week 9 Flashcards

1
Q

biologics (biological products, biopharmaceuticals)

A
  • created by living cells/organism, derived from a variety of natural sources
  • medical products used to treat/cure diseases/medical conditions, prevent diseases, diagnose diseases
  • may be composed of protein, nucleic acids/sugars, or combination, living entities such as cells and tissues
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2
Q

source material for biologics

A
  • mammalian cell-culture
  • mice
  • humans
  • bacteria
  • avian cell-culture
  • transgenics
  • yeast
  • plant cell-culture
  • insect cell-culture
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3
Q

types of biologics

A
  • blood derivatives
  • whole blood
  • blood components
  • proteins
  • human tissues
  • vaccines
  • allergenic extracts
  • cellular and gene therapies
  • xenotransplantation products
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4
Q

small molecule drugs vs. biologics

A

SMD
- chemical synthesis
- generally low molecular weight
- known structures that are well-characterized
- fewer critical process steps
- generally oral solids
- usually retain pharmacies
- innovator (new target)
- generic

biologics
- made with/from living cells organisms
- generally high molecular weight, large complex molecules or mixture of molecules
- complex mixtures that are less easily characterized
- many critical process steps
- often injected or infused
- oftern by doctors/hospitals
- innovator
- biosimilars

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5
Q

biologics- peptides

A
  • chains of amino acods
  • insulin
  • GLP-1 agonist peptides
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6
Q

stem cell therapy perkinson’s phase 1 clinical trials

A
  • designed to replace dopamine producing neurons lost in parkinson’s disease
  • Dopaminergic neuron precursors are derived from human embryonic stem cells
  • in surgical procedures, neuron precursors are implanted into brain
  • when implanted they have potential to reform neural networks that have been severely affected by parkinsons and restore motor and non-motor functions
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7
Q

what is an antibody

A
  • proteins that play a pivotal role in our immunity against pathogens
  • out bodies generate antibodies that specifically bind to particular structures called antigens present on these pathogens
  • once bound antibodies neutralize the pathogen directly or attract other parts of the immune system to eliminate pathogen
  • certain antigens are found on diseased human cells and therefore antibodies may also be used to treat diseases such as cancer or inflammation
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8
Q

antibody structure

A
  • Y shaped proteins
  • consists of variable region and constant region

variable region
- recognizes and binds to antigen
- each antibody-producing cell in the body makes antibodies with a specific variable region

constant region
- determines the mechanism used to destroy the antigen
- antibodies are divided into 5 major classes based on their constant region structure and immune function

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9
Q

polyclonal antibodies

A
  • complex mixture of antibodies produced by many different antibody-producing cells
  • each individual antibody in the mixture recognizes and binds to different areas in the antigen
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10
Q

monoclonal antibodies (mAbs)

A
  • identicle antibodies derived from a single antibody-producing cell (or clones of cell)
  • each mAb will only recognize and bind to specific on the antigen
  • preperations of mAbs are produced in a laboratory
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11
Q

Antibody engineering

A
  • mouse mAbs have a protein sequence that differ from naturally occurring human antibodies
  • when administered to humans, mouse mAbs may be recognized as foreign by the immune system (causing dangerous immune reactions, resulting in destruction/removal of mouse mAbs)
  • recombinant DNA technology can be used to modify mouse mAbs, enhancing their resemblance to human antibodies and reducing the risk of adverse immune reactions (recombinant DNA is made by combining two or more sources)
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12
Q

alpha-neurotoxins of 3-finger-toxins

A
  • target of the snake toxin: human muscle-type nicotinic acetylcholine receptor (nAChR) at neuromuscular junctions
  • paralysis and death by asphyxiation
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13
Q

synthetic antibodies to treat snakebite

A
  • broadly-neutralizing human antibodies directed against snake peptide (3-finger long chain family of snake peptides)

summary of results:
- data showed that single monoclonal antibody can provide broad pre-clinical protection against 3FT-L venoms, exhibits superior efficacy compared to comercialy available anti venom
- structurally characterized by synthetic antibodies indicates that they mimic interactions between venom toxin and human nicotinic acetylcholine

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14
Q

issues with biologics

A
  • complexity
  • high specificity
  • selectivity often > small molecules due to large surface
  • toxicity generally < small molecules due to selectivity
  • potential for immunotoxicity
  • monoclonal antibodies - long half-life
  • high cost
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15
Q

Specialty drug

A
  • high cost
  • requires specialized handling, administration and/or monitering
  • used to treat complex/rare diseases
  • often a biologic, rather than a traditional small molecule drug
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16
Q

why are specialty drugs so expensive

A
  • increased manufacturing costs compared to conventional cost
  • high price may be required to cover development costs/return on investments
  • often have a small target population so low volume of sales making cost-per-patient higher
17
Q

remicade mechanism of action

A
  • autoimmune diease result from the immune system attacking the bodies own tissue, often associated with increased inflammation
  • tumor necrosis factor alpha (TNF-α) is key factor in regulating inflammation
  • remicade is chimeric mAb that targets TNF-α, inactivates it making inflammatory process significantly diminished
  • one of the top selling drugs
18
Q

why are biosimilars not generics

A
  • similar to the innovator biologic drug but not exact duplications
  • it is challenging to make a duplicate of innovator because biologics are large and complex molecules making them complicated to develop and manufacture, any slight alterations to the formula could cause drastic structural changes to product (could make different clinical effects)
19
Q

cost savings from biosimilars

A
  • biosimilars are less costly to develop and require less development time than the reference innovator biologics
  • price is 20-30% less
20
Q

future of biosimilars

A
  • the availability of biosimilars may contribute to increased affordability and increased access to biologics
  • an influx of biosimilar submissions for marketing authorization is expected over next several years as patents and data protection expire
  • today, there are numerous biosimilars development programs underway and multiple programs for each of the top selling biologics
21
Q
A