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Monoclonal Antibodies for the Treatment of Ocular Diseases
Cristina Henriques1,2, Raquel da Ana1, Karolline Krambeck2
1Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.
Abstract:
Monoclonal antibodies (mAbs) have revolutionized the landscape of cancer therapy, offering unprecedented specificity and diverse mechanisms to combat malignant cells. These biologic agents have emerged as a cornerstone in targeted cancer treatment, binding to specific antigens on cancer cells and exerting their therapeutic effects through various mechanisms, including inhibition of signaling pathways, antibody-dependent cellular cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), and antibody-dependent cellular phagocytosis (ADCP). The unique ability of mAbs to engage the immune system and directly interfere with cancer cell function has significantly enhanced the therapeutic armamentarium against a broad spectrum of malignancies. mAbs were initially studied in oncology; however, today, treatments have been developed for eye diseases. This review discusses the current applications of mAbs for the treatment of ocular diseases, discussing the specificity and the variety of mechanisms by which these molecules exhibit their therapeutic effects. The benefits, drawbacks, effectiveness, and risks associated with using mAbs in ophthalmology are highlighted, focusing on the most relevant ocular diseases and mAbs currently in use. Technological advances have led to in vitro production methods and recombinant engineering techniques, allowing the development of chimeric, humanized, and fully human mAbs. Nowadays, many humanized mAbs have several applications, e.g., for the treatment of age-related macular disease, diabetic retinopathy, and uveitis, while studies about new applications of mAbs, such as for SARS-CoV-2 infection, are also currently ongoing to seek more efficient and safe approaches to treat this new ocular disease.
Insights
Monoclonal antibodies (mAbs) are revolutionizing eye disease treatment by targeting specific antigens. This review explores their mechanisms, benefits, and risks in ophthalmology for conditions like macular degeneration and uveitis.
Area of Science:
- Ophthalmology
- Immunology
- Biotechnology
Background:
- Monoclonal antibodies (mAbs) are biologic agents that have transformed cancer therapy through targeted mechanisms like ADCC and CDC.
- Initially developed for oncology, mAbs are now increasingly utilized for treating various ocular diseases.
- Technological advancements have enabled the development of diverse mAb types, including chimeric, humanized, and fully human antibodies.
Purpose of the Study:
- To review the current applications of monoclonal antibodies (mAbs) in treating ocular diseases.
- To discuss the specificity and diverse therapeutic mechanisms of mAbs in ophthalmology.
- To highlight the benefits, drawbacks, effectiveness, and risks of using mAbs for prevalent eye conditions.
Main Methods:
- Review of current literature on monoclonal antibody applications in ophthalmology.
- Analysis of mAb mechanisms, including antigen binding, immune system engagement, and direct cancer cell interference.
- Focus on specific ocular diseases such as age-related macular disease, diabetic retinopathy, and uveitis.
Main Results:
- Monoclonal antibodies demonstrate significant therapeutic potential in treating various ocular diseases.
- Humanized mAbs are currently used for conditions like age-related macular disease, diabetic retinopathy, and uveitis.
- Ongoing research explores new applications for mAbs, including in viral ocular infections like SARS-CoV-2.
Conclusions:
- Monoclonal antibodies represent a significant advancement in ocular disease treatment, offering targeted and effective therapeutic options.
- The review underscores the importance of understanding mAb mechanisms, benefits, and risks for optimal patient outcomes in ophthalmology.
- Continued innovation in mAb technology promises further expansion of their applications in managing complex eye conditions and emerging diseases.
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