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A good medicine is [4]:
- effective
- safe
- stable
- successfully taken into and removed from your body
Preclinical testing
drug tests carried out in a laboratory on cells, tissues and live animals
Clinical trials
experiments that study the effectiveness of medical treatments on actual patients
Double blind trials
the doctors and volunteers both don't know who has the placebo and who has the drug
Placebo
a fake drug used in the testing of medication
How many compounds at drug discovery?
5000-10000
How many compounds at preclinical trials?
10-20
How many compounds at phase 1 clinical trials?
5-10
How many compounds at phase 2 clinical trials?
2-5
How many compounds at phase 3 clinical trials?
1-2
Publishing results
results of drug trials are published and reviewed under scrutiny
Hybridoma
cell that is the result of fusion of a tumour cell with a lymphocyte cell
Monoclonal antibody
antibody produced in a laboratory to attack specific antigens
How are monoclonal antibodies made? [4]
- mouse lymphocytes and tumour cells are combined
- these create hybridomas (divide and produce antibodies)
- hybridomas produce monoclonal antibodies
- they are collected and purified
Monoclonal antibodies only...
bind to one specific antigen
Uses of monoclonal antibodies [5]
- pregnancy test
- diagnosis of disease
- measuring and monitoring
- research
- treating disease
What hormone do pregnancy tests detect?
human chlorionic gonadotropin (HCG)
How can monoclonal antibodies be used to diagnose disease?
markers are attached to them and they bind to the pathogens/blood clots/cancers
How can monoclonal antibodies be used for measuring and monitoring? [3]
- screening blood for HIV
- detecting drugs used illegally by athletes
- detecting infections such as syphilis
How can monoclonal antibodies be used for research?
attaching phosphorescent particles to the antibodies and seeing where they build up in a cell or tissue
How can monoclonal antibodies be used to treat cancer? [3]
- direct use to trigger the immune system to attack cancer cells
- blocking receptors on the cancer cells to stop them growing and dividing
- carry toxic drugs, radioactive substances and chemicals that stop cells growing and dividing
Advantages of monoclonal antibodies [3]:
- only bind to specific diseased or damaged cells
- do not affect healthy cells
- specificity means they could treat a wide range of conditions
Disadvantages of monoclonal antibodies [4]:
- expensive to develop
- more side effects than expected
- immune response due to mouse cells
- difficult to produce