Title Upotreba monoklonskih protutijela u liječenju Alzheimerove bolesti
Title (english) The use of monoclonal antibodies in the treatment of Alzheimer's disease
Author Marko Pranjić
Mentor Miranda Mladinić Pejatović (mentor)
Committee member Miranda Mladinić Pejatović (član povjerenstva)
Committee member Anđelka Radojčić Badovinac (predsjednik povjerenstva)
Committee member Dean Marković (član povjerenstva)
Granter University of Rijeka (Faculty of Biotechnology and Drug Development) Rijeka
Defense date and country 2024-07-10, Croatia
Scientific / art field, discipline and subdiscipline BIOTECHNICAL SCIENCES Biotechnology
Abstract Cilj ovog rada je pojasniti patologiju Alzheimerove bolesti (AZ), opisati mehanizme njenog nastanka, te opisati proteine povezane s patologijom bolesti. Rad se posebno fokusira na upotrebu monoklonskih protutijela u terapiji bolesti, s naglaskom na ADUCANUMAB. Rad detaljno opisuje načine proizvodnje protutijela, njihovu terapijsku osnovu, mehanizam djelovanja i učinkovitost u liječenju Alzheimerove bolesti. Alzheimerova bolest je teška neurodegenerativna bolest koja se manifestira kroz niz teško uočljivih simptoma, simptomi mogu biti raznovrsni kao što su na primjer gubitak kratkoročnog pamćenja pa sve do halucinacija i deluzija. Patogeneza uključuje primarno akumulaciju amiloid-β peptida (Aβ) u mozgu i promjene u citoskeletu uzrokovane hiperfosforilacijom Tau proteina. Istraživanja su usmjerena na razumijevanje mehanizama nastanka bolesti, uključujući genetičke čimbenike, kao što su APP, PSEN1, PSEN2 i APOE-e4, i okolišne utjecaje. Metode uključuju pregled literarnih izvora o patogenezi, simptomima i liječenju Alzheimerove bolesti, te laboratorijske tehnike za proizvodnju i testiranje učinkovitosti monoklonskih protutijela. Monoklonska protutijela, uključujući ADUCANUMAB, pokazala su smanjenje amiloidnih plakova u mozgu i poboljšanje kognitivnih funkcija u predkliničkim i kliničkim ispitivanjima. ADUCANUMAB se veže selektivno za agregirane oblike Aβ, aktivirajući makrofage koji razgrađuju plakove bez značajnih nuspojava. Klinička ispitivanja ovog lijeka pokazuju smanjenje Aβ plakova i usporavanje kognitivnog pada iako nisu riješeni svi klinički problemi. Monoklonska protutijela predstavljaju stoga perspektivnu opciju za razvoj liječenja AZ bolesti, ali zahtijevaju dodatna temeljna istraživanja i klinička ispitivanja.
Abstract (english) The aim of this paper is to clarify the pathology of Alzheimer's disease (AD), describe the mechanisms of its onset, and outline the proteins associated with the disease's pathology. It particularly focuses on the use of monoclonal antibodies in therapy of the disease, with an emphasis on ADUCANUMAB. The paper provides a detailed description of the methods of antibody production, their therapeutic basis, mechanisms of action, and effectiveness in treating Alzheimer's disease. Alzheimer's disease is a severe neurodegenerative condition that manifests through a range of subtle symptoms. Symptoms can vary widely, from short-term memory loss to hallucinations and delusions. Pathogenesis involves the accumulation of amyloid-β peptides (Aβ) in the brain and cytoskeletal changes caused by hyperphosphorylation of Tau proteins. Research is focused on understanding the mechanisms of disease onset, including genetic factors such as APP, PSEN1, PSEN2, and APOE-e4, and environmental influences. Methods include a review of the literature on the pathogenesis, symptoms, and treatment of Alzheimer's disease, as well as laboratory techniques for the production and testing of the effectiveness of monoclonal antibodies. Monoclonal antibodies, including ADUCANUMAB, have shown a reduction in amyloid plaques in the brain and improvement in cognitive functions in preclinical and clinical trials. ADUCANUMAB selectively binds to aggregated forms of Aβ, activating macrophages that degrade the plaques without significant side effects. Phase I, II, and III clinical trials demonstrate a reduction in Aβ plaques and slowing of cognitive decline, although not all clinically significant results have been achieved. Monoclonal antibodies represent a promising option for future treatment but require further research and clinical trials.
Keywords
Alzheimerova bolest
amiloid-β peptid
monoklonska protutijela
ADUCANUMAB
Keywords (english)
Alzheimer's disease
amyloid-β peptide
monoclonal antibodies
ADUCANUMAB
Language croatian
URN:NBN urn:nbn:hr:193:546206
Study programme Title: Biotechnology and drug research Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni/a prvostupnik/prvostupnica biotehnologije i istraživanja lijekova (sveučilišni/a prvostupnik/prvostupnica biotehnologije i istraživanja lijekova)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2024-07-13 20:02:09