Potential of antibody-drug conjugates (ADCs) for cancer therapy
Hany E Marei1, Carlo Cenciarelli2, Anwarul Hasan3
1Department of Cytology and Histology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt. hanymarei@mans.edu.eg.
Abstract:
The primary purpose of ADCs is to increase the efficacy of anticancer medications by minimizing systemic drug distribution and targeting specific cells. Antibody conjugates (ADCs) have changed the way cancer is treated. However, because only a tiny fraction of patients experienced long-term advantages, current cancer preclinical and clinical research has been focused on combination trials. The complex interaction of ADCs with the tumor and its microenvironment appear to be reliant on the efficacy of a certain ADC, all of which have significant therapeutic consequences. Several clinical trials in various tumor types are now underway to examine the potential ADC therapy, based on encouraging preclinical results. This review tackles the potential use of ADCs in cancer therapy, emphasizing the essential processes underlying their positive therapeutic impacts on solid and hematological malignancies. Additionally, opportunities are explored to understand the mechanisms of ADCs action, the mechanism of resistance against ADCs, and how to overcome potential resistance following ADCs administration. Recent clinical findings have aroused interest, leading to a large increase in the number of ADCs in clinical trials. The rationale behind ADCs, as well as their primary features and recent research breakthroughs, will be discussed. We then offer an approach for maximizing the potential value that ADCs can bring to cancer patients by highlighting key ideas and distinct strategies.
Insights
Antibody-drug conjugates (ADCs) enhance cancer treatment by targeting drugs to specific cells. Research focuses on combination therapies and overcoming resistance to maximize ADC benefits for patients.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Antibody-drug conjugates (ADCs) represent a significant advancement in cancer therapy.
- Their mechanism involves targeted drug delivery to minimize systemic toxicity and maximize efficacy.
- Despite successes, challenges remain, driving research into combination therapies and resistance mechanisms.
Purpose of the Study:
- To review the potential of ADCs in treating solid and hematological malignancies.
- To explore the mechanisms of action and resistance associated with ADCs.
- To identify strategies for overcoming ADC resistance and maximizing therapeutic potential.
Main Methods:
- Literature review of preclinical and clinical studies on ADCs.
- Analysis of ADC mechanisms, efficacy, and resistance pathways.
- Synthesis of current research findings and future directions.
Main Results:
- ADCs have demonstrated significant therapeutic impact in various cancers.
- Understanding the tumor microenvironment's interaction with ADCs is crucial for efficacy.
- Emerging strategies focus on combination therapies and overcoming resistance.
Conclusions:
- ADCs offer a promising approach to cancer treatment, with ongoing clinical trials exploring their full potential.
- Further research into resistance mechanisms and combination strategies is essential for broader patient benefit.
- Optimizing ADC therapy requires a comprehensive understanding of their action and interaction within the tumor ecosystem.
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