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Billingham, Rupert (1921–2002) 107 biologicals<br />

Target<br />

cell<br />

Bifunctional antibody<br />

Bifunctional antibody.<br />

Cytotoxic<br />

T Lymphocyte<br />

Bispecific antibodies that bind to both effector and target cells<br />

can activate the effector cell and guarantee intimate contact<br />

between effector and target cells. The three basic techniques to<br />

prepare bispecific molecules are (1) heteroconjugate bispecific<br />

antibodies produced by chemical linkage of two immunoglobulin<br />

molecules with different binding specificities; (2) hybridoma-specific<br />

antibodies formed by hybridomas produced by<br />

fusing two lymphocytes that synthesize antibodies of different<br />

specificities; and (3) bispecific molecules produced by genetic<br />

engineering which permits the insertion, within or adjacent to<br />

the genes encoding an immunoglobulin molecule, of oligonucleotides<br />

encoding another immunoglobulin, a desired<br />

immunogenic epitope, or an epitope responsible for interaction<br />

with a viral antigen. Bispecific antibodies were developed to<br />

redirect or enhance immune effector responses toward tumors<br />

and induce killing of target cells in a non-MHC-restricted<br />

manner. One limb of the bispecific antibody recognizes a<br />

cell-surface antigen on the cytotoxic effector cell, while the<br />

other limb is specific for a tumor antigen. Recombinant DNA<br />

technology has permitted the generation of bispecific scFv,<br />

minibodies, diabodies, and multivalent bispecific antibodies.<br />

Single-chain bispecific antibodies are composed of linked<br />

variable domains fused to human Fc domains. Miniantibodies<br />

comprise an scFv joined by a linker to a dimerization domain<br />

while diabodies exploit the intrinsic nature of VH and VL<br />

within an Fv to pair.<br />

Billingham, Rupert (1921–2002)<br />

Together with P.B. Medawar proved that the rejection<br />

of grafts between unrelated individuals, i.e., allografts<br />

or homografts, has an immunological basis. Pioneer of<br />

acquired immunological tolerance reported in classic paper<br />

in Nature 1953.<br />

binding constant<br />

Refer to association constant.<br />

binding protein<br />

Also called immunoglobulin heavy chain-binding protein.<br />

binding site<br />

The paratope area of an antibody molecule that binds antigen<br />

or the part of a T cell receptor that is antigen binding.<br />

biochemical sequestration<br />

Antigenic determinants that are hidden in a molecule may<br />

be unable to act as immunogens or react with antibody.<br />

Structural alterations in the molecule may render them<br />

identifiable and capable of serving as immunogens.<br />

Rupert Billingham, colleague of P.B. Medawar, who was also a pioneer in<br />

immunologic tolerance.<br />

biogenic amines<br />

Nonlipid substances of low molecular weight, such as<br />

histamine, that have an amine group in common. Biogenic<br />

amines are stored in the cytoplasmic granules of mast cells,<br />

from which they may be released to mediate the biological<br />

consequences of immediate hypersensitivity reactions. Also<br />

called vasoactive amines.<br />

biolistics<br />

The coating of small particles such as colloidal gold with an<br />

agent such as a drug, nucleic acid, or other substance to be<br />

conveyed into a cell. A helium-powered gun is employed to<br />

fire particles into the recipient’s dermis.<br />

biological false-positive reaction<br />

A positive serological test for syphilis, such as the VDRL<br />

(Venereal Disease Research Laboratory) serological test produced<br />

by the serum of an individual who is not infected with<br />

Treponema pallidium. The reaction is attributable to antibodies<br />

reactive with antigens of tissues such as the heart, from<br />

which cardiolipin antigen used in the test is derived. The sera<br />

of patients with selected autoimmune diseases, including<br />

systemic lupus erythematosus (SLE), may contain antibodies<br />

that give biological false-positive results for syphilis.<br />

biological response modifiers (BRMs)<br />

A wide spectrum of molecules such as cytokines that<br />

alter immune responses. They include substances such as<br />

interleukins, interferons, hematopoietic colony-stimulating<br />

factors, tumor necrosis factor, B lymphocyte growth and<br />

differentiating factors, lymphotoxins, and macrophageactivating<br />

and chemotactic factors, as well as macrophage<br />

inhibitory factor, eosinophil chemotactic factor, osteoclast<br />

activating factor, etc. BRMs may modulate the immune<br />

system of a host to augment antitumor defense mechanisms.<br />

Some have been produced by recombinant DNA technology<br />

and are available commercially. An example is α interferon<br />

used in the therapy of hairy cell leukemia.<br />

biologicals<br />

Natural or engineered proteins employed to activate or<br />

interefere with the proliferation, metabolism, or functioning<br />

of normal or neoplastic cells. Substances used for therapy<br />

that include antitoxins, vaccines, products prepared from<br />

pooled blood plasma, and biological response modifiers<br />

B

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