Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond

In the era of precision medicine, antibody-based therapeutics are rapidly enriched with emerging advances and new proof-of-concept formats. In this context, antibody-drug conjugates (ADCs) have evolved to merge the high selectivity and specificity of monoclonal antibodies (mAbs) with the cytotoxic p...

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Main Authors: Charalampos Theocharopoulos, Panagiotis-Petros Lialios, Michael Samarkos, Helen Gogas, Dimitrios C. Ziogas
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/10/1111
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author Charalampos Theocharopoulos
Panagiotis-Petros Lialios
Michael Samarkos
Helen Gogas
Dimitrios C. Ziogas
author_facet Charalampos Theocharopoulos
Panagiotis-Petros Lialios
Michael Samarkos
Helen Gogas
Dimitrios C. Ziogas
author_sort Charalampos Theocharopoulos
collection DOAJ
description In the era of precision medicine, antibody-based therapeutics are rapidly enriched with emerging advances and new proof-of-concept formats. In this context, antibody-drug conjugates (ADCs) have evolved to merge the high selectivity and specificity of monoclonal antibodies (mAbs) with the cytotoxic potency of attached payloads. So far, ten ADCs have been approved by FDA for oncological indications and many others are currently being tested in clinical and preclinical level. This paper summarizes the essential components of ADCs, from their functional principles and structure up to their limitations and resistance mechanisms, focusing on all latest bioengineering breakthroughs such as bispecific mAbs, dual-drug platforms as well as novel linkers and conjugation chemistries. In continuation of our recent review on anticancer implication of ADC’s technology, further insights regarding their potential usage outside of the oncological spectrum are also presented. Better understanding of immunoconjugates could maximize their efficacy and optimize their safety, extending their use in everyday clinical practice.
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spelling doaj.art-ba7cd38f77ea4666a0fb97b6efb606d72023-11-22T20:15:18ZengMDPI AGVaccines2076-393X2021-09-01910111110.3390/vaccines9101111Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and BeyondCharalampos Theocharopoulos0Panagiotis-Petros Lialios1Michael Samarkos2Helen Gogas3Dimitrios C. Ziogas4First Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, GreeceFirst Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, GreeceFirst Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, GreeceFirst Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, GreeceFirst Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, GreeceIn the era of precision medicine, antibody-based therapeutics are rapidly enriched with emerging advances and new proof-of-concept formats. In this context, antibody-drug conjugates (ADCs) have evolved to merge the high selectivity and specificity of monoclonal antibodies (mAbs) with the cytotoxic potency of attached payloads. So far, ten ADCs have been approved by FDA for oncological indications and many others are currently being tested in clinical and preclinical level. This paper summarizes the essential components of ADCs, from their functional principles and structure up to their limitations and resistance mechanisms, focusing on all latest bioengineering breakthroughs such as bispecific mAbs, dual-drug platforms as well as novel linkers and conjugation chemistries. In continuation of our recent review on anticancer implication of ADC’s technology, further insights regarding their potential usage outside of the oncological spectrum are also presented. Better understanding of immunoconjugates could maximize their efficacy and optimize their safety, extending their use in everyday clinical practice.https://www.mdpi.com/2076-393X/9/10/1111antibody-drug conjugatesimmunoconjugatesbispecific antibodiesdual-drug ADCstargeted therapy
spellingShingle Charalampos Theocharopoulos
Panagiotis-Petros Lialios
Michael Samarkos
Helen Gogas
Dimitrios C. Ziogas
Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
Vaccines
antibody-drug conjugates
immunoconjugates
bispecific antibodies
dual-drug ADCs
targeted therapy
title Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
title_full Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
title_fullStr Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
title_full_unstemmed Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
title_short Antibody-Drug Conjugates: Functional Principles and Applications in Oncology and Beyond
title_sort antibody drug conjugates functional principles and applications in oncology and beyond
topic antibody-drug conjugates
immunoconjugates
bispecific antibodies
dual-drug ADCs
targeted therapy
url https://www.mdpi.com/2076-393X/9/10/1111
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AT panagiotispetroslialios antibodydrugconjugatesfunctionalprinciplesandapplicationsinoncologyandbeyond
AT michaelsamarkos antibodydrugconjugatesfunctionalprinciplesandapplicationsinoncologyandbeyond
AT helengogas antibodydrugconjugatesfunctionalprinciplesandapplicationsinoncologyandbeyond
AT dimitrioscziogas antibodydrugconjugatesfunctionalprinciplesandapplicationsinoncologyandbeyond