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Beyond the magic bullet: Programming delivery systems to overcome the antibody specificity paradox
Yaowei Ma1, Yangyihua Zhou1, Can Xu1
1State Key Laboratory of National Security Specially Needed Medicines, Beijing 100039, China.
Summary
Antibody therapeutics face a plateau due to systemic administration issues. This review proposes Antibody-Carrier Integrated Systems (ACIS) for targeted drug delivery, enhancing precision medicine.
Area of Science:
- Biotechnology
- Pharmacology
- Drug Delivery Systems
Background:
- Antibody therapeutics have revolutionized medicine but face limitations.
- The 'Paradox of Specificity' arises from systemic administration negating targeted action.
- Current antibody-centric models hinder further therapeutic advancements.
Purpose of the Study:
- To propose a paradigm shift towards Antibody-Carrier Integrated Systems (ACIS).
- To address the 'Paradox of Specificity' in antibody-based therapies.
- To outline strategies for developing intelligent drug delivery systems.
Main Methods:
- Systematic review of strategies for ACIS development.
- Analysis of antibody stability and spatiotemporal release kinetics.
- Evaluation of localized delivery and computational co-design.
Main Results:
- ACIS redefines the delivery system as an active 'contextual intelligence layer'.
- Strategies include enhancing antibody stability and programming release kinetics.
- Localized delivery and computational co-design are key to ACIS realization.
Conclusions:
- Resolving the 'Paradox of Specificity' is crucial for antibody therapeutics.
- ACIS offers a roadmap to unlock the full potential of antibody-based precision medicine.
- A future of intelligent, context-aware drug delivery systems is envisioned.

