Pempidine

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An article about the drug Pempidine


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]

Pempidine is a ganglionic blocker that was historically used as an antihypertensive agent. It is a member of the piperidine class of compounds and functions by inhibiting the transmission of nerve impulses in the autonomic nervous system.

Chemical structure and properties[edit | edit source]

Structural formula of Pempidine

Pempidine is a piperidine derivative with the chemical formula C10H19N. It is characterized by a six-membered ring containing five carbon atoms and one nitrogen atom. The structure of pempidine allows it to interact with nicotinic acetylcholine receptors in the autonomic ganglia, leading to its pharmacological effects.

Pharmacology[edit | edit source]

Pempidine acts as a ganglionic blocker, which means it inhibits the transmission of nerve impulses in the autonomic nervous system. This action results in a decrease in blood pressure, making it useful in the treatment of hypertension. However, due to its broad effects on the autonomic nervous system, it can cause a range of side effects, limiting its clinical use.

Medical uses[edit | edit source]

Historically, pempidine was used as an antihypertensive agent. It was one of the early drugs used to manage high blood pressure by blocking the transmission of nerve signals in the autonomic ganglia. However, with the development of more selective and better-tolerated antihypertensive agents, the use of pempidine has declined.

Side effects[edit | edit source]

The use of pempidine can lead to several side effects due to its non-selective action on the autonomic nervous system. Common side effects include dry mouth, constipation, urinary retention, and blurred vision. These side effects are a result of the blockade of parasympathetic ganglia.

History[edit | edit source]

Pempidine was developed in the mid-20th century as part of the search for effective antihypertensive agents. It was one of the first drugs to demonstrate the potential of ganglionic blockade in the management of high blood pressure. However, its use has largely been replaced by more modern medications with fewer side effects.

Related pages[edit | edit source]

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Contributors: Prab R. Tumpati, MD