Paper II
2022 July (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Monoclonal antibodies and their uses

Q94 marksShort Answers

Answer

Monoclonal antibodies are laboratory-produced antibodies engineered to bind a single, specific target antigen with high selectivity.

  • Infliximab, Adalimumab (anti-TNF-alpha) — rheumatoid arthritis, inflammatory bowel disease, psoriasis.
  • Rituximab (anti-CD20) — non-Hodgkin lymphoma, rheumatoid arthritis (B-cell depletion).
  • Trastuzumab (anti-HER2) — HER2-positive breast cancer.
  • Bevacizumab (anti-VEGF) — colorectal and other cancers, blocking tumour angiogenesis.
  • Omalizumab (anti-IgE) — severe allergic asthma.
  • Palivizumab (anti-RSV) — prophylaxis against respiratory syncytial virus in high-risk infants.

Their high target specificity generally gives a more favorable adverse-effect profile than conventional cytotoxic/broad-immunosuppressive agents, though infusion reactions and increased infection risk (from targeted immune pathway suppression) remain class-wide concerns.

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