Overcoming limitations and advancing the therapeutic potential of antibody-oligonucleotide conjugates (AOCs): Current status and future perspectives
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Updated: Jun 9, 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
Jinlan Jiao1, Yun Qian2, Yinhua Lv3
1Division of Breast Surgery, Department of General Surgery, Affiliated Drum Tower Hospital, Medical School, Nanjing University, Nanjing 210008, China.
Abstract:
As cancer incidence rises due to an aging population, the importance of precision medicine continues to grow. Antibody-drug conjugates (ADCs) exemplify targeted therapies by delivering cytotoxic agents to specific antigens. Building on this concept, researchers have developed antibody-oligonucleotide conjugates (AOCs), which combine antibodies with oligonucleotides to regulate gene expression. This review highlights the mechanism of AOCs, emphasizing their unique ability to selectively target and modulate disease-causing proteins. It also explores the components of AOCs and their application in tumor therapy while addressing key challenges such as manufacturing complexities, endosomal escape, and immune response. The article underscores the significance of AOCs in precision oncology and discusses future directions, highlighting their potential in treating cancers driven by genetic mutations and abnormal protein expression.
Insights
Antibody-oligonucleotide conjugates (AOCs) offer a novel precision medicine approach by targeting disease-causing proteins to regulate gene expression. This targeted therapy shows promise for advanced cancer treatment, overcoming challenges in precision oncology.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Rising cancer incidence necessitates advanced precision medicine strategies.
- Antibody-drug conjugates (ADCs) represent a successful targeted therapy approach.
- Antibody-oligonucleotide conjugates (AOCs) emerge as a novel therapeutic modality.
Purpose of the Study:
- To review the mechanism and components of antibody-oligonucleotide conjugates (AOCs).
- To explore the application of AOCs in tumor therapy.
- To address the challenges and future directions of AOCs in precision oncology.
Main Methods:
- Review of existing literature on AOCs.
- Analysis of AOC mechanisms for targeted gene regulation.
- Discussion of AOC components and their role in therapy.
Main Results:
- AOCs selectively target and modulate disease-causing proteins.
- AOCs offer a unique approach to regulating gene expression in cancer cells.
- Key challenges include manufacturing, endosomal escape, and immune response.
Conclusions:
- AOCs represent a significant advancement in precision oncology.
- Further research is needed to overcome challenges and optimize AOCs for cancer treatment.
- AOCs hold potential for treating cancers driven by genetic mutations and abnormal protein expression.
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