双特异性抗体用于癌症治疗的现在和未来
Christian Klein1, Ulrich Brinkmann2, Janice M Reichert3
1Roche Pharma Research and Early Development, Roche Innovation Center Zurich, Schlieren, Switzerland. christian.klein.ck1@roche.com.
Nature reviews. Drug discovery
|March 6, 2024
概括
双特异性抗体 (bsAbs) 提供了超越常规抗体的先进治疗选择,到2023年将有14种被批准. 本综述涵盖了癌症治疗的当前和正在发展的bsAbs,突出了新的机制和下一代设计.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 生物技术是生物技术.
背景情况:
- 双特异性抗体 (bsAbs) 与传统的基于IgG的抗体相比是一个显著的进步,使新的治疗机制成为可能.
- bsAbs的发展加速了,到2023年底将有14种被批准,主要用于癌症治疗 (11),一些用于非瘤学指示 (3).
研究的目的:
- 为癌症治疗的双特异性抗体的最新发展提供全面的概述.
- 专注于已批准和临床开发的bsAbs,详细说明它们的各种格式,目标和作用机制.
主要方法:
- 对已批准和临床研究的用于癌症治疗的双特异性抗体的审查.
- 基于其机制的bsAbs的分类,包括双通路调制剂,受体激动剂,抗体-药物合物,免疫细胞参与剂和检查点调制剂.
主要成果:
- 癌症治疗的bsAbs取得了重大进展,具有各种格式和作用机制.
- 例如包括双信号通路调节器,瘤向激动剂,bsAb药物合物和免疫细胞参与者 (T细胞,NK细胞,先天免疫细胞).
- 双特异检查点抑制剂和协同刺激剂也是开发的关键领域.
结论:
- 双特异性抗体是一个快速发展的领域,在瘤学中具有广泛的应用.
- 未来的方向包括三种特异性抗体,前期药物,降解标的bsAbs和细胞因子模拟的bsAbs,有望进一步的治疗创新.
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