Biotherapeutics Flashcards

1
Q

Give examples of biological therapies.

A

antibodies
vaccine
ASO (anti sense oligos)
gene therapy
targeted drug therapy
-monoclonal antibodies
-polyclonal antibodies
bacillus Calmette-Guerin therapy

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2
Q

Describe nucleic acid vaccines.

A

nucleic acid coding for the antigen is injected
DNA plasmid: enters nucleus, translated to mRNA for expression of protein
or mRNA can be injected, more direct but less stable than DNA

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3
Q

What is antisense oligonucleotide?

A

short DNA analogue that hybridizes with the complementary mRNA in a sequence-specific manner
hybridization of ASO to the target mRNA can result in specific inhibition of gene expression resulting in reduced levels of translation of the target transcript

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4
Q

Describe gene therapy.

A

normal gene may be inserted into a non-specific location within the genome to replace a gene that is not functional
an abnormal gene could be swapped for a normal gene through homologous recombination
the abnormal gene could be repaired through selective reverse mutation
the regulation of a particular gene could be altered

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5
Q

Which organs are less suited for ex vivo gene therapy?

A

lung, brain, heart
-culture of the target cells or re-transplantation is not feasible
=do in vivo gene therapy

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6
Q

What is Luxturna?

A

first FDA-approved gene therapy
for retinal dystrophy (rare inherited eye disease) due to a mutation of the RPE65 gene
-as it progresses, patients experience gradual loss of
peripheral and central vision which can lead to blindness
supplies a normal RPE65 gene to retinal cells
-essentially adds a 3rd version of the gene, which is able to
code for a protein crucial to vision

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7
Q

True or false: bivalent vaccines have more total antigen than monovalent vaccines

A

false
same amount

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8
Q

What can occur once a cancer cell has been targeted by the antibody?

A

binding of Ab to the target antigen can inhibit signaling
drugs can be attached to the Ab and delivered specifically to the cancer cell, leading to cell death
binding of the Ab can elicit an immune response

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9
Q

What is an example of an ASO?

A

mipomersen
-used for FH

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10
Q

How are antibodies made?

A

immunizing a mouse with the desired antigen
isolate the antibodies from the mouse spleen specific to the antigen
fuse mouse antibody-forming cell with a cancer cell so that they will proliferate in culture
these fused cells are called hybridomas
test to ensure specificity and efficiency

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11
Q

Differentiate between polyclonal antibody and monoclonal antibody.

A

polyclonal:
-cheap to produce
-mixed population of antibodies
-may bind to different areas of the targeted molecule
-tolerant to small changes in protein structure
monoclonal:
-expensive to produce
-single antibody species
-will only bind single specific site
-may recognise a particular protein form

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12
Q

What are antibodies?

A

natural targeting agents
-their homing ability is combined with functional activity
-“mab”

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13
Q

How are monospecific antibodies made?

A

clones of a unique parent cell (B cell)
commonly used in research and as a therapeutic agent

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14
Q

What is herceptin?

A

targeted therapy for HER2 tumors

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15
Q

Which organisms are used to make most antibiotics?

A

bacteria or fungi

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16
Q

What are some immunogens used to develop viral vaccines?

A

attenuated live virus
whole inactivated virus
protein subunit
recombinant
peptides
replicating or non-replicating viral vector
nucleic acid

17
Q

What is the only vaccine for human use that uses nucleic acids to code for the antigen?

A

coronavirus vaccine

18
Q

What is the MOA of ASO in the nucleus?

A

inhibition of 5’ cap formation
inhibition of RNA splicing
activation of RNase H

19
Q

What is the MOA of ASO in the cytosol?

A

forms ASO-mRNA heteroduplex:
-activation of RNase H
-steric hinderance of ribosomal subunit binding (40S and 60S)

20
Q

How does ex vivo gene therapy work?

A

remove cells of interest
culture cells with gene of interest
re-infuse locally or systemically

21
Q

What are antibodies used for?

A

disease prevention
disease diagnosis
treatment of disease

22
Q

What is the structure of antibodies?

A

two heavy chains and two light chains linked by disulfide linkages
fab: recognition and binding
fc: recruitment of macrophages

23
Q

How much is HER2 overexpressed in cancer cells?

A

normal cells: 20,000 receptors
cancer cells: >2 million receptors