Pros and cons of different therapeutic antibody formats for recombinant antivenom development.


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Authors
Laustsen, Andreas H 
María Gutiérrez, José 
Knudsen, Cecilie 
Johansen, Kristoffer H 
Bermúdez-Méndez, Erick 
Abstract

Antibody technologies are being increasingly applied in the field of toxinology. Fuelled by the many advances in immunology, synthetic biology, and antibody research, different approaches and antibody formats are being investigated for the ability to neutralize animal toxins. These different molecular formats each have their own therapeutic characteristics. In this review, we provide an overview of the advances made in the development of toxin-targeting antibodies, and discuss the benefits and drawbacks of different antibody formats in relation to their ability to neutralize toxins, pharmacokinetic features, propensity to cause adverse reactions, formulation, and expression for research and development (R&D) purposes and large-scale manufacturing. A research trend seems to be emerging towards the use of human antibody formats as well as camelid heavy-domain antibody fragments due to their compatibility with the human immune system, beneficial therapeutic properties, and the ability to manufacture these molecules cost-effectively.

Description
Keywords
Adverse reactions, Animal envenoming, Antibodies, Antibody expression, Antivenom, Antivenom design, Biotechnology, Immunogenicity, Neglected tropical diseases, Pharmacodynamics, Pharmacokinetics, Recombinant antivenom, Scorpion sting, Snakebite, Spider bite, Venom, Venom neutralization, Animals, Antibodies, Antivenins, Camelus, Humans, Recombinant Proteins, Venoms
Journal Title
Toxicon
Conference Name
Journal ISSN
0041-0101
1879-3150
Volume Title
146
Publisher
Elsevier BV