Clobetasone

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Overview of the corticosteroid Clobetasone


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]

Clobetasone is a corticosteroid used in the treatment of various skin conditions. It is known for its anti-inflammatory and immunosuppressive properties, making it effective in reducing symptoms such as swelling, redness, and itching.

Pharmacology[edit | edit source]

Clobetasone is a glucocorticoid, a class of corticosteroids that binds to the glucocorticoid receptor. This binding leads to the modulation of gene expression, resulting in the suppression of inflammatory responses. Clobetasone is typically used in the form of clobetasone butyrate, which is a more potent derivative.

Medical uses[edit | edit source]

Clobetasone is primarily used in the management of eczema, dermatitis, and other inflammatory skin conditions. It is applied topically and is available in various formulations, including creams and ointments. The medication is often prescribed for short-term use to control flare-ups of skin conditions.

Side effects[edit | edit source]

Common side effects of clobetasone include skin irritation, dryness, and a burning sensation at the site of application. Prolonged use can lead to skin thinning, striae, and telangiectasia. Systemic absorption is minimal when used as directed, but caution is advised in long-term use or when applied to large areas of the body.

Mechanism of action[edit | edit source]

Clobetasone works by inhibiting the release of inflammatory mediators such as prostaglandins and leukotrienes. It also reduces the activity of immune cells involved in the inflammatory process. This dual action helps in controlling the symptoms of inflammatory skin conditions.

Administration[edit | edit source]

Clobetasone is applied directly to the affected area of the skin. The frequency and duration of application depend on the severity of the condition and the response to treatment. It is important to follow medical advice to avoid potential side effects associated with overuse.

Related pages[edit | edit source]

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Contributors: Prab R. Tumpati, MD