U4 AOS1 Topic 8: Immunotherapy

Immunotherapy is the treatment of a disease done by modifying the immune system. Immunotherapy can be categorized as:

1.   Activation immunotherapy which enhances the immune response.

2.   Suppression immunotherapy which reduces the immune response.

Examples of Immunotherapy

Following are the examples of immunotherapy:

1.   Dendritic cell therapy involves the tumor-associated antigens to be presented by antigen presenting cells known as dendritic cells so that all cancer cells in the body can be targeted.

2.   CAR-T therapy involves the formation of chimeric antigen receptor T cells. This is done by introducing the gene coding for antigen receptor into the DNA of T cells to modify these cells. This gene will be expressed in T cells and antigen receptor proteins are displayed on cell membrane to bind to specific antigen and recognize the cancer cells.

3.   Antibody therapy involves the formation of antibodies such as monoclonal antibodies which help in treatment of diseases.

4.   Cytokine therapy involves the use of cytokines which are signaling molecules in immune systems. These signaling molecules help to modify the immune response.

Monoclonal antibodies

Monoclonal antibodies are prepared in laboratories and can bind to only one specific antigen. Due to this specificity, monoclonal antibodies are used to treat specific diseases such as cancer.

Production of monoclonal antibodies

Monoclonal antibodies can be produced by following these steps:

1.   Identification of disease-causing cells and isolation of antigens present on these cells.

2.   Vaccinating these antigens into an animal such as mice to induce an immune response. This immune response results in the formation of B lymphocytes which are specific to these antigens.

3.   Extraction of B lymphocytes from the spleen of mice.

4.   Fusion of extracted B lymphocytes with myeloma cells (which are cancerous human plasma cells) to produce hybridoma cells.

5.   Screening of hybridoma cells for the selection of cells with specific antibodies. Hybridoma cells are cloned to produce a large number of antibodies.

6.   Collection and purification of antibodies.