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重组抗体在 感染治疗中的应用:现状与展望。

Application of recombinant antibodies for treatment of infection: Current status and future perspective.

机构信息

Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Front Immunol. 2022 Aug 23;13:972930. doi: 10.3389/fimmu.2022.972930. eCollection 2022.

Abstract

(), known as the major cause of antibiotic-associated diarrhea, is regarded as one of the most common healthcare-associated bacterial infections worldwide. Due to the emergence of hypervirulent strains, development of new therapeutic methods for infection (CDI) has become crucially important. In this context, antibodies have been introduced as valuable tools in the research and clinical environments, as far as the effectiveness of antibody therapy for CDI was reported in several clinical investigations. Hence, production of high-performance antibodies for treatment of CDI would be precious. Traditional approaches of antibody generation are based on hybridoma technology. Today, application of technologies for generating recombinant antibodies, like phage display, is considered as an appropriate alternative to hybridoma technology. These techniques can circumvent the limitations of the immune system and they can be exploited for production of antibodies against different types of biomolecules in particular active toxins. Additionally, DNA encoding antibodies is directly accessible in technologies, which enables the application of antibody engineering in order to increase their sensitivity and specificity. Here, we review the application of antibodies for CDI treatment with an emphasis on recombinant fragment antibodies. Also, this review highlights the current and future prospects of the aforementioned approaches for antibody-mediated therapy of CDI.

摘要

艰难梭菌(),被认为是抗生素相关性腹泻的主要原因之一,是全球最常见的医疗保健相关细菌感染之一。由于高毒力菌株的出现,开发感染(CDI)的新治疗方法变得至关重要。在这方面,抗体已被引入到研究和临床环境中,作为有价值的工具,因为有几项临床研究报告了抗体治疗 CDI 的有效性。因此,生产用于治疗 CDI 的高性能抗体将是非常宝贵的。传统的抗体生成方法基于杂交瘤技术。如今,应用噬菌体展示等重组抗体生成技术被认为是杂交瘤技术的一种合适替代方法。这些技术可以规避免疫系统的限制,并且可以用于生产针对不同类型生物分子特别是活性毒素的抗体。此外,抗体的 DNA 编码在重组技术中是直接可访问的,这使得可以应用抗体工程来提高其敏感性和特异性。在这里,我们重点介绍了重组片段抗体在 CDI 治疗中的应用,并强调了上述方法在 CDI 的抗体介导治疗中的当前和未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cef/9445313/31e1b179f37c/fimmu-13-972930-g001.jpg

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