Monoclonal Antibodies: A Therapeutic Option for the Treatment of Ophthalmic Diseases of the Eye Posterior Segment

Catalina Ayón, D. Castan, Adrian J. Mora, Dunia Naranjo, Francini Obando, Juan José Mora
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Abstract

The eye is an organ that allows us to observe the outside world. Pathologies of the eye's posterior segment, such as glaucoma, macular degeneration, diabetic retinopathy, uveitis, and retinoblastoma, cause vision loss. Traditional treatments consist of applying topical medications that do not penetrate properly or using high doses that generate adverse effects. Different laser surgeries stop the pathology's progression but do not allow visual improvement. So, an alternative is to use monoclonal antibodies, proteins produced by different processes that selectively bind to metabolites associated with diseases, reducing the adverse effects of traditional treatments and improving the application of the drug in the area. The two main molecular targets are TNF (adalimumab, infliximab, and certolizumab pegol) and VEGF (bevacizumab and ranibizumab); other possibilities are under investigation.
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单克隆抗体:治疗眼后段眼病的一种治疗选择
眼睛是让我们观察外部世界的器官。眼后段病变,如青光眼、黄斑变性、糖尿病性视网膜病变、葡萄膜炎和视网膜母细胞瘤,可导致视力丧失。传统的治疗方法包括使用不能正确渗透的局部药物或使用产生副作用的高剂量药物。不同的激光手术可以阻止病变的发展,但不能改善视力。因此,另一种选择是使用单克隆抗体,即通过不同过程产生的蛋白质,选择性地结合与疾病相关的代谢物,减少传统治疗的不利影响,并改善药物在该领域的应用。两个主要的分子靶点是TNF(阿达木单抗、英夫利昔单抗和certolizumab pegol)和VEGF(贝伐单抗和雷尼单抗);其他可能性正在调查中。
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