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J Clin Pathol 57:912-917 doi:10.1136/jcp.2003.014407
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Demystified… recombinant antibodies

Table 1

 Selected examples of phage antibodies with applications in clinical settings

scFv target Clinical use Type of selection Ref
CEA, carcinoembryonic antigen; EGFR, endothelial growth factor receptor; HIV, human immunodeficiency virus; RBC, red blood cell; scFV, single chain heavy and light chain variable region; VEGF, vascular endothelial growth factor.
scFvs genetically engineered from existing antibodies
    Novel tumour associated antigen Tumour imaging (melanoma) scFv of H11 murine monoclonal antibody 30
    Anti-idiotypic antibody of ACA125 Tumour targeting (ovarian) scFv of murine antibody ACA125 31
    Tumour associated glycoprotein-72 Tumour targeting (colon) scFv of CC49 murine monoclonal antibody 32
    Platelet glycoprotein 1bα Anti-thrombotic agent scFv of SZ-2 murine monoclonal antibody 33
Murine scFvs that have undergone affinity enrichment by phage display
    HMW-MAA Tumour targeting (melanoma) Affinity enrichment of murine scFv 34
    CD30 Tumour targeting (Hodgkin) Affinity enrichment of Ki4 murine scFv 25
    EpCAM Tumour targeting (colon) Affinity enrichment of the MOC-31 murine antibody 35
    L1 Role of L1 in nervous system Affinity enrichment of murine antibody 36
scFvs selected from immunised phage libraries
    CEA Tumour targeting (colon) Selected from a CEA immunised mouse hybridoma library 20
    EGFR Tumour targeting (general) Selected from an EGFR immunised mouse hybridoma library 22
    Pertussis toxin Neutralisation of pertussis infection Selected from a library assembled from patients recovering from pertussis infection 37
    p24 (HIV) HIV diagnosis Selected from a viral lysate immunised mouse hybridoma library 38
Human scFvs selected from naïve phage libraries
    CD55 Tumour targeting (lung) Naïve library selected on lung carcinoma cell line 39
    EpCAM Tumour targeting (colon) Naïve library selected on colorectal cell line 40
    Fibronectin Tumour targeting Naïve library selected on fibronectin fusion protein 41
    VEGF Blocking angiogenesis Naïve library selected on recombinant VEGF 42
    Thrombospondin-1 Sickle RBC adhesion Naïve library selected on thrombospondin-1 29

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