Monoclonal Antibodies - 19/12/23 Flashcards

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1
Q

What are monoclonal antibodies?

A

A single type of antibody that’s been cloned after being released from a B cell.

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2
Q

What are the Useful Functions of Monoclonal Antibodes?

A
  1. Direct therapy
  2. Medical Diagnosis
  3. Pregnancy Testing
  4. Indirect Therapy
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3
Q

What is an example of indirect monoclonal antibody therapy?

A

Attaching a radioactive/cytotoxic drug (something that’ll kill the cell) to a monoclonal antibody that’ll bind to a specific antigen

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4
Q

Explain how you can target medications to specific cell types.
[3]

A
  1. Radioactive or cytotoxic drugs are attached to an monoclonal antibody
  2. Antibody is used to direct the drug towards cells with a certain antigen (cancer cells with tumour markers)
  3. This attaches to antigen, and targets specific cell - the drug takes place
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5
Q

What are some Strengths of Indirect therapy?
[3]

A
  • It’s specific - less side effects
  • Only low doses needed
  • Cheaper
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6
Q

Why is indirect therapy called ‘indirect’?

A

Because it’s not the monoclonal antibody that actually kills a cell - it only targets it

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7
Q

What is a real life example of Indirect therapy of monoclonal antibody?

A

Herceptin targetting breast cancer cells

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8
Q

What happens in Direct therapy?
[4]

A
  • Monoclonal antibodies that are specific to antigens found on surface of cancerous cells can be used
  • It can bind to receptors on cancer cells
  • And blocks chemical signals that stimulate uncontrolled cell growth
  • This destroys the cells
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9
Q

What are strengths of Direct therapy?
[2]

A
  • Specific and non-toxic
  • Fewer side effects
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10
Q

What does ELISA stand for?

A

Enzyme-Linked Immunosorbent Assay

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11
Q

What is ELISA and what’s it used to identify?
[2]

A
  • ELISA are monoclonal antibodies are used to detect prescence and concentration of specific protein
  • Detects prescence and quantity of antigen found on HIV
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12
Q

How can ELISA detect low levels of a certain antigen?

A

It’s very sensitive

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13
Q

Describe how a direct ELISA test tests for prescence of HIV.
[7]

A
  1. A direct ELISA uses a single antibody that’s complementary to HIV antigen
  2. HIV antigen are bound to inside well of well plate
  3. A detection antibody with attached enzyme that’s complementary to HIV antigen added
  4. If HIV antigen is present the detection antibody will bind to it
  5. Well is washed out to remove any unbound antibody
  6. Substrate solution added
  7. If detection antibody is present, enzyme reacts with substrate to give colour change
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14
Q

Describe how an Indirect ELISA test might detect HIV.
[5]

A
  1. Monoclonal antibody complementary to HIV antigen bound to well of test plate
  2. Blood from patient added. Only HIV antigen binds - other antigens don’t
  3. Enzyme linked antibody added. Only binds if antigen-antibody complex present
  4. Well is washed out to remove antibodies
  5. Colourless substrate for enzyme is added
  6. Enzyme converts substrate to coloured product that can be detected
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15
Q

Describe how pregnancy tests work with the help of monoclonal antibodies.
[6]

A
  1. Application area of stick contains antibodies that are complementary to the HCG protein, bound to blue coloured bead
  2. When urine applied, any HCG binds to antibody on beads, forming antibody-antigen complex
  3. Urine moves up stick to test strip, carrying any beads with it
  4. The test strip contains antibodies to HCG that’s stuck in place (immobilised)
  5. If any HCG present, test strip turns blue because immobilised antibody binds to any HCG present with antibody with blue beads attached
  6. If no HCG attached, beads move through test area without binding to anything, and so it first part isn’t blue
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16
Q

What happens when no HCG is attached on pregnancy test?

A
  • The antibody has no HCG so doesn’t attach to HCG complementary antibody
  • It moves up stick to second strip where it attaches
17
Q

In a pregnancy testing kit, what are antibodies complementary to?

A

To the HCG hormone

18
Q

Why do antibodies have coloured particles attached to them?

A

So that you can identify visible positive/negative test with it

19
Q

Why’s there 2 different rows of antibodies on dipstick?
[2]

A
  • One to bind for the HCG antibodies and confirm a positive test
  • The other for no HCG antibodies to bind and confirm test is actually working
20
Q
A