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ABDUL MUHEEM
M.PHARMA 2ND SEM
(PHARMACEUTICS)
 JAMIA HAMDARD
Contents
                  
 INTRODUCTION
 STRUCTURE OF ANTIBODIES
 HISTORY OF AB
 ANTIGEN-AB BINDING
 PRINCIPLE INVOLVED FOR MAB
 MAB FOR TUMOUR TARGETING
 LIMITATION
 REFERENCES



HOW THE ANTIBODIES ARE
     PRODUCED?


                         3
INTRODUCTION
                          
 Antibodies are produced by a specialized group of cells
  called B-Lymphocytes.



 When an foreign antigen enters the body due immune
  response B-Lymphocytes develops into plasma cells and
  liberates antibodies or immunoglobulins of various
  types(Ig A, Ig D, Ig E, Ig G, Ig M).



                                                            4
Classes of Igs
IgG: IgG1 (66%), IgG2 (23%), IgG3 (7%) and IgG4
                       
(4%) , blood and tissue liquid

IgA: IgA1 (90%) and IgA2 (10%), external secretions
(stomach, intestines, saliva, tears, etc.)

IgM: 5-10% of total serum Ig [1.5mg/ml serum
conc.]

IgD: 1% of proteins in the plasma membranes of B-
lymphocytes, function unknown [30µg/ml serum
conc.] 0.2% of total serum Ig

IgE: 0.3µg/ml on the surface of plasma membrane of
mast cells, play a role in immediate hypersensitivity
and denfense for parasite
What are antibodies?
                       
An antibody is a protein used by the immune system
  to identify and neutralize foreign objects like
  bacteria and viruses. Each antibody recognizes a
  specific antigen unique to its target.

Monoclonal antibodies (mAb) are antibodies that
 are identical because they were produced by one
 type of immune cell, all clones of a single parent
 cell.

Polyclonal antibodies are antibodies that are derived
  from different cell lines. They differ in amino acid
  sequence.

• Each Antigen has specific antigen determinants
  (epitopes) located on it. The antibodies have
  complementary determining regions (CDRs). These
  are mainly responsible for the antibody specificity.
• Each antigen has several different epitopes on it.
  They are recognised by many different antibodies.
  All these antibodies thus produced act on the same
  antigen. Hence these are designated as polyclonal
  antibodies.

                                                         7

• In general naturally produced antibodies are non-
  specific and heterogenous in nature. Hence there are
  several limitations in the use of polyclonal antibodies
  for therapeutic and diagnostic purposes.
• Thus there is a need for producing monoclonal
  antibodies for different antigens.




                                                            8
•   1890 Von Behring and kitasato discovered the serum of vaccinated persons
    contained certain substances, termed antibodies

•                                      
    1900 Ehrlich proposed the ― side-chain theory‖

•   1955 Jerne postulated natural selection theory. Frank Macfarlane Burnet
    expended.

•   Almost the same time, Porter isolated fragment of antigen binding (Fab) and
    fragment crystalline (Fc) from rabbit y-globulin.

•   1964 Littlefield developed a way to isolate hybrid cells from 2 parent cell lines
    using the hypoxanthine-aminopterin-thymidine (HAT) selection media.

•   1975 Kohler and Milstein provided the most outstanding proof of the clonal
    selection theory by fusion of normal and malignant cells
•   1990 Milstein produced the first monoclonal antibodies.
 Paul Ehrlich at the beginning
  of the 20th century
  theorized that a cell under
  threat grew additional
  side-chains to bind the
  toxin, and that these
  additional side chains
  broke off to become the
  antibodies that are
  circulated through the
  body. It was these
  antibodies that Ehrlich
  first described as "magic
  bullets" in search of toxins.





Georges Köhler César Milstein, and Niels Kaj Jerne in
1975 who shared the Nobel Prize in Physiology or
Medicine in 1984 for the discovery hybridoma technology
The structure of antibodies
                                                



   http://www.path.cam.ac.uk/~mrc7/igs/mikeimages.html
Structure of MAb
      




                   13
Antigen- antibody
     binding
        




                    14
Types of mAbs designed
• Murin source mAbs:: rodent mAbs with excellent
                            
  affinities and specificities, generated using conventional
  hybridoma technology. Clinical efficacy compromised by
  HAMA (human anti murine antibody) response, which
  lead to allergic or immune complex hypersensitivities.
• Chimeric mAbs:: chimers combine the human
  constant regions with the intact rodent variable regions.
  Affinity and specificity unchanged. Also cause human
  antichimeric antibody response (30% murine resource)
• Humanized mAbs:: contained only the CDRs of the
  rodent variable region grafted onto human Framework
  Regions [FR]
Types of mAbs designed . .
 Human mAb :: three currently available approaches to the
                                
  production of human monoclonal antibodies are described. These
  include :-

 the hybridoma technique, based on the fusion of antibody-
  producing human B lymphocytes with either mouse or human
  myeloma or lymphoblastoid cells;
 the EBV immortalization technique, based on the use of Epstein-
  Barr virus (EBV) to immortalize antigen-specific human B
  lymphocytes;
 the EBV-hybridoma technique, based on a combination of the first
  two methods.

  The EBV-hybridoma system retains the advantageous features of the
   other two systems while overcoming their pitfalls and may be the
   current method of choice for producing human monoclonal
   antibodies with a defined specificity.


 Hybridoma technology: In this B-Lymphocytes and
  myeloma cells are mixed together and exposed to
  PEG for a short period.
 The mixture contains hybridoma cells, myeloma cells
  and lymphocytes.
 This mixture is washed and cultured in
  HAT(hypoxanthine aminopterin and thymidine)
  medium for 7-10 days.
 only hybridoma cells remain in the mixture.

                                                        18
Immunise




                   Spleen Cell                 Myeloma Cell Line




                                                         HAT sensitive
                             FUSE



                                         Hybridoma
                                         HAT resistant

                         SELECT




Stable hybrid myeloma producing desired antibody                         19
Nomenclature of mAbs

         

   Immunization
   Cell fusion
   Selection of hybridomas
   Screening the products
   Cloning and propagation
   Characterization and storage




                                   21

 Immunize an animal usually mouse by injecting with an
  appropriate antigen along with Freund’s complete or incomplete
  adjuvant.
 Adjuvants are non specific potentiators of specific immune
  responses.
 Injection of antigens at multiple sites are repeated several times
  for increased stimulation of antibodies.
 3 days prior to killing of animal a final dose is given
  intravenously.
 Spleen is aseptically removed and disrupted by mechanical or
  enzymatic methods to release the cells.
 By density gradient centrifugation lymphocytes are separated
  from rest of the cells.

                                                                       22

 Lymphocytes are mixed with HGPRT deficient
  myeloma cells and is exposed to PEG for a short
  period.

 The mixture is then washed and kept in a fresh
  medium.

 The mixture contains hybridomas, free myeloma
  cells, and free lymphocytes.
                                                    23
Dihydrofolate
                Aminopterin

         Tetrahydrofolate
Precursors
                         Nucleotides---->DNA


   Hypoxanthine
             Thymidine

                                           24

 The above mixture is cultured in HAT medium for 7-10 days.
 Due to lack of HGPRT enzyme in myeloma cells, salvage
  pathway is not operative and aminopterin in HAT medium
  blocks the de novo synthesis of nucleotides. Hence free
  myeloma cells are dead.
 As the lymphocytes are short lived they also slowly dissappear.
 Only the hybridomas that receives HGPRT from lymphocytes
  are survived.
 Thus hybridomas are selected by using HAT medium
 Suspension is diluted so that each aliquot contains one cell each.
  These are cultured in regular culture medium, produced desired
  antibody.
                                                                       25
Conventional production of mAbs
The hybridoma technology:

                                        
     spleen cells from immunized mice are fused with the murine myeloma cells.
The several process had been developed at large scale.
According to the different cell culture methods, it can calisifed into four fields

1.    Robottle cell culture process.

1.    Membrane binded cell culture process

1.    Microcarrier cell culture process

1.    Suspended cell culture process

 Screening is done for antibody specificity.
 For this we need to test the culture medium from each
  hybridoma culture for desired antibody specificity.
 Common tests like ELISA and RIA are used for this.
 In these tests the antigens are coated to plastic plates. The
  antibodies specific to the antigens bind to the plates. The
  remaining are washed off.
 Thus the hybridomas producing desired antibodies are
  identified. The antibodies secreted by them are
  homogenous and specific and are referred as monoclonal
  antibodies.
                                                                  27

 The single hybrid cell producing the desired antibody are
  isolated and cloned.
 Usually two techniques are commonly employed for this
 a) Limiting dilution method: Suspension of hybridoma
  cells is serially diluted so the aliquot of each dilution is
  having one hybrid cell. This ensures that the antibody
  produced is monoclonal.
 b) Soft agar method: In this method the hybridoma cells
  are grown in soft agar. These form colonies and the
  colonies are monoclonal in nature.

                                                                 28

 Biochemical and biophysical characterization are
  made for desired specificity.
 It is important to note the monoclonal antibody is
  specific for which antigen
 MAbs must be characterized for their ability to
  withstand freezing and thawing.




                                                       29

 Encapsulating the hybridoma cells in alginate gels
  and using a coating solution containing poly-lysine is
  employed.
 These gels allow the nutrients to enter in and
  antibodies to come out.
 Damon biotech and cell-tech companies are using this
  technique for commercial production of MAbs.
 They employ 100-litres fermenters to yield about 100g
  of MAbs in about 2 weeks period.

                                                           30

 MAbs derived from mouse are murine derivatives.
  As they are not human origin, they show
  HAMA(human antimouse antibody) response.
 To overcome this we need to cleave the antibody into
  its respective Fc and Fab fragments.
 Fab fragments are less immunogenic and their
  smaller molecular size may facilitate penetration into
  tumor tissue and result in a longer half-life.
 Engineering is needed to reduce the immunogenicity.

                                                           31

  Chimeric antibodies:
 Hence the murine antibodies are immunogenic to
  humans, the obvious solution for this is to clone a
  fully human antibody. But it has many problems like
  ethical clearance, difficult to culture, impossible to
  obtain many of the appropriate antibodies.
 To over come HAMA(human antimouse antibody)
  response, a chimeric antibody is prepared with Fc
  region of human IgG and Fab regions of murine
  origin by the use of DNA recombinant technology.

                                                           32
V domains


Mouse




                      Chimeric



Human
        C domains

                                 33

 Humanized antibodies:
 Though chimeric antibodies elicit less HAMA response
  than murine antibodies, they are still immunogenic due to
  their murine regions(30%)
 It is came to know that a small portion(CDR) of an
  antibody was actually responsible for antigen binding.
 By this humanized antibodies are prepared by
  recombinant DNA technology with majority of human
  antibody framework and CDR’s of murine antibody.
 Thus humanized antibodies are 95% homology with
  human antibodies.
                                                              34
hypervariable


Mouse




                        Humanised



Human
        framework

                                    35

 Bispecific antibodies:
 These are specific to two types of antigens.
 They are constructed by r.DNA technology.
 Each arm is specific to one type of antigen.




                                                 36

 Immunoconjugate:
 For MAb targeted drug delivery, a drug is bound
  covalently to an antibody that is chosen to target it to the
  desired site of action.
 Spacer is present between the antibody and the drug.
 Polymer may be present to increase the no. of drug
  molecules attached to the antibody.
 Drug is non-covalently incorporated into a liposome or
  microsphere to which the targeting antibody is bound to
  the surface—immunoliposome or immunomicrosphere
  resp.
                                                                 37

 Principle involved:
 As several classes of the drugs lack specificity for diseased
  cells, they show their action on other sites of action.
  Ex: cytotoxic action of chemotherapeutic agents is directed
  against any rapidly proliferating cell population.
 Hence drug targeting is required to overcome this
  problem.
 Targeting is classified into three categories:
   1. Passive targeting
   2. Physical targeting
   3. Active targeting

                                                                  38

 It is the natural in-vivo distribution pattern of the
  drug delivery system. It is determined by the
  inherent properties of the carrier like hydrophobic
  and hydrophilic surface characteristics, particle
  size, surface charge, particle number.
  Ex: passive targeting of the lungs is made by
  modulating the size of the particles to >7µm
  passive targeting of the Reticuloendothelial system is
  made by modulating the size of the particles to 0.2-
  7µm

                                                           39

 In this some characteristics of the environment are
  utilized for the carrying of the drug to the specific
  site.
  Ex: thermal sensitive liposomes(local hyperthemia)
        magnetically responsive albumin microspheres
                               (localized magnetic field)




                                                            40

 Active targeting is usually done by cell-specific
  ligands. These are specific to specific cell types. But it
  is limited to small no. of tumor types.
 Hence MAb targeting is adopted for active targeting.
  MAb targeting is done by conjugating the drug
  antibody of the specific targeting type.
 Hence antibody drug conjugates are used as active
  targeting drug delivery systems.


                                                               41

 Toxin conjugates (immunotoxins)
 EX: diphtheria toxin, Ricin have been conjugated to
  the tumor specific antibodies
  Ricin has two chains. Amoung these A-chain is
  cytotoxic and B-chain is non-specific. Hence B-chain
  is removed and the toxin is conjugated to tumor
  specific antibody. Thus we increase the specificity of
  the toxins by using MAbs as active drug targeting
  systems.

                                                           42

 Drug immunoconjugates:

 Agents like chlorambucil, methotrexate and
 doxorubicin are conjugated with tumor specific
 antibodies.

 Ex: doxorubicin-BR96 immunoconjugate for Lewis
 antigen found on the surface of tumor cells.


                                                  43

 They are homogenous in nature.
 They are specific to a particular antigen with a
  particular epitope.
  Ex:Rituximab (Rituxan®, anti-CD20) is a good
  example – this antibody is used for the treatment of
  lymphoma.




                                                         44
mAbs Treatment For Cancer Cells


                                      



ADEPT, antibody directed enzyme prodrug therapy; ADCC, antibody dependent
cell-mediated cytotoxicity; CDC, complement dependent cytotoxicity; MAb,
monoclonal antibody; scFv, single-chain Fv fragment.
Carter P: Improving the efficacy of antibody-based cancer therapies. Nat Rev Cancer
2001;1:118-129
Strategy of a Direct or Indirect
Induction of Apoptosis in Targeted
Cancer Cells               
1. mAbs target growth factor receptors to exert a direct
   effect on the growth and survival of the cancer cells by
   antagonizing ligand-receptor signaling.


1. mAbs can target to cell surface antigens and directly
   elicit apoptotic signaling.


Dale L Ludwig, et. al. Oncogene(2003) 22, 9097-9106
FDA Approval
                        
   The first approved mAbs was OKT-3 [1986], which is a
   murine IgGa2 protein to deplete T cells in patients with
   acute rejection of renal allotransplant.
   Until Feb 28, 2005, 18 mAbs were approved by
   FDA, which were applied in the treatment of organ
   transplant, Cancer, Asthma, Hematopoietic malignancies
   and psoriasis.

Jancie, M Recheit, etal. Nature biotechnology, 2005, Sep,Vol. 23, No.9
Stamatis-Nick C. J Allergy Clin. Immunol, Oct. 2005
OKT3
   Prevents acute
    rejection of kidney
    transplants

    Prevents
    autoimmune
    destruction of islet
    cells in type I
    Diabetes mellitus
 Cell Depletion
 Rituxan, Campath (naked)
 Myelotarg (drug)
                           
 Zevalin, Bexxar (radioisotope)
 Blocking receptors
 Herceptin
 Attacking vasculature
 Avastin, Erbitux
 Vaccination against idiotype
 Panorex?



                                  51

 As they are specific to a particular antigen, they cannot distinguish
  molecule as a whole.
 Some times they cannot distinguish groups of different molecules.
  Ex:- presence of retro viruses as a part of mammalian chromosomes
  is not distinguished.
 Mice used in MAb production carry Adenovirus, Hepatic virus,
  Retrovirus, reovirus, cytomegalovirus, thymic virus.
 The presence of some of these viruses is detected in hybridomas.
  This poses a great danger since there is no guarantee for MAb
  produced is totally virus free.
 For this reason US food and drug administration insists that MAb
  for human use should be totally free from all pathogenic organisms
  including viruses.


                                                                          52
Latest News
North Carolina-based  has established a joint
                     PPD
venture with Taijitu Biologics to develop and
commercialize a technology platform for the
discovery of first- and best-in-class monoclonal
antibody therapies in collaboration with MAB
Discovery GmbH in Munich. The joint venture
will provide drug discovery services based on this
technology platform to global biopharmaceutical
companies, enabling them to discover best-in-class
monoclonal antibodies against both novel and
validated targets.

 Biotechnology by U. Satyanarayana
 Harper's Biochemistry 26th edition
 Carter P: Improving the efficacy of antibody-based cancer

   therapies. Nat Rev Cancer 2001;1:118-129

 Dale L Ludwig, et. al. Oncogene(2003) 22, 9097-9106

 Jancie, M Recheit, etal. Nature biotechnology, 2005, Sep,Vol. 23,

   No.9 Stamatis-Nick C. J Allergy Clin. Immunol, Oct. 2005

 www.wikipedia.com
 www.google.com


                                                                      54


THANK
U



        55

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Antibodies drug delivery system

  • 1. ABDUL MUHEEM M.PHARMA 2ND SEM (PHARMACEUTICS) JAMIA HAMDARD
  • 2. Contents   INTRODUCTION  STRUCTURE OF ANTIBODIES  HISTORY OF AB  ANTIGEN-AB BINDING  PRINCIPLE INVOLVED FOR MAB  MAB FOR TUMOUR TARGETING  LIMITATION  REFERENCES
  • 3.  HOW THE ANTIBODIES ARE PRODUCED? 3
  • 4. INTRODUCTION   Antibodies are produced by a specialized group of cells called B-Lymphocytes.  When an foreign antigen enters the body due immune response B-Lymphocytes develops into plasma cells and liberates antibodies or immunoglobulins of various types(Ig A, Ig D, Ig E, Ig G, Ig M). 4
  • 5. Classes of Igs IgG: IgG1 (66%), IgG2 (23%), IgG3 (7%) and IgG4  (4%) , blood and tissue liquid IgA: IgA1 (90%) and IgA2 (10%), external secretions (stomach, intestines, saliva, tears, etc.) IgM: 5-10% of total serum Ig [1.5mg/ml serum conc.] IgD: 1% of proteins in the plasma membranes of B- lymphocytes, function unknown [30µg/ml serum conc.] 0.2% of total serum Ig IgE: 0.3µg/ml on the surface of plasma membrane of mast cells, play a role in immediate hypersensitivity and denfense for parasite
  • 6. What are antibodies?  An antibody is a protein used by the immune system to identify and neutralize foreign objects like bacteria and viruses. Each antibody recognizes a specific antigen unique to its target. Monoclonal antibodies (mAb) are antibodies that are identical because they were produced by one type of immune cell, all clones of a single parent cell. Polyclonal antibodies are antibodies that are derived from different cell lines. They differ in amino acid sequence.
  • 7.  • Each Antigen has specific antigen determinants (epitopes) located on it. The antibodies have complementary determining regions (CDRs). These are mainly responsible for the antibody specificity. • Each antigen has several different epitopes on it. They are recognised by many different antibodies. All these antibodies thus produced act on the same antigen. Hence these are designated as polyclonal antibodies. 7
  • 8.  • In general naturally produced antibodies are non- specific and heterogenous in nature. Hence there are several limitations in the use of polyclonal antibodies for therapeutic and diagnostic purposes. • Thus there is a need for producing monoclonal antibodies for different antigens. 8
  • 9. 1890 Von Behring and kitasato discovered the serum of vaccinated persons contained certain substances, termed antibodies •  1900 Ehrlich proposed the ― side-chain theory‖ • 1955 Jerne postulated natural selection theory. Frank Macfarlane Burnet expended. • Almost the same time, Porter isolated fragment of antigen binding (Fab) and fragment crystalline (Fc) from rabbit y-globulin. • 1964 Littlefield developed a way to isolate hybrid cells from 2 parent cell lines using the hypoxanthine-aminopterin-thymidine (HAT) selection media. • 1975 Kohler and Milstein provided the most outstanding proof of the clonal selection theory by fusion of normal and malignant cells • 1990 Milstein produced the first monoclonal antibodies.
  • 10.  Paul Ehrlich at the beginning of the 20th century theorized that a cell under threat grew additional side-chains to bind the toxin, and that these additional side chains broke off to become the antibodies that are circulated through the body. It was these antibodies that Ehrlich first described as "magic bullets" in search of toxins.
  • 11.  Georges Köhler César Milstein, and Niels Kaj Jerne in 1975 who shared the Nobel Prize in Physiology or Medicine in 1984 for the discovery hybridoma technology
  • 12. The structure of antibodies   http://www.path.cam.ac.uk/~mrc7/igs/mikeimages.html
  • 14. Antigen- antibody binding  14
  • 15. Types of mAbs designed • Murin source mAbs:: rodent mAbs with excellent  affinities and specificities, generated using conventional hybridoma technology. Clinical efficacy compromised by HAMA (human anti murine antibody) response, which lead to allergic or immune complex hypersensitivities. • Chimeric mAbs:: chimers combine the human constant regions with the intact rodent variable regions. Affinity and specificity unchanged. Also cause human antichimeric antibody response (30% murine resource) • Humanized mAbs:: contained only the CDRs of the rodent variable region grafted onto human Framework Regions [FR]
  • 16. Types of mAbs designed . .  Human mAb :: three currently available approaches to the  production of human monoclonal antibodies are described. These include :-  the hybridoma technique, based on the fusion of antibody- producing human B lymphocytes with either mouse or human myeloma or lymphoblastoid cells;  the EBV immortalization technique, based on the use of Epstein- Barr virus (EBV) to immortalize antigen-specific human B lymphocytes;  the EBV-hybridoma technique, based on a combination of the first two methods. The EBV-hybridoma system retains the advantageous features of the other two systems while overcoming their pitfalls and may be the current method of choice for producing human monoclonal antibodies with a defined specificity.
  • 17.
  • 18.   Hybridoma technology: In this B-Lymphocytes and myeloma cells are mixed together and exposed to PEG for a short period.  The mixture contains hybridoma cells, myeloma cells and lymphocytes.  This mixture is washed and cultured in HAT(hypoxanthine aminopterin and thymidine) medium for 7-10 days.  only hybridoma cells remain in the mixture. 18
  • 19. Immunise Spleen Cell Myeloma Cell Line HAT sensitive FUSE Hybridoma HAT resistant SELECT Stable hybrid myeloma producing desired antibody 19
  • 21.   Immunization  Cell fusion  Selection of hybridomas  Screening the products  Cloning and propagation  Characterization and storage 21
  • 22.   Immunize an animal usually mouse by injecting with an appropriate antigen along with Freund’s complete or incomplete adjuvant.  Adjuvants are non specific potentiators of specific immune responses.  Injection of antigens at multiple sites are repeated several times for increased stimulation of antibodies.  3 days prior to killing of animal a final dose is given intravenously.  Spleen is aseptically removed and disrupted by mechanical or enzymatic methods to release the cells.  By density gradient centrifugation lymphocytes are separated from rest of the cells. 22
  • 23.   Lymphocytes are mixed with HGPRT deficient myeloma cells and is exposed to PEG for a short period.  The mixture is then washed and kept in a fresh medium.  The mixture contains hybridomas, free myeloma cells, and free lymphocytes. 23
  • 24. Dihydrofolate  Aminopterin Tetrahydrofolate Precursors Nucleotides---->DNA Hypoxanthine Thymidine 24
  • 25.   The above mixture is cultured in HAT medium for 7-10 days.  Due to lack of HGPRT enzyme in myeloma cells, salvage pathway is not operative and aminopterin in HAT medium blocks the de novo synthesis of nucleotides. Hence free myeloma cells are dead.  As the lymphocytes are short lived they also slowly dissappear.  Only the hybridomas that receives HGPRT from lymphocytes are survived.  Thus hybridomas are selected by using HAT medium  Suspension is diluted so that each aliquot contains one cell each. These are cultured in regular culture medium, produced desired antibody. 25
  • 26. Conventional production of mAbs The hybridoma technology:  spleen cells from immunized mice are fused with the murine myeloma cells. The several process had been developed at large scale. According to the different cell culture methods, it can calisifed into four fields 1. Robottle cell culture process. 1. Membrane binded cell culture process 1. Microcarrier cell culture process 1. Suspended cell culture process
  • 27.   Screening is done for antibody specificity.  For this we need to test the culture medium from each hybridoma culture for desired antibody specificity.  Common tests like ELISA and RIA are used for this.  In these tests the antigens are coated to plastic plates. The antibodies specific to the antigens bind to the plates. The remaining are washed off.  Thus the hybridomas producing desired antibodies are identified. The antibodies secreted by them are homogenous and specific and are referred as monoclonal antibodies. 27
  • 28.   The single hybrid cell producing the desired antibody are isolated and cloned.  Usually two techniques are commonly employed for this  a) Limiting dilution method: Suspension of hybridoma cells is serially diluted so the aliquot of each dilution is having one hybrid cell. This ensures that the antibody produced is monoclonal.  b) Soft agar method: In this method the hybridoma cells are grown in soft agar. These form colonies and the colonies are monoclonal in nature. 28
  • 29.   Biochemical and biophysical characterization are made for desired specificity.  It is important to note the monoclonal antibody is specific for which antigen  MAbs must be characterized for their ability to withstand freezing and thawing. 29
  • 30.   Encapsulating the hybridoma cells in alginate gels and using a coating solution containing poly-lysine is employed.  These gels allow the nutrients to enter in and antibodies to come out.  Damon biotech and cell-tech companies are using this technique for commercial production of MAbs.  They employ 100-litres fermenters to yield about 100g of MAbs in about 2 weeks period. 30
  • 31.   MAbs derived from mouse are murine derivatives. As they are not human origin, they show HAMA(human antimouse antibody) response.  To overcome this we need to cleave the antibody into its respective Fc and Fab fragments.  Fab fragments are less immunogenic and their smaller molecular size may facilitate penetration into tumor tissue and result in a longer half-life.  Engineering is needed to reduce the immunogenicity. 31
  • 32.  Chimeric antibodies:  Hence the murine antibodies are immunogenic to humans, the obvious solution for this is to clone a fully human antibody. But it has many problems like ethical clearance, difficult to culture, impossible to obtain many of the appropriate antibodies.  To over come HAMA(human antimouse antibody) response, a chimeric antibody is prepared with Fc region of human IgG and Fab regions of murine origin by the use of DNA recombinant technology. 32
  • 33. V domains Mouse Chimeric Human C domains 33
  • 34.  Humanized antibodies:  Though chimeric antibodies elicit less HAMA response than murine antibodies, they are still immunogenic due to their murine regions(30%)  It is came to know that a small portion(CDR) of an antibody was actually responsible for antigen binding.  By this humanized antibodies are prepared by recombinant DNA technology with majority of human antibody framework and CDR’s of murine antibody.  Thus humanized antibodies are 95% homology with human antibodies. 34
  • 35. hypervariable Mouse Humanised Human framework 35
  • 36.  Bispecific antibodies:  These are specific to two types of antigens.  They are constructed by r.DNA technology.  Each arm is specific to one type of antigen. 36
  • 37.  Immunoconjugate:  For MAb targeted drug delivery, a drug is bound covalently to an antibody that is chosen to target it to the desired site of action.  Spacer is present between the antibody and the drug.  Polymer may be present to increase the no. of drug molecules attached to the antibody.  Drug is non-covalently incorporated into a liposome or microsphere to which the targeting antibody is bound to the surface—immunoliposome or immunomicrosphere resp. 37
  • 38.   Principle involved:  As several classes of the drugs lack specificity for diseased cells, they show their action on other sites of action. Ex: cytotoxic action of chemotherapeutic agents is directed against any rapidly proliferating cell population.  Hence drug targeting is required to overcome this problem.  Targeting is classified into three categories: 1. Passive targeting 2. Physical targeting 3. Active targeting 38
  • 39.   It is the natural in-vivo distribution pattern of the drug delivery system. It is determined by the inherent properties of the carrier like hydrophobic and hydrophilic surface characteristics, particle size, surface charge, particle number. Ex: passive targeting of the lungs is made by modulating the size of the particles to >7µm passive targeting of the Reticuloendothelial system is made by modulating the size of the particles to 0.2- 7µm 39
  • 40.   In this some characteristics of the environment are utilized for the carrying of the drug to the specific site. Ex: thermal sensitive liposomes(local hyperthemia) magnetically responsive albumin microspheres (localized magnetic field) 40
  • 41.   Active targeting is usually done by cell-specific ligands. These are specific to specific cell types. But it is limited to small no. of tumor types.  Hence MAb targeting is adopted for active targeting. MAb targeting is done by conjugating the drug antibody of the specific targeting type.  Hence antibody drug conjugates are used as active targeting drug delivery systems. 41
  • 42.   Toxin conjugates (immunotoxins) EX: diphtheria toxin, Ricin have been conjugated to the tumor specific antibodies Ricin has two chains. Amoung these A-chain is cytotoxic and B-chain is non-specific. Hence B-chain is removed and the toxin is conjugated to tumor specific antibody. Thus we increase the specificity of the toxins by using MAbs as active drug targeting systems. 42
  • 43.   Drug immunoconjugates: Agents like chlorambucil, methotrexate and doxorubicin are conjugated with tumor specific antibodies. Ex: doxorubicin-BR96 immunoconjugate for Lewis antigen found on the surface of tumor cells. 43
  • 44.   They are homogenous in nature.  They are specific to a particular antigen with a particular epitope. Ex:Rituximab (Rituxan®, anti-CD20) is a good example – this antibody is used for the treatment of lymphoma. 44
  • 45. mAbs Treatment For Cancer Cells  ADEPT, antibody directed enzyme prodrug therapy; ADCC, antibody dependent cell-mediated cytotoxicity; CDC, complement dependent cytotoxicity; MAb, monoclonal antibody; scFv, single-chain Fv fragment. Carter P: Improving the efficacy of antibody-based cancer therapies. Nat Rev Cancer 2001;1:118-129
  • 46. Strategy of a Direct or Indirect Induction of Apoptosis in Targeted Cancer Cells  1. mAbs target growth factor receptors to exert a direct effect on the growth and survival of the cancer cells by antagonizing ligand-receptor signaling. 1. mAbs can target to cell surface antigens and directly elicit apoptotic signaling. Dale L Ludwig, et. al. Oncogene(2003) 22, 9097-9106
  • 47. FDA Approval  The first approved mAbs was OKT-3 [1986], which is a murine IgGa2 protein to deplete T cells in patients with acute rejection of renal allotransplant. Until Feb 28, 2005, 18 mAbs were approved by FDA, which were applied in the treatment of organ transplant, Cancer, Asthma, Hematopoietic malignancies and psoriasis. Jancie, M Recheit, etal. Nature biotechnology, 2005, Sep,Vol. 23, No.9 Stamatis-Nick C. J Allergy Clin. Immunol, Oct. 2005
  • 48. OKT3  Prevents acute rejection of kidney transplants Prevents autoimmune destruction of islet cells in type I Diabetes mellitus
  • 49.
  • 50.
  • 51.  Cell Depletion Rituxan, Campath (naked) Myelotarg (drug)  Zevalin, Bexxar (radioisotope)  Blocking receptors Herceptin  Attacking vasculature Avastin, Erbitux  Vaccination against idiotype Panorex? 51
  • 52.   As they are specific to a particular antigen, they cannot distinguish molecule as a whole.  Some times they cannot distinguish groups of different molecules. Ex:- presence of retro viruses as a part of mammalian chromosomes is not distinguished.  Mice used in MAb production carry Adenovirus, Hepatic virus, Retrovirus, reovirus, cytomegalovirus, thymic virus.  The presence of some of these viruses is detected in hybridomas. This poses a great danger since there is no guarantee for MAb produced is totally virus free.  For this reason US food and drug administration insists that MAb for human use should be totally free from all pathogenic organisms including viruses. 52
  • 53. Latest News North Carolina-based  has established a joint PPD venture with Taijitu Biologics to develop and commercialize a technology platform for the discovery of first- and best-in-class monoclonal antibody therapies in collaboration with MAB Discovery GmbH in Munich. The joint venture will provide drug discovery services based on this technology platform to global biopharmaceutical companies, enabling them to discover best-in-class monoclonal antibodies against both novel and validated targets.
  • 54.   Biotechnology by U. Satyanarayana  Harper's Biochemistry 26th edition  Carter P: Improving the efficacy of antibody-based cancer therapies. Nat Rev Cancer 2001;1:118-129  Dale L Ludwig, et. al. Oncogene(2003) 22, 9097-9106  Jancie, M Recheit, etal. Nature biotechnology, 2005, Sep,Vol. 23, No.9 Stamatis-Nick C. J Allergy Clin. Immunol, Oct. 2005  www.wikipedia.com  www.google.com 54