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Review Keiji Koda* and Mark C. Glassy Brunswick Biotechnetics, San Diego, California, USA Introduction The usefulness of monoclonal antibodies (MAbs) in diagnostic and therapeutic applications has been intensively studied during the past decade. The majority of these clinical studies have been with murine MAbs. The lack of efficacy in most of these applications has been attributed to the innate "foreignness" of the mouse protein, which has often caused several kinds of adverse reactions in the host, such as allergic response, hepatic disfunctions, and immune complex formation in the kidney. In addition, the human antimouse antibody (HAMA) response has limited the usefulness of murine MAbs in over half the patients treated so far. 1-3 One possible solution in avoiding the HAMA and other reactions inherent with murine MAbs is the development of human MAbs. Over a decade has passed since the first report of human monoclonal antibody production using immortalization by Epstein-Barr virus (EBV) in 1977. 4 In the interim, several techniques and methodologies have been developed to generate human MAbs of clinical interest, including the production of chimeric MAbs, which substitute the constant region of mouse antibodies with human counterparts. 5 -9 However, thus far, no single approach
Human Antibodies – IOS Press
Published: Jan 1, 1990
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