Antibody Fragment and Targeted Colorectal Cancer Therapy: A Global Systematic Review

Sepideh Ghani1, Niloofar Deravi2, Marzieh Pirzadeh3

  • 1Student Research Committee, Department of Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Insights

Antibody fragments show promise for colorectal cancer treatment, offering advantages over traditional therapies. These engineered fragments target cancer cells, inhibit tumor growth, and activate immune responses for improved outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Biotechnology

Background:

  • Antibody-based therapeutics are promising for colorectal cancer (CRC) but face manufacturing challenges due to antibody size and half-life.
  • Engineered antibody fragments (e.g., Fab, scFv, nanobodies) offer high affinity and specificity for targeted therapies.
  • These fragments are crucial in novel approaches like pharmaceutical nanoparticle conjugates.

Purpose of the Study:

  • To systematically review the role of various antibody fragments in colorectal cancer treatment.
  • To elucidate the potential of engineered antibody fragments as therapeutic agents for CRC.

Main Methods:

  • A comprehensive literature search was performed across major scientific databases (Web of Science, PubMed, Scopus, Google Scholar, ProQuest).
  • Relevant articles published between 1990 and 2021 were identified through full-text searches and reference list reviews.

Main Results:

  • Single-chain antibodies were the most frequently used fragments in the 53 included studies, predominantly targeting Carcinoembryonic antigen (CEA).
  • Studies demonstrated significant outcomes including apoptosis induction and tumor growth inhibition in vitro.
  • The innate immune system, particularly Natural Killer (NK) cell activity, was implicated as an indirect mechanism for tumor eradication.

Conclusions:

  • Antibody fragment-based therapy presents a promising alternative to conventional treatments like chemotherapy and radiotherapy for colorectal cancer.
  • This targeted approach can activate both innate and specific immune systems to eliminate tumor cells effectively.
  • Engineered antibody fragments offer a viable strategy for enhancing the efficacy and manufacturability of antibody-based cancer therapies.