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Clinical implications of anti-idiotype antibodies in COVID-19

  • Ajay Kumar Shukla and Saurav Misra EMAIL logo
Published/Copyright: October 24, 2022

Abstract

Idiotype-based therapeutics have failed to deliver their promise, necessitating rethinking of the concept and its potential to develop a viable immunotherapy method. The idiotype based hypothesis is discussed in this paper in order to produce effective anti-idiotype vaccinations. Polyclonal anti-idiotype reagents have been shown to be more successful in animal models, and a better understanding of the immune response in humans supports the idea that polyclonal anti-idiotype vaccines will be more effective than monoclonal-based anti-idiotype vaccines. This innovative approach can be used to produce therapeutic antibodies in a Biotech-standard manner. The idiotype network has been tweaked in the lab to provide protection against a variety of microbiological diseases. Antibodies to image-idiotype antigens, both internal and non-internal, can elicit unique immune responses to antigens. The current outbreak of severe acute respiratory syndrome 2 (SARS-2) has presented a fantastic chance to use idiotype/anti-idiotype antibodies as a protective regimen, which might be used to treat COVID-19 patients. The development of various effective vaccinations has been crucial in the pandemic’s management, but their effectiveness has been limited. In certain healthy people, the development of viral variations and vaccinations can be linked to rare off-target or hazardous effects, such as allergic responses, myocarditis and immune-mediated thrombosis and thrombocytopenia. Many of these occurrences are most likely immune-mediated. The current analysis reveals successful idiotype/anti-idiotype antibody uses in a variety of viral illnesses, emphazising their importance in the COVID-19 pandemic.


Corresponding author: Dr. Saurav Misra, MBBS, MD, Assistant Professor, Department of Pharmacology, Kalpana Chawla Government Medical College, Karnal, India, Phone: +919559020384, E-mail:

  1. Research funding: None.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Yes, all authors state that there is no conflict of interest.

  4. Informed consent: Not required.

  5. Ethical approval: No requirement of ethical approval.

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Received: 2022-04-27
Accepted: 2022-10-03
Published Online: 2022-10-24

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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