Immunoconjugates
Immunoconjugates are a type of biopharmaceutical that are formed by the conjugation of an antibody with a biologically active compound. They are used in the treatment of various diseases, including cancer, autoimmune diseases, and infectious diseases.
Structure and Function[edit | edit source]
Immunoconjugates consist of two main components: an antibody and a biologically active compound. The antibody is used to target specific cells in the body, while the biologically active compound is used to exert a therapeutic effect. The biologically active compound can be a drug, a toxin, a radioisotope, or a fluorescent dye.
The antibody component of an immunoconjugate is typically a monoclonal antibody, which is a type of antibody that is produced by a single clone of cells and is therefore identical in structure. Monoclonal antibodies are highly specific, meaning they can bind to a specific target antigen on the surface of cells. This allows the immunoconjugate to selectively target specific cells in the body.
The biologically active compound is linked to the antibody through a process known as conjugation. This involves the use of a linker molecule to chemically attach the biologically active compound to the antibody. The linker molecule is designed to be stable in the bloodstream but to release the biologically active compound once the immunoconjugate has bound to its target cells.
Clinical Applications[edit | edit source]
Immunoconjugates have a wide range of clinical applications. They are most commonly used in the treatment of cancer, where they can be used to selectively deliver toxic drugs or radioisotopes to cancer cells, thereby minimizing damage to healthy cells. Examples of immunoconjugates used in cancer treatment include Brentuximab vedotin and Trastuzumab emtansine, which are used to treat Hodgkin lymphoma and HER2-positive breast cancer, respectively.
Immunoconjugates are also used in the treatment of autoimmune diseases, where they can be used to selectively target and neutralize harmful immune cells. In addition, they are used in the diagnosis and treatment of infectious diseases, where they can be used to selectively target and kill pathogenic microorganisms.
Future Directions[edit | edit source]
Research is currently underway to develop new types of immunoconjugates with improved efficacy and safety profiles. This includes the development of immunoconjugates with novel types of biologically active compounds, such as nanoparticles and gene therapy vectors, as well as the development of immunoconjugates with novel types of linker molecules that can provide more controlled release of the biologically active compound.
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Contributors: Prab R. Tumpati, MD