Recent Advances in Smart Linkage Strategies for Developing Drug Conjugates for Targeted Delivery
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Updated: Jun 13, 2025

Synthesis and Bioconjugation of Thiol-Reactive Reagents for the Creation of Site-Selectively Modified Immunoconjugates
Published on: March 6, 2019
Jie Zhang1, Zeyu Yang1, Yu Liu1
1School of Pharmacy, Health Science Center, Xi'an Jiaotong University, Xi'an, 710061, China.
Abstract:
Targeted drug delivery systems effectively solve the problem of off-target toxicity of chemotherapeutic drugs by combining chemotherapeutic drugs with antibodies or peptides, thereby promoting drug targeting to the tumor site and bringing further hope for cancer treatment. The development of stimulus-responsive smart linkage technologies has led to the emergence of drug conjugates. Linkage technologies play a crucial role in the design, synthesis, and in vivo circulation of drug conjugates, as they determine the release of cytotoxic drugs from the conjugates and their subsequent therapeutic efficacy. This article reviews some of the smart linkage strategies used in designing drug conjugates, with a focus on the tumor microenvironment and exogenous stimuli as conditions influencing controlled drug release. This review introduces linker classifications and cleavage mechanisms, discusses modular linkers that promote the efficient synthesis of conjugates, and discusses the differences between linkage strategies. Furthermore, this article focuses on the implementation of self-assembly in drug conjugates, which is currently of great interest. Related concepts are introduced and relevant examples of their applications are provided. Furthermore, a comprehensive discourse is presented on the challenges that may arise in the research and clinical implementation of diverse linkage strategies, along with the associated enhancement measures. Finally, the factors that should be considered when designing linkage strategies for drug conjugates are summarized, offering strategies and ideas for scientists involved in drug conjugate research. It is particularly noteworthy that appropriate linkage strategies allow for the intracellular release of drugs after internalization of the conjugates, thereby maximizing their tumor cell-killing effect.
Insights
Smart linkage technologies enhance targeted drug delivery by creating drug conjugates. These strategies control drug release within tumors, improving cancer treatment efficacy and reducing side effects.
Area of Science:
- Biomedical Engineering
- Drug Delivery
- Oncology
Background:
- Targeted drug delivery systems aim to improve cancer treatment by minimizing off-target toxicity of chemotherapeutic agents.
- Drug conjugates, developed using stimulus-responsive linkage technologies, are crucial for controlled drug release at tumor sites.
- Linker technologies are pivotal in the design, synthesis, and in vivo performance of drug conjugates, directly impacting therapeutic outcomes.
Purpose of the Study:
- To review smart linkage strategies for designing drug conjugates, focusing on stimuli-responsive drug release.
- To discuss linker classifications, cleavage mechanisms, modular linkers, and self-assembly in drug conjugates.
- To address challenges and considerations in the research and clinical application of drug conjugate linkage strategies.
Main Methods:
- Review of current literature on smart linkage strategies for drug conjugates.
- Analysis of linker classifications, cleavage mechanisms, and modular designs.
- Discussion of self-assembly approaches and their applications in drug conjugates.
- Examination of challenges and enhancement measures for linkage strategies in research and clinical settings.
Main Results:
- Smart linkers enable controlled release of cytotoxic drugs, influenced by the tumor microenvironment and external stimuli.
- Modular linkers facilitate efficient conjugate synthesis, while self-assembly offers novel design possibilities.
- Appropriate linkage strategies can achieve intracellular drug release post-conjugate internalization, maximizing tumor cell killing.
Conclusions:
- Effective linkage strategies are essential for optimizing drug conjugate design and therapeutic efficacy.
- Understanding linker mechanisms and stimuli-responsive release is key to advancing targeted cancer therapy.
- Continued research into linkage strategies, including self-assembly, holds significant promise for future drug conjugate development.
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