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Antibody-Based Therapies in Infectious Diseases
Abstract
Before antibiotics, sera from immune animals and humans were used to treat a variety of infectious diseases, often with successful results. In the beginning of the 20th century, serum therapy had taken a place in standard treatment protocols for several infectious diseases, such as meningitis, diphtheria, tetanus, and lobar pneumonia. As early as 1906, antimeningococcal serum was intravenously used as a treatment for meningitis, since it was proved to cross the blood-brain barrier. However, treatment with meningococcal antiserum was shown to be ineffective, because available antiserum was only effective against type A meningococcus, whereas type C was a more common cause of meningococcal meningitis (1). Several trials demonstrated that application of type-specific antipneumococcal serum reduced mortality in patients with lobar pneumonia by about 50%, from 30-40% to 10-20% (2). Several successes with immune serum were observed in treatment and prevention of other infectious diseases, which include Haemophilus influenzae meningitis, measles, diphtheria, hepatitis A and B, poliovirus infection, and cytomegalovirus (CMV) infection (1). However, numerous problems have been observed with immune sera, including lot-to-lot variations characterized with variable amounts of specific antibodies, occurrence of serum sickness as a complication, and some hazards in transmission of some infectious diseases (3,4).
Affiliation(s): (3) Immunology Unit, Department of Microbiology, School of Medicine, Uludag University, Bursa, Turkey
(4) Swiss Institute of Allergy and Asthma Research, Davos, Switzerland
Series: Methods in Molecular Medicine  |  Volume: 40  |  Pub. Date: Aug-01-2000  |  Page Range: 157-178  |  DOI: 10.1385/1-59259-076-4:157
Subject:  Immunology
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