Ab locks for improving the selectivity and safety of antibody drugs

Abstract Monoclonal antibodies (mAbs) are a major targeted therapy for malignancies, infectious diseases, autoimmune diseases, transplant rejection and chronic inflammatory diseases due to their antigen specificity and longer half-life than conventional drugs. However, long-term systemic antigen neu...

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Main Authors: Wen-Wei Lin, Yun-Chi Lu, Chih-Hung Chuang, Tian-Lu Cheng
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Journal of Biomedical Science
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12929-020-00652-z
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author Wen-Wei Lin
Yun-Chi Lu
Chih-Hung Chuang
Tian-Lu Cheng
author_facet Wen-Wei Lin
Yun-Chi Lu
Chih-Hung Chuang
Tian-Lu Cheng
author_sort Wen-Wei Lin
collection DOAJ
description Abstract Monoclonal antibodies (mAbs) are a major targeted therapy for malignancies, infectious diseases, autoimmune diseases, transplant rejection and chronic inflammatory diseases due to their antigen specificity and longer half-life than conventional drugs. However, long-term systemic antigen neutralization by mAbs may cause severe adverse events. Improving the selectivity of mAbs to distinguish target antigens at the disease site from normal healthy tissue and reducing severe adverse events caused by the mechanisms-of-action of mAbs is still a pressing need. Development of pro-antibodies (pro-Abs) by installing a protease-cleavable Ab lock is a novel and advanced recombinant Ab-based strategy that efficiently masks the antigen binding ability of mAbs in the normal state and selectively “turns on” the mAb activity when the pro-Ab reaches the proteolytic protease-overexpressed diseased tissue. In this review, we discuss the design and advantages/disadvantages of different Ab lock strategies, focusing particularly on spatial-hindrance-based and affinity peptide-based approaches. We expect that the development of different masking strategies for mAbs will benefit the local reactivity of mAbs at the disease site, increase the therapeutic efficacy and safety of long-term treatment with mAbs in chronic diseases and even permit scientists to develop Ab drugs for formerly undruggable targets and satisfy the unmet medical needs of mAb therapy.
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spelling doaj.art-683231de7fa74837b659cda00e6f7b172022-12-21T19:26:30ZengBMCJournal of Biomedical Science1423-01272020-06-0127112010.1186/s12929-020-00652-zAb locks for improving the selectivity and safety of antibody drugsWen-Wei Lin0Yun-Chi Lu1Chih-Hung Chuang2Tian-Lu Cheng3Department of Laboratory Medicine, School of Medicine, College of Medicine, Kaohsiung Medical UniversityDrug Development and Value Creation Research Center, Kaohsiung Medical UniversityGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical UniversityGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical UniversityAbstract Monoclonal antibodies (mAbs) are a major targeted therapy for malignancies, infectious diseases, autoimmune diseases, transplant rejection and chronic inflammatory diseases due to their antigen specificity and longer half-life than conventional drugs. However, long-term systemic antigen neutralization by mAbs may cause severe adverse events. Improving the selectivity of mAbs to distinguish target antigens at the disease site from normal healthy tissue and reducing severe adverse events caused by the mechanisms-of-action of mAbs is still a pressing need. Development of pro-antibodies (pro-Abs) by installing a protease-cleavable Ab lock is a novel and advanced recombinant Ab-based strategy that efficiently masks the antigen binding ability of mAbs in the normal state and selectively “turns on” the mAb activity when the pro-Ab reaches the proteolytic protease-overexpressed diseased tissue. In this review, we discuss the design and advantages/disadvantages of different Ab lock strategies, focusing particularly on spatial-hindrance-based and affinity peptide-based approaches. We expect that the development of different masking strategies for mAbs will benefit the local reactivity of mAbs at the disease site, increase the therapeutic efficacy and safety of long-term treatment with mAbs in chronic diseases and even permit scientists to develop Ab drugs for formerly undruggable targets and satisfy the unmet medical needs of mAb therapy.http://link.springer.com/article/10.1186/s12929-020-00652-zMonoclonal antibody (mAb)adverse eventsAb lockspatial-hindrance-based approachesaffinity-based approaches
spellingShingle Wen-Wei Lin
Yun-Chi Lu
Chih-Hung Chuang
Tian-Lu Cheng
Ab locks for improving the selectivity and safety of antibody drugs
Journal of Biomedical Science
Monoclonal antibody (mAb)
adverse events
Ab lock
spatial-hindrance-based approaches
affinity-based approaches
title Ab locks for improving the selectivity and safety of antibody drugs
title_full Ab locks for improving the selectivity and safety of antibody drugs
title_fullStr Ab locks for improving the selectivity and safety of antibody drugs
title_full_unstemmed Ab locks for improving the selectivity and safety of antibody drugs
title_short Ab locks for improving the selectivity and safety of antibody drugs
title_sort ab locks for improving the selectivity and safety of antibody drugs
topic Monoclonal antibody (mAb)
adverse events
Ab lock
spatial-hindrance-based approaches
affinity-based approaches
url http://link.springer.com/article/10.1186/s12929-020-00652-z
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AT tianlucheng ablocksforimprovingtheselectivityandsafetyofantibodydrugs