Adimolol

From WikiMD.com Medical Encyclopedia

A beta-adrenergic antagonist


Engineered Monoclonal Antibodies[edit source]

Diagram of engineered monoclonal antibodies

Engineered monoclonal antibodies are a class of biological therapies that are designed to target specific antigens on the surface of cells. These antibodies are produced using recombinant DNA technologies and are used in the treatment of various diseases, including cancer, autoimmune disorders, and infectious diseases.

Structure and Function[edit source]

Monoclonal antibodies are composed of two identical heavy chains and two identical light chains, forming a Y-shaped molecule. The tips of the "Y" contain the antigen-binding sites, which are highly specific to the target antigen. This specificity allows monoclonal antibodies to bind to their target with high affinity, blocking or modulating the function of the antigen.

Types of Engineered Monoclonal Antibodies[edit source]

There are several types of engineered monoclonal antibodies, each designed for specific therapeutic purposes:

  • Chimeric antibodies: These antibodies are composed of murine (mouse) variable regions and human constant regions. They are less immunogenic than fully murine antibodies.
  • Humanized antibodies: These antibodies are mostly human, with only the antigen-binding sites derived from murine sources. This reduces the risk of immune reactions.
  • Fully human antibodies: These are entirely human in origin, produced using transgenic mice or phage display technologies.
  • Bispecific antibodies: These antibodies are engineered to bind two different antigens simultaneously, offering unique therapeutic mechanisms.

Applications in Medicine[edit source]

Engineered monoclonal antibodies have revolutionized the treatment of many diseases:

  • Cancer therapy: Monoclonal antibodies can target specific tumor antigens, leading to direct tumor cell killing or recruitment of immune cells to attack the tumor.
  • Autoimmune diseases: By targeting specific components of the immune system, monoclonal antibodies can reduce inflammation and tissue damage in diseases such as rheumatoid arthritis and multiple sclerosis.
  • Infectious diseases: Monoclonal antibodies can neutralize pathogens or their toxins, providing passive immunity or enhancing the host's immune response.

Production[edit source]

The production of engineered monoclonal antibodies involves several steps:

1. Antigen identification: The target antigen is identified and characterized. 2. Hybridoma technology: B cells from immunized animals are fused with myeloma cells to create hybridomas that produce the desired antibody. 3. Recombinant DNA technology: Genes encoding the antibody are cloned and expressed in suitable host cells, such as Chinese hamster ovary cells. 4. Purification and formulation: The antibodies are purified and formulated for clinical use.

Challenges and Future Directions[edit source]

While engineered monoclonal antibodies have shown great promise, there are challenges such as high production costs, potential for immune reactions, and the development of resistance. Ongoing research aims to improve antibody design, reduce immunogenicity, and enhance therapeutic efficacy.

Related Pages[edit source]

Adimolol is a beta-adrenergic antagonist used in the treatment of hypertension and other cardiovascular conditions. It is a non-selective beta-blocker, meaning it blocks both beta-1 and beta-2 adrenergic receptors.

Pharmacology[edit | edit source]

Adimolol works by inhibiting the action of epinephrine and norepinephrine on beta-adrenergic receptors, which are part of the sympathetic nervous system. This leads to a decrease in heart rate, cardiac output, and blood pressure.

Mechanism of Action[edit | edit source]

Adimolol binds to beta-adrenergic receptors on the surface of cells in the heart and vascular smooth muscle. By blocking these receptors, it prevents the usual sympathetic nervous system response, which includes increased heart rate and force of contraction. This results in a reduction of myocardial oxygen demand and helps to manage conditions like angina pectoris and hypertension.

Clinical Uses[edit | edit source]

Adimolol is primarily used in the management of hypertension and certain types of arrhythmias. It may also be used in the treatment of angina and to prevent myocardial infarction in patients with a history of heart attacks.

Side Effects[edit | edit source]

Common side effects of adimolol include bradycardia, fatigue, dizziness, and gastrointestinal disturbances. As with other beta-blockers, it may cause bronchospasm in susceptible individuals, such as those with asthma.

Synthesis[edit | edit source]

The synthesis of adimolol involves the reaction of a phenolic compound with an epoxide, followed by the introduction of an isopropylamino group. The detailed synthetic pathway is illustrated in the accompanying diagram.

Related pages[edit | edit source]

Gallery[edit | edit source]

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Contributors: Prab R. Tumpati, MD