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Published on: May 10, 2024
Folate-targeted chemotherapy
Christopher P Leamon1, Joseph A Reddy
1Endocyte, Inc., 1205 Kent Ave., West Lafayette, IN 47906, USA. Leamon@Endocyte.com
Abstract:
The folate receptor (FR) is a confirmed tumor-associated antigen that binds folate and folate-drug conjugates with very high affinity and shuttles these bound molecules inside cells via an endocytic mechanism. Using folate (or an analog thereof) as the ligand, a wide variety of drug payloads can be delivered to FR-positive cells, ranging from small radioactive imaging agents up to large DNA-containing formulations. For therapeutic purposes, attachment of small molecular weight, highly potent agents to folate is a novel approach. As such, this review will outline the manner in which folate-drug conjugates are screened preclinically, it will summarize published activity data of various conjugates, and it will also highlight some newly emerging animal data from novel compounds that are currently under preclinical investigation.
Insights
Folate receptor targeted drug delivery utilizes folate-drug conjugates to deliver potent agents to cancer cells. This review covers preclinical screening, activity data, and emerging animal studies for these novel therapeutics.
Area of Science:
- Oncology
- Pharmacology
- Drug Delivery
Background:
- The folate receptor (FR) is a tumor-associated antigen.
- FR binds folate and folate-drug conjugates with high affinity.
- FR facilitates cellular uptake via endocytosis.
Purpose of the Study:
- To review preclinical screening methods for folate-drug conjugates.
- To summarize published activity data of various folate-drug conjugates.
- To highlight emerging preclinical animal data for novel folate-drug conjugates.
Main Methods:
- Review of preclinical screening strategies.
- Compilation and summary of published conjugate activity.
- Analysis of emerging animal data for novel compounds.
Main Results:
- Folate-drug conjugates can deliver diverse payloads to FR-positive cells.
- Attachment of potent small molecular weight agents to folate is a novel therapeutic approach.
- Emerging animal data show promise for novel folate-drug conjugates.
Conclusions:
- Folate-drug conjugates represent a promising targeted therapeutic strategy.
- Preclinical evaluation is crucial for optimizing conjugate design and efficacy.
- Further investigation in animal models is essential to advance this approach.
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