Antibody-onconase conjugates: cytotoxicity and intracellular routing
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Updated: Feb 6, 2026

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Published on: September 13, 2024
1Bionanomics, LLC, 411 Walnut Street, Green Cove Springs, FL 32043, USA. rybak@mindspring.com
Abstract:
Onconase, a member of the pancreatic ribonuclease A superfamily, is currently in Phase III clinical trials for treatment of unresectable malignant mesothelioma. The anticancer effect of onconase may relate to its intracellular target, a non-coding RNA. Some non-coding RNAs are aberrantly expressed in cancer cells. This discovery is creating new interest in drugs that target RNA. Conjugating onconase to agents that recognize tumor associated molecules further increases its potency and specificity. Analysis of onconase activity when directed to two different internalizing and one non-internalizing receptor reveals that the ideal targeting agents would rapidly enter lysosomal compartments before onconase escaped to the cytosol. Antibody-onconase conjugates are effective in preclinical models, cause little non-specific toxicities in mice and have favorable formulation properties. Understanding the reason for their potency coupled with understanding novel RNA-based mechanisms of tumor cell death will lead to improved variations of targeted onconase.
Insights
Onconase, an investigational drug targeting non-coding RNA, shows promise for mesothelioma treatment. Antibody-drug conjugates enhance its potency and specificity by targeting tumor cells effectively.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Onconase, a pancreatic ribonuclease A superfamily member, is in Phase III trials for unresectable malignant mesothelioma.
- Its anticancer effects are linked to targeting intracellular non-coding RNAs, which are often aberrantly expressed in cancer.
- This highlights a growing interest in RNA-targeting drugs for cancer therapy.
Purpose of the Study:
- To investigate the optimal targeting strategies for antibody-onconase conjugates to enhance anticancer efficacy.
- To understand the mechanisms underlying the potency and specificity of these targeted conjugates.
- To explore novel RNA-based mechanisms of tumor cell death induced by targeted onconase.
Main Methods:
- Conjugating onconase to agents targeting tumor-associated molecules.
- Analyzing onconase activity when directed to different types of receptors (internalizing and non-internalizing).
- Evaluating antibody-onconase conjugates in preclinical models.
Main Results:
- Targeting agents that rapidly deliver onconase to lysosomes before cytosol escape are ideal.
- Antibody-onconase conjugates demonstrated effectiveness in preclinical models.
- These conjugates exhibited low non-specific toxicity in mice and favorable formulation properties.
Conclusions:
- Targeted delivery strategies are crucial for maximizing onconase efficacy.
- Antibody-onconase conjugates represent a promising therapeutic approach for malignant mesothelioma.
- Further understanding of RNA-based tumor cell death mechanisms will refine targeted onconase therapies.
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