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A review of monoclonal antibodies in COVID-19: Role in immunotherapy, vaccine development and viral detection. 单克隆抗体在COVID-19免疫治疗、疫苗开发和病毒检测中的作用
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200441
Ashraf A Tabll, Yasser E Shahein, Mohamed M Omran, Mostafa M Elnakib, Ameera A Ragheb, Khaled E Amer

The harmful COVID-19 pandemic caused by the SARS-CoV-2 coronavirus imposes the scientific community to develop or find conventional curative drugs, protective vaccines, or passive immune strategies rapidly and efficiently. Passive immunity is based on recovering hyper-immune plasma from convalescent patients, or monoclonal antibodies with elevated titer of neutralizing antibodies with high antiviral activity, that have potential for both treatment and prevention. In this review, we focused on researching the potentiality of monoclonal antibodies for the prevention and treatment of COVID-19 infection. Our research review includes antibody-based immunotherapy, using human monoclonal antibodies targeting SARS-CoV-2 viral protein regions, specifically the spike protein regions, and using hyper-immune plasma from convalescent COVID-19 patients, in which monoclonal antibodies act as immunotherapy for the cytokine storm syndrome associated with the COVID-19 infection. In addition, we will demonstrate the role of the monoclonal antibodies in the development of candidate vaccines for SARS-CoV-2. Moreover, the recent progress of the diagnostic mouse monoclonal antibodies' role will be highlighted, as an accurate and rapid diagnostic assay, in the antigen detection of SARS-CoV-2. In brief, the monoclonal antibodies are the potential counter measures that may control SARS-CoV-2, which causes COVID-19 disease, through immunotherapy and vaccine development, as well as viral detection.

由SARS-CoV-2冠状病毒引起的有害的COVID-19大流行迫使科学界迅速有效地开发或寻找常规治疗药物、保护性疫苗或被动免疫策略。被动免疫是基于恢复恢复期患者的超免疫血浆,或具有高抗病毒活性的中和抗体滴度升高的单克隆抗体,具有治疗和预防的潜力。本文就单克隆抗体在预防和治疗COVID-19感染方面的潜力进行综述。我们的研究综述包括基于抗体的免疫治疗,利用人单克隆抗体靶向SARS-CoV-2病毒蛋白区域,特别是刺突蛋白区域,以及利用COVID-19恢复期患者的超免疫血浆,其中单克隆抗体作为与COVID-19感染相关的细胞因子风暴综合征的免疫治疗。此外,我们将展示单克隆抗体在SARS-CoV-2候选疫苗开发中的作用。此外,本文还将重点介绍诊断小鼠单克隆抗体作为一种准确、快速的诊断方法在SARS-CoV-2抗原检测中的作用。简而言之,单克隆抗体是可能通过免疫治疗和疫苗开发以及病毒检测来控制导致COVID-19疾病的SARS-CoV-2的潜在对策。
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引用次数: 14
Sero-epidemiology of human T-cell lymphotropic viruses-1 and -2 infection among pregnant women attending Abuja Teaching Hospital, Nigeria. 尼日利亚阿布贾教学医院孕妇中嗜人t细胞病毒-1和-2感染的血清流行病学
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200435
Amos Dangana, Idris Nasir Abdullahi, Olusoji Matthew Adeyemi Billyrose, Anthony Uchenna Emeribe, Joel Monday Abu, Abubakar Umar Anka, Olawale Sunday Animasaun, Peter Elisha Ghamba

Background: There is the paucity of HTLV-1/-2 studies on Nigerian pregnant women despite the medical and public health significance of maternal-to-child transmission of HTLV-1/-2.

Objective: This study aims to determine the seroprevalence and risk factors of HTLV-1/-2 infections among pregnant women attending the University of Abuja Teaching Hospital (UATH), Abuja, Nigeria.

Materials and methods: Blood samples were collected from consented pregnant women and analysed for ant-HTLV-1/-2 total antibodies using a commercial Enzyme-Linked Immunosorbent Assay (ELISA) kit. Pretested structured questionnaires were used to collate participants' socio-demographic variables and risk factors of HTLV infection.

Results: Out of the 156 pregnant women tested for HTLV-1/-2 antibodies, 16 (10.3%) were seropositive. There was no significant association between the socio-demographic variables collated and seroprevalence of HTLV-1/-2 infection among pregnant women (p> 0.05). Pregnant women with HIV infection had a lower prevalence of HLTV-1/-2 infection than those without HIV infections (7.5% versus 11.7%). Pregnant women with multiple sexual partners had a higher risk of HTLV-1/-2 infection than those who had single (OR = 2.08, 95% CI: 0.53-8.18). Women with a history of needles injury had a higher risk of HTLV-1/-2 infection than those who do not (OR = 1.24, 95% CI: 0.38-4.08). The history of blood transfusion was significantly associated with HTLV-1/-2 infection (p= 0.027). However, no significant association existed between other risk factors of HTLV-1/-2 infection among pregnant women (p> 0.05).

Conclusion: Considering the 3% pooled national prevalence of HTLV-1/-2 infection in Nigeria, the seroprevalence reported in this study is relatively high. Thus, there is a need for more large cohort studies and routine screening of population at increased risk of infection.

背景:尽管HTLV-1/ 2母婴传播具有医学和公共卫生意义,但尼日利亚孕妇HTLV-1/ 2研究较少。目的:本研究旨在了解尼日利亚阿布贾大学教学医院(UATH)孕妇HTLV-1/ 2感染的血清阳性率及其危险因素。材料和方法:收集同意的孕妇的血液样本,使用商用酶联免疫吸附试验(ELISA)试剂盒分析抗htlv -1/ 2总抗体。采用预先测试的结构化问卷来整理参与者的社会人口学变量和HTLV感染的危险因素。结果:156例孕妇HTLV-1/ 2抗体检测中,16例(10.3%)血清阳性。经整理的社会人口学变量与孕妇HTLV-1/ 2血清感染阳性率无显著相关性(p> 0.05)。感染艾滋病毒的孕妇HIV -1/ 2感染率低于未感染艾滋病毒的孕妇(7.5% vs 11.7%)。有多个性伴侣的孕妇感染HTLV-1/ 2的风险高于单一性伴侣的孕妇(OR = 2.08, 95% CI: 0.53-8.18)。有针伤史的妇女感染HTLV-1/ 2的风险高于没有针伤史的妇女(OR = 1.24, 95% CI: 0.38-4.08)。输血史与HTLV-1/ 2感染有显著相关性(p= 0.027)。而其他危险因素与孕妇HTLV-1/ 2感染无显著相关性(p> 0.05)。结论:考虑到尼日利亚HTLV-1/ 2感染的全国总流行率为3%,本研究报告的血清患病率相对较高。因此,有必要进行更多的大型队列研究,并对感染风险增加的人群进行常规筛查。
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引用次数: 1
Infertility cell therapy and epigenetic insights. 不孕症细胞治疗和表观遗传学见解。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200438
Nahal Eshghifar, Behnam Kamali Dehghan, Atieh Abedin Do, Saeideh Zamani Koukhaloo, Mohsen Habibi, Farkhondeh Pouresmaeili

Recent advances in assisted reproductive technology (ART) have allowed couples with severe infertility to conceive, but the methods are not effective for all cases. Stem cells as undifferentiated cells which are found in different stages of embryonic, fetal and adult life are known to be capable of forming different cell types, tissues, and organs. Due to their unlimited resources and the incredible power of differentiation are considered as potential new therapeutic biological tools for treatment of infertility. For reproductive medicine, stem cells are stimulated in vitro to develop various specialized functional cells including male and female gametes. The epigenetic patterns can be modified in the genome under certain drugs exposure or lifestyle alterations. Therefore, epigenetics-related disorders may be treated if the nature of the modifications is completely admissible. It is proved that our understanding of epigenetic processes and its association with infertility would help us not only to understand the etiological factors but also to treat some type of male infertilities. Exploration of both genetic and epigenetic variations in the disease development could help in the identification of the interaction patterns between these two phenomena and possible improvement of therapeutic methods.

辅助生殖技术(ART)的最新进展使严重不孕症的夫妇能够怀孕,但这种方法并不是对所有病例都有效。干细胞是未分化的细胞,存在于胚胎、胎儿和成年生命的不同阶段,能够形成不同的细胞类型、组织和器官。由于其无限的资源和难以置信的分化能力,被认为是治疗不孕症的潜在的新的治疗生物学工具。在生殖医学中,干细胞在体外刺激下发育出各种特化功能细胞,包括雄性和雌性配子。表观遗传模式可以在某些药物暴露或生活方式的改变下改变基因组。因此,如果修饰的性质是完全可以接受的,表观遗传学相关的疾病可能会得到治疗。事实证明,我们对表观遗传过程及其与不育症的关系的了解不仅有助于我们了解病因,而且有助于治疗某些类型的男性不育症。探索疾病发展中的遗传和表观遗传变异可以帮助确定这两种现象之间的相互作用模式,并可能改进治疗方法。
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引用次数: 1
Immunotherapy: New insights in breast cancer treatment. 免疫疗法:乳腺癌治疗的新见解。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210443
Bader Alshehri

Breast cancer being the most malignant and lethal disease persistent among women globally. Immunotherapy as a new treatment modality has emerged in understanding the loopholes in the treatment of breast cancer which is mainly attributed to the potential of tumor cells to evade and survive the immune response by developing various strategies. Therefore, improved understanding of the immune evasion by cancer cells and the monoclonal antibodies against PD- and PD-L1 can help us in the diagnosis of this malignancy. Here in this article, I have highlighted that in addition to focusing on other strategies for breast cancer treatment, the involvement of immune system in breast cancer is vital for the understanding of this malignancy. Further, the complete involvement of immune system in the relapse or recurrence of the breast tumor and have also highlighted the role of vaccines, PD-1 and CTLA-4 with the recent advances in the field. Moreover, in addition to the application of immunotherapy as a sole therapy, combinations of immunotherapy with various strategies like targeting it with MEK inhibitors, Vaccines, chemotherapy and PARP inhibitor has shown to have significant benefits is also discussed in this article.

乳腺癌是全球妇女中最恶性和最致命的疾病。免疫治疗作为一种新的治疗方式,在认识乳腺癌治疗的漏洞时出现,主要是由于肿瘤细胞通过发展各种策略来逃避免疫反应并存活。因此,提高对癌细胞免疫逃避和PD-和PD- l1单克隆抗体的了解有助于我们对这种恶性肿瘤的诊断。在这篇文章中,我强调了除了关注乳腺癌治疗的其他策略外,免疫系统在乳腺癌中的参与对于理解这种恶性肿瘤至关重要。此外,免疫系统在乳腺肿瘤复发或复发中的完全参与以及疫苗、PD-1和CTLA-4的作用也随着该领域的最新进展而得到强调。此外,除了将免疫治疗作为单一治疗外,本文还讨论了免疫治疗与MEK抑制剂、疫苗、化疗和PARP抑制剂等多种策略的联合治疗也显示出显著的益处。
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引用次数: 2
Clinical and demographic characteristics of patients with COVID-19 infection: Statistics from a single hospital in Iran. COVID-19感染患者的临床和人口统计学特征:来自伊朗一家医院的统计数据
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-200428
Majid Samsami, Elham Mehravaran, Payam Tabarsi, Abdolreza Javadi, Shahram Arsang-Jang, Alireza Komaki, Mohammad Taheri, Soudeh Ghafouri-Fard

Coronavirus disease 2019 (COVID-19) has caused a global pandemic in early 2020. This infectious disorder has a heterogeneous course ranging from asymptomatic disorder to a critical situation needing intensive cares. In the current study, we present a report of affected patients admitted in a single hospital in Iran. Eighty-two hospitalized patients with COVID-19 were assessed. Demographic, clinical, and paraclinical parameters were gathered and statistically analyzed. The median age (IQR) of the patients was 57.32 (45.75, 70) years. At primary evaluation, fever was present in 45.12% of the affected individuals. The most common clinical symptoms were dyspnea (81.71%) and cough (65.85%). Totally, 12 (14.63%) and 14 (17.07%) of patients had low and high WBC counts, respectively. Lymphopenia was detected in 36 (43.9%) of patients, while 6 (7.32%) of patients had lymphocytosis. High levels of Il-6 were detected in 4 (4.88%) of patients. CRP levels were elevated in 69 (84.1%) of patients. The median (IQR) of hospitalization was 7 (5, 9) days. Totally, 26 patients (31%) were hospitalized in ICU. All patients were discharged with good health conditions except for one patient who died. The current study shows the heterogeneous clinical manifestations and paraclinical parameters of COVID-19 patients.

2019冠状病毒病(COVID-19)在2020年初引发了全球大流行。这种传染性疾病具有不同的病程,从无症状的疾病到需要重症监护的危急情况。在目前的研究中,我们提出了一份在伊朗一家医院住院的受影响患者的报告。对82例新冠肺炎住院患者进行评估。收集人口学、临床和临床旁参数并进行统计分析。患者的中位年龄(IQR)为57.32(45.75,70)岁。初步评估时,45.12%的感染者出现发热。临床症状以呼吸困难(81.71%)和咳嗽(65.85%)最为常见。WBC低、高患者分别为12例(14.63%)和14例(17.07%)。淋巴细胞减少36例(43.9%),淋巴细胞增多6例(7.32%)。4例(4.88%)患者Il-6水平较高。69例(84.1%)患者CRP水平升高。住院的中位数(IQR)为7(5,9)天。26例(31%)患者在ICU住院。除一名患者死亡外,所有患者出院时健康状况良好。目前的研究显示COVID-19患者的临床表现和临床旁参数存在异质性。
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引用次数: 4
Anti-drug antibodies to antibody-based therapeutics in multiple sclerosis. 多发性硬化症中基于抗体的治疗方法的抗药物抗体。
Q3 Medicine Pub Date : 2021-01-01 DOI: 10.3233/HAB-210453
David Baker, A Nazli Asardag, Olivia A Quinn, Alex Efimov, Angray S Kang

Multiple sclerosis is the major demyelinating autoimmune disease of the central nervous system. Relapsing MS can be treated by a number of approved monoclonal antibodies that currently target: CD20, CD25 (withdrawn), CD49d and CD52. These all target potentially pathogenic memory B cell subsets and perhaps functionally inhibit pathogenic T cell function. These consist of chimeric, humanized and fully human antibodies. However, despite humanization it is evident that all of these monoclonal antibodies can induce binding and neutralizing antibodies ranging from < 1% to over 80% within a year of treatment. Importantly, it is evident that monitoring these allow prediction of future treatment-failure in some individuals and treatment cessation and switching therefore potentially limiting disease breakthrough and disability accumulation. In response to the COVID-19 pandemic and the need to avoid hospitals, shortened infusion times and extended dose intervals have been implemented, importantly, subcutaneous delivery of alternative treatments or formulations have been developed to allow for home treatment. Therefore, hospital-based and remote monitoring of ADA could therefore be advantageous to optimize patient responses in the future.

多发性硬化症是中枢神经系统的主要脱髓鞘性自身免疫性疾病。复发性多发性硬化症可以通过目前批准的靶向单克隆抗体治疗:CD20, CD25(已退出),CD49d和CD52。这些都针对潜在的致病性记忆B细胞亚群,并可能在功能上抑制致病性T细胞功能。这些抗体包括嵌合抗体、人源化抗体和全人源抗体。然而,尽管人源化,但很明显,所有这些单克隆抗体都可以在治疗一年内诱导结合和中和抗体,范围从< 1%到超过80%。重要的是,很明显,监测这些可以预测某些个体未来的治疗失败和治疗停止和转换,因此可能限制疾病突破和残疾积累。为应对COVID-19大流行和避免住院的需要,缩短了输注时间,延长了给药间隔,重要的是,开发了皮下给药替代疗法或配方,以便在家治疗。因此,基于医院和远程监测ADA可能有利于优化患者在未来的反应。
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引用次数: 0
Unconventional immunotherapy with an unconventional target. 具有非常规靶点的非常规免疫疗法。
Q3 Medicine Pub Date : 2020-09-04 DOI: 10.3233/HAB-200427
M. Glassy
Pritumumab, a natural human IgG1 kappa antibody was obtained from a regional draining lymph node of a patient with cervical carcinoma through traditional hybridoma technology. Specificity analysis of the target antigen, an altered form of vimentin called, ecto-domain vimentin (EDV), shows it to be limited to cell surface expression on cancer cells. Clinically, 249 brain cancer patients were treated with a low dose pritumumab regimen, either at 1 mg once a week or 1 mg twice a week, and of those evaluated overall response rates of between 25-30% were seen with several complete and partial responses. A clinical trial assessing higher doses of pritumumab as a therapeutic for brain cancer is expected to begin this year. Overall, these data together suggest pritumumab is suitable for further development as an anti-tumor therapeutic.
Pritumumab是一种天然的人IgG1κ抗体,通过传统的杂交瘤技术从一名宫颈癌患者的区域引流淋巴结中获得。靶抗原,一种称为外结构域波形蛋白(EDV)的改变形式的波形蛋白的特异性分析表明,它仅限于癌症细胞的细胞表面表达。临床上,249名癌症患者接受了低剂量普妥单抗方案治疗,每周一次1 mg或每周两次1 mg,在这些患者中,评估的总反应率在25-30%之间,有几个完全和部分反应。一项评估更高剂量的普妥单抗治疗癌症的临床试验预计将于今年开始。总的来说,这些数据共同表明普妥单抗适合作为一种抗肿瘤治疗药物进一步开发。
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引用次数: 1
Association between tumor necrosis factor-alpha gene rs1800629 (-308G/A) and rs361525 (-238G > A) polymorphisms and prostate cancer risk in an Iranian cohort. 伊朗人群中肿瘤坏死因子- α基因rs1800629 (-308G/A)和rs361525 (-238G /A)多态性与前列腺癌风险的关系
Q3 Medicine Pub Date : 2020-02-13 DOI: 10.3233/hab-190397
Saeideh Alidoost, Mohsen Habibi, Z. Noormohammadi, J. Hosseini, E. Azargashb, F. Pouresmaeili
BACKGROUND Prostate cancer (PCa) as the first men's common cancer in the world and the third cancer in Iranian men is a heterogeneous disorder which sometimes several biopsies are needed for its diagnosis. OBJECTIVES The aim of current study is finding new biomarkers in order to diagnose of PCa at the earliest possible stage. Hence, the relationship between rs1800629 and rs361525 polymorphisms of TNF-α gene with PCa was investigated. MATERIALS AND METHODS Blood DNA samples were collected from 100 patients with PCa, 110 with BPH, and 110 controls. Collected samples were examined using PCR-RFLP and Tetra-ARMS-PCR techniques to detect the desired polymorphisms. RESULTS The frequency of rs1800629 genotypes in smokers was significantly different from non-smokers with PCa (p= 0.001). Logistic regression analysis results showed that GA heterozygotes in comparison to GG homozygotes had higher risk of developing Benign Prostatic Hyperplasia (BPH) or prostate cancer. However, no significant correlation was considered between the risk of PCa and the TNF-α gene polymorphisms (rs1800629 and rs361525). CONCLUSIONS Although, the achieved results of this investigation demonstrated that the two examined genetic variants do not seem to be suitable markers for early diagnosis of prostate cancer in this pilot study; however increased risk for the disease is shown in GA heterozygotes and smokers which is indicative of some epigenetic factors influence on prostate cancer etiology.
前列腺癌(PCa)是世界上第一大男性常见癌症,也是伊朗男性的第三大癌症,它是一种异质性疾病,有时需要多次活检才能诊断。目的寻找新的生物标志物,以便尽早诊断前列腺癌。因此,我们研究了TNF-α基因rs1800629和rs361525多态性与PCa的关系。材料与方法采集100例PCa患者、110例BPH患者和110例对照组的血液DNA样本。收集的样品使用PCR-RFLP和Tetra-ARMS-PCR技术检测所需的多态性。结果吸烟者与非吸烟者的rs1800629基因型频率差异有统计学意义(p= 0.001)。Logistic回归分析结果显示,与GG纯合子相比,GA杂合子发生良性前列腺增生(BPH)或前列腺癌的风险更高。然而,未考虑PCa风险与TNF-α基因多态性(rs1800629和rs361525)之间的显著相关性。尽管如此,本研究取得的结果表明,在本初步研究中,这两种检测的遗传变异似乎不适合作为前列腺癌早期诊断的标记;然而,GA杂合子和吸烟者患前列腺癌的风险增加,这表明一些表观遗传因素影响前列腺癌的病因。
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引用次数: 3
The relationship between health literacy and quality of life among hemodialysis patients: An integrative review. 血液透析患者健康素养与生活质量的关系:一项综合综述
Q3 Medicine Pub Date : 2020-02-13 DOI: 10.3233/hab-190394
Yisak Hagos Alemayehu, K. Seylani, F. Bahramnezhad
BACKGROUND Various studies have highlighted the correlates to health literacy and quality of life among patients receiving hemodialysis therapy. However, evidence of how these two outcomes could influence each other is not clear. OBJECTIVE This study aimed to assess the correlation between health literacy and quality of life among patients receiving hemodialysis. METHODS This is an integrative review of correlational studies. This study conforms to the preferred reporting items for integrative reviews described by Whitemore and Knafl. We search for studies reporting on the correlation of health literacy and quality of life among patients receiving hemodialysis in six databases, that is PubMed, Web of Science/Knowledge, Scopus and Embase, Google Scholar and Ovid MEDLINE. RESULTS In this review five studies were included after screening them against the inclusion criteria. Two studies were identified from Iran, and one study was identified each from Australia, Turkey, and the USA. Most studies were descriptive comparative in nature, while two studies were experimental. Shayan's study had the highest number of participants. This study reports on 1,063 patients receiving dialysis. Most studies were conducted at different centers. Findings from three studies showed that there was a significant relationship between health literacy and quality of life among patients receiving hemodialysis. CONCLUSION There is a relationship between health literacy and quality of life among patients receiving hemodialysis. Conclusively, addressing health literacy may improve the quality of life among patients receiving hemodialysis.
各种研究都强调了接受血液透析治疗的患者的健康素养和生活质量之间的相关性。然而,这两种结果如何相互影响的证据尚不清楚。目的探讨血液透析患者健康素养与生活质量的关系。方法对相关研究进行综合综述。本研究符合Whitemore和Knafl所描述的综合评价的首选报告项目。我们在PubMed、Web of Science/Knowledge、Scopus and Embase、谷歌Scholar和Ovid MEDLINE等6个数据库中检索了有关血液透析患者健康素养与生活质量相关性的研究报告。结果根据纳入标准筛选后纳入了5项研究。从伊朗确定了两项研究,从澳大利亚、土耳其和美国各确定了一项研究。大多数研究本质上是描述性的比较,而两项研究是实验性的。Shayan的研究有最多的参与者。本研究报告了1063例接受透析的患者。大多数研究是在不同的中心进行的。三项研究的结果表明,接受血液透析的患者的健康素养与生活质量之间存在显著关系。结论血液透析患者健康素养与生活质量之间存在相关性。最后,解决健康素养问题可以改善接受血液透析患者的生活质量。
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引用次数: 7
Nanobodies: The "magic bullets" in therapeutics, drug delivery and diagnostics. 纳米体:治疗、药物输送和诊断领域的“灵丹妙药”。
Q3 Medicine Pub Date : 2020-02-13 DOI: 10.3233/HAB-190390
M. A. Mir, Umar Mehraj, Bashir A. Sheikh, Syed S. Hamdani
Antibodies represent a well-established class of clinical diagnostics for medical applications as well as essential research and biotechnological tools. Although both polyclonal and monoclonal antibodies are indispensable reagents in basic research and diagnostics but both of them have their limitations. Hence, there is urgent need to develop strategies aimed at production of alternative scaffolds and recombinant antibodies of smaller dimensions that could be easily produced, selected and manipulated. Unlike conventional antibodies, members of Camelidae and sharks produce antibodies composed only of heavy chains with small size, high solubility, thermal stability, refolding capacity and good tissue penetration in vivo. The discovery of these naturally occurring antibodies having only heavy-chain in Camelidae family and their further development into small recombinant nanobodies represents an attractive alternative in drug delivery, diagnostics and imaging. Nanobody derivatives are soluble, stable, versatile, have unique refolding capacities, reduced aggregation tendencies and high-target binding capabilities. They can be genetically customized to target enzymes, transmembrane proteins or molecular interactions. Their ability to recognize recessed antigenic sites has been attributed to their smaller size and the ability of the extended CDR3 loop to quickly penetrate into such epitopes. With the advent of molecular engineering and phage display technology, they can be of potential use in molecular imaging, drug delivery and therapeutics for several major diseases. In this review we present the recent advances in nanobodies for modulating immune functions, for targeting cancers, viruses, toxins and microbes as well as their utility as diagnostic and biosensor tools.
抗体代表了医学应用的临床诊断以及必要的研究和生物技术工具的成熟类别。虽然多克隆抗体和单克隆抗体都是基础研究和诊断中不可缺少的试剂,但两者都有其局限性。因此,迫切需要制定策略,以生产易于生产、选择和操作的小尺寸替代支架和重组抗体。与传统抗体不同,骆驼科动物和鲨鱼体内产生的抗体仅由重链组成,具有小尺寸、高溶解度、热稳定性、重折叠能力和良好的组织穿透性。这些天然存在的抗体在Camelidae家族中只有重链抗体的发现,以及它们进一步发展成小的重组纳米体,在药物输送、诊断和成像方面代表了一个有吸引力的替代方案。纳米体衍生物是可溶的,稳定的,通用的,具有独特的再折叠能力,减少聚集倾向和高目标结合能力。它们可以通过基因定制来针对酶、跨膜蛋白或分子相互作用。它们识别隐性抗原位点的能力归因于它们较小的尺寸和扩展的CDR3环快速渗透到这些表位的能力。随着分子工程和噬菌体展示技术的出现,它们在分子成像、药物传递和几种主要疾病的治疗中具有潜在的用途。在这篇综述中,我们介绍了纳米体在调节免疫功能、靶向癌症、病毒、毒素和微生物方面的最新进展,以及它们作为诊断和生物传感器工具的应用。
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引用次数: 35
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Human Antibodies
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