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Alemtuzumab is a humanized IgG1 kappa monoclonal antibody that targets the cell surface glycoprotein CD52, which is present on T and B lymphocytes, natural killer cells, monocytes, and macrophages. It is used primarily for the treatment of B-cell chronic lymphocytic leukemia (B‑CLL) and relapsing forms of multiple sclerosis (MS). The drug works by binding to CD52 on lymphocytes and inducing antibody-dependent cellular cytolysis and complement-mediated lysis. This results in rapid depletion of circulating T and B cells followed by gradual repopulation with altered immune cell subsets. Alemtuzumab was developed from the original rat-derived Campath antibodies at Cambridge University; it was later humanized to reduce immunogenicity. It is marketed as Lemtrada for MS and as Campath or MabCampath for B‑CLL[1][2][10].
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