Brorphine

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Brorphine Structure.svg

Synthetic opioid analgesic


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]

Brorphine is a synthetic opioid analgesic that has been identified as a designer drug. It is structurally related to other synthetic opioids such as fentanyl and U-47700. Brorphine has been associated with numerous cases of overdose and fatalities, particularly in the context of its use as a recreational drug.

Chemical Structure and Properties[edit | edit source]

Brorphine's chemical structure includes a piperidine ring, a benzimidazole moiety, and a 4-bromophenyl group. Its IUPAC name is 1-[1-[1-(4-bromophenyl)ethyl]piperidin-4-yl]-1,3-dihydro-2H-benzimidazol-2-one. The molecular formula is C21H24BrN3O.

Pharmacology[edit | edit source]

Brorphine acts as a potent mu-opioid receptor agonist, similar to other synthetic opioids. This receptor activity is responsible for its analgesic effects as well as its potential for abuse and overdose. The pharmacokinetics and metabolism of brorphine are not well-documented, but it is believed to be metabolized in the liver and excreted via the kidneys.

Legal Status[edit | edit source]

In the United States, brorphine is classified as a Schedule I controlled substance under the Controlled Substances Act. This classification indicates that it has a high potential for abuse, no accepted medical use, and a lack of accepted safety for use under medical supervision.

Health Risks and Overdose[edit | edit source]

The use of brorphine has been linked to several cases of overdose and death. Symptoms of brorphine overdose are similar to those of other opioids and include respiratory depression, sedation, and loss of consciousness. Emergency treatment typically involves the administration of naloxone, an opioid antagonist.

See Also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD