Lobaplatin

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Overview of the chemotherapy drug Lobaplatin


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]

Lobaplatin is a platinum-based antineoplastic agent used in the treatment of various types of cancer. It is a third-generation platinum compound, following cisplatin and carboplatin, and is known for its improved safety profile and efficacy.

Chemical Structure[edit | edit source]

Chemical structure of Lobaplatin

Lobaplatin is a complex of platinum with a cyclobutane dicarboxylate ligand and a 1,2-diaminocyclohexane carrier ligand. This structure allows it to form cross-links with DNA, inhibiting DNA replication and transcription, which ultimately leads to cell death.

Mechanism of Action[edit | edit source]

Lobaplatin exerts its antitumor effects by binding to DNA and forming intrastrand cross-links between adjacent guanine bases. This cross-linking disrupts the DNA double helix, preventing DNA replication and transcription, and triggering apoptosis in rapidly dividing cancer cells.

Clinical Uses[edit | edit source]

Lobaplatin is primarily used in the treatment of breast cancer, ovarian cancer, and small cell lung cancer. It is often administered in combination with other chemotherapeutic agents to enhance its efficacy.

Side Effects[edit | edit source]

Common side effects of Lobaplatin include myelosuppression, nausea, and vomiting. It is generally better tolerated than earlier platinum-based drugs, with a lower incidence of nephrotoxicity and neurotoxicity.

Pharmacokinetics[edit | edit source]

Lobaplatin is administered intravenously and exhibits a biphasic elimination pattern. It is primarily excreted through the kidneys, and dose adjustments may be necessary in patients with renal impairment.

Development and Approval[edit | edit source]

Lobaplatin was developed to overcome the limitations of earlier platinum drugs, such as cisplatin and carboplatin. It has been approved for use in several countries, although its availability may vary.

Related pages[edit | edit source]

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Contributors: Prab R. Tumpati, MD