Recent advances in function-enhanced antibody-drug conjugates: Antibody optimization and payload combination
Xin-Tong Liu1,2, Feng Tang3,4,5, Wei Huang6,7,8,9
1Nottingham Ningbo China Beacons of Excellence Research and Innovation Institute, University of Nottingham Ningbo China, Ningbo, 315100, China.
Abstract:
Antibody-drug conjugates (ADCs), a revolutionary tumor therapeutic modality integrating the targeting specificity of monoclonal antibodies and the cytotoxicity of payloads, have undergone four generations of development, with over 20 approved drugs and more than 300 candidates in clinical trials globally. Despite their remarkable success in treating both hematological malignancies and solid tumors, traditional ADCs still face intractable challenges, including heterogeneity in target antigen expression, insufficient internalization, payload-mediated drug resistance, and severe treatment-related adverse events. This review elaborates on the latest design optimization strategies and research advances of next-generation function-enhanced ADCs, focusing on four core directions: bispecific ADC construction, internalization efficiency improvement, binding affinity enhancement, and payload combination innovation.
Insights
Next-generation antibody-drug conjugates (ADCs) enhance tumor therapy by improving bispecific construction, internalization, binding affinity, and payload innovation to overcome challenges of current treatments.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Antibody-drug conjugates (ADCs) represent a significant advancement in cancer therapeutics, combining targeted antibody delivery with potent cytotoxic payloads.
- Over 20 ADCs are approved, with >300 candidates in clinical trials, highlighting their therapeutic importance in hematological malignancies and solid tumors.
- Traditional ADCs face challenges including antigen heterogeneity, poor internalization, drug resistance, and toxicity.
Purpose of the Study:
- To review the latest advancements in next-generation antibody-drug conjugates (ADCs).
- To focus on design optimization strategies that enhance ADC function and overcome limitations of earlier generations.
- To explore four key areas of innovation: bispecific ADC construction, improved internalization, enhanced binding affinity, and novel payload combinations.
Main Methods:
- Literature review of recent research and clinical trial data on antibody-drug conjugates.
- Analysis of design strategies for next-generation ADCs.
- Focus on advancements in bispecific antibody engineering, internalization mechanisms, antibody affinity modulation, and payload diversification.
Main Results:
- Next-generation ADCs are being developed with enhanced targeting and efficacy through innovative design.
- Strategies include bispecific antibodies for broader targeting, optimized linker-payload systems for improved internalization and reduced resistance.
- Enhanced binding affinity and novel payload combinations aim to increase therapeutic index and overcome resistance mechanisms.
Conclusions:
- Next-generation ADCs show promise in overcoming the limitations of traditional antibody-drug conjugates.
- Continued innovation in ADC design, including bispecificity, internalization efficiency, binding affinity, and payload strategies, is crucial for advancing cancer therapy.
- These functional enhancements are expected to improve treatment outcomes and broaden the applicability of ADCs in oncology.
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