Monoclonal Antibodies in Neurology: Current State and Future Development
Monoclonal antibodies are one of the fastest growing areas of specific therapy for cancer, infectious, autoimmune, and demyelinating diseases. The main targets of monoclonal antibodies in autoimmune and demyelinating diseases are T and B lymphocytes, cytokines, complement, and adhesion molecules. In...
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| Published in: | Human physiology Vol. 48; no. 8; pp. 932 - 937 |
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| Format: | Journal Article |
| Language: | English |
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Moscow
Pleiades Publishing
01.12.2022
Springer Nature B.V |
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| ISSN: | 0362-1197, 1608-3164 |
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| Abstract | Monoclonal antibodies are one of the fastest growing areas of specific therapy for cancer, infectious, autoimmune, and demyelinating diseases. The main targets of monoclonal antibodies in autoimmune and demyelinating diseases are T and B lymphocytes, cytokines, complement, and adhesion molecules. In the field of neurodegenerative diseases, the largest number of studies has been carried out in patients with Alzheimer’s disease, in which the target for monoclonal antibodies is pathologically altered beta-amyloid protein that accumulates in the brain parenchyma. This review presents new therapeutic approaches to the use of antibody fragments, with an emphasis on their new class, nanobodies. Special attention is paid to new anti-CD20 and anti-CD19 monoclonal antibody drugs in multiple sclerosis (ocrelizumab, ofatumumab) and neuromyelitis optica (inebilizumab). Ocrelizumab is the first medication that proved to be effective in primary progressive multiple sclerosis. There have been significant advances in the treatment of neuromyelitis optica: the first multicenter study of Inebilizumab (MEDI-551) is currently underway. |
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| AbstractList | Monoclonal antibodies are one of the fastest growing areas of specific therapy for cancer, infectious, autoimmune, and demyelinating diseases. The main targets of monoclonal antibodies in autoimmune and demyelinating diseases are T and B lymphocytes, cytokines, complement, and adhesion molecules. In the field of neurodegenerative diseases, the largest number of studies has been carried out in patients with Alzheimer’s disease, in which the target for monoclonal antibodies is pathologically altered beta-amyloid protein that accumulates in the brain parenchyma. This review presents new therapeutic approaches to the use of antibody fragments, with an emphasis on their new class, nanobodies. Special attention is paid to new anti-CD20 and anti-CD19 monoclonal antibody drugs in multiple sclerosis (ocrelizumab, ofatumumab) and neuromyelitis optica (inebilizumab). Ocrelizumab is the first medication that proved to be effective in primary progressive multiple sclerosis. There have been significant advances in the treatment of neuromyelitis optica: the first multicenter study of Inebilizumab (MEDI-551) is currently underway. |
| Author | Zakharova, M. N. |
| Author_xml | – sequence: 1 givenname: M. N. surname: Zakharova fullname: Zakharova, M. N. email: vincera@vincera.ru organization: Research Center of Neurology |
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| Cites_doi | 10.1177/1756286418761697 10.1371/journal.pone.0165964 10.1056/NEJMoa1606468 10.1080/13543784.2018.1442437 10.3389/fncel.2014.00344 10.1111/jth.13716 10.1146/annurev-biochem-063011-092449 10.1080/13543784.2018.1443077 10.1038/363446a0 10.1016/j.biopsych.2017.08.010 10.4049/jimmunol.1501761 |
| ContentType | Journal Article |
| Copyright | Pleiades Publishing, Inc. 2022. ISSN 0362-1197, Human Physiology, 2022, Vol. 48, No. 8, pp. 932–937. © Pleiades Publishing, Inc., 2022. Russian Text © The Author(s), 2018, published in Annaly Klinicheskoi i Eksperimental’noi Nevrologii, 2018, Vol. 12, No. 5S, pp. 99–104. |
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| References | Rissiek, Koch-Nolte, Magnus (CR8) 2014; 8 Hamers-Casterman, Atarhouch, Muylder-mans (CR7) 1993; 363 Paul, Murphy, Pardo, Levy (CR4) 2018; 27 Peyvandi, Scully (CR9) 2017; 15 Butler, Joshi, De Genst (CR10) 2016; 11 CR6 CR5 Gajofatto, Turatti (CR1) 2018; 27 Muyldermans (CR11) 2013; 82 Forsthuber, Cimbora, Ratchford (CR3) 2018; 11 Montalban, Hauser, Kappos (CR2) 2017; 376 A. Gajofatto (84493_CR1) 2018; 27 X. Montalban (84493_CR2) 2017; 376 84493_CR5 F. Peyvandi (84493_CR9) 2017; 15 84493_CR6 D.C. Butler (84493_CR10) 2016; 11 F. Paul (84493_CR4) 2018; 27 B. Rissiek (84493_CR8) 2014; 8 S. Muyldermans (84493_CR11) 2013; 82 T.G. Forsthuber (84493_CR3) 2018; 11 C. Hamers-Casterman (84493_CR7) 1993; 363 |
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| SubjectTerms | Alzheimer's disease Autoimmune diseases Biomedical and Life Sciences Biomedicine CD19 antigen CD20 antigen Demyelinating diseases Demyelination Human Physiology Life Sciences Lymphocytes B Monoclonal antibodies Multiple sclerosis Nanobodies Neurodegenerative diseases Neuromyelitis Parenchyma β-Amyloid |
| Title | Monoclonal Antibodies in Neurology: Current State and Future Development |
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