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Updated: Sep 29, 2025

Genetic Encoding of a Non-Canonical Amino Acid for the Generation of Antibody-Drug Conjugates Through a Fast Bioorthogonal Reaction
Published on: September 14, 2018
The Use of Antibody-Antibiotic Conjugates to Fight Bacterial Infections
Marco Cavaco1, Miguel A R B Castanho1, Vera Neves1
1Faculdade de Medicina, Instituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa, Lisbon, Portugal.
Abstract:
The emergence of antimicrobial resistance (AMR) is rapidly increasing and it is one of the significant twenty-first century's healthcare challenges. Unfortunately, the development of effective antimicrobial agents is a much slower and complex process compared to the spread of AMR. Consequently, the current options in the treatment of AMR are limited. One of the main alternatives to conventional antibiotics is the use of antibody-antibiotic conjugates (AACs). These innovative bioengineered agents take advantage of the selectivity, favorable pharmacokinetic (PK), and safety of antibodies, allowing the administration of more potent antibiotics with less off-target effects. Although AACs' development is challenging due to the complexity of the three components, namely, the antibody, the antibiotic, and the linker, some successful examples are currently under clinical studies.
Insights
Antimicrobial resistance (AMR) is a growing threat. Antibody-antibiotic conjugates (AACs) offer a promising alternative to traditional antibiotics, enabling targeted delivery of potent drugs with fewer side effects.
Area of Science:
- Microbiology
- Immunology
- Pharmacology
Background:
- Antimicrobial resistance (AMR) presents a significant global healthcare challenge.
- The development of new antimicrobial agents lags behind the rapid spread of AMR.
- Current treatment options for AMR are limited.
Purpose of the Study:
- To explore antibody-antibiotic conjugates (AACs) as an alternative therapeutic strategy against AMR.
- To highlight the advantages of AACs in delivering potent antibiotics with enhanced safety profiles.
Main Methods:
- Review of existing literature on antibody-antibiotic conjugates (AACs).
- Analysis of the components and challenges in AAC development (antibody, antibiotic, linker).
- Examination of the potential benefits including selectivity, pharmacokinetics (PK), and reduced off-target effects.
Main Results:
- Antibody-antibiotic conjugates (AACs) leverage antibody specificity for targeted drug delivery.
- AACs allow for the administration of more potent antibiotics.
- AACs demonstrate potential for reduced off-target toxicity compared to conventional antibiotics.
Conclusions:
- Antibody-antibiotic conjugates (AACs) represent a promising bioengineered approach to combatting antimicrobial resistance.
- Despite development complexities, successful AACs are advancing to clinical studies.
- AACs offer a viable strategy to overcome the limitations of current AMR treatments.
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