Reassessing therapeutic antibodies for neglected and tropical diseases
In the past two decades there has been a significant expansion in the number of new therapeutic monoclonal antibodies (mAbs) that are approved by regulators. The discovery of these new medicines has been driven primarily by new approaches in inflammatory diseases and oncology, especially in immuno-o...
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Veröffentlicht in: | PLoS neglected tropical diseases 2020-01, Vol.14 (1), p.e0007860 |
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description | In the past two decades there has been a significant expansion in the number of new therapeutic monoclonal antibodies (mAbs) that are approved by regulators. The discovery of these new medicines has been driven primarily by new approaches in inflammatory diseases and oncology, especially in immuno-oncology. Other recent successes have included new antibodies for use in viral diseases, including HIV. The perception of very high costs associated with mAbs has led to the assumption that they play no role in prophylaxis for diseases of poverty. However, improvements in antibody-expression yields and manufacturing processes indicate this is a cost-effective option for providing protection from many types of infection that should be revisited. Recent technology developments also indicate that several months of protection could be achieved with a single dose. Moreover, new methods in B cell sorting now enable the systematic identification of high-quality antibodies from humanized mice, or patients. This Review discusses the potential for passive immunization against schistosomiasis, fungal infections, dengue, and other neglected diseases. |
doi_str_mv | 10.1371/journal.pntd.0007860 |
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The discovery of these new medicines has been driven primarily by new approaches in inflammatory diseases and oncology, especially in immuno-oncology. Other recent successes have included new antibodies for use in viral diseases, including HIV. The perception of very high costs associated with mAbs has led to the assumption that they play no role in prophylaxis for diseases of poverty. However, improvements in antibody-expression yields and manufacturing processes indicate this is a cost-effective option for providing protection from many types of infection that should be revisited. Recent technology developments also indicate that several months of protection could be achieved with a single dose. Moreover, new methods in B cell sorting now enable the systematic identification of high-quality antibodies from humanized mice, or patients. This Review discusses the potential for passive immunization against schistosomiasis, fungal infections, dengue, and other neglected diseases.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0007860</identifier><identifier>PMID: 31999695</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animals ; Antibodies ; Antibodies, Monoclonal - pharmacology ; Biology and Life Sciences ; Cancer immunotherapy ; Costs ; Dengue ; Dengue - drug therapy ; Dengue fever ; Disease prophylaxis ; Drug Development ; Drug dosages ; FDA approval ; HIV ; Human diseases ; Human immunodeficiency virus ; Humans ; Immunization ; Immunization, Passive ; Infections ; Infectious diseases ; Inflammatory diseases ; Malaria ; Manufacturing industry ; Medicine and Health Sciences ; Mice ; Monoclonal antibodies ; Mycoses - drug therapy ; Neglected Diseases - drug therapy ; Oncology ; Peptides ; Poverty ; Prophylaxis ; Protection ; Proteins ; Regulators ; Research and Analysis Methods ; Respiratory syncytial virus ; Review ; Rheumatoid arthritis ; Schistosomiasis ; Schistosomiasis - drug therapy ; Success ; Tropical climate ; Tropical diseases ; Tropical Medicine ; Tumor necrosis factor-TNF ; Vector-borne diseases ; Viral diseases ; Viral infections ; Viroses</subject><ispartof>PLoS neglected tropical diseases, 2020-01, Vol.14 (1), p.e0007860</ispartof><rights>2020 Hooft van Huijsduijnen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The discovery of these new medicines has been driven primarily by new approaches in inflammatory diseases and oncology, especially in immuno-oncology. Other recent successes have included new antibodies for use in viral diseases, including HIV. The perception of very high costs associated with mAbs has led to the assumption that they play no role in prophylaxis for diseases of poverty. However, improvements in antibody-expression yields and manufacturing processes indicate this is a cost-effective option for providing protection from many types of infection that should be revisited. Recent technology developments also indicate that several months of protection could be achieved with a single dose. Moreover, new methods in B cell sorting now enable the systematic identification of high-quality antibodies from humanized mice, or patients. This Review discusses the potential for passive immunization against schistosomiasis, fungal infections, dengue, and other neglected diseases.</description><subject>Animals</subject><subject>Antibodies</subject><subject>Antibodies, Monoclonal - pharmacology</subject><subject>Biology and Life Sciences</subject><subject>Cancer immunotherapy</subject><subject>Costs</subject><subject>Dengue</subject><subject>Dengue - drug therapy</subject><subject>Dengue fever</subject><subject>Disease prophylaxis</subject><subject>Drug Development</subject><subject>Drug dosages</subject><subject>FDA approval</subject><subject>HIV</subject><subject>Human diseases</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization, Passive</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Inflammatory diseases</subject><subject>Malaria</subject><subject>Manufacturing industry</subject><subject>Medicine and Health Sciences</subject><subject>Mice</subject><subject>Monoclonal antibodies</subject><subject>Mycoses - 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subjects | Animals Antibodies Antibodies, Monoclonal - pharmacology Biology and Life Sciences Cancer immunotherapy Costs Dengue Dengue - drug therapy Dengue fever Disease prophylaxis Drug Development Drug dosages FDA approval HIV Human diseases Human immunodeficiency virus Humans Immunization Immunization, Passive Infections Infectious diseases Inflammatory diseases Malaria Manufacturing industry Medicine and Health Sciences Mice Monoclonal antibodies Mycoses - drug therapy Neglected Diseases - drug therapy Oncology Peptides Poverty Prophylaxis Protection Proteins Regulators Research and Analysis Methods Respiratory syncytial virus Review Rheumatoid arthritis Schistosomiasis Schistosomiasis - drug therapy Success Tropical climate Tropical diseases Tropical Medicine Tumor necrosis factor-TNF Vector-borne diseases Viral diseases Viral infections Viroses |
title | Reassessing therapeutic antibodies for neglected and tropical diseases |
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