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[单克隆抗体。原理、产生、应用及副作用]

[Monoclonal antibodies. Principles, generation, application, and side effects].

作者信息

Sack U, Emmrich F

机构信息

Institut für Klinische Immunologie und Transfusionsmedizin, Medizinische Fakultät, Universität Leipzig, Johannisallee 30, 04103, Leipzig, Germany.

出版信息

Internist (Berl). 2008 Aug;49(8):919-20, 921-4, 926-8. doi: 10.1007/s00108-008-2055-6.

Abstract

The use of monoclonal antibodies for therapeutic purposes and diagnostic imaging has become an important pillar of internal medicine in recent years. Currently, the application of antibodies against cell surface receptors and cytokines makes specific therapies possible, in particular against chronic and malignant diseases. The production of antibody preparations increasingly involves gene and biotechnological processes while continuing to adhere to the basic principle of specific antigen-antibody binding. Despite the complex antigen structure of antibodies, severe treatment side effects remain the exception. This is all the more remarkable considering the increased use of human or humanized and functionally optimized antibodies. In the coming years, numerous new monoclonal antibodies will extend the therapeutic and diagnostic possibilities for diverse clinical applications.

摘要

近年来,单克隆抗体在治疗和诊断成像中的应用已成为内科医学的重要支柱。目前,针对细胞表面受体和细胞因子的抗体应用使得特定疗法成为可能,特别是针对慢性和恶性疾病。抗体制剂的生产越来越多地涉及基因和生物技术过程,同时继续遵循特异性抗原-抗体结合的基本原则。尽管抗体的抗原结构复杂,但严重的治疗副作用仍然是个例外。考虑到人类或人源化且功能优化抗体的使用增加,这一点就更加显著。在未来几年,众多新的单克隆抗体将扩展各种临床应用的治疗和诊断可能性。

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