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Published on: May 31, 2021
1 minute read
By: Dr Rajan Choudhary

REGN-COV2 – Artificial "antibody Cocktail"

REGN-COV2 – Artificial "antibody cocktail"

Recently a new drug was approved for use in COVID patients in India. Known as REGN-COV2, this new therapy is based on monoclonal antibodies targeting the SARS-CoV-2 virus responsible for COVID. So how does it work? And is there any evidence behind the treatment?

Monoclonal antibodies are made from components of the human immune system. When the human body recognizes a bacteria or virus in the body, the immune system recognizes and processes proteins on the surface of that bacteria or virus. This is presented to the adaptive immune system, and antibodies have produced that lock onto these surface proteins, neutralizing their function and also tagging them for destruction by other white blood cells.

If we identify antibodies capable of efficiently tagging and neutralizing a certain virus, we can identify the cell capable of producing that antibody, clone it and produce it in vast quantities. The antibodies produced from this cloned cell line will be able to target the virus at the same efficiency and have the same ability to neutralize the virus. Just like with vaccines, there is a risk of mutations developing, resulting in changes in the surface protein that reduce binding and neutralizing effects of the antibodies, allowing them to escape and continue to cause disease

REGN-COV2 uses two neutralizing antibodies (Casirivimab/imdevimab), in an effort to minimize the ability of a mutant virus to develop resistance against the antibody cocktail, as the virus would need to develop mutations canceling both antibodies out at once. These antibodies neutralize the receptor-binding domain of SARS-CoV-2 spike protein, preventing viral entry through ACE2 receptors.

In a study published in the New England Journal of Medicine (one of the most prestigious journals in the medical field) data from 275 patients showed a drastic reduction in viral load in patients treated with REGN-COV2. This is clinically significant as hospitalized patients with severe symptoms have higher viral counts than non-hospitalized or asymptomatic patients, suggesting the hypoxaemic, shortness of breath symptoms are related to the viral count and resulting exaggerated immune response.

Based off this result the European Medicines Agency approved the use of REGN-COV2 antibody cocktail in patients who do not require supplemental oxygen but are at high risk of progressing to severe COVID-19.

FDA regulations currently recommend it for patients who are COVID positive with risk factors that may result in their hospitalization but do not recommend it for patients who are already hospitalized, requiring O2 therapy because of COVID or need chronic O2 therapy.

Those that fall into the high-risk categories include patients with a high BMI (over 35), diabetes, on immunosuppressive treatment or with an immunosuppressive disease, over 65 years of age or those with chronic diseases such as renal disease, cardiovascular disease, COPD, or other developmental disorders.

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Impact of Air Pollution on Human Health: Risks, Effects and Prevention

Air pollution has become one of the most serious public health challenges worldwide. In India, rapid urbanisation, vehicle emissions, industrial activity and seasonal factors contribute to high pollution levels, especially in metropolitan cities. Understanding the impact of air pollution on human health is essential because exposure to polluted air significantly increases the risk of chronic illness and premature death.

According to the World Health Organization, air pollution is responsible for millions of premature deaths globally each year. Studies published in The Lancet highlight India as one of the countries most affected by air quality-related health burdens.

What Is Air Pollution?

Air pollution occurs when harmful substances such as:

particulate matter (PM2.5 and PM10)
nitrogen dioxide
sulfur dioxide
ozone
carbon monoxide

accumulate in the atmosphere at unsafe levels.

Among these, PM2.5 particles are particularly dangerous because they are small enough to penetrate deep into the lungs and bloodstream.

Respiratory Health Effects

The most immediate and visible impact of air pollution is on the lungs.

Short-Term Effects

coughing
throat irritation
wheezing
shortness of breath

Long-Term Effects

chronic bronchitis
asthma worsening
reduced lung capacity
chronic obstructive pulmonary disease (COPD)

Children and elderly individuals are especially vulnerable.

Impact on Heart Health

Air pollution does not only affect the lungs. Fine particles enter the bloodstream and trigger inflammation.

Long-term exposure increases risk of:

hypertension
heart attack
stroke
atherosclerosis

ICMR reports show cardiovascular diseases remain a leading cause of mortality in India, with pollution being a significant contributing factor.

Impact on Immune System

Constant exposure to polluted air weakens the immune response.

This leads to:

frequent respiratory infections
slower recovery from illness
increased susceptibility to viral diseases

Pollution also increases systemic inflammation.

Effect on Children’s Health

Children are particularly vulnerable because:

their lungs are still developing
they breathe more air relative to body weight
they spend time outdoors

Long-term exposure may reduce lung growth and increase asthma risk.

Impact on Pregnant Women and Infants

Research published in Lancet indicates that high pollution exposure during pregnancy increases risk of:

low birth weight
premature birth
developmental complications

Protecting pregnant women from pollution exposure is critical.

Air Pollution and Cancer Risk

Prolonged exposure to air pollution increases the risk of lung cancer.

WHO classifies outdoor air pollution as a carcinogen.

Mental Health and Cognitive Impact

Emerging research suggests pollution may contribute to:

cognitive decline
mood disorders
reduced concentration

Clean air supports brain health.

Seasonal Pollution in India

During winter months, many cities experience severe smog due to:

crop burning
temperature inversion
increased emissions

Monitoring Air Quality Index (AQI) helps individuals take precautions.

Signs of Pollution-Related Health Impact

persistent cough
chest tightness
eye irritation
unusual fatigue
worsening asthma

Individuals experiencing these symptoms should consult healthcare providers.

Preventive Measures to Reduce Exposure

Monitor AQI

Avoid outdoor activities during high pollution days.

Use Protective Masks

N95 masks filter fine particles effectively.

Indoor Air Quality

Use air purifiers and keep windows closed during peak pollution.

Avoid High-Traffic Areas

Limit time near busy roads.

Maintain Healthy Lifestyle

Strong immunity helps reduce pollution-related health risks.

Role of Preventive Healthcare

Regular screening for:

lung function
blood pressure
heart health

helps detect early damage caused by pollution.

Urban populations should prioritise routine health checkups.

Long-Term Public Health Impact

Air pollution contributes significantly to:

healthcare burden
productivity loss
economic strain

Preventive awareness and environmental policies are essential.

Conclusion

The impact of air pollution on human health is profound and far-reaching. From respiratory disorders and heart disease to immune suppression and increased cancer risk, polluted air affects nearly every organ system. In India’s urban environment, proactive measures such as monitoring AQI, using protective masks and maintaining regular health screenings are crucial. Protecting oneself from air pollution is not just about comfort—it is a vital step in preserving long-term health and preventing chronic disease.

References

World Health Organization (WHO) – Air Pollution and Health Reports
Indian Council of Medical Research (ICMR) – Environmental Health Studies
National Family Health Survey (NFHS-5) – Respiratory and Cardiovascular Data
NITI Aayog – Environmental and Preventive Health Strategy Reports
Lancet – Global Burden of Disease and Air Pollution Research

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