How does an antibody drug conjugate work?

How does an antibody drug conjugate work?

Antibody-Drug Conjugates (ADCs) are a new class of highly potent biological drugs built by attaching a small molecule anticancer drug or another therapeutic agent to an antibody, with either a permanent or a labile linker. The antibody targets a specific antigen only found on target cells.

Are antibody drug conjugates immunotherapy?

Antibody drug conjugates (ADCs) are a form of targeted immunotherapy. They are composed of three components: a monoclonal antibody (mAb) and a cytotoxic payload made from a chemotherapy agent, which are connected together using a chemical linker.

What is peptide drug conjugate?

Peptide–drug conjugates (PDCs) are an emerging class of prodrugs, formed through the covalent attachment of a specific peptide sequence to a drug via a cleavable linker.

How are antibody drug conjugates administered?

Antibodies are directed to a large variety of antigens overexpressed on tumor cells, tumor vasculature, or tumor-supporting stroma. After internalization, the ADC is transferred to lysosomes where the cytotoxic component is released, finally killing the target cell. All ADCs are administered via intravenous injection.

What is drug conjugation?

Conjugation, in this context, is the process of covalently linking drugs or prodrugs to various natural or synthetic molecule carriers for specific applications, e.g. polymers, polypeptides or proteins, lipids, and carbohydrates (Figure 24.12).

Why do we conjugate drugs to antibodies?

Antibody-Drug Conjugates deliver highly potent cytotoxic anticancer agents to cancer cells by joining them to monoclonal antibodies by biodegradable, stable linkers and discriminate between cancer and normal tissue. These linkers are either cleavable or non-cleavable.

How many antibody drug conjugates are approved?

Despite ADCs presenting huge challenges to researchers, particularly regarding the identification of a suitable combination of antibody, linker, and payload, as of September 2021, 11 ADCs have been granted FDA approval, with eight of these approved since 2017 alone.

What will the antibodies bind to?

The biological function of antibodies is to bind to pathogens and their products, and to facilitate their removal from the body. An antibody generally recognizes only a small region on the surface of a large molecule such as a polysaccharide or protein.

What does payload drug mean?

The drug payloads are highly active molecules that are too toxic to be administered in their untargeted forms at therapeutic dose levels.

What are anti drug conjugates?

Antibody-drug Conjugates or ADCs are highly targeted biopharmaceutical drugs that combine monoclonal antibodies specific to surface antigens present on particular tumor cells with highly potent anti-cancer agents linked via a chemical linker.

What is glucuronic acid conjugation?

The glucuronic acid conjugates, or “glucuronide conjugates” as they are commonly called, are compounds formed by enzyme-catalysed glucuronidation of drug metabolites that contain either a hydroxyl group (ROH – alcohols; PhOH – phenols) or a carboxyl group (RCO2H – acids).

What are antibody-drug conjugates?

Antibody-Drug Conjugates: A Comprehensive Review Antibody-drug conjugates (ADC) are one of the fastest growing anticancer drugs. This approach comprises a mAb conjugated to the cytotoxic payload via a chemical linker that directed toward a target antigen expressed on the cancer cell surface, reducing systemic exposure and therefore toxicity.

Who is the editorial team of ADC Review | Journal of antibody-drug conjugates?

The editorial team of ADC Review | Journal of Antibody-drug Conjugates (ISSN 2327-0152) consists of an Editor-in-Chief, Deputy Editors, and Consulting Editors.

What is a cytotoxic (anticancer) drug?

The cytotoxic (anticancer) drug is chemically linked (conjugated using disulfide or non-cleavable thioether linker chemistry) to a monoclonal antibody that recognizes a specific tumor-associated antigen, making the drug combination very specific.

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