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现代医学中单克隆抗体的全面综述:追溯一种革命性治疗方法的演变

A Comprehensive Review of Monoclonal Antibodies in Modern Medicine: Tracing the Evolution of a Revolutionary Therapeutic Approach.

作者信息

Kothari Manjeet, Wanjari Anil, Acharya Sourya, Karwa Vineet, Chavhan Roma, Kumar Sunil, Kadu Ajinkya, Patil Rajvardhan

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institution of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jun 9;16(6):e61983. doi: 10.7759/cureus.61983. eCollection 2024 Jun.

Abstract

Monoclonal antibodies (mAbs) have emerged as potent therapeutic agents, revolutionizing the landscape of modern medicine. This comprehensive review traces the evolution of mAbs from their inception to their current prominence, highlighting key milestones in their development and exploring their diverse therapeutic applications. Beginning with an overview of their molecular structure and mechanisms of action, we delve into the production and engineering of mAbs, including hybridoma technology and recombinant DNA techniques. Therapeutic applications across various medical disciplines, including cancer treatment, autoimmune diseases, and infectious diseases, are examined in detail, showcasing the significant clinical successes of mAbs. Furthermore, this review discusses the challenges and opportunities in manufacturing scalability, cost-effectiveness, and access to therapies. Looking ahead, the implications of mAbs in future research and clinical practice are explored, emphasizing the potential for next-generation mAbs, personalized medicine, and integration with emerging modalities such as immunotherapy and gene therapy. In conclusion, the evolution of monoclonal antibodies underscores their transformative impact on healthcare and their continued promise to advance the frontiers of medicine.

摘要

单克隆抗体(mAbs)已成为强大的治疗药物,彻底改变了现代医学的格局。这篇全面的综述追溯了单克隆抗体从诞生到当前突出地位的演变过程,突出了其发展中的关键里程碑,并探讨了它们多样的治疗应用。我们首先概述其分子结构和作用机制,接着深入研究单克隆抗体的生产与工程,包括杂交瘤技术和重组DNA技术。详细审视了单克隆抗体在包括癌症治疗、自身免疫性疾病和传染病在内的各个医学领域的治疗应用,展示了单克隆抗体显著的临床成功案例。此外,本综述还讨论了在生产可扩展性、成本效益和治疗可及性方面的挑战与机遇。展望未来,探讨了单克隆抗体在未来研究和临床实践中的意义,强调了下一代单克隆抗体、个性化医疗以及与免疫疗法和基因疗法等新兴模式整合的潜力。总之,单克隆抗体的演变突显了它们对医疗保健的变革性影响以及推进医学前沿的持续前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ea/11231668/291b62293d9b/cureus-0016-00000061983-i01.jpg

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