Académique Documents
Professionnel Documents
Culture Documents
1. Recombinant Proteins
2. Nucleic Acids
1
Therapeutic Agents
Introduction
Formulation/
Transfection Cell culture Purification
Filling
Drug
Cells and plasmid Cell line Drug Drug product -
substance substance (sterile)
(crude) (pure)
Analytical characterization 2
Therapeutic Agents
Introduction
Development of the Process
Facility/Equipment Design
Technology Transfer
Process Validation
Pilot-Scale cGMP Production
Commercial-Scale Production
3
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
-> Scientists discovered an antiviral protein in 1957 that inhibited
growth of influenza virus in chicken embryos. It was named interferon
because it interfered with the growth of influenza virus.
• Anti viral proteins released by host cells (part of the immune system)
4
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
• Alpha & beta usually produced early in viral infections (viruses or viral
RNA) - Gamma appears later
5
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
Antiviral Treatment:
• Interferon therapy
– Limited lifetime, short lasting effect
– Recombinant interferons
• Pure and fast
• Hybrid genes for enhanced/new activity
– Oral administration
6
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
Why are Side Effects Common and Severe for Injectable Interferon?
• Injectable interferon (beta) is approved world-wide (FDA) for the
treatment of various cancers and viral diseases.
• Interferon is a protein readily eliminated from the blood by the kidney. To
counteract the kidney’s clearance of interferon from the blood injectable
interferon must be given in doses much higher than what occur naturally.
• Side effects include flu-like symptoms, poor results on liver function tests,
and blood cell abnormalities. More serious side effects include depression,
epileptic seizures, or liver problems.
7
Why is Oral Interferon Different?
8
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
Interferon placed in the mouth binds to receptors in the mucosal lining and initiates systemic effects on
the immune system in animals and man. These immunomodulatory effects are safe and effective in
helping control viral and autoimmune diseases and cancer.
9
Manufacturing Steps for Interferon:
10
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
Human diseases in which oral interferon has been tested and reported to be safe
11
Therapeutic Agents
Recombinant Proteins
Human Interferons -> to fight viral infections
Human Study – Influenza and Interferon
• Interferon (about 128 units) or placebo was dripped into the nose daily for 5
days starting about the time of the first reported influenza cases.
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15
Interferon
10
5 Placebo
0
Adults Children Children
7-12 yr 2-6 yr Soloviev, Bull. WHO 41:683-688, 1969. 12
Population (14,000 subjects total)
Therapeutic Agents
Recombinant Proteins
13
Therapeutic Agents
Recombinant Proteins
• Cystic fibrosis (CF) -> ~30,000 cases in the US and 23,000 in Canada.
• Europe: it occurs in 1 in 2,500 live birth and 1 in 25 are carriers.
• Caused by more than 500 different mutations in the cystic fibrosis transmembrane
conductance regulator (CFTR) gene.
• Individuals with CF are highly susceptible to bacterial infection and antibiotic
treatment often results in resistant strains.
15
Therapeutic Agents
Recombinant Proteins
16
Therapeutic Agents
Recombinant Proteins
A normal lung
Chloride into airway;
sodium out - keeps
mucus moist and thin
Normal CFTR
regulates the sodium
channel (inactivates it)
A CF lung
Chloride does not get
into airway; more
sodium leaves; More
salt in cell -> water
comes in ->This makes
the mucus thick
17
Therapeutic Agents
Recombinant Proteins
Treatments:
18
Therapeutic Agents
Recombinant Proteins
Alginate Lyase
• Alginate is a polysaccharide polymer that is produced by bacteria.
• The excretion of alginate by Pseudomonas aeruginosa of patients with CF contributes to the
viscosity in the lung.
• The enzyme alginate lyase can liquefy bacteria alginate.
• Alginate lyase was isolate from Flavobacterium sp. and cloned into E. coli.
-> Combined with DNase1, alginate lyse is able to reduce the mucus in the lungs of patients with CF.
19
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Clinical Applications
• Transplantation – muronomab (OKT3) 1986, basiliximab 1998
Side effects: • Transfusion reactions (any adverse event which occurs because of a blood
transfusion)
• Infections, immunosuppression
• Cardiac, respiratory arrest (discontinuation of breathing)
• Pharmacological toxicity
20
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Production
21
Therapeutic Agents
Recombinant Proteins
Production: Monoclonal Antibodies
Immunological Responses
”Humanization” of ABs
22
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Chimeric Ab Humanized Ab
24
Therapeutic Agents
Recombinant Proteins
Antibodies for human therapy derived without using mice:
Screening by Phage display
25
Therapeutic Agents
Recombinant Proteins
Antibodies for human therapy derived without using mice:
26
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Application of single-chain fixed variable-> Immunotoxins
27
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Examples:
Monoclonal antibodies for cancer. ADEPT, antibody directed enzyme prodrug therapy; ADCC,
antibody dependent cell-mediated cytotoxicity; CDC, complement dependent cytotoxicity; MAb,
monoclonal antibody; scFv, single-chain Fv fragment 28
Therapeutic Agents
Recombinant Proteins
Monoclonal Antibodies
Examples:
Target Angiogenesis -> to prevent tumor growth
30
Therapeutic Agents
Nucleic Acids
As Therapeutic agents
31
Therapeutic Agents
Nucleic Acids
Antisense RNAs
32
Therapeutic Agents
Nucleic Acids
• Episomally based expression vectors with cDNA for insulin-like growth factor 1
(ILGF-1) receptors were constructed in the antisense version.
• ILGF-1 is prevalent in malignant glioma a common form of brain cancer and
prostate carcinoma.
• Culture of glioma cells when transfected with the antisense version of ILGF-1 in
ZnSO4 lost its tumurous properties.
• A similar treatment of mice which were injected with prostate carcinoma cells
caused small or no tumor to develop.
33
Therapeutic Agents
Nucleic Acids
Antisense Oligonucleotides
• Antisense deoxynucleotides can also be used as therapeutic agents.
• However when injected into the body is deoxynucleotides are susceptible to
degradation.
• To prevent this modified deoxynucleotides are used including phosphorothioate,
phosphoramidate and polyamide.
• Free oligos are usually introduced into to the body encapsulated in a liposome.
Phosphodiester Phosphorothioate
linkage linkage Phosphoramidite Polyamide
linkage linkage
34
Therapeutic Agents
Nucleic Acids
Antisense Oligonucleotides
• Antisense deoxynucleotides can also be used as therapeutic agents.
• However when injected into the body is deoxynucleotides are susceptible to
degradation.
• To prevent this modified deoxynucleotides are used including phosphorothioate,
phosphoramidate and polyamide.
• Free oligos are usually introduced into to the body encapsulated in a liposome.
35
Therapeutic Agents
Nucleic Acids
Antisense Oligonucleotides
Treatment of Psoriasis:
36
Therapeutic Agents
Nucleic Acids
37
Therapeutic Agents
Nucleic Acids
38
Therapeutic Agents
Nucleic Acid
39
Therapeutic Agents
Nucleic Acid
40
Therapeutic Agents
Nucleic Acid
41