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NITHIN KURIAN

 INTRODUCTION
 STRUCTURE OF ANTIBODIES
 HISTORY OF AB
 ANTIGEN-AB BINDING
 PRINCIPLE INVOLVED FOR MAB
 MAB FOR TUMOUR TARGETING
 LIMITATION
 REFERENCES
Contents

INTRODUCTION
 Antibodies are produced by a specialized group of cells
called B-Lymphocytes.
 When an foreign antigen enters the body due immune
response B-Lymphocytes develops into plasma cells and
liberates antibodies or immunoglobulin's of various
types(Ig A, Ig D, Ig E, Ig G, Ig M).
3
IgG: IgG1 (66%), IgG2 (23%), IgG3 (7%) and IgG4
(4%) , blood and tissue liquid
IgA: IgA1 (90%) and IgA2 (10%), external secretions
(stomach, intestines, saliva, tears, etc.)
IgM: 5-10% of total serum Ig [1.5mg/ml serum
conc.]
IgD: 1% of proteins in the plasma membranes of B-
lymphocytes, function unknown [30µg/ml serum
conc.] 0.2% of total serum Ig
IgE: 0.3µg/ml on the surface of plasma membrane of
mast cells, play a role in immediate hypersensitivity
and denfense for parasite
Classes of Igs
An antibody is a protein used by the immune system
to identify and neutralize foreign objects like
bacteria and viruses. Each antibody recognizes a
specific antigen unique to its target.
Monoclonal antibodies (mAb) are antibodies that
are identical because they were produced by one
type of immune cell, all clones of a single parent
cell.
Polyclonal antibodies are antibodies that are derived
from different cell lines. They differ in amino acid
sequence.
What are antibodies?

• Each Antigen has specific antigen determinants
(epitopes) located on it. The antibodies have
complementary determining regions (CDRs). These
are mainly responsible for the antibody specificity.
• Each antigen has several different epitopes on it.
They are recognised by many different antibodies.
All these antibodies thus produced act on the same
antigen. Hence these are designated as polyclonal
antibodies.
6

• In general naturally produced antibodies are non-
specific and heterogenous in nature. Hence there are
several limitations in the use of polyclonal antibodies
for therapeutic and diagnostic purposes.
• Thus there is a need for producing monoclonal
antibodies for different antigens.
7
 http://www.path.cam.ac.uk/~mrc7/igs/mikeimages.html
The structure of antibodies

9
Structure of MAb

10
Antigen- antibody
binding
Types of mAbs designed
• Murin source mAbs:: rodent mAbs with excellent
affinities and specificities, generated using conventional
hybridoma technology. Clinical efficacy compromised by
HAMA (human anti murine antibody) response, which
lead to allergic or immune complex hypersensitivities.
• Chimeric mAbs:: chimers combine the human
constant regions with the intact rodent variable regions.
Affinity and specificity unchanged. Also cause human
antichimeric antibody response (30% murine resource)
• Humanized mAbs:: contained only the CDRs of the
rodent variable region grafted onto human Framework
Regions [FR]
 Human mAb :: three currently available approaches to the
production of human monoclonal antibodies are described. These
include :-
 the hybridoma technique, based on the fusion of antibody-
producing human B lymphocytes with either mouse or human
myeloma or lymphoblastoid cells;
 the EBV immortalization technique, based on the use of Epstein-
Barr virus (EBV) to immortalize antigen-specific human B
lymphocytes;
 the EBV-hybridoma technique, based on a combination of the first
two methods.
The EBV-hybridoma system retains the advantageous features of the
other two systems while overcoming their pitfalls and may be the
current method of choice for producing human monoclonal
antibodies with a defined specificity.
Types of mAbs designed . .

14

 Hybridoma technology: In this B-Lymphocytes and
myeloma cells are mixed together and exposed to
PEG for a short period.
 The mixture contains hybridoma cells, myeloma cells
and lymphocytes.
 This mixture is washed and cultured in
HAT(hypoxanthine aminopterin and thymidine)
medium for 7-10 days.
 only hybridoma cells remain in the mixture.
15
Immunise
Spleen Cell Myeloma Cell Line
FUSE
HAT sensitive
Hybridoma
HAT resistant
Stable hybrid myeloma producing desired antibody
SELECT
16

Nomenclature of mAbs

 Immunization
 Cell fusion
 Selection of hybridomas
 Screening the products
 Cloning and propagation
 Characterization and storage
18

 Immunize an animal usually mouse by injecting with an
appropriate antigen along with Freund’s complete or incomplete
adjuvant.
 Adjuvants are non specific potentiators of specific immune
responses.
 Injection of antigens at multiple sites are repeated several times
for increased stimulation of antibodies.
 3 days prior to killing of animal a final dose is given
intravenously.
 Spleen is aseptically removed and disrupted by mechanical or
enzymatic methods to release the cells.
 By density gradient centrifugation lymphocytes are separated
from rest of the cells.
19

 Lymphocytes are mixed with HGPRT deficient
myeloma cells and is exposed to PEG for a short
period.
 The mixture is then washed and kept in a fresh
medium.
 The mixture contains hybridomas, free myeloma
cells, and free lymphocytes.
20
21
Dihydrofolate
Tetrahydrofolate
Precursors
Nucleotides---->DNA
Hypoxanthine
Thymidine
Aminopterin

 The above mixture is cultured in HAT medium for 7-10 days.
 Due to lack of HGPRT enzyme in myeloma cells, salvage
pathway is not operative and aminopterin in HAT medium
blocks the de novo synthesis of nucleotides. Hence free
myeloma cells are dead.
 As the lymphocytes are short lived they also slowly dissappear.
 Only the hybridomas that receives HGPRT from lymphocytes
are survived.
 Thus hybridomas are selected by using HAT medium
 Suspension is diluted so that each aliquot contains one cell each.
These are cultured in regular culture medium, produced desired
antibody.
22
The hybridoma technology:
Spleen cells from immunized mice are fused with the murine myeloma
cells.
Several process had been developed at large scale.
According to the different cell culture methods, it can calisifed into four
fields
1. Robottle cell culture process.
2. Membrane binded cell culture process
3. Microcarrier cell culture process
4. Suspended cell culture process
Conventional production of mAbs

 Screening is done for antibody specificity.
 For this we need to test the culture medium from each
hybridoma culture for desired antibody specificity.
 Common tests like ELISA and RIA are used for this.
 In these tests the antigens are coated to plastic plates. The
antibodies specific to the antigens bind to the plates. The
remaining are washed off.
 Thus the hybridomas producing desired antibodies are
identified. The antibodies secreted by them are
homogenous and specific and are referred as monoclonal
antibodies.
24

 The single hybrid cell producing the desired antibody are
isolated and cloned.
 Usually two techniques are commonly employed for this
 a) Limiting dilution method: Suspension of hybridoma
cells is serially diluted so the aliquot of each dilution is
having one hybrid cell. This ensures that the antibody
produced is monoclonal.
 b) Soft agar method: In this method the hybridoma cells
are grown in soft agar. These form colonies and the
colonies are monoclonal in nature.
25

 Biochemical and biophysical characterization are
made for desired specificity.
 It is important to note the monoclonal antibody is
specific for which antigen
 MAbs must be characterized for their ability to
withstand freezing and thawing.
26

 Encapsulating the hybridoma cells in alginate gels
and using a coating solution containing poly-lysine is
employed.
 These gels allow the nutrients to enter in and
antibodies to come out.
 Damon biotech and cell-tech companies are using this
technique for commercial production of MAbs.
 They employ 100-litres fermenters to yield about 100g
of MAbs in about 2 weeks period.
27

 MAbs derived from mouse are murine derivatives.
As they are not human origin, they show
HAMA(human antimouse antibody) response.
 To overcome this we need to cleave the antibody into
its respective Fc and Fab fragments.
 Fab fragments are less immunogenic and their
smaller molecular size may facilitate penetration into
tumor tissue and result in a longer half-life.
 Engineering is needed to reduce the immunogenicity.
28

Chimeric antibodies:
 Hence the murine antibodies are immunogenic to
humans, the obvious solution for this is to clone a
fully human antibody. But it has many problems like
ethical clearance, difficult to culture, impossible to
obtain many of the appropriate antibodies.
 To over come HAMA(human antimouse antibody)
response, a chimeric antibody is prepared with Fc
region of human IgG and Fab regions of murine
origin by the use of DNA recombinant technology.
29
Mouse
Human
Chimeric
V domains
C domains
30

Humanized antibodies:
 Though chimeric antibodies elicit less HAMA response
than murine antibodies, they are still immunogenic due to
their murine regions(30%)
 It is came to know that a small portion(CDR) of an
antibody was actually responsible for antigen binding.
 By this humanized antibodies are prepared by
recombinant DNA technology with majority of human
antibody framework and CDR’s of murine antibody.
 Thus humanized antibodies are 95% homology with
human antibodies.
31
Mouse
Human
Humanised
hypervariable
framework
32

Bispecific antibodies:
 These are specific to two types of antigens.
 They are constructed by r.DNA technology.
 Each arm is specific to one type of antigen.
33

Immunoconjugate:
 For MAb targeted drug delivery, a drug is bound
covalently to an antibody that is chosen to target it to the
desired site of action.
 Spacer is present between the antibody and the drug.
 Polymer may be present to increase the no. of drug
molecules attached to the antibody.
 Drug is non-covalently incorporated into a liposome or
microsphere to which the targeting antibody is bound to
the surface—immunoliposome or immunomicrosphere
resp.
34

 Principle involved:
 As several classes of the drugs lack specificity for diseased
cells, they show their action on other sites of action.
Ex: cytotoxic action of chemotherapeutic agents is directed
against any rapidly proliferating cell population.
 Hence drug targeting is required to overcome this
problem.
 Targeting is classified into three categories:
1. Passive targeting
2. Physical targeting
3. Active targeting
35

 It is the natural in-vivo distribution pattern of the
drug delivery system. It is determined by the
inherent properties of the carrier like hydrophobic
and hydrophilic surface characteristics, particle size,
surface charge, particle number.
Ex: passive targeting of the lungs is made by
modulating the size of the particles to >7µm
passive targeting of the Reticuloendothelial system is
made by modulating the size of the particles to 0.2-
7µm
36

 In this some characteristics of the environment are
utilized for the carrying of the drug to the specific
site.
Ex: thermal sensitive liposomes(local hyperthemia)
magnetically responsive albumin microspheres
(localized magnetic field)
37

 Active targeting is usually done by cell-specific
ligands. These are specific to specific cell types. But it
is limited to small no. of tumor types.
 Hence MAb targeting is adopted for active targeting.
MAb targeting is done by conjugating the drug
antibody of the specific targeting type.
 Hence antibody drug conjugates are used as active
targeting drug delivery systems.
38

 Toxin conjugates (immunotoxins)
EX: diphtheria toxin, Ricin have been conjugated to
the tumor specific antibodies
Ricin has two chains. Amoung these A-chain is
cytotoxic and B-chain is non-specific. Hence B-chain
is removed and the toxin is conjugated to tumor
specific antibody. Thus we increase the specificity of
the toxins by using MAbs as active drug targeting
systems.
39

 Drug immunoconjugates:
Agents like chlorambucil, methotrexate and
doxorubicin are conjugated with tumor specific
antibodies.
Ex: doxorubicin-BR96 immunoconjugate for Lewis
antigen found on the surface of tumor cells.
40

 They are homogenous in nature.
 They are specific to a particular antigen with a
particular epitope.
Ex:Rituximab (Rituxan®, anti-CD20) is a good
example – this antibody is used for the treatment of
lymphoma.
41

The first approved mAbs was OKT-3 [1986], which is a
murine IgGa2 protein to deplete T cells in patients with
acute rejection of renal allotransplant.
FDA Approval
Prevents acute
rejection of kidney
transplants
Prevents
autoimmune
destruction of islet
cells in type I
Diabetes mellitus
OKT3
 Cell Depletion
Rituxan, Campath (naked)
Myelotarg (drug)
Zevalin, Bexxar (radioisotope)
 Blocking receptors
Herceptin
 Attacking vasculature
Avastin, Erbitux
 Vaccination against idiotype
Panorex
46

 As they are specific to a particular antigen, they cannot distinguish
molecule as a whole.
 Some times they cannot distinguish groups of different molecules.
Ex:- presence of retro viruses as a part of mammalian chromosomes
is not distinguished.
 Mice used in MAb production carry Adenovirus, Hepatic virus,
Retrovirus, reovirus, cytomegalovirus, thymic virus.
 The presence of some of these viruses is detected in hybridomas.
This poses a great danger since there is no guarantee for MAb
produced is totally virus free.
 For this reason US food and drug administration insists that MAb
for human use should be totally free from all pathogenic organisms
including viruses.
47

 Biotechnology by U. Satyanarayana
 Harper's Biochemistry 26th edition
 www.wikipedia.com
 www.google.com
48

49
THANK
U

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Monoclonal Antibodies as drug delivery system

  • 2.   INTRODUCTION  STRUCTURE OF ANTIBODIES  HISTORY OF AB  ANTIGEN-AB BINDING  PRINCIPLE INVOLVED FOR MAB  MAB FOR TUMOUR TARGETING  LIMITATION  REFERENCES Contents
  • 3.  INTRODUCTION  Antibodies are produced by a specialized group of cells called B-Lymphocytes.  When an foreign antigen enters the body due immune response B-Lymphocytes develops into plasma cells and liberates antibodies or immunoglobulin's of various types(Ig A, Ig D, Ig E, Ig G, Ig M). 3
  • 4. IgG: IgG1 (66%), IgG2 (23%), IgG3 (7%) and IgG4 (4%) , blood and tissue liquid IgA: IgA1 (90%) and IgA2 (10%), external secretions (stomach, intestines, saliva, tears, etc.) IgM: 5-10% of total serum Ig [1.5mg/ml serum conc.] IgD: 1% of proteins in the plasma membranes of B- lymphocytes, function unknown [30µg/ml serum conc.] 0.2% of total serum Ig IgE: 0.3µg/ml on the surface of plasma membrane of mast cells, play a role in immediate hypersensitivity and denfense for parasite Classes of Igs
  • 5. An antibody is a protein used by the immune system to identify and neutralize foreign objects like bacteria and viruses. Each antibody recognizes a specific antigen unique to its target. Monoclonal antibodies (mAb) are antibodies that are identical because they were produced by one type of immune cell, all clones of a single parent cell. Polyclonal antibodies are antibodies that are derived from different cell lines. They differ in amino acid sequence. What are antibodies?
  • 6.  • Each Antigen has specific antigen determinants (epitopes) located on it. The antibodies have complementary determining regions (CDRs). These are mainly responsible for the antibody specificity. • Each antigen has several different epitopes on it. They are recognised by many different antibodies. All these antibodies thus produced act on the same antigen. Hence these are designated as polyclonal antibodies. 6
  • 7.  • In general naturally produced antibodies are non- specific and heterogenous in nature. Hence there are several limitations in the use of polyclonal antibodies for therapeutic and diagnostic purposes. • Thus there is a need for producing monoclonal antibodies for different antigens. 7
  • 11. Types of mAbs designed • Murin source mAbs:: rodent mAbs with excellent affinities and specificities, generated using conventional hybridoma technology. Clinical efficacy compromised by HAMA (human anti murine antibody) response, which lead to allergic or immune complex hypersensitivities. • Chimeric mAbs:: chimers combine the human constant regions with the intact rodent variable regions. Affinity and specificity unchanged. Also cause human antichimeric antibody response (30% murine resource) • Humanized mAbs:: contained only the CDRs of the rodent variable region grafted onto human Framework Regions [FR]
  • 12.  Human mAb :: three currently available approaches to the production of human monoclonal antibodies are described. These include :-  the hybridoma technique, based on the fusion of antibody- producing human B lymphocytes with either mouse or human myeloma or lymphoblastoid cells;  the EBV immortalization technique, based on the use of Epstein- Barr virus (EBV) to immortalize antigen-specific human B lymphocytes;  the EBV-hybridoma technique, based on a combination of the first two methods. The EBV-hybridoma system retains the advantageous features of the other two systems while overcoming their pitfalls and may be the current method of choice for producing human monoclonal antibodies with a defined specificity. Types of mAbs designed . .
  • 13.
  • 14. 14
  • 15.   Hybridoma technology: In this B-Lymphocytes and myeloma cells are mixed together and exposed to PEG for a short period.  The mixture contains hybridoma cells, myeloma cells and lymphocytes.  This mixture is washed and cultured in HAT(hypoxanthine aminopterin and thymidine) medium for 7-10 days.  only hybridoma cells remain in the mixture. 15
  • 16. Immunise Spleen Cell Myeloma Cell Line FUSE HAT sensitive Hybridoma HAT resistant Stable hybrid myeloma producing desired antibody SELECT 16
  • 18.   Immunization  Cell fusion  Selection of hybridomas  Screening the products  Cloning and propagation  Characterization and storage 18
  • 19.   Immunize an animal usually mouse by injecting with an appropriate antigen along with Freund’s complete or incomplete adjuvant.  Adjuvants are non specific potentiators of specific immune responses.  Injection of antigens at multiple sites are repeated several times for increased stimulation of antibodies.  3 days prior to killing of animal a final dose is given intravenously.  Spleen is aseptically removed and disrupted by mechanical or enzymatic methods to release the cells.  By density gradient centrifugation lymphocytes are separated from rest of the cells. 19
  • 20.   Lymphocytes are mixed with HGPRT deficient myeloma cells and is exposed to PEG for a short period.  The mixture is then washed and kept in a fresh medium.  The mixture contains hybridomas, free myeloma cells, and free lymphocytes. 20
  • 22.   The above mixture is cultured in HAT medium for 7-10 days.  Due to lack of HGPRT enzyme in myeloma cells, salvage pathway is not operative and aminopterin in HAT medium blocks the de novo synthesis of nucleotides. Hence free myeloma cells are dead.  As the lymphocytes are short lived they also slowly dissappear.  Only the hybridomas that receives HGPRT from lymphocytes are survived.  Thus hybridomas are selected by using HAT medium  Suspension is diluted so that each aliquot contains one cell each. These are cultured in regular culture medium, produced desired antibody. 22
  • 23. The hybridoma technology: Spleen cells from immunized mice are fused with the murine myeloma cells. Several process had been developed at large scale. According to the different cell culture methods, it can calisifed into four fields 1. Robottle cell culture process. 2. Membrane binded cell culture process 3. Microcarrier cell culture process 4. Suspended cell culture process Conventional production of mAbs
  • 24.   Screening is done for antibody specificity.  For this we need to test the culture medium from each hybridoma culture for desired antibody specificity.  Common tests like ELISA and RIA are used for this.  In these tests the antigens are coated to plastic plates. The antibodies specific to the antigens bind to the plates. The remaining are washed off.  Thus the hybridomas producing desired antibodies are identified. The antibodies secreted by them are homogenous and specific and are referred as monoclonal antibodies. 24
  • 25.   The single hybrid cell producing the desired antibody are isolated and cloned.  Usually two techniques are commonly employed for this  a) Limiting dilution method: Suspension of hybridoma cells is serially diluted so the aliquot of each dilution is having one hybrid cell. This ensures that the antibody produced is monoclonal.  b) Soft agar method: In this method the hybridoma cells are grown in soft agar. These form colonies and the colonies are monoclonal in nature. 25
  • 26.   Biochemical and biophysical characterization are made for desired specificity.  It is important to note the monoclonal antibody is specific for which antigen  MAbs must be characterized for their ability to withstand freezing and thawing. 26
  • 27.   Encapsulating the hybridoma cells in alginate gels and using a coating solution containing poly-lysine is employed.  These gels allow the nutrients to enter in and antibodies to come out.  Damon biotech and cell-tech companies are using this technique for commercial production of MAbs.  They employ 100-litres fermenters to yield about 100g of MAbs in about 2 weeks period. 27
  • 28.   MAbs derived from mouse are murine derivatives. As they are not human origin, they show HAMA(human antimouse antibody) response.  To overcome this we need to cleave the antibody into its respective Fc and Fab fragments.  Fab fragments are less immunogenic and their smaller molecular size may facilitate penetration into tumor tissue and result in a longer half-life.  Engineering is needed to reduce the immunogenicity. 28
  • 29.  Chimeric antibodies:  Hence the murine antibodies are immunogenic to humans, the obvious solution for this is to clone a fully human antibody. But it has many problems like ethical clearance, difficult to culture, impossible to obtain many of the appropriate antibodies.  To over come HAMA(human antimouse antibody) response, a chimeric antibody is prepared with Fc region of human IgG and Fab regions of murine origin by the use of DNA recombinant technology. 29
  • 31.  Humanized antibodies:  Though chimeric antibodies elicit less HAMA response than murine antibodies, they are still immunogenic due to their murine regions(30%)  It is came to know that a small portion(CDR) of an antibody was actually responsible for antigen binding.  By this humanized antibodies are prepared by recombinant DNA technology with majority of human antibody framework and CDR’s of murine antibody.  Thus humanized antibodies are 95% homology with human antibodies. 31
  • 33.  Bispecific antibodies:  These are specific to two types of antigens.  They are constructed by r.DNA technology.  Each arm is specific to one type of antigen. 33
  • 34.  Immunoconjugate:  For MAb targeted drug delivery, a drug is bound covalently to an antibody that is chosen to target it to the desired site of action.  Spacer is present between the antibody and the drug.  Polymer may be present to increase the no. of drug molecules attached to the antibody.  Drug is non-covalently incorporated into a liposome or microsphere to which the targeting antibody is bound to the surface—immunoliposome or immunomicrosphere resp. 34
  • 35.   Principle involved:  As several classes of the drugs lack specificity for diseased cells, they show their action on other sites of action. Ex: cytotoxic action of chemotherapeutic agents is directed against any rapidly proliferating cell population.  Hence drug targeting is required to overcome this problem.  Targeting is classified into three categories: 1. Passive targeting 2. Physical targeting 3. Active targeting 35
  • 36.   It is the natural in-vivo distribution pattern of the drug delivery system. It is determined by the inherent properties of the carrier like hydrophobic and hydrophilic surface characteristics, particle size, surface charge, particle number. Ex: passive targeting of the lungs is made by modulating the size of the particles to >7µm passive targeting of the Reticuloendothelial system is made by modulating the size of the particles to 0.2- 7µm 36
  • 37.   In this some characteristics of the environment are utilized for the carrying of the drug to the specific site. Ex: thermal sensitive liposomes(local hyperthemia) magnetically responsive albumin microspheres (localized magnetic field) 37
  • 38.   Active targeting is usually done by cell-specific ligands. These are specific to specific cell types. But it is limited to small no. of tumor types.  Hence MAb targeting is adopted for active targeting. MAb targeting is done by conjugating the drug antibody of the specific targeting type.  Hence antibody drug conjugates are used as active targeting drug delivery systems. 38
  • 39.   Toxin conjugates (immunotoxins) EX: diphtheria toxin, Ricin have been conjugated to the tumor specific antibodies Ricin has two chains. Amoung these A-chain is cytotoxic and B-chain is non-specific. Hence B-chain is removed and the toxin is conjugated to tumor specific antibody. Thus we increase the specificity of the toxins by using MAbs as active drug targeting systems. 39
  • 40.   Drug immunoconjugates: Agents like chlorambucil, methotrexate and doxorubicin are conjugated with tumor specific antibodies. Ex: doxorubicin-BR96 immunoconjugate for Lewis antigen found on the surface of tumor cells. 40
  • 41.   They are homogenous in nature.  They are specific to a particular antigen with a particular epitope. Ex:Rituximab (Rituxan®, anti-CD20) is a good example – this antibody is used for the treatment of lymphoma. 41
  • 42.  The first approved mAbs was OKT-3 [1986], which is a murine IgGa2 protein to deplete T cells in patients with acute rejection of renal allotransplant. FDA Approval
  • 43. Prevents acute rejection of kidney transplants Prevents autoimmune destruction of islet cells in type I Diabetes mellitus OKT3
  • 44.
  • 45.
  • 46.  Cell Depletion Rituxan, Campath (naked) Myelotarg (drug) Zevalin, Bexxar (radioisotope)  Blocking receptors Herceptin  Attacking vasculature Avastin, Erbitux  Vaccination against idiotype Panorex 46
  • 47.   As they are specific to a particular antigen, they cannot distinguish molecule as a whole.  Some times they cannot distinguish groups of different molecules. Ex:- presence of retro viruses as a part of mammalian chromosomes is not distinguished.  Mice used in MAb production carry Adenovirus, Hepatic virus, Retrovirus, reovirus, cytomegalovirus, thymic virus.  The presence of some of these viruses is detected in hybridomas. This poses a great danger since there is no guarantee for MAb produced is totally virus free.  For this reason US food and drug administration insists that MAb for human use should be totally free from all pathogenic organisms including viruses. 47
  • 48.   Biotechnology by U. Satyanarayana  Harper's Biochemistry 26th edition  www.wikipedia.com  www.google.com 48