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Biologic
Large molecule derived from living cells used to treat, diagnose, or prevent disease
Examples of biologics
Therapeutic peptides, proteins, RNA, DNA, monoclonal antibodies, antisense nucleotides, fusion proteins
Biologics size compared to small molecule drugs
Biologics are 200–1000 times larger and more complex
Biosimilar
Similar but not identical copy of an original biologic medicine
First FDA-approved biosimilar in the US
Zarxio (filgrastim) by Sandoz in 2015
Biopharmaceuticals
Pharmaceutical products produced by biotechnology methods using living organisms or their components
Biopharmaceutical products
Usually protein- or nucleic acid-based drugs used for therapy or diagnosis
Pharmaceutical biotechnology
Use of living organisms or cells to perform industrial or manufacturing processes
Major biotechnological products
Protein drugs, oligonucleotide drugs, monoclonal antibodies, gene therapy, vaccines
Techniques used in biotechnology
Recombinant DNA, monoclonal antibody production, PCR, gene therapy, antisense technology
Protein drug
Protein used therapeutically to replace or supplement natural proteins
Peptide
Polypeptide with fewer than 40 amino acids
Protein
Polypeptide with more than 40 amino acids
Protein structure importance
Protein function depends on its non-covalent 3D structure
Kogenate FS
Recombinant antihemophilic factor VIII used to treat hemophilia A
Hemophilia A
Caused by deficiency of factor VIII
Mechanism of antihemophilic factor
Raises factor VIII levels to aid blood clotting
Erythropoietin
Glycoprotein that stimulates red blood cell production
Uses of erythropoietin
Treats anemia associated with CRF, chemotherapy, dialysis, and AZT therapy
Examples of erythropoietin drugs
Epoetin alfa (Epogen, Procrit), Darbepoetin alfa (Aranesp)
Interferon
Protein with antiviral and anticancer activity
Types of interferons
Type I alpha and Type II gamma
Interferon beta-1b (Betaseron)
Recombinant interferon used for relapsing-remitting multiple sclerosis
Interferon beta-1a (Avonex, Rebif)
Used to slow progression of relapsing multiple sclerosis
Antisense oligonucleotide drug
Drug that blocks DNA transcription or RNA translation
Central dogma of biology
DNA → RNA → Protein
Purpose of antisense drugs
Block production of disease-causing proteins
Antisense technology
Uses complementary nucleotide sequence to bind mRNA
Advantages of antisense drugs
Specificity, broad applicability, rational design, efficiency, low manufacturing cost
Mechanism of antisense drugs
Blocks translation or causes RNase-mediated degradation of mRNA
Vitravene (Fomivirsen)
First marketed antisense drug used for CMV retinitis
Mechanism of fomivirsen
Binds HCMV mRNA and blocks viral replication
Mipomersen (Kynamro)
Antisense drug used for homozygous familial hypercholesterolemia (HoFH)
HoFH
Homozygous familial hypercholesterolemia causing extremely high cholesterol
Orphan drug
Drug developed for rare diseases affecting fewer than 200,000 people in the US
Golodirsen (Vyondys 53)
Antisense drug for Duchenne muscular dystrophy
Mechanism of golodirsen
Binds exon 53 of DMD gene to increase dystrophin production
Efavirenz (Sustiva)
Non-nucleoside reverse transcriptase inhibitor for HIV
Mechanism of efavirenz
Inhibits reverse transcriptase to reduce HIV replication
DNA in biotechnology
DNA stores genetic information and directs protein synthesis
DNA bases
Adenine, Thymine, Guanine, Cytosine
DNA base pairing
A pairs with T, G pairs with C
Recombinant DNA (rDNA)
Combining DNA fragments from different sources
Enzymes used in rDNA technology
Restriction endonucleases and DNA ligase
Purpose of recombinant DNA technology
Produce large quantities of specific DNA or proteins
Plasmid DNA
Small circular DNA molecule separate from chromosomal DNA
Function of plasmids
Replicate independently and carry foreign genes
Use of rDNA technology
Produce human proteins in organisms like E. coli
DNA probe technology
Uses labeled DNA to detect viral infection or genetic defects
GMO
Genetically modified organism
Vaccine
Suspension of attenuated or killed microorganisms used to induce immunity
Purpose of vaccines
Prevent disease by stimulating immune response
Two main types of immunity
Natural immunity and acquired (humoral) immunity
Natural immunity
Inborn immunity present without prior exposure
Types of natural immunity
Species immunity, racial immunity, individual immunity
Acquired immunity
Immunity developed after exposure to antigens or antibodies
Active immunity
Immunity produced by the body after exposure to antigen
Natural active immunity
Develops after infection and recovery
Artificial active immunity
Develops after vaccination
Passive immunity
Transfer of ready-made antibodies from another source
Natural passive immunity
Maternal antibodies transferred through placenta
Types of vaccines
Bacterial vaccines, viral vaccines, cancer vaccines
Inactivated bacterial vaccine
Bacteria killed with chemicals or heat
Examples of inactivated vaccines
IPV, rabies vaccine, hepatitis A vaccine
Live attenuated vaccine
Live organism modified so it does not cause disease
Subunit (acellular) vaccine
Vaccine containing only antigenic components of bacteria or virus
Examples of subunit vaccines
Hib vaccine and acellular pertussis vaccine
Whole virion vaccine
Contains entire virus particles
Examples of live attenuated viral vaccines
Measles and yellow fever vaccines
Examples of inactivated viral vaccines
Seasonal influenza and hepatitis A vaccines
Subvirion vaccine
Chemically split viral vaccine
Virus-like particle (VLP) vaccine
Noninfectious particles resembling viruses without genetic material
Cancer vaccine
Vaccine designed to stimulate immune response against cancer cells
Tumor-associated antigens (TAAs)
Antigens found on tumor cells recognized by immune cells
Types of cancer vaccines
Autologous, allogenic, anti-idiotypic, gene therapy
Autologous tumor vaccine
Made from patient’s own tumor cells
Allogenic tumor vaccine
Made from tumor cells from another patient
Anti-idiotypic vaccine
Uses antibodies that mimic antigens
Gene therapy
Transfer of genetic material into cells to correct gene defects
Vector used in gene therapy
Retrovirus
Purpose of gene therapy
Replace defective genes or add new cell functions
Antibody (immunoglobulin)
Y-shaped protein produced by B cells that binds antigens
Function of antibodies
Identify and neutralize foreign substances
Antigen
Foreign substance recognized by antibodies
Basic structure of antibody
Two heavy chains and two light chains
Fab region
Antigen-binding region of antibody
Fc region
Tail region that activates immune system
Five classes of antibodies
IgG, IgM, IgA, IgD, IgE
Monoclonal antibody
Antibody produced from identical clones of one B cell
Polyclonal antibody
Mixture of antibodies produced by different B cells
Hybridoma technology
Method used to produce monoclonal antibodies
Hybridoma
Fusion of B cell and myeloma cell
Purpose of HAT medium in hybridoma technology
Selects for hybridoma cells that can survive and produce antibodies
PCR (Polymerase Chain Reaction)
Technique used to amplify DNA sequences
Main purpose of PCR
Produce millions of copies of DNA
Biotechnology
Use of living organisms or systems to create products or processes