With reference to monoclonal antibodies, often mentioned in news, consider the following statements: I. They are man-made proteins. II. They stimulate immunological function due to their ability to bind to specific antigens. III. They are used in treating viral infections like that of Nipah virus. Which of the statements given above are correct?

Updated 10 Apr 2026 · From UPSC Prelims GS Paper I 2025, Q8

Contents23
UPSC Prelims GS2025Science and Technology
  1. AI and II only
  2. BII and III only
  3. CI and III only
  4. DI, II and III
Show answer

Answer: (D) I, II and III

Monoclonal antibodies (mAbs) are frequently in the news due to their growing role in treating diseases.

Let's check each statement:

(I) 'They are man-made proteins' — CORRECT.

Monoclonal antibodies are produced in laboratories.

Scientists first identify an antibody that binds to a specific target, then mass-produce identical copies (clones) of that single antibody using cell cultures.

The word 'monoclonal' means 'from a single clone.' ✓

(II) 'They stimulate immunological function due to their ability to bind to specific antigens' — CORRECT.

Monoclonal antibodies work by binding precisely to specific antigens (proteins on the surface of cells, viruses, or other targets).

This binding can mark diseased cells for destruction by the immune system, block harmful signals, or deliver drugs directly to target cells. ✓

(III) 'They are used in treating viral infections like Nipah virus' — CORRECT.

Monoclonal antibody m102.4 has been used as an experimental treatment for Nipah virus infections.

During outbreaks in India (especially in Kerala), monoclonal antibody therapy has been considered as a treatment option.

mAbs are also used against other viruses — for example, Regeneron and Eli Lilly developed mAbs for COVID-19. ✓

All three statements are correct.

Answer is (d).

Why this was asked

Monoclonal antibodies became prominent news during COVID-19 pandemic when companies like Regeneron and Eli Lilly developed mAb treatments, and they continue to be used for emerging viral threats like Nipah outbreaks in Kerala.

The question tests understanding of both the technical mechanism of mAbs (laboratory production, antigen-binding specificity) and their practical medical applications in viral disease treatment.

Monoclonal Antibodies

Science And Technology monoclonal antibodies man-made proteins bind to specific antigens

Monoclonal Antibodies: Production, Mechanism & Medical Applications

Must know

mAbs are laboratory-produced antibodies from a single clone of immune cells

They bind to specific antigens to mark cells for immune destruction or block harmful signals

Used for cancer, autoimmune diseases, and viral infections including Nipah virus

Good to know

Monoclonal means 'from a single clone' - all antibodies are identical

What Are mAbs

Monoclonal antibodies (mAbs) are man-made proteins produced in laboratories to mimic natural antibodies. The term 'monoclonal' means 'from a single clone' - scientists take one antibody-producing cell and create millions of identical copies.

Production Process

%%{init: {"flowchart": {"wrappingWidth": 460}}}%%
flowchart TD
  s1["`**Target Identification**
Scientists identify specific **antigen** on diseased cells or pathogens`"]
  s2["`**Antibody Selection**
Find natural antibody that binds strongly to the target antigen`"]
  s3["`**Cell Fusion**
Fuse antibody-producing B-cells with immortal myeloma cells`"]
  s4["`**Clone Selection**
Select single clone producing the desired antibody`"]
  s5["`**Mass Production**
Grow millions of identical cells in laboratory cultures`"]
  s1 --> s2
  s2 --> s3
  s3 --> s4
  s4 --> s5

Medical Applications

Disease Type

Examples

How mAbs Work

Specific mAb

Cancer

Breast cancer, Lymphoma

Mark cancer cells for immune destruction

Trastuzumab, Rituximab

Viral Infections

COVID-19, Nipah virus

Neutralize virus or block entry into cells

m102.4 for Nipah, Regeneron for COVID

Autoimmune

Rheumatoid arthritis, Psoriasis

Block inflammatory signals

Adalimumab, Infliximab

Transplant

Organ rejection

Suppress immune response

Basiliximab, Daclizumab

Mechanism of Action

Specific binding: Each mAb targets one specific antigen with lock-and-key precision

Immune activation: Binding marks target cells for destruction by natural killer cells and macrophages

Signal blocking: Can prevent harmful cellular signals or block virus entry into healthy cells

Drug delivery: Can carry chemotherapy drugs directly to cancer cells, reducing side effects

Nipah Virus Context

m102.4 monoclonal antibody has been used experimentally for Nipah virus treatment. During Kerala outbreaks, this therapy was considered because Nipah has high mortality and no proven treatment. mAbs work by neutralizing the virus before it enters human cells.

Exam traps

Trap: Confusing monoclonal with polyclonal antibodies - polyclonal come from multiple cell clones

Trap: Thinking mAbs suppress immunity - they actually enhance targeted immune responses

Trap: All three statements in this question are correct - students often miss statement III about viral infections

Nipah Virus

Science And Technology Nipah virus viral infections

Nipah Virus: Transmission, Outbreaks & Treatment Challenges

Must know

Zoonotic virus transmitted from fruit bats to humans, causing brain inflammation

Kerala outbreaks in 2018, 2019, 2021, 2023 - major public health concern in India

High mortality rate (40-75%) with no approved vaccine or specific treatment

Good to know

Human-to-human transmission possible through respiratory droplets and body fluids

Disease Overview

Nipah virus (NiV) is a deadly zoonotic pathogen that causes severe brain inflammation (encephalitis). First identified in Malaysia in 1998, it has since caused multiple outbreaks across South and Southeast Asia.

Transmission Chain

%%{init: {"flowchart": {"wrappingWidth": 460}}}%%
flowchart TD
  s1["`**Natural Reservoir**
**Fruit bats** (Pteropus species) carry virus without getting sick`"]
  s2["`**Intermediate Hosts**
Pigs, horses, other mammals can get infected from bat saliva/urine`"]
  s3["`**Environmental Contamination**
Bats contaminate **date palm sap**, fruits with saliva and urine`"]
  s4["`**Human Infection**
Humans consume contaminated food or contact infected animals`"]
  s5["`**Human Transmission**
**Person-to-person** spread through respiratory droplets and body fluids`"]
  s1 --> s2
  s2 --> s3
  s3 --> s4
  s4 --> s5

Major Outbreaks in India

Year

Location

Cases

Deaths

Key Features

2018

Kozhikode, Kerala

19

17

First outbreak in India, high mortality

2019

Kochi, Kerala

1

1

Single case, rapid containment

2021

Kozhikode, Kerala

1

1

12-year-old boy, contact tracing successful

2023

Kozhikode, Kerala

6

2

Family cluster, m102.4 antibody used

Clinical Features

Initial symptoms: Fever, headache, muscle pain, vomiting - similar to flu

Neurological stage: Dizziness, drowsiness, altered consciousness, brain inflammation

Severe cases: Seizures, coma, respiratory distress leading to death

Incubation period: 4-14 days from exposure to symptom onset

Treatment Challenges

No approved vaccine or specific antiviral exists. Treatment is supportive care only. Monoclonal antibody m102.4 has been used experimentally in recent Kerala outbreaks with some success, but it's not yet approved for routine use.

Geographic Distribution

Kerala remains India's Nipah hotspot due to high fruit bat population and date palm consumption
Kerala remains India's Nipah hotspot due to high fruit bat population and date palm consumption

Source: Avian Flu Diary — Avian Flu Diary: A Brief History of the Nipah Virus · afludiary.blogspot.com

Exam traps

Trap: Confusing Nipah with Ebola - both are deadly but Nipah is primarily encephalitis, Ebola is hemorrhagic fever

Trap: Thinking Nipah spreads only through bats - human-to-human transmission is documented

Trap: UPSC often tests Kerala connection - know that multiple Nipah outbreaks occurred there

Antibodies vs Antigens

Science And Technology antigens immunological function

Antibodies vs Antigens: Key Differences & Immune Mechanism

Must know

Antigens are foreign substances that trigger immune response; antibodies are proteins that fight them

Lock-and-key binding: Each antibody binds to specific antigen with precise molecular recognition

Good to know

B-cells produce antibodies after recognizing antigens presented by immune cells

Antibodies vs Antigens

Feature

Antibodies

Antigens

Definition

Y-shaped proteins that fight foreign substances

Foreign substances that trigger immune response

Origin

Produced by B-cells in immune system

Come from pathogens, toxins, foreign cells

Function

Bind and neutralize specific threats

Trigger antibody production

Structure

Immunoglobulin proteins (IgG, IgM, IgA, IgE, IgD)

Usually proteins on surface of pathogens

Specificity

Each antibody targets one specific antigen

Each antigen can trigger multiple antibodies

Location

Circulate in blood and lymph

On surface of viruses, bacteria, cancer cells

Antigen-Antibody Response

%%{init: {"flowchart": {"wrappingWidth": 460}}}%%
flowchart TD
  s1["`**Antigen Entry**
Foreign pathogen with surface **antigens** enters body`"]
  s2["`**Recognition**
**Antigen-presenting cells** capture and display antigen fragments`"]
  s3["`**B-cell Activation**
**B-cells** with matching receptors recognize specific antigen`"]
  s4["`**Antibody Production**
Activated B-cells multiply and produce **specific antibodies**`"]
  s5["`**Binding & Neutralization**
Antibodies bind to antigens, marking them for immune destruction`"]
  s1 --> s2
  s2 --> s3
  s3 --> s4
  s4 --> s5

Types of Antigens

# Antigens
## **Pathogen Antigens**
- Viral proteins
- Bacterial surface proteins
- Fungal cell wall components
## **Self vs Non-Self**
- Blood group antigens
- Tissue compatibility antigens
- Cancer cell antigens
## **Environmental**
- Pollen proteins
- Food allergens
- Drug molecules

Clinical Applications

Vaccine principle: Introduce harmless antigens to train immune system to recognize real pathogens

Blood typing: ABO antigens determine blood compatibility for transfusions

Autoimmune diseases: Immune system mistakenly targets body's own antigens

Cancer therapy: Target tumor-specific antigens with monoclonal antibodies

Exam traps

Trap: Thinking antibodies suppress immunity - they actually enhance targeted immune responses

Trap: Confusing which is which - Antigens are Anti-body Generators (remember this)

Trap: One antibody can bind multiple antigens - FALSE, each antibody is highly specific to one antigen

Biotechnology in Medicine

Science And Technology

Biotechnology Applications in Modern Medicine

Must know

Recombinant DNA technology produces human proteins like insulin in bacteria

Gene therapy treats diseases by introducing functional genes into patient cells

Good to know

CAR-T therapy modifies patient's immune cells to fight cancer more effectively

Biosimilars are cheaper versions of expensive biologic drugs

Revolution in Medicine

Biotechnology has transformed medicine from small chemical drugs to large biological molecules. Modern treatments use living systems to produce complex proteins that cannot be synthesized chemically.

Major Biotechnology Products

Product Type

Examples

Production Method

Medical Use

Recombinant Proteins

Insulin, Growth hormone

E. coli bacteria production

Diabetes, Growth disorders

Monoclonal Antibodies

Trastuzumab, Rituximab

Hybridoma cell cultures

Cancer, Autoimmune diseases

Vaccines

Hepatitis B, HPV

Yeast or insect cell expression

Disease prevention

Gene Therapies

CAR-T, CRISPR treatments

Modified patient cells

Cancer, Genetic disorders

Biosimilars

Generic biologics

Reverse-engineered production

Cost-effective treatment

Biotechnology Branches

# Medical Biotechnology
## **Protein Engineering**
- Monoclonal antibodies
- Recombinant proteins
- Enzyme replacement therapy
## **Gene Technology**
- Gene therapy
- CRISPR editing
- RNA interference
## **Cell Therapy**
- Stem cell therapy
- CAR-T cells
- Tissue engineering
## **Diagnostics**
- PCR testing
- DNA sequencing
- Biomarker detection

Indian Context

Biocon: Leading Indian biopharmaceutical company producing insulin and monoclonal antibodies

Biosimilar hub: India is global leader in producing cheaper versions of expensive biologics

Gene therapy approvals: CDSCO approved CAR-T therapy trials in Indian hospitals

COVID-19 vaccines: Covaxin used biotechnology platform for indigenous vaccine development

Exam traps

Trap: Confusing biotechnology with nanotechnology - biotech uses living systems, nanotech uses tiny materials

Trap: Thinking all medicines are biotechnology products - traditional small molecule drugs are still chemistry-based

Trap: UPSC often asks about Indian biotech companies - know Biocon, Serum Institute