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Investigators Identify Prognostic Marker for Treating Hep C with Peg-Interferon and Ribavirin

Team expects to launch a test based on the IP-10 marker this year. Plasma levels of the protein IP-10 predict , prior to therapy initiation, the efficacy of treating chronic hepatitis C infection with pegylated-interferon and ribavirin, according to scientists

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Team expects to launch a test based on the IP-10 marker this year.

Plasma levels of the protein IP-10 predict , prior to therapy initiation, the efficacy of treating chronic hepatitis C infection with pegylated-interferon and ribavirin, according to scientists at Inserm and Institut Pasteur. They say that they have developed a prognostic test for hepatitis C based on these results and anticipate commercialization this year.

The study, published in the Journal of Clinical Investigation, was conducted in the research lab of Matthew Albert, Ph.D. Dr. Albert’s team found IP-10 elevated in those patients for whom treatment was ineffective. This observation was paradoxical as IP-10 is considered a pro-inflammatory molecule, which should have facilitated migration of activated T cells to the liver, the exact cell types responsible for viral immunity.

The researchers figured out that IP-10 had been catabolized and a truncated form was present in the HCV patients. This means that the short form of the protein acts as an antagonist and inhibits T-cell recruitment. The investigators thus suggest that the antagonist form of IP-10 is responsible for treatment failures in 50% of patients.

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02How stable is the antibody?

A crucial question often addressed during preclinical development focuses on the in vivo stability of therapeutic antibodies. Increasing the half-life of a therapeutic antibody has several benefits ranging from higher treatment efficacy to increased advantages for the patients who will have a fewer number of therapy sessions and a reduced cost. Given these compelling benefits, following the identification of therapeutic antibodies with the desired specificity, developers usually subject them to a refinement step to increase their stability. This process is often hindered by the lack of reliable experimental tools to predict the half-life of antibodies in patients. The major hurdle of using mouse models to predict antibody stability in the serum lies in the way immunoglobulin proteins are processed by the organism. In mammals, most proteins circulating in the serum undergo constant uptake by endothelial cells and are routed through the endosomes to the lysosomal compartment for degradation. In the endosomes, immunoglobulin G (IgG) proteins are recognized and bound by a transmembrane protein, called the neonatal Fc receptor (FcRn), which mediates their recycling to the plasma membrane and subsequent release back into the serum. As a result, the half-life of IgGs are significantly extended by this mechanism. Since most therapeutic antibodies belong to the IgG class, this recycling system is very relevant for their relative stability in the body. Remarkably, the relative affinity between IgGs and FcRn is extremely disparate between different species, with the mouse receptor showing a much higher affinity than its human counterpart.

Source: www.genengnews.com ↗
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