Potential of Phage Display Antibody Technology for Cardiovascular Disease Immunotherapy

J Cardiovasc Transl Res. 2022 Apr;15(2):360-380. doi: 10.1007/s12265-021-10169-x. Epub 2021 Aug 31.

Abstract

Cardiovascular disease (CVD) is one of the leading causes of death worldwide. CVD includes coronary artery diseases such as angina, myocardial infarction, and stroke. "Lipid hypothesis" which is also known as the cholesterol hypothesis proposes the linkage of plasma cholesterol level with the risk of developing CVD. Conventional management involves the use of statins to reduce the serum cholesterol levels as means for CVD prevention or treatment. The regulation of serum cholesterol levels can potentially be regulated with biological interventions like monoclonal antibodies. Phage display is a powerful tool for the development of therapeutic antibodies with successes over the recent decade. Although mainly for oncology, the application of monoclonal antibodies as immunotherapeutic agents could potentially be expanded to CVD. This review focuses on the concept of phage display for antibody development and discusses the potential target antigens that could potentially be beneficial for serum cholesterol management.

Keywords: Activin A receptor type II–like kinase 1; Angiopoietin-like proteins; Antibody phage display; Apolipoprotein C-III; Cardiovascular disease; Immunotherapy; Lipoprotein lipase; Monoclonal antibodies; Perilipin; Proprotein convertase subtilisin/kexin type 9.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anticholesteremic Agents*
  • Bacteriophages*
  • Cardiovascular Diseases* / prevention & control
  • Cholesterol, LDL
  • Humans
  • Immunotherapy
  • Proprotein Convertase 9
  • Technology

Substances

  • Anticholesteremic Agents
  • Cholesterol, LDL
  • Proprotein Convertase 9