

How are transgenic mice used to produce fully human monoclonal antibodies?

A

By transferring human Ig genes to mice, immunizing them, and generating human monoclonal antibodies from the transgenic mice.

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11
Q

Define stability issues associated with monoclonal antibodies.

A

Stability issues include oxidation, isomerization, deamidation, aggregation, denaturation, and fragmentation due to their proteinous nature.

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12
Q

Describe the impact of formulation and stability on monoclonal antibodies and the factors the affect it

A

Formulation and stability impact mAB structure, activity, and immunogenicity. Factors like temperature, pH, humidity, and stress conditions can affect their stability.

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13
Q

How does the choice of excipient affect monoclonal antibody formulations?

A

The choice of excipient is crucial in monoclonal antibody formulations as it can impact stability, immunogenicity, and viscosity, affecting the overall efficacy of the antibody.

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14
Q

Explain the differences in administration routes for monoclonal antibodies.

A

Monoclonal antibodies can be administered intravenously for rapid circulation, or subcutaneously/intramuscularly for slower absorption. Subcutaneous administration is preferred by patients for self-administration, increasing compliance and reducing healthcare burden.

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15
Q

Describe the impact of viscosity on the administration of monoclonal antibodies.

A

High viscosity of extracellular matrix can impair fluid flow during administration, affecting the distribution and effectiveness of monoclonal antibodies in the body.

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16
Q

Describe the role of recombinant human hyaluronidase (rHuPH20) in drug delivery.

A

rHuPH20 reduces local resistance to the injection of other molecules by breaking down the hyaluronan matrix, allowing drug molecules to reach capillaries and lymphatics.

17
Q

What are the approved delivery methods for rHuPH20?

A

Intravitreal, subconjunctival, intra-articular, intradermal, intratumoural, and peritumoural injections.

18
Q

How does intravitreal and subconjunctival delivery of rHuPH20 benefit patients with certain eye conditions?

A

It allows for localized delivery of low doses of VEGF inhibitors for conditions like Neovascular Age-related Macular Degeneration and diabetic retinopathy, minimizing systemic side effects.

19
Q

Define the significance of direct injection of drugs in intradermal delivery using rHuPH20.

A

Direct injection in intradermal delivery helps overcome limitations of systemic treatments, especially in conditions like psoriasis, by allowing for targeted delivery of low molecular weight antibodies.

20
Q

Describe the advantages of using rHuPH20 for localized drug delivery in intra- and peritumoral injections.

A

rHuPH20 enables immunotherapy with reduced systemic side effects and higher efficacy by directly targeting the tumor area, making treatment more accessible and effective.

21
Q

Describe the role of PLGA-NPs in drug delivery.

A

PLGA-N are nanoparticles made of poly lactic-co-glycolic acid approved for drug delivery. They can carry drugs effectively and specific receptors.

22
Q

How does Agonistic OX40 mAb loaded PL-NP work compared to free mABs

A

Agistic OX40 mAb loaded PLGA-NP is effective than free mABs as it targets receptor in the T-cell synapse and activates T cells.

23
Q

Describe the mechanism of action of ADCs in cancer treatment.

A

ADCs combine cytotoxic potential of drugs with the specificity of monoclonal antibodies to target and deliver cytotoxic agents directly to tumor cells.

24
Q

Define passive immunization and provide an example.

A

Passive immunization involves the administration of pre-formed antibodies to provide immediate protection. An example is the use of convalescent plasma therapy.

25
Q

How do antibodies for COVID-19 treatment work against the virus?

A

Antibodies can block the spike protein from interacting with the ACE2 receptor, preventing viral entry into cells. They can also block conformational changes in the spike protein.

26
Q

Describe the role of CDC in cancer treatment.

A

CDC, such as ofatumumab, targets CD20 on B cells and is used in the treatment of CLL by activating complement-dependent cytotoxicity.

27
Q

What is the purpose of drug delivery carriers like Magic Bullet in cancer treatment?

A

Drug delivery carriers like Magic Bullet are used to deliver cytotoxic agents directly to tumor tissue at higher concentrations without causing damage to normal cells.

28
Q

How does Emtansine function in the treatment of Her2+ breast cancer?

A

Emtansine, delivered through ADCs like Kadcyla, inhibits microtubule assembly, leading to the inhibition of mitosis and induction of apoptosis in cancer cells.