Abstract

Monoclonal antibodies (mAbs), available for a range of diseases, including tumours, leukemia, and multiple sclerosis, are emerging as the fastest growing area of therapeutic drug development. The greatest advantage of therapeutic mAbs is their ability to bind with a high degree of specificity to target proteins involved in disease pathophysiology. In response, effector functions are triggered and these ameliorate the disease cascade. As an alternative to this reliance on effector functions, drugs can be conjugated to mAbs. The ability to target compounds to the site of pathology minimises the nonspecific side effects associated with systemic administration. In both instances, optimising the delivery, absorption, and distribution of the mAbs, whilst minimising potential side effects, remain the key hurdles to improved clinical outcomes. Novel delivery strategies are being investigated with more vigour in recent years, and nanoparticles are being identified as suitable vehicles. In conjunction with permitting a controlled release profile, nanoparticles protect the drug from degradation, reducing both the dose and frequency of administration. Moreover, these particles shield the patient from the immune complications associated with high dose mAb infusions or drug cytotoxicity. This review outlines recent advances in nanoparticle technology and how they may be of benefit as therapeutic mAb delivery/targeting vehicles.

Highlights

  • Monoclonal antibodies, available for a range of diseases, including tumours, leukemia, and multiple sclerosis, are emerging as the fastest growing area of therapeutic drug development

  • Therapeutic monoclonal antibodies are monospecific antibodies designed to target proteins involved in the pathophysiology of disease

  • Therapeutic Monoclonal antibodies (mAbs) are clinically approved to treat a range of diseases; solid tumors, including colorectal carcinoma and squamous cell carcinoma of head/neck; haematological cancer, including chronic lymphocytic leukemia; inflammatory diseases, such as rheumatoid arthritis, multiple sclerosis, psoriasis, asthma, and transplant rejection; and other disorders including virus infection and wet age-related macular degeneration

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Summary

Therapeutic mAbs

Therapeutic monoclonal antibodies (mAbs) are monospecific antibodies designed to target proteins involved in the pathophysiology of disease. By binding with high specificity to these target proteins, the development/progression of the disease is ameliorated, leading to improved clinical outcomes. Therapeutic mAbs are clinically approved to treat a range of diseases; solid tumors, including colorectal carcinoma and squamous cell carcinoma of head/neck; haematological cancer, including chronic lymphocytic leukemia; inflammatory diseases, such as rheumatoid arthritis, multiple sclerosis, psoriasis, asthma, and transplant rejection; and other disorders including virus infection and wet age-related macular degeneration. There are >30 mAb therapies clinically approved worldwide, with current global sales at approximately $40 billion per annum. Hundreds more therapeutic mAbs are being developed, undergoing preclinical or clinical trials to treat other diseases or to improve existing mAb treatment regimens

Structure
Mechanism of Action
Current Limitations of Therapeutic mAbs
Inorganic Nanoparticles for Drug Delivery
Findings
Conclusion
Full Text
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