Antibody drug conjugates as targeted cancer therapy: past development, present challenges and future opportunities

Ritwik Maiti1, Bhumika Patel2, Nrupesh Patel3

  • 1Institute of Pharmacy, Nirma University, Ahmedabad, 382481, Gujarat, India.

Insights

Antibody drug conjugates (ADCs) offer targeted cancer therapy with reduced toxicity. This review details ADC components, challenges, and future directions for improved cancer treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Antibody drug conjugates (ADCs) represent a significant advancement in cancer chemotherapy.
  • ADCs exhibit lower toxicity compared to traditional cytotoxic agents and can overcome tumor resistance.
  • Thirteen ADCs are currently approved by the USFDA for treating solid tumors and hematological malignancies.

Purpose of the Study:

  • To review the structural components of ADCs: antibody, linker, and cytotoxic payload.
  • To analyze the chemistry, mechanism of action, and influence of these components on ADC activity.
  • To discuss linker's role in efficacy, stability, and toxicity, conjugation techniques, and analytical methods.

Main Methods:

  • Comprehensive literature review of ADC components and their functions.
  • Analysis of linker chemistry, conjugation strategies, and their impact on ADC performance.
  • Summary of analytical techniques for ADC characterization.

Main Results:

  • Detailed insights into the structure-activity relationships of ADC components.
  • Exploration of various linker types and conjugation methods.
  • Overview of analytical approaches for ADC quality control.

Conclusions:

  • ADCs have the potential to revolutionize cancer treatment paradigms.
  • Current challenges include heterogeneity, bystander effects, and resistance.
  • Future opportunities lie in developing next-generation ADCs with enhanced efficacy and safety profiles.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.7K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K