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- Improving on "Natural" Rodent Antibodies
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1. The immunogenicity problem in antibody therapy
- Prof. Herman Waldmann
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2. Antibodies by protein engineering
- Prof. Sir Gregory Winter
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3. The generation of diversity in antibody genes
- Prof. Michael Neuberger
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4. Innate immunity to retroelements by human AID/APOBEC3 proteins
- Prof. Reuben Harris
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5. Fc receptors and antibody effector functions
- Dr. Mike Clark
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6. Antibody engineering of Fc effector functions
- Dr. Mike Clark
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7. Antibody engineering: beginnings to bispecifics and beyond
- Dr. Ian Wilkinson
- Antibodies in Cancer Therapy
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8. Monoclonal antibodies and the ErbB system in human cancer
- Prof. Mark Greene
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9. Checkpoint blockade in cancer immunotherapy
- Prof. James Allison
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10. Monoclonal antibodies in haemato-oncology
- Prof. Mark Cragg
- Diagnostic Antibodies
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11. Monitoring therapy with antibodies
- Dr. Geoffrey Hale
- Cell Surface Glycoproteins on Cells of the Immune System
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12. Cell surface glycoproteins on cells of the immune system
- Prof. Neil Barclay
- Antibodies as Immunosuppressants
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13. Monoclonal antibodies to induce therapeutic immunological tolerance
- Prof. Herman Waldmann
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14. Antibodies to control or prevent type 1 diabetes
- Dr. Robert Hilbrands
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15. Antibody therapy of multiple sclerosis
- Dr. Alasdair Coles
- Prof. Alastair Compston
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16. Monoclonal antibodies in the management of rheumatoid arthritis
- Prof. John Isaacs
- Archived Lectures *These may not cover the latest advances in the field
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19. Alemtuzumab (Campath-1H) in therapy of CLL
- Prof. Kanti Rai
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20. VEGF inhibitors for anti-angiogenic therapy
- Prof. Kari Alitalo
- Dr. Bronislaw Pytowski
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21. Human antibodies produced in mice
- Dr. Marianne Bruggemann
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22. New strategies to prevent transplant rejection: from molecules to mice to monkeys to man
- Prof. Christian Larsen
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23. CD20 antibodies in the targeting of B-cell malignancies and autoimmunity
- Prof. Thomas Tedder
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24. Anti-IL-2 receptor antibodies as models for cancer therapy
- Prof. Thomas Waldmann
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25. Anti TNF therapy in rheumatoid arthritis
- Prof. Marc Feldmann
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26. Novel immunotherapeutic proteins: immunoligand
- Prof. Terry Strom
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27. Diagnostic immunohistopathology
- Prof. David Mason
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28. Antibodies in the control of type I diabetes
- Prof. Lucienne Chatenoud
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29. The challenge of targeting toxins to tumors
- Prof. Ben Seon
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30. Antibody depletion therapy in transplantation: implications for tolerance
- Prof. Laurence Turka
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31. Antibodies as anti-virals
- Prof. Dennis Burton
Printable Handouts
Navigable Slide Index
- Introduction
- TNF: history
- Why look for cytokines in rheumatoid arthritis?
- The concept
- Restimulation of autoantigen reactive T cells
- Testing the concept: mediators
- Many cytokines are produced in RS
- Prolonged synthesis of IL-1-alpha in RS
- Analysis of cytokine regulation
- Cytokine cascade in rheumatoid arthritis
- Cytokine cascade is physiological
- Protection of joints in an animal model of RA
- Rationale for anti-TNF-alpha therapy in RA
- From bench to bedside
- Remicade(R) (infliximab)
- Open-label treatment with infliximab in RA
- Randomised, placebo-controlled trial of infliximab
- Evidence of efficacy of repeated infliximab therapy
- Combination therapy - anti-TNF plus anti-CD4
- Paulus 50% responses to infliximab
- Rational of combination infliximab and MTX
- Attract: sustained prevention of structural damage
- Reversal of structural damage
- Effectiveness of etanercept-MTX combination
- Summary of anti-TNF therapy in RA
- Antibody based therapeutic proteins
- Adalimumab+MTX: sustained efficacy over 5 years
- 7 years of etanercept therapy
- Verifying mechanism of action in phase II useful
- TNF-alpha dependent cytokine cascade in vivo
- Other cytokines down regulated also
- TNF is the body's fire alarm
- TNF-alpha blockade and inflammatory cell traffic
- Reduced PMN trafficking after infliximab therapy
- Chronic inflamation diseases respond to anti-TNF
- TNF is a good target in many chronic diseases
- Reduced angiogenesis after anti-TNF
- Cytokine washout with infliximab
- Nothing is perfect: problems
- Safety problems of TNF blockade
- Early treatment is more effective
- Prolonged reduction in disease activity
- Impact on medicine and research
- Impact on pharmaceutical industry
- Acknowledgements (1)
- Acknowledgements (2)
- Acknowledgements (3)
- Acknowledgements: funding
Topics Covered
- Immunological basis of rheumatoid arthritis (RA)
- Up-regulated cytokine expression is of major importance in RA
- Analysis of the disordered regulation shows that TNF blockade restored normal cytokine and destructive molecule levels and thus defined TNF as a therapeutic target
- Animal models of arthritis
- Clinical trials
- TNF has major input into leucocyte recruitment, it is thus the body's fire alarm
- TNF blockade and Crohn's disease, ulcerative colitis, ankylosing spondylitis, psoriasis, psoriatic arthritis and juvenile RA
- This represents the first major use for monoclonal antibodies in chronic diseases
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Feldmann, M. (2007, October 1). Anti TNF therapy in rheumatoid arthritis [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved February 5, 2025, from https://doi.org/10.69645/HLLE2763.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Marc Feldmann has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.