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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
Antibody-oligonucleotide conjugates: design principles, intracellular delivery, and translational opportunities
Yuqian Li1, Xinlin Liu1,2, Fuyuan Zhang1
1Laboratory of Drug Discovery from Natural Resources and Industrialization, School of Pharmacy, Faculty of Medicine, Macau University of Science and Technology, Macau, 999078, China.
Abstract:
Antibody-oligonucleotide conjugates (AOCs) have emerged as a promising therapeutic platform that integrates the targeting capability of antibodies with the gene-regulatory potential of oligonucleotide payloads. By enabling cell or tissue selective delivery, AOCs may extend oligonucleotide therapeutics beyond liver predominant distribution and broaden intervention strategies for intracellular targets that have historically been difficult to drug. However, their therapeutic performance is not determined by target binding alone, but also by productive intracellular delivery, including receptor mediated uptake, endosomal trafficking, payload release, and functional access to cytoplasmic or nuclear compartments. In this review, we summarize the key design principles governing AOCs performance, including target biology, antibody formats, oligonucleotide payload classes, chemical modifications, linker design, conjugation strategies, and critical quality attributes. We further discuss the intracellular fate of AOCs and highlight endosomal escape as a major rate limiting step that often constrains biological activity despite efficient cellular uptake. In addition, we review current translational progress, with particular emphasis on neuromuscular disorders, as well as emerging applications in oncology, central nervous system diseases, and other indications. Finally, we outline major challenges and future directions that are likely to shape the next generation of AOCs therapeutics.
Insights
Antibody-oligonucleotide conjugates (AOCs) offer targeted gene regulation beyond the liver. Optimizing intracellular delivery and endosomal escape is key for therapeutic success in various diseases.
Area of Science:
- Biotechnology
- Therapeutic Drug Development
- Molecular Medicine
Background:
- Antibody-oligonucleotide conjugates (AOCs) combine antibody targeting with oligonucleotide gene regulation.
- AOCs enable targeted delivery, expanding therapeutic potential beyond the liver for intracellular targets.
- Therapeutic efficacy depends on productive intracellular delivery, not just target binding.
Purpose of the Study:
- To review key design principles for AOC performance.
- To discuss the intracellular fate and challenges of AOCs.
- To highlight translational progress and future directions for AOC therapeutics.
Main Methods:
- Summarizing design principles: target biology, antibody formats, oligonucleotide payloads, chemical modifications, linkers, and conjugation.
- Analyzing intracellular trafficking, including receptor-mediated uptake, endosomal escape, and payload release.
- Reviewing translational progress in neuromuscular disorders, oncology, and CNS diseases.
Main Results:
- AOC performance is governed by multiple design factors, including antibody and payload characteristics.
- Endosomal escape is a critical rate-limiting step for AOC biological activity.
- Significant translational progress is observed in various therapeutic areas.
Conclusions:
- AOCs represent a promising platform for targeted gene regulation.
- Overcoming intracellular delivery barriers, particularly endosomal escape, is crucial for next-generation AOCs.
- Future research should focus on optimizing AOC design for enhanced therapeutic outcomes.
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