Lisuride

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A detailed overview of the drug Lisuride


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]

Lisuride is a dopamine receptor agonist of the ergoline class, primarily used in the treatment of Parkinson's disease and migraine prophylaxis. It is chemically related to LSD but does not possess the same hallucinogenic properties.

Pharmacology[edit | edit source]

Lisuride acts as an agonist at dopamine D2 receptors, which are involved in the regulation of movement and coordination. This makes it effective in managing symptoms of Parkinson's disease, a condition characterized by dopamine deficiency in the brain.

Mechanism of Action[edit | edit source]

Lisuride binds to dopamine receptors, mimicking the action of dopamine, which is deficient in patients with Parkinson's disease. This helps to alleviate symptoms such as tremors, stiffness, and bradykinesia.

Medical Uses[edit | edit source]

Lisuride is used in the management of several conditions:

  • Parkinson's disease: It helps in reducing motor symptoms by compensating for the lack of dopamine.
  • Migraine: Lisuride is used prophylactically to reduce the frequency and severity of migraine attacks.

Side Effects[edit | edit source]

Common side effects of lisuride include nausea, dizziness, and fatigue. In some cases, it may cause more serious effects such as hallucinations or hypotension.

History[edit | edit source]

Lisuride was developed in the 1960s and has been used in clinical practice since the 1970s. It was initially investigated for its potential in treating schizophrenia but was found to be more effective in managing Parkinson's disease and migraines.

Chemical Structure[edit | edit source]

Chemical structure of Lisuride

Lisuride is an ergoline derivative, sharing structural similarities with other compounds in this class, such as bromocriptine and cabergoline.

Related pages[edit | edit source]

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Contributors: Prab R. Tumpati, MD