Abstract

Immunotoxins are chimeric molecules embodied with a protein toxin and a ligand which is either a growth factor or an antibody. The ligand part of the immunotoxin recognizes and binds to an antigen of the target cell, allowing the internalization of the toxin,moiety and permitting its drift to the cytoplasm where it can destroy the cell. Target specificity of the chimeric protein is determined via the binding attributes of the chosen antibody. Predominantly, immunotoxins are purposefully constructed to slay cancer cells as part of novel treatment approach. In addition they are also used for various autoimmune, viral and other infectious diseases. With the advent of biotechnology, recombinant immunotoxins have been created and are clinically tested to target malignant cells. Our article summarizes foremost progress in the development of immunotoxin based therapeutics and presents a comprehensive portrayal of the immunotoxin generation.

Highlights

  • Agents with the narrow therapeutic efficacy have limited utility, for treating aggressive diseases, as the dose escalation is restricted by the toxicity of the agent (Vedi and Ziegler, 2014)

  • Both Pseudomonas exotoxin (PE) and Diptheria toxin (DT) catalyze the ADP-ribosylation of histidine-699 of Elongation Factor-2, which is post-translationally modified to a diphthimide residue

  • Among them Denileukin Diftitox, known as ‘DAB389 interleukin 2 (IL2)’ or ‘Ontak’ is a fusion protein designed to unswerving a truncated form of DT to cells that articulate the high-affinity IL2 receptor (consisting of the following subunits: CD25 (IL2Rα), CD122 (IL2Rβ), and CD132 (IL2Rγ)) exist in different hematologic malignancies like adult T cell leukemia (ATL), chronic lymphocytic leukemia (CLL), Hodgkin’s and non-Hodgkin’s lymphomas (HL/Non-Hodgkin’s lymphoma (NHL)), cutaneous T cell lymphoma (CTCL) and other leukemias and lymphomas

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Summary

INTRODUCTION

Agents with the narrow therapeutic efficacy have limited utility, for treating aggressive diseases, as the dose escalation is restricted by the toxicity of the agent (Vedi and Ziegler, 2014). Protein toxins having target specificity are the latest trend of the therapeutic market. During the last two decades, scientific advances have facilitated the processing and manoeuvring of biological substances; among which are toxic polypeptides and their encoding genes These protein toxins gave an innovative insight to the therapeutics and are frequently referred as ‘Toxin based Therapy’. The immunotoxins have been created by conjugating an antibody to a whole protein toxin and for more discerning activity, by means of a protein toxin deprived of its natural binding domain. Various viral and autoimmune diseases can be treated with the help of immunotoxins (Dosio et al, 2014; Mathew and Verma, 2009; Wu, 1997; De Lorenzo and D'Alessio, 2008)

Monoclonal Antibodies and other Immunologic Conjugates
The Toxin Moiety
Bacterial Toxins used in Immunotoxin Production
Immunotoxins based on Diptheria toxin
Mechanism of action of Pseudomonas Exotoxin A
Mutated form of PE Toxins
Immunotoxins based on Pseudomonas Exotoxin
Ribosome Inactivating Protein Toxins
Ricin Toxin
Fusion toxins with integrated plant toxins
Other Mammalian Enzymes and Proteins
PRODUCTION OF IMMUNOTOXINS
IMMUNOTOXINS AS THERAPEUTIC AGENTS
PROBLEMS IN IMMUNOTOXIN
Unwanted Toxicity
Production limitations
CURRENT STATUS OF IMMUNOTOXINS IN
Findings
POTENTIAL FOR FUTURE DEVELOPMENT
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