PMID- 17348868 OWN - NLM STAT- MEDLINE DCOM- 20070619 LR - 20151119 IS - 0042-9007 (Print) IS - 0042-9007 (Linking) VI - 92 IP - 3 DP - 2007 Apr TI - Antibody therapy (IVIG): evaluation of the use of genomics and proteomics for the study of immunomodulation therapeutics. PG - 197-205 AB - BACKGROUND AND OBJECTIVES: Intravenous immunoglobulin (IVIG) is used for an increasingly diverse number of therapeutic applications as an immunomodulation drug. Although it has demonstrated therapeutic effectiveness, the mechanism of action of IVIG in these disorders is poorly understood; this lack of understanding complicates rational clinical application and reimbursement for 'off-label' use. MATERIALS AND METHODS: Selected literature on the clinical use of IVIG as an immunomodulation drug is reviewed. We present a brief description of DNA microarray and protein microarray technology and the application of such technologies to the study of immune system cells. The several studies on the application of DNA microarray technology to study gene expression in response to IVIG are presented. RESULTS: There is increasing data on the use of DNA microarray and protein microarray technology to study gene expression in immune system cells including T cells, B cells, macrophages, and leucocytes. There is less information on the effect of IVIG on gene expression in immune system cells. However, there is sufficient information available to suggest that this is a practical approach with the caveat that such work will require careful experimental design and clear definition of the normal population. CONCLUSIONS: DNA and protein microarray assays can be used to (i) provide rational indications for the clinical use of IVIG, (ii) provide for specific analysis of raw material and end product IVIG in screening for content related to immunomodulation, and (iii) accelerate the development of next generation products which would be more focused and/or targeted therapeutics. FAU - Sapan, C V AU - Sapan CV AD - Department of Pathology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. FAU - Reisner, H M AU - Reisner HM FAU - Lundblad, R L AU - Lundblad RL LA - eng PT - Journal Article PT - Review PL - England TA - Vox Sang JT - Vox sanguinis JID - 0413606 RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) SB - IM MH - Gene Expression Regulation/*immunology MH - Genomics MH - Humans MH - Immunoglobulins, Intravenous/pharmacology/*therapeutic use MH - Immunologic Factors/pharmacology/*therapeutic use MH - Oligonucleotide Array Sequence Analysis MH - Practice Patterns, Physicians' MH - Proteomics RF - 88 EDAT- 2007/03/14 09:00 MHDA- 2007/06/20 09:00 CRDT- 2007/03/14 09:00 PHST- 2007/03/14 09:00 [pubmed] PHST- 2007/06/20 09:00 [medline] PHST- 2007/03/14 09:00 [entrez] AID - VOX877 [pii] AID - 10.1111/j.1423-0410.2006.00877.x [doi] PST - ppublish SO - Vox Sang. 2007 Apr;92(3):197-205. doi: 10.1111/j.1423-0410.2006.00877.x.