Sl. Morrison et Su. Shin, GENETICALLY-ENGINEERED ANTIBODIES AND THEIR APPLICATION TO BRAIN DELIVERY, Advanced drug delivery reviews, 15(1-3), 1995, pp. 147-175
Techniques of genetic engineering and expression have been applied to
the production of antibodies in a variety of expression systems. Combi
natorial libraries produced in bacteriophage may present an alternativ
e to animal immunization as a source of antigen-binding specificities.
Transfectomas which express genetically engineered antibody genes pro
vide one approach to overcoming some of the limitations inherent in cl
assical monoclonal antibodies. Novel antibodies have been produced wit
h a variety of modifications: as chimeric antibodies, as 'humanized' a
ntibodies, with catalytic groups, as bifunctional or fusion proteins a
nd as functional fragments such as Fabs or Fvs. The domain structure o
f the antibody is favorable to such manipulation; the novel proteins o
ften retain their antibody-derived activity and acquire new properties
as well. Chimeric and CDR-grafted antibodies have been effective in i
mmunotherapy, but problems of immunogenicity remain. Careful analysis
and comparison of effector functions among immunoglobulin isotypes may
be applied to the design of effective therapeutic antibodies. In addi
tion, antibody combining specificities can be joined with non-immunogl
obulin sequences thereby providing properties not usually found in ant
ibodies. In particular, antibodies fused with the growth factors insul
in-like growth factor(IGF)-1, IGF-2 and transferrin have shown increas
ed uptake into the brain parenchyma. These fusion proteins provide a f
amily of reagents with many potential applications.