Antibodies have shown multiple uses in medicine, from
‘vaccines’ to mop up venom and toxins, to targeting pathogens. With
the growing knowledge of molecular biology, combined with the advances
in cell culture it was possible to raise cells against specific
antigens, and then to purify these plasma cells which could then be
fused with cancerous white cells, to produce a continuous source of
monoclonal antibodies. As the producing cells are cancer fusioned they
are immortal and small cell cultures can be expanded to produce massive
amounts of antibody. The uses for monoclonal antibodies are numerous
from therapies to diagnostic tests, and also for a whole battery of
immunological methods in biochemistry.
These methods were further
advanced when it was found that modification of the immunoglobulins to
include J-chains, a sequence that allows antibodies in and out of cells,
could be used to find epitopes not only in the circulating blood stream
but also in cells themselves. It was then simple, especially in
laboratory animals, to raise these special antibodies against previously
difficult targets, such as viral particles inside cells, or bacteria,
such as the tuberculosis strains, that live inside cells. However the
administration of the antibody would require repeated treatment, and
there were problems with immune response against the therapy. A way of
administering a continuous dose of these antibodies was needed,
preferably avoiding the need of immunosupressing the patient so that
they would not fight the antibody.
In response to these demands,
special immunological implants were given, consisting of the producer
cells which are encased inside a porous shell, these cells extract
nutrients from the tissue fluid, and excrete their antibodies, but
crucially the porous shielding stops the lymphoma cells from escaping
into the host, though the risk of cancer from many cell lines was
negligible (as incompatible tissue), the immune response against these
foreign cells could trigger the immune system into attacking the
body’s tissues, the shell therefore created a physical barrier between
the producer cells and the host’s immune system, and tissue
compatibility issues avoided. The immunoglobulins were also susceptible
to attack, but simple biological modifications to these were made to
avoid immune conflict.
These implants allowed doctors
to administer to their patients a kind of instant specific immune
response, though completely independent of the patients own immune
system. Though these implants were used with good effect against chronic
diseases, and in helping protect immunodeficient people (especially in
fighting HIV, and effective vaccines were not taken well by already
infected patients), these kinds of implants were not tremendously wide
spread (the technology was relatively sophisticated, and at the time
only developed countries made the best use of this treatment). However
the kind of targeted and discrete response this therapy offered did not
entirely become obsolete, and is still a viable technique today, though
modern Nano technology is becoming perhaps the most powerful medical
tool. |