Pamatolol
Overview of the beta-blocker Pamatolol
Engineered Monoclonal Antibodies[edit source]
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]
Pamatolol is a beta-adrenergic blocking agent (beta-blocker) used in the management of various cardiovascular conditions. It is known for its ability to reduce heart rate, blood pressure, and myocardial oxygen demand by blocking the action of epinephrine and norepinephrine on beta-adrenergic receptors.
Pharmacology[edit | edit source]
Pamatolol is a non-selective beta-blocker, meaning it inhibits both beta-1 and beta-2 adrenergic receptors. This action results in decreased cardiac output and peripheral resistance, which contributes to its antihypertensive effects.
Mechanism of Action[edit | edit source]
Pamatolol works by competitively blocking the beta-adrenergic receptors in the heart and vascular smooth muscle. This blockade prevents the usual sympathetic nervous system response, leading to a decrease in heart rate and contractility, as well as vasodilation.
Clinical Uses[edit | edit source]
Pamatolol is primarily used in the treatment of hypertension, angina pectoris, and certain types of arrhythmia. It may also be used in the management of myocardial infarction to reduce mortality and improve outcomes.
Side Effects[edit | edit source]
Common side effects of Pamatolol include bradycardia, fatigue, dizziness, and gastrointestinal disturbances. As with other beta-blockers, it may exacerbate symptoms of asthma and chronic obstructive pulmonary disease (COPD) due to its non-selective action.
Contraindications[edit | edit source]
Pamatolol is contraindicated in patients with asthma, severe bradycardia, heart block, and cardiogenic shock. Caution is advised in patients with diabetes mellitus as it may mask hypoglycemic symptoms.
Related pages[edit | edit source]
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Contributors: Prab R. Tumpati, MD