Cericlamine

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Overview of the antidepressant drug Cericlamine


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]

Cericlamine is a pharmaceutical compound that was investigated for its potential use as an antidepressant. It belongs to the class of drugs known as selective serotonin reuptake inhibitors (SSRIs), which are commonly used in the treatment of depression and other mood disorders.

Pharmacology[edit | edit source]

Cericlamine functions primarily by inhibiting the reuptake of serotonin, a neurotransmitter that plays a key role in mood regulation. By preventing the reabsorption of serotonin into the presynaptic neuron, cericlamine increases the availability of serotonin in the synaptic cleft, thereby enhancing serotonergic neurotransmission.

Mechanism of Action[edit | edit source]

Structural formula of Cericlamine

The mechanism of action of cericlamine is similar to that of other SSRIs. It selectively binds to the serotonin transporter (SERT) on the presynaptic neuron, blocking the reuptake of serotonin. This leads to an increase in serotonin levels in the synaptic cleft, which is thought to contribute to its antidepressant effects.

Clinical Development[edit | edit source]

Cericlamine was developed and studied in clinical trials to assess its efficacy and safety as an antidepressant. However, it did not reach the market due to various factors, including the availability of other effective SSRIs and potential side effects observed during trials.

Side Effects[edit | edit source]

As with other SSRIs, cericlamine was associated with a range of side effects. Common side effects included nausea, headache, insomnia, and sexual dysfunction. These side effects are typical of SSRIs due to their action on serotonin levels in the brain.

Comparison with Other SSRIs[edit | edit source]

Cericlamine was compared to other SSRIs such as fluoxetine, sertraline, and paroxetine during its development. While it showed similar efficacy in increasing serotonin levels, its side effect profile and lack of significant advantages over existing medications limited its commercial development.

Related pages[edit | edit source]

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Contributors: Prab R. Tumpati, MD