SlideShare a Scribd company logo
1 of 31
By: Dr. Vahid Nikoui
Email: nikoui@razi.tums.ac.ir
*Milstein & Kohler in 1975

*Hybridoma

*Antibody-forming   cells fused to immortal plasmacytoma
 cells


*Hybrid cells that are stable and produce the required
 antibody can be subcloned for mass culture for antibody
 production
Antilymphocyte (ALG) and
            antithymocyte (ATG) globulins

* Obtained from the serum of animals

* Steroid-resistant
                 acute rejection reaction and grave aplastic anemia
 treatment, delayed hypersensitivity and the graft-versus-host disease
 (GVHD)

* As an adjuvant in ciclosporin therapy

* Inhibit T lymphocytes and cause their lysis:

  * Complement-mediated cytolysis
  * Cell-mediated opsonization followed by removal of reticuloendothelial cells
    from the circulation in the spleen and liver
*There are two preparations available to the market:

    * Atgam ,obtained from horse serum
    * Thymoglobuline obtained from rabbit serum


*High immunogenicity, acute reaction to the
 treatment, fever and even anaphylaxis (type III)
*High dose (2g/kg)

*Decreased T-Helper and increased T-Suppressor

*In different autoimmune diseases
* Rh0(D) IgG

* Mother Rh-   and fetus Rh+


* Labor, abortion or ectopic pregnancy (sensitization)

* Next pregnancy: Erythroblastosis (heamolytic)

* Rho Ab injection to mother 24-72 hrs after the labor of a
 Rh+ newborn
*IGIV

*From selected donors

*Abs against viruses and toxins
*Directed towards exactly defined antigens

*Fewer side-effects
* Humanization
* Fc

* Murine
  * -onab

* Humanized
  * -umab    or -zumab


* Chimeric
  * -imab    or -ximab


* Recombinant Pr attached to Abs
  * -cept
* Murine anti-CD3

* Prevents T-cell activation and proliferation

* One of the most potent immunosuppressive substances

* To control the steroid- and/or polyclonal antibodies-resistant acute
 rejection episodes

* Also used prophylactically in transplantations

* Inthe first few administrations this binding non-specifically activates
 T-cells, leading to a serious syndrome 30 to 60 minutes later. It is
 characterized by fever, myalgia, headache, and arthralgia.
*A recombinant Pr that attached to Fc part of
 human IgG1


*Binds to CD2 on T cells

*Psoriasis
*Humanized antibody

*Binds to CD11a (α part of LFA-1) on T cells

*Prevents   the interaction between LFA-1 and ICAM-1
 on APCs

*Severe Psoriasis
*Humanized IgG1

*Binds to CD52 on B cells, T cells and NK

*Chorionic lymphocytic leukemia
*Chimeric IgG1

*Binds to CD20 on B cells

*Non-Hodgkin`s lymphoma
*Chimeric mouse/human antibody

*1998

*Binds to IL-2a receptor's α chain (CD25)

*Prophylaxis of the acute organ rejection after
 kidney transplantation
*Humanized antibody

*1998

*Binds to IL-2a receptor's α chain (CD25)

*Prophylaxis of the acute organ rejection after
 kidney transplantation
*Suppression of IL-1 and IL-6 and leukocyte
 migration
*Completely Human IgG1

*Rheumatoid arthritis

*Toxicity: lymphoma
*A recombinant Pr that attached to Fc part of
 human IgG1


*Rheumatoid arthritis

*Toxicity: lymphoma
*Chimeric IgG1

*Rheumatoid arthritis

*Crohn`s disease

*Toxicity: lymphoma
*A recombinant Pr that attached to Fc part of
 human IgG

*Binds to CD80 or CD86 on APCs

*Inhibition of contact to CD28 on T cells

*Rheumatoid arthritis
*Humanized Ab against IgE

*Prevents IgE attachment to Fc receptors on basophils
 and mast cells


*Prevents resealing of type I allergic mediators
Immunosuppressive Antibodies

More Related Content

What's hot

What's hot (20)

Immunosuppressant drugs
Immunosuppressant drugsImmunosuppressant drugs
Immunosuppressant drugs
 
Immunosuppressant drugs
Immunosuppressant drugsImmunosuppressant drugs
Immunosuppressant drugs
 
Immunosuppressants
ImmunosuppressantsImmunosuppressants
Immunosuppressants
 
Immunosuppressants final drug ppt
Immunosuppressants  final drug pptImmunosuppressants  final drug ppt
Immunosuppressants final drug ppt
 
Aminoglycosides
AminoglycosidesAminoglycosides
Aminoglycosides
 
Pharmacology - Immunosupressants
Pharmacology - ImmunosupressantsPharmacology - Immunosupressants
Pharmacology - Immunosupressants
 
11.IMMUNOSUPPRESSANTS
11.IMMUNOSUPPRESSANTS11.IMMUNOSUPPRESSANTS
11.IMMUNOSUPPRESSANTS
 
Immunosuppressant drugs
Immunosuppressant drugsImmunosuppressant drugs
Immunosuppressant drugs
 
Immunomodulators - 3.pptx
Immunomodulators - 3.pptxImmunomodulators - 3.pptx
Immunomodulators - 3.pptx
 
Macrolides
MacrolidesMacrolides
Macrolides
 
Immunosuppressants
Immunosuppressants Immunosuppressants
Immunosuppressants
 
Immunosuppressive Drugs
Immunosuppressive DrugsImmunosuppressive Drugs
Immunosuppressive Drugs
 
Immunopharmacology
ImmunopharmacologyImmunopharmacology
Immunopharmacology
 
Antifungals drugs classification,mechanism of action uses and adverse effects
Antifungals drugs classification,mechanism of action uses and adverse effectsAntifungals drugs classification,mechanism of action uses and adverse effects
Antifungals drugs classification,mechanism of action uses and adverse effects
 
Immunomodulators
ImmunomodulatorsImmunomodulators
Immunomodulators
 
Immunosuppressants Pharmacology
Immunosuppressants PharmacologyImmunosuppressants Pharmacology
Immunosuppressants Pharmacology
 
Cancer chemotherapy
Cancer  chemotherapyCancer  chemotherapy
Cancer chemotherapy
 
Immunosuppressants drug
Immunosuppressants drugImmunosuppressants drug
Immunosuppressants drug
 
Anticoagulant ppt nikku
Anticoagulant ppt nikkuAnticoagulant ppt nikku
Anticoagulant ppt nikku
 
Immunomodulators
Immunomodulators Immunomodulators
Immunomodulators
 

Similar to Immunosuppressive Antibodies

Similar to Immunosuppressive Antibodies (20)

Immunomodulators(VK)
Immunomodulators(VK)Immunomodulators(VK)
Immunomodulators(VK)
 
Immunopharmacology 2003
Immunopharmacology 2003Immunopharmacology 2003
Immunopharmacology 2003
 
Immunology lec
Immunology lecImmunology lec
Immunology lec
 
Immunomodulators
ImmunomodulatorsImmunomodulators
Immunomodulators
 
INDUCTION PPT.pptx
INDUCTION PPT.pptxINDUCTION PPT.pptx
INDUCTION PPT.pptx
 
Biologicals in Dermatology (Part 2)
Biologicals in Dermatology (Part 2)Biologicals in Dermatology (Part 2)
Biologicals in Dermatology (Part 2)
 
INDUCTION IMMUNOSUPPRESSION.pptx
INDUCTION IMMUNOSUPPRESSION.pptxINDUCTION IMMUNOSUPPRESSION.pptx
INDUCTION IMMUNOSUPPRESSION.pptx
 
Immunomodulators and their application as adjuvant
Immunomodulators and their application as adjuvantImmunomodulators and their application as adjuvant
Immunomodulators and their application as adjuvant
 
IMMUNOPHARMACOLOGY.pdf
IMMUNOPHARMACOLOGY.pdfIMMUNOPHARMACOLOGY.pdf
IMMUNOPHARMACOLOGY.pdf
 
IMMUNOPHARMACOLOGY.pdf
IMMUNOPHARMACOLOGY.pdfIMMUNOPHARMACOLOGY.pdf
IMMUNOPHARMACOLOGY.pdf
 
Immunosuppressants.pptx
Immunosuppressants.pptxImmunosuppressants.pptx
Immunosuppressants.pptx
 
Immunology and immunosuppressants
Immunology and immunosuppressantsImmunology and immunosuppressants
Immunology and immunosuppressants
 
IMMUNOSUPPRESSANT DRUGS.pptx
IMMUNOSUPPRESSANT DRUGS.pptxIMMUNOSUPPRESSANT DRUGS.pptx
IMMUNOSUPPRESSANT DRUGS.pptx
 
Biological therapeutic agents ppt
Biological therapeutic  agents pptBiological therapeutic  agents ppt
Biological therapeutic agents ppt
 
Immunosuppressant
ImmunosuppressantImmunosuppressant
Immunosuppressant
 
HYPERSENSITIVITY REACTIONS Immunology k
HYPERSENSITIVITY  REACTIONS Immunology kHYPERSENSITIVITY  REACTIONS Immunology k
HYPERSENSITIVITY REACTIONS Immunology k
 
Immunopharmacology
Immunopharmacology Immunopharmacology
Immunopharmacology
 
Milan lecture kounis syndrome
Milan lecture kounis syndromeMilan lecture kounis syndrome
Milan lecture kounis syndrome
 
immunosuppressants.pptx
immunosuppressants.pptximmunosuppressants.pptx
immunosuppressants.pptx
 
Immunomodulators
ImmunomodulatorsImmunomodulators
Immunomodulators
 

More from Tehran University of Medical Sciences (9)

Nuclear Receptors
Nuclear ReceptorsNuclear Receptors
Nuclear Receptors
 
Serotonin
Serotonin Serotonin
Serotonin
 
Prokinetics
ProkineticsProkinetics
Prokinetics
 
Pharmacogenetics
PharmacogeneticsPharmacogenetics
Pharmacogenetics
 
Epinephrine
Epinephrine Epinephrine
Epinephrine
 
Drug Abuse and Misuse
Drug Abuse and MisuseDrug Abuse and Misuse
Drug Abuse and Misuse
 
Classification of Pain
Classification of PainClassification of Pain
Classification of Pain
 
Protein Kinase A
Protein Kinase AProtein Kinase A
Protein Kinase A
 
Affinity and Efficacy
Affinity and EfficacyAffinity and Efficacy
Affinity and Efficacy
 

Recently uploaded

Anypoint Exchange: It’s Not Just a Repo!
Anypoint Exchange: It’s Not Just a Repo!Anypoint Exchange: It’s Not Just a Repo!
Anypoint Exchange: It’s Not Just a Repo!Manik S Magar
 
Powerpoint exploring the locations used in television show Time Clash
Powerpoint exploring the locations used in television show Time ClashPowerpoint exploring the locations used in television show Time Clash
Powerpoint exploring the locations used in television show Time Clashcharlottematthew16
 
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024BookNet Canada
 
Artificial intelligence in cctv survelliance.pptx
Artificial intelligence in cctv survelliance.pptxArtificial intelligence in cctv survelliance.pptx
Artificial intelligence in cctv survelliance.pptxhariprasad279825
 
Beyond Boundaries: Leveraging No-Code Solutions for Industry Innovation
Beyond Boundaries: Leveraging No-Code Solutions for Industry InnovationBeyond Boundaries: Leveraging No-Code Solutions for Industry Innovation
Beyond Boundaries: Leveraging No-Code Solutions for Industry InnovationSafe Software
 
Unraveling Multimodality with Large Language Models.pdf
Unraveling Multimodality with Large Language Models.pdfUnraveling Multimodality with Large Language Models.pdf
Unraveling Multimodality with Large Language Models.pdfAlex Barbosa Coqueiro
 
DevoxxFR 2024 Reproducible Builds with Apache Maven
DevoxxFR 2024 Reproducible Builds with Apache MavenDevoxxFR 2024 Reproducible Builds with Apache Maven
DevoxxFR 2024 Reproducible Builds with Apache MavenHervé Boutemy
 
Install Stable Diffusion in windows machine
Install Stable Diffusion in windows machineInstall Stable Diffusion in windows machine
Install Stable Diffusion in windows machinePadma Pradeep
 
The Future of Software Development - Devin AI Innovative Approach.pdf
The Future of Software Development - Devin AI Innovative Approach.pdfThe Future of Software Development - Devin AI Innovative Approach.pdf
The Future of Software Development - Devin AI Innovative Approach.pdfSeasiaInfotech2
 
Training state-of-the-art general text embedding
Training state-of-the-art general text embeddingTraining state-of-the-art general text embedding
Training state-of-the-art general text embeddingZilliz
 
SIP trunking in Janus @ Kamailio World 2024
SIP trunking in Janus @ Kamailio World 2024SIP trunking in Janus @ Kamailio World 2024
SIP trunking in Janus @ Kamailio World 2024Lorenzo Miniero
 
Developer Data Modeling Mistakes: From Postgres to NoSQL
Developer Data Modeling Mistakes: From Postgres to NoSQLDeveloper Data Modeling Mistakes: From Postgres to NoSQL
Developer Data Modeling Mistakes: From Postgres to NoSQLScyllaDB
 
Nell’iperspazio con Rocket: il Framework Web di Rust!
Nell’iperspazio con Rocket: il Framework Web di Rust!Nell’iperspazio con Rocket: il Framework Web di Rust!
Nell’iperspazio con Rocket: il Framework Web di Rust!Commit University
 
Streamlining Python Development: A Guide to a Modern Project Setup
Streamlining Python Development: A Guide to a Modern Project SetupStreamlining Python Development: A Guide to a Modern Project Setup
Streamlining Python Development: A Guide to a Modern Project SetupFlorian Wilhelm
 
AI as an Interface for Commercial Buildings
AI as an Interface for Commercial BuildingsAI as an Interface for Commercial Buildings
AI as an Interface for Commercial BuildingsMemoori
 
Vector Databases 101 - An introduction to the world of Vector Databases
Vector Databases 101 - An introduction to the world of Vector DatabasesVector Databases 101 - An introduction to the world of Vector Databases
Vector Databases 101 - An introduction to the world of Vector DatabasesZilliz
 
Ensuring Technical Readiness For Copilot in Microsoft 365
Ensuring Technical Readiness For Copilot in Microsoft 365Ensuring Technical Readiness For Copilot in Microsoft 365
Ensuring Technical Readiness For Copilot in Microsoft 3652toLead Limited
 
Advanced Test Driven-Development @ php[tek] 2024
Advanced Test Driven-Development @ php[tek] 2024Advanced Test Driven-Development @ php[tek] 2024
Advanced Test Driven-Development @ php[tek] 2024Scott Keck-Warren
 

Recently uploaded (20)

Anypoint Exchange: It’s Not Just a Repo!
Anypoint Exchange: It’s Not Just a Repo!Anypoint Exchange: It’s Not Just a Repo!
Anypoint Exchange: It’s Not Just a Repo!
 
Powerpoint exploring the locations used in television show Time Clash
Powerpoint exploring the locations used in television show Time ClashPowerpoint exploring the locations used in television show Time Clash
Powerpoint exploring the locations used in television show Time Clash
 
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024
Transcript: New from BookNet Canada for 2024: BNC CataList - Tech Forum 2024
 
Artificial intelligence in cctv survelliance.pptx
Artificial intelligence in cctv survelliance.pptxArtificial intelligence in cctv survelliance.pptx
Artificial intelligence in cctv survelliance.pptx
 
Beyond Boundaries: Leveraging No-Code Solutions for Industry Innovation
Beyond Boundaries: Leveraging No-Code Solutions for Industry InnovationBeyond Boundaries: Leveraging No-Code Solutions for Industry Innovation
Beyond Boundaries: Leveraging No-Code Solutions for Industry Innovation
 
Unraveling Multimodality with Large Language Models.pdf
Unraveling Multimodality with Large Language Models.pdfUnraveling Multimodality with Large Language Models.pdf
Unraveling Multimodality with Large Language Models.pdf
 
DevoxxFR 2024 Reproducible Builds with Apache Maven
DevoxxFR 2024 Reproducible Builds with Apache MavenDevoxxFR 2024 Reproducible Builds with Apache Maven
DevoxxFR 2024 Reproducible Builds with Apache Maven
 
Install Stable Diffusion in windows machine
Install Stable Diffusion in windows machineInstall Stable Diffusion in windows machine
Install Stable Diffusion in windows machine
 
The Future of Software Development - Devin AI Innovative Approach.pdf
The Future of Software Development - Devin AI Innovative Approach.pdfThe Future of Software Development - Devin AI Innovative Approach.pdf
The Future of Software Development - Devin AI Innovative Approach.pdf
 
Training state-of-the-art general text embedding
Training state-of-the-art general text embeddingTraining state-of-the-art general text embedding
Training state-of-the-art general text embedding
 
DMCC Future of Trade Web3 - Special Edition
DMCC Future of Trade Web3 - Special EditionDMCC Future of Trade Web3 - Special Edition
DMCC Future of Trade Web3 - Special Edition
 
SIP trunking in Janus @ Kamailio World 2024
SIP trunking in Janus @ Kamailio World 2024SIP trunking in Janus @ Kamailio World 2024
SIP trunking in Janus @ Kamailio World 2024
 
Developer Data Modeling Mistakes: From Postgres to NoSQL
Developer Data Modeling Mistakes: From Postgres to NoSQLDeveloper Data Modeling Mistakes: From Postgres to NoSQL
Developer Data Modeling Mistakes: From Postgres to NoSQL
 
Nell’iperspazio con Rocket: il Framework Web di Rust!
Nell’iperspazio con Rocket: il Framework Web di Rust!Nell’iperspazio con Rocket: il Framework Web di Rust!
Nell’iperspazio con Rocket: il Framework Web di Rust!
 
Streamlining Python Development: A Guide to a Modern Project Setup
Streamlining Python Development: A Guide to a Modern Project SetupStreamlining Python Development: A Guide to a Modern Project Setup
Streamlining Python Development: A Guide to a Modern Project Setup
 
E-Vehicle_Hacking_by_Parul Sharma_null_owasp.pptx
E-Vehicle_Hacking_by_Parul Sharma_null_owasp.pptxE-Vehicle_Hacking_by_Parul Sharma_null_owasp.pptx
E-Vehicle_Hacking_by_Parul Sharma_null_owasp.pptx
 
AI as an Interface for Commercial Buildings
AI as an Interface for Commercial BuildingsAI as an Interface for Commercial Buildings
AI as an Interface for Commercial Buildings
 
Vector Databases 101 - An introduction to the world of Vector Databases
Vector Databases 101 - An introduction to the world of Vector DatabasesVector Databases 101 - An introduction to the world of Vector Databases
Vector Databases 101 - An introduction to the world of Vector Databases
 
Ensuring Technical Readiness For Copilot in Microsoft 365
Ensuring Technical Readiness For Copilot in Microsoft 365Ensuring Technical Readiness For Copilot in Microsoft 365
Ensuring Technical Readiness For Copilot in Microsoft 365
 
Advanced Test Driven-Development @ php[tek] 2024
Advanced Test Driven-Development @ php[tek] 2024Advanced Test Driven-Development @ php[tek] 2024
Advanced Test Driven-Development @ php[tek] 2024
 

Immunosuppressive Antibodies

  • 1. By: Dr. Vahid Nikoui Email: nikoui@razi.tums.ac.ir
  • 2.
  • 3.
  • 4.
  • 5. *Milstein & Kohler in 1975 *Hybridoma *Antibody-forming cells fused to immortal plasmacytoma cells *Hybrid cells that are stable and produce the required antibody can be subcloned for mass culture for antibody production
  • 6.
  • 7. Antilymphocyte (ALG) and antithymocyte (ATG) globulins * Obtained from the serum of animals * Steroid-resistant acute rejection reaction and grave aplastic anemia treatment, delayed hypersensitivity and the graft-versus-host disease (GVHD) * As an adjuvant in ciclosporin therapy * Inhibit T lymphocytes and cause their lysis: * Complement-mediated cytolysis * Cell-mediated opsonization followed by removal of reticuloendothelial cells from the circulation in the spleen and liver
  • 8. *There are two preparations available to the market: * Atgam ,obtained from horse serum * Thymoglobuline obtained from rabbit serum *High immunogenicity, acute reaction to the treatment, fever and even anaphylaxis (type III)
  • 9. *High dose (2g/kg) *Decreased T-Helper and increased T-Suppressor *In different autoimmune diseases
  • 10. * Rh0(D) IgG * Mother Rh- and fetus Rh+ * Labor, abortion or ectopic pregnancy (sensitization) * Next pregnancy: Erythroblastosis (heamolytic) * Rho Ab injection to mother 24-72 hrs after the labor of a Rh+ newborn
  • 11. *IGIV *From selected donors *Abs against viruses and toxins
  • 12.
  • 13. *Directed towards exactly defined antigens *Fewer side-effects
  • 14. * Humanization * Fc * Murine * -onab * Humanized * -umab or -zumab * Chimeric * -imab or -ximab * Recombinant Pr attached to Abs * -cept
  • 15.
  • 16.
  • 17. * Murine anti-CD3 * Prevents T-cell activation and proliferation * One of the most potent immunosuppressive substances * To control the steroid- and/or polyclonal antibodies-resistant acute rejection episodes * Also used prophylactically in transplantations * Inthe first few administrations this binding non-specifically activates T-cells, leading to a serious syndrome 30 to 60 minutes later. It is characterized by fever, myalgia, headache, and arthralgia.
  • 18. *A recombinant Pr that attached to Fc part of human IgG1 *Binds to CD2 on T cells *Psoriasis
  • 19. *Humanized antibody *Binds to CD11a (α part of LFA-1) on T cells *Prevents the interaction between LFA-1 and ICAM-1 on APCs *Severe Psoriasis
  • 20. *Humanized IgG1 *Binds to CD52 on B cells, T cells and NK *Chorionic lymphocytic leukemia
  • 21. *Chimeric IgG1 *Binds to CD20 on B cells *Non-Hodgkin`s lymphoma
  • 22.
  • 23. *Chimeric mouse/human antibody *1998 *Binds to IL-2a receptor's α chain (CD25) *Prophylaxis of the acute organ rejection after kidney transplantation
  • 24. *Humanized antibody *1998 *Binds to IL-2a receptor's α chain (CD25) *Prophylaxis of the acute organ rejection after kidney transplantation
  • 25. *Suppression of IL-1 and IL-6 and leukocyte migration
  • 26. *Completely Human IgG1 *Rheumatoid arthritis *Toxicity: lymphoma
  • 27. *A recombinant Pr that attached to Fc part of human IgG1 *Rheumatoid arthritis *Toxicity: lymphoma
  • 28. *Chimeric IgG1 *Rheumatoid arthritis *Crohn`s disease *Toxicity: lymphoma
  • 29. *A recombinant Pr that attached to Fc part of human IgG *Binds to CD80 or CD86 on APCs *Inhibition of contact to CD28 on T cells *Rheumatoid arthritis
  • 30. *Humanized Ab against IgE *Prevents IgE attachment to Fc receptors on basophils and mast cells *Prevents resealing of type I allergic mediators