ABCT 101 · L1 · Introduction to Biologics

📚 Lecture 1 · Introduction to Biologics Dr. Clarence Wong · 2 Sep 2026

Biologics are made by living cells — so the process is the product. This lecture sets up the small-molecule difference, the history, and the peptide problems & fixes.

101 · L1 Introduction to Biologics

Definition you must nail Biologics = therapeutic products derived from living organisms or their cells — large, complex molecules (peptides, proteins, nucleic acids, cells) used to treat, diagnose, or prevent disease.

Master Logic · 主線邏輯

Master Logic · 主線邏輯生物藥 = 用活細胞造藥,所以「製程即產品」。本講建立三件事:(1) 生物藥與小分子的根本差異;(2) 由經驗醫學到重組 DNA 的歷史脈絡;(3) 胜肽的兩大問題與三大修正。整門課其實都在回答同一個三角難題:特異性 specificity、穩定性 stability、遞送 delivery。
Biologics are made by living cells, so the process is the product. This lecture sets up three things: how biologics differ from small molecules, the history from empirical medicine to recombinant DNA, and the two problems / three fixes of peptide drugs. The whole course keeps solving the same triangle: specificity, stability, delivery.

Small molecules vs. Biologics (the whole course hangs on this table)

Small molecules are chemically made, oral, intracellular; biologics are cell-made, injected, extracellular — and the process is the product.

Small moleculeBiologic
Size~180–600 Da (aspirin 180 Da)Large (insulin ~58 kDa, antibody ~150 kDa)
ProductionChemical synthesis / purificationLiving cells (bacteria, yeast, mammalian) — fermentation / cell culture
Target locationIntracellular (enzymes, receptors, DNA)Extracellular (cell-surface receptors, circulating proteins)
AdministrationUsually oralInjection / infusion (degraded if oral)
StabilityStable, heat-tolerantHeat- & light-sensitive, microbial contamination risk
CharacterizationPrecise, fully definedComplex, batch-variable → "the process is the product"

Four major types of biologic composition

Four composition types: peptide/protein, polysaccharide, nucleic acid, cell-based.

  • Peptide / Protein — chains of amino acids; e.g. insulin, mAbs
  • Polysaccharide — sugar chains; immune modulation (e.g. vaccines)
  • Nucleic acid — DNA/RNA to alter gene expression (mRNA vaccines, gene therapy)
  • Cell-based — living/dead cells (CAR-T, stem cells)

Timeline of biologics (memorize the milestones)

Learn the milestones as a chain; the classic trap is 1977 (first recombinant protein) vs 1982 (first approved drug).

1796 — Edward Jenner, first vaccine (smallpox via cowpox)
1880 — Pasteur, first attenuated vaccine (chicken cholera)
1885 — Pasteur, rabies vaccine
1922 — Banting & Best discover insulin (first biologic therapy; Nobel 1923)
1928 — Fleming discovers penicillin (small molecule, but the era's turning point)
1975 — Köhler & Milstein, hybridoma → monoclonal antibodies
1982 — First recombinant protein: human insulin (Humulin), Genentech/E. coli
1986 — First mAb drug: Muromonab-CD3 (OKT3)
2000 — First ADC: Mylotarg (gemtuzumab ozogamicin) for AML
2010 — First cell therapy: Sipuleucel-T (Provenge)
2017 — First CAR-T: Kymriah (tisagenlecleucel)
2020 — mRNA COVID vaccines (Pfizer-BioNTech, Moderna)
2021 — First CRISPR-based gene therapy
Real-world hook Insulin is the through-line of the entire field: discovered 1921 → animal-sourced (pig pancreas) → 1982 first recombinant drug (Humulin). This is why "recombinant DNA" (Berg 1972, Cohen & Boyer 1973) is the foundational enabling tech for everything after — mAbs, hormones, enzymes.

Advantages of biologics

Biologics win on four things — precision, unmet needs, cutting-edge tech, rigorous manufacturing — all downstream of being big and specific.

  • High specificity — lock-and-key binding → fewer off-target side effects
  • Address unmet needs — complex/rare diseases small molecules can't reach
  • Precision medicine — tailor to patient's biology

Peptide drugs (500–5000 Da — "between small molecule and protein")

Peptides sit between small molecule and protein: target-specific yet tissue-penetrating, but cleared fast.

  • Composed of 20 amino acids; 9 essential AA (histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, valine)
  • Peptide bond = amide bond (condensation)
  • Two core problems: rapid protease degradation + poor oral bioavailability (stomach acid)
FixHow it worksExample
CyclisationRigid ring → resists enzymes, ↑ affinity, ↓ immunogenicityZiconotide (sea-snail venom), Kalata B1, Daptomycin
D-/unnatural amino acidsNot recognized by proteasesGramicidin (D-amino acid)
LipidationFatty chain → ↑ stability, ↑ cell penetration, self-assemblyDaptomycin (last-resort lipopeptide antibiotic)

Peptide synthesis pioneers: Emil Fischer (peptide bond) → Vincent du Vigneaud (oxytocin, first peptide hormone synthesized) → Bruce Merrifield (solid-phase synthesis) → James Tam (chemical ligation for full proteins).

Exam focus Why an antibody (150 kDa) beats a small molecule: (1) far more specific, (2) can hit protein-protein surfaces a pill can't, (3) longer half-life via FcRn recycling. Know the size ladder: aspirin 180 Da < peptide 2000 Da < insulin 58 kDa < antibody 150 kDa.

Therapeutics before science — ancient drug discovery

Before science there was only trial-and-error: herbs, mouldy bread on wounds, beer fermentation.

  • Early humans had limited knowledge and no systematic method — remedies came from plants and herbs.
  • Shennong (神农) taught agriculture and medicinal plants; legend has him tasting every plant to test it.
  • Empirical knowledge and trial-and-error — remedies developed through observation and experience.
  • Ancient civilisations put mouldy bread and moist soil on open wounds to prevent infection — antibiotic effect, millennia before penicillin was understood.
  • 350 AD: Nubian extract from beer; beer fermentation involves a specific type of bacteria.

Germ theory — the paradigm break

Pasteur ended miasma and humour theory — germ theory, pasteurisation, vaccination were born.

Before germ theoryAfter
"Bad air" / miasma from decomposing organic matterLouis Pasteur (1822–1895), Father of Immunology, together with other scientists developed germ theory, pasteurisation, and vaccination — the birth of immunology
Imbalance of the body's humors (blood, phlegm, yellow bile, black bile)
Supernatural forces — curses, demons, an angry deity
No concept of sterilisation

The cholera vaccine (1879) — how attenuation was discovered (by accident)

Attenuation was an accident: a weakened culture immunised the chickens instead of killing them.

  1. Pasteur's assistant left chicken cholera cultures out over the summer, causing them to weaken.
  2. Pasteur inoculated chickens with the aged, weakened cultures, expecting them to become ill.
  3. The chickens did not get sick — surprising him.
  4. When exposed to fresh, virulent bacteria, the previously inoculated chickens remained healthy.
  5. Conclusion: the weakened bacteria had immunised them → discovery of vaccination by attenuation.

Cholera context: acute diarrheal illness from intestinal infection with toxigenic bacterium — an estimated 2.9 million cases and 95,000 deaths occur yearly worldwide.

Still current Attenuated pathogens are still used to make vaccines today — including recent COVID-19 vaccines. Later lectures by Dr. William Tai cover immunology and vaccines.

Insulin discovery (1921–1923) — the first biologic therapy

Insulin: Banting′s hypothesis → dog experiments → Collip′s purification → 1922 first patient → 1923 Nobel.

Disease background. Type 1 diabetes is a chronic autoimmune condition where the immune system attacks and destroys the insulin-producing beta cells in the pancreas → severe deficiency or complete absence of insulin. Insulin is the hormone that lets cells absorb glucose from blood after a meal, for energy or storage.

StepWho / whenWhat happened
1Early 20th c.Pancreas known to regulate blood sugar, but the mechanism unclear
2Banting's idea, 1920Canadian surgeon hypothesised a pancreatic extract could treat diabetes via the pancreas's "internal secretion"
3John MacleodUniversity of Toronto — provided lab space, equipment, and medical student Charles Best
4Dog experiments, 1921Removed pancreases to induce diabetes, then injected pancreatic extracts to lower blood sugar
5After several monthsSuccessfully isolated an extract later named insulin that significantly lowered blood sugar in diabetic dogs
6James CollipBiochemist joined to purify the extract, making it safe for human use
711 Jan 1922First human patient, 14-year-old Leonard Thompson. After an initial reaction, a more purified form was given and successfully lowered his blood sugar
8Nobel 1923Banting and Macleod awarded the Nobel Prize in Physiology or Medicine; Banting shared his prize money with Best

Recombinant DNA technology — the enabling platform

Recombinant DNA: concept → 1972 Berg → 1973 Cohen & Boyer → 1977 first recombinant protein → 1982 Humulin.

YearWhoBreakthrough
Early 1970s—Concept of combining DNA from different sources → recombinant DNA
1972Paul BergCombined DNA from two different viruses, proving DNA from different sources could be recombined → foundation of the technology
1973Stanley Cohen & Herbert BoyerInserted recombinant DNA into bacteria, creating the first genetically modified organisms (GMOs); showed bacteria could express foreign genes
1977GenentechFirst human recombinant protein — somatostatin — produced in genetically engineered E. coli
1978GenentechCloned the human insulin gene into E. coli → bacteria producing human insulin
1980Paul BergNobel Prize in Chemistry for recombinant DNA
1982FDAHumulin approved — first recombinant therapeutic product for human use, revolutionising diabetes treatment
Don't mix these up 1977 = somatostatin (first recombinant protein, proof of concept) but 1982 = Humulin (first approved recombinant drug). Exam questions love this distinction. Insulin itself was discovered 1921/1922 — five decades earlier.

Six things recombinant DNA made possible

Six applications: therapeutic proteins, vaccines, industrial enzymes, research, drug discovery, genetic engineering.

#ApplicationExample
1Therapeutic proteinsInsulin for diabetes, mAbs for cancer, clotting factors for haemophilia
2VaccinesHepatitis B, COVID-19
3Industrial enzymesDetergents, food processing, biofuels
4Molecular biology researchStudying protein function and interactions
5Drug discoveryTargets and therapeutic candidates in trials
6Genetic engineeringEngineered organisms and synthetic pathways

CRISPR-Cas9 gene editing

CRISPR became programmable in 2012 (Charpentier & Doudna); first therapy 2019 (CTX001); Nobel 2020.

  • 1987–2000s — discovery: CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) sequences first identified in bacterial genomes, where they played a role in bacterial immunity against viruses. Significance not understood at the time.
  • 2012 — the pivotal moment: Emmanuelle Charpentier and Jennifer Doudna showed the CRISPR-Cas9 system could be programmed to target specific DNA sequences — a precise, easily programmable gene-editing tool for any organism.
  • 2013–2015 — proof of concept: Multiple teams, including Feng Zhang (Broad Institute) and George Church (Harvard), used CRISPR to edit genes in mammalian cells, proving therapeutic potential.
  • 2019 — landmark: A patient with beta-thalassemia treated with CRISPR-based gene therapy CTX001 showed remarkable improvement with a significant reduction in blood transfusions. (The lecture adds a pointed margin note: "Ethical concern?")
  • 2020 — Nobel Prize in Chemistry to Charpentier and Doudna for the "genetic scissors".

Beyond genetic disease: cancer, viral infections (HIV), age-related conditions; editing immune cells to fight tumours; disabling viral genes inside infected cells. Gene drives to control malaria-spreading mosquito populations; agriculture for drought resistance and improved nutrition (e.g. GM tomato with blueberry antioxidant and anti-inflammatory compounds) — all with ecological and ethical considerations.

Amino acids — the building block (structure basics)

Amino acid = α-carbon + amino + carboxyl + H + side chain; the side chain defines each of the 20; 9 are essential.

  • Each amino acid has a central alpha carbon forming four covalent bonds with four groups:
    1. Carboxylic group (–COOH)
    2. Amino group (–NH₂)
    3. Hydrogen
    4. Side chain functional group
  • The side chain is what makes each of the 20 amino acids unique — and therefore what determines the properties of the resulting peptide.
  • Nonessential amino acids = produced or synthesised by our own bodies, not required from the diet.
  • Polypeptide = the long chain of amino acids; a functional protein consists of one or several such chains. The amino-acid sequence is determined by the DNA sequence.
Protein functions (the 7 to remember) Enzymatic activity · structural support · signal transduction · transport · hormonal regulation · receptor binding · muscle contraction.

Cyclisation — the full benefit list (5, not 3)

Cyclisation gives 5 benefits: stability, affinity, bioavailability, lower immunogenicity, better PK.

BenefitMechanism
Increased stabilityProtects from enzymatic degradation → longer half-life
Enhanced binding affinityMore rigid, defined structure → better affinity and specificity for target
Improved bioavailabilityBetter ability to cross cell membranes
Reduced immunogenicityCyclised structure less likely to trigger an immune response
Optimised pharmacokineticsMore favourable PK profile → less frequent dosing

Two cyclisation chemistries: (1) disulfide bond (side chain-to-side chain) — see oxytocin; (2) head-to-tail amide bond formation. Note the lecture's striking aside: humans do not produce cyclic peptides in the body — nature's cyclic peptides come from plants and bacteria.

Kalata B1 and cyclotides — where cyclic peptides actually came from

Cyclotides are nature′s ultra-stable cyclic scaffolds — the template for orally active peptide drugs.

Real-world hook — a folk remedy that became a research field Norwegian doctor Lorents Gran, on a Red Cross relief mission in Congo, observed African women using a medicinal tea from the leaves of Oldenlandia affinis to induce labour and aid childbirth. The active ingredient was later identified as a peptide named kalata B1, after the traditional name for the native medicine (kalata-kalata).
This is the origin of the cyclotide field — and the reason Dr. Wong's lab went looking for oral peptide drugs in plants.

Extraction workflow (his lab): plant material from 白花蛇舌草 Hedyotis diffusa and 双花耳草 Hedyotis biflora — 30 kg of fresh plant, extracted with boiling water. Because peptides are more water-soluble than other plant components, they remained in the aqueous layer, identified by MALDI-TOF MS.

Dr. Wong's own research — a likely exam/assignment hook "By using chemistry, we can chemically synthesise a novel peptide sequence based on a naturally occurring cyclotide, so we can create new orally active peptide drug."
The logic: nature evolved ultra-stable cyclic peptides in plants → characterise their scaffold → chemically re-engineer that scaffold with a new sequence to get a new peptide that survives the gut. This is the intellectual bridge from L1's peptide problems to L2's pBsAb work.

D-amino acids & unnatural amino acids (5 benefits)

D-amino acids are invisible to proteases → 5 benefits, all about surviving degradation.

BenefitMechanism
Increased resistance to degradationProteolytic enzymes do not recognise them → longer half-life
Enhanced stabilityImproved structural stability, less denaturation
Improved bioavailabilityBetter absorption, remains active in the bloodstream
Altered binding specificityFine-tune binding properties → potentially higher target specificity
Reduced immunogenicityLess likely to be recognised by the immune system

Enantiomers are the key concept — and Gramicidin, a bacterial peptide produced to transport potassium ions across membranes, is the classic D-amino acid example.

Lipidation — the full benefit list (6, not 3)

Lipidation gives 6 benefits, including cell penetration and self-assembly — the one that also fixes membrane crossing.

BenefitMechanism
Increased stabilityProtects from enzymatic degradation → longer half-life
Enhanced bioavailabilityImproves absorption and distribution
Better cell penetrationFacilitates entry into cells
Targeted deliveryDirects peptides to specific tissues or organs
Prolonged circulationIncreased binding to serum proteins (e.g. albumin) → longer circulation time
Self-assemblyEnables formation of nanostructures for controlled drug release

Daptomycin — the mechanism (not just the name)

Daptomycin: calcium-dependent membrane binding → pore → depolarisation → death without lysis (less inflammation).

Real-world hook — "the last resort" antibiotic Daptomycin is an FDA-approved cyclic lipopeptide antibiotic for certain skin and soft-tissue bacterial infections, regarded as a last-resort antibiotic.
Mechanism: binds bacterial cell membranes in a calcium-dependent manner → forms membrane pores → causes rapid depolarisation of the bacterial membrane → loss of membrane potential → cell death without lysis. That last detail matters: because the cell doesn't burst, less inflammatory debris is released.

Why the biologics market keeps growing

The market grows on three drivers: rising disease burden, better tolerability, a strong pipeline.

  • Rising disease burden — increasing rates of cancer, diabetes, and autoimmune diseases drive demand.
  • Better tolerability — targeted treatments with fewer side effects, preferable for complex diseases.
  • Robust pipeline — a strong pipeline of biologic drugs in clinical trials promises new treatments across conditions.

Oxytocin — the first peptide hormone, and what it actually does

Oxytocin — the first peptide hormone; induces labour and stops postpartum bleeding.

The card lists oxytocin only as "the first peptide hormone synthesized" (Vincent du Vigneaud) but omits its biological and social roles from the lecture:

  • Facilitates childbirth — as a drug it drives contraction of the uterus to start labour.
  • Stops bleeding following delivery (post-partum haemostasis).
  • Associated with empathy, trust, and relationship-building — the lecture frames it as the "social bonding" peptide, not just a labour drug.
Why it matters Oxytocin is the textbook case that lets du Vigneaud's synthesis work connect "peptide = hormone" to a real therapeutic — and it reappears wherever peptide hormones are discussed.

James Tam — the full protein ligation list

James Tam′s chemical ligation let us synthesise whole proteins (RNase A, ubiquitin, p53, GFP…).

The card names James Tam for "chemical ligation for full proteins" but does not give the lecture's explicit list of proteins his ligation chemistry can build:

Proteins synthesized by chemical ligation (Tam)
Ribonuclease A (RNase A), Ubiquitin, Histone Proteins, Epidermal Growth Factor (EGF), Human Parathyroid Hormone (hPTH), α-Synuclein, Human Insulin, Tumor Suppressor Protein p53, Myoglobin, Green Fluorescent Protein (GFP)
Exam angle This list proves the lecture's claim that chemistry (not just recombinant cells) can now build full-length functional proteins — the conceptual bridge to engineering oral peptide drugs.

Ziconotide — structural specifics the card trimmed

Ziconotide = sea-snail venom peptide; 3 disulfide bonds; a pseudocyclic structure.

The card's cyclisation table mentions Ziconotide only as "sea-snail venom." The lecture gives its structure explicitly:

  • Extracted from the venom of a sea snail.
  • Possesses 3 disulfide bonds.
  • Has a pseudocyclic structure (not a true head-to-tail ring, but constrained by the three disulfides).
Distinction Ziconotide is the example that shows disulfide-bond constraint (not head-to-tail amidation) is itself a cyclisation strategy — keep it separate from the head-to-tail oxytocin chemistry.

Four major biologic compositions — the lecture's fuller definitions

The four compositions, defined in full — the lecture′s complete definitions.

The card gives one-line definitions; the source spells out each type's biological role:

TypeLecture definition (expanded)
PolysaccharideLong chains of sugar molecules, derived from biological sources, often involved in immune response modulation or structural functions in organisms.
Nucleic acidComposed of DNA or RNA, designed to provide instructions to cells for producing proteins (gene expression / alteration).
Cell-basedLiving or dead cells capable of performing complex biological functions, such as repairing tissue or modulating immune responses.

Course assessment & exam format (admin facts the card omits)

Assessment: participation 10%, midterm 35% (60 MCQ, 1.5 h), final 55% (100 MCQ, 2 h).

From the lecture's assessment slide The current card never states the course weighting or exam format, which the source lecture gives explicitly:
  • In-class participation — 10%
  • Midterm Quiz — 35% (date given as 14 Oct 2026); 60 multiple-choice questions, 1.5 hours
  • Final Examination — 55% (date given as Dec 2025); 100 multiple-choice questions, 2 hours
Both exams are entirely multiple-choice — so the timeline/drug/number facts above are the high-yield recall items.

Course map — and what the midterm actually covers

The midterm covers Lectures 1–6.

WkDateTopicWho
12 SepIntroduction to biologicsCW
29 SepProteins, antibodies & related biologicsCW
316 SepNucleic acids, carbohydrates & delivery strategiesCW
4–623 Sep – 7 OctBioinformatics — genomics, transcriptomics, proteomics, multi-omicsQM
714 OctMIDTERM — Lectures 1–6CW
821 OctImmunology L1 — basic concepts, three lines of defence, PAMP/PRRWT
928 OctL8 Structural Biology I — X-ray, NMR, SAXS, Cryo-EMTL
104 NovImmunology L2 — innate & adaptive immunity, antibodies, MHCWT
1111 NovImmunology L3 — complement, MHC presentation, vaccines, hypersensitivityWT
1218 NovStructural biology in drug discoveryTL
1325 NovRevision week — no class—
Teaching teamModule
Dr. Clarence WongCourse lead — proteins, peptides, antibodies
Dr. Quanhua MuBioinformatics
Dr. William TaiImmunology
Dr. Ted LiStructural biology
AssessmentWeightFormat
Participation10%Attendance + in-class interaction
Midterm35%60 MCQ / 1.5 h — covers Lectures 1–6
Final55%100 MCQ / 2 h — covers everything
The midterm scope is wider than the first three lectures The midterm covers Lectures 1–6, not just Wong's block. Lectures 4–6 are Prof. Mu's bioinformatics sequence — genomics, transcriptomics, proteomics and multi-omics — running 23 Sep to 7 Oct, so the last of that material lands only one week before the exam. Plan for it: three lectures of new content arrive in the final fortnight.
Exam focus — three numbers 14 Oct · 60 MCQs in 1.5 h · Lectures 1–6. The final is 100 MCQs in 2 h and covers the whole course.

Source: the course-calendar and assessment slides reproduced in the lecture-recording notes. The immunology block is listed as Weeks 8–9 on the calendar; the teaching-team slide numbers it Lectures 7–9. Where they disagree, the calendar is used here.

Essential amino acids — the mnemonic that survives exam pressure

Nine essentials, remembered as PVT TIM HALL: the body cannot make them, so they must come from food — a rare place where a pure memory aid is actually worth carrying into the exam.

Mnemonic letterAmino acid
PPhenylalanine
VValine
TThreonine
TTryptophan
IIsoleucine
MMethionine
HHistidine
AArginine*
LLeucine
LLysine

*Arginine is conditionally essential — normally synthesised in the urea cycle, but the historical mnemonic keeps the letter. If the exam wants a strict nine, drop arginine and keep Val, Ile, Leu, Lys, Met, Phe, Thr, Trp, His.

Exam Focus · 考點

必背 Must memoriseSize ladder: 180 Da < 2,000 Da < 58 kDa < 150 kDa(螞蟻→老鼠→人→大象) ·  Timeline: 1796 → 1880 → 1922 → 1928 → 1975 → 1982 → 2000 → 2017 → 2020
⚠️ 陷阱 Traps1977 vs 1982:首個重組蛋白(somatostatin)≠ 首個獲批藥(Humulin) ·  三大修正別對調:環化 5 益處 · D-氨基酸 5 · 脂化 6(脂化才含「增細胞穿透」) ·  Daptomycin 不溶裂 → 較少發炎碎片
一句總綱 One line本講的核心是「製程即產品」——生物藥的價值由特異性、穩定性、遞送的三角難題決定。
生物藥 = 活細胞造藥;歷史由「執藥材」走到「開工廠」;胜肽的出路在環化、D-氨基酸與脂化。