Wadhwa M, Gaines-Das R, Thorpe R, Mire-Sluis A
Division of Immunology and Endocrinology, NIBSC, Potters Bar, UK.
Dev Biol (Basel). 2005;122:155-70.
Assessment of the unwanted immunogenicity of therapeutic biologicals in recipients is an important consideration in the evaluation of these medicinal products. Proper planning of immunogenicity studies with appropriately devised strategies is critical if valid and meaningful conclusions concerning the unwanted immunogenicity are to be derived. An essential requisite for such studies is the need for conducting carefully selected and validated procedures. Several techniques are available for detection, characterization and measurement of antibodies elicited in an immune response. These include various formats of immunoassays, surface plasmon resonance and biological assays. None of these assays alone can provide sufficient information on the characteristics of the induced antibodies. A combination of methods is therefore usually necessary for a detailed understanding of the quantity and type(s) of antibodies generated against a therapeutic product. This manuscript considers the benefits and limitations of the various techniques available for antibody detection and outlines a brief strategy for the assessment of unwanted immunogenicity of therapeutic products.
评估治疗性生物制品在接受者体内产生的不良免疫原性是这些药品评估中的一个重要考量因素。如果要得出关于不良免疫原性的有效且有意义的结论,那么采用适当设计的策略对免疫原性研究进行合理规划至关重要。此类研究的一个基本要求是需要实施精心挑选并经验证的程序。有多种技术可用于检测、表征和测量免疫反应中产生的抗体。这些技术包括各种形式的免疫测定、表面等离子体共振和生物学测定。这些测定方法单独一种都无法提供关于诱导产生的抗体特性的足够信息。因此,通常需要结合多种方法来详细了解针对治疗性产品产生的抗体的数量和类型。本手稿探讨了可用于抗体检测的各种技术的优缺点,并概述了评估治疗性产品不良免疫原性的简要策略。