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Uses of Monoclonal Antibodies - Monoclonal antibodies or specific antibodies, arc now an essential tool of much biomedical research and are of great commercial and medical value. For instance, ABO blood groups could be earlier identified with the help of human sera carrying antibodies of known specificity.

These human sera in U.K. have been replaced by monoclonal antibodies produced by hybridomas, for the identification of ABO blood groups. Thus the diagnostic and screening value of the monoclonal antibodies through serological tests has been demonstrated.

Besides the use of monoclonals in identification of blood groups in UK (UK blood typing), following three uses for monoclonals are described, although, only the first two of these make a definite market at present:

(i) diagnosis (including ELISA test for detection of viruses and imaging),

(ii) immunopurification

(iii) therapy.

In diagnosis, pregnancy can be detected by assaying of hormones with monoclonals. Similarly, pathogens can be detected in a few hours sparing several days of culturing of cells earlier needed. Immunopurification involves separation of one substance from a mixture of very similar molecules.

For instance, individual interferons could be purified using monoclonal antibodies and could be used for inactivating T lymphocytes responsible for rejection of organ transplants. Removal of tumour cells from bone marrow is another therapeutic use of monoclonal antibodies.

For therapeutic uses, monoclonal antibodies are so designed that they will neutralize the reaction or response by one defined antigen, but still preserve the reaction of all other antigens. Several antigens of T cell receptor complex, including CD3, CD4 and CD8 have been the targets of specific antibodies for therapy.

Most widely used monoclonal antibody is OKTI, which has been licensed for clinical use, particularly for the treatment of acute renal allograft rejections. Monoclonal antibodies have also been used for treatment of patients with

(i) malignant leukemic cells,

(ii) B cell lymphomas, and

(iii) a variety of allograft rejections after transplantation.

However, in several cases of therapy by monoclonal antibodies, there are undesirable side effects like high fever, vomiting, diarrhoea and respiratory distress; sometimes it also leads to broad immuno suppression leading to increased incidence of infections.

For many human diseases as above, murine (of mouse) antibodies are utilized. Their effectiveness is, however, limited due to their short survival time in humans and relatively low cytocidal effect.

For this reason, humanized antibodies are being produced by genetic manipulations and in future these will be increasingly utilized for therapy. Monoclonal antibodies cytotoxic agent conjugates called immunotoxins have also been designed as carriers of cytotoxic substances to the target cells.