What is antibody-drug conjugate (ADC)?

SOCAIL MEDIA

The structure of antibody-drug conjugate (ADC)

ADC consists of antibodies and payload, linker connects antibodies and small molecule drugs. After ADC drugs enter the blood, its antibody part will recognize and bind to the surface antigen of target cells. Theninternalizing ADC antigen complex into cells through endocytosis, the complex will be degraded by lysosomes and the payload will be released, so as to destroy DNA or microtubules, or exert the inhibitory effect of topoisomerase / RNA polymerase, resulting in cell death. It has the characteristics of precision and great lethality. It is a new generation of therapeutic drugs.1

Cellular Processing of antibody-drug conjugate (ADC)

ADC is composed of navigator targeting specific tumor cells and small molecules that can enter tumor cells to kill them, so how to maintain activity in blood to achieve good presentation effect is also a problem. Of course, accurate targeting can greatly reduce the sidekill effect. After ADC is swallowed into cells, lysosomal enzymes will hydrolyze the navigation of missiles (antibodies), thus releasing small cytotoxic molecules. Thus, it can block a series of activities in cells, including the transcription and translation of DNA and RNA. It can also block the transport of proteins by affecting tubulin. Finally, it can kill tumor cells. Therefore, here we need to pay attention to the consequences of Miss target and the loading of small molecules, which are potentially harmful to normal tissues and cells. The suspension of many clinical drugs in phase II and phase III is also greatly related to these two key points.

Figure 2. Cellular Processing of ADCs. Most ADCs undergo similar mechanisms to release the cytotoxic payload. In general, ADCs are designed for internalization and are processed via the endocytic pathway resulting in release of the payload and cytotoxic effect.2

How antibody-drug conjugate (ADC) work? Mechanisms of action (MOA) for ADC

The drugs in ADC can recognize the membrane proteins of tumor cells, then locate the target cells. After endocytosis into cells, lysosomes hydrolyze and release small molecules in ADC. For example, VCMMAE is an anti-mitotic agent in antibody coupled drugs (ADC). It is crosslinked by monomethylalistatin e (MMAE) and dipeptide valine citrulline (VC). VCMMAE is a powerful anti-mitotic agent by blocking tubulin polymerization. VCMMAE effectively resist mitosis and kill cells by blocking tubulin polymerization. Microtubules play an important role in cell function, participate in migration, transportation and recombination, and have many dynamic roles, including the movement of motor proteins and the separation of chromosomes during cell division.

Reference:

1. Su Z , Xiao D , Xie F , et al. Antibodydrug conjugates: Recent advances in linker chemistry[J]. Acta Pharmaceutica Sinica B, 2021.
2. Dean AQ, Luo S, Twomey JD, Zhang B. Targeting cancer with antibody-drug conjugates: Promises and challenges. MAbs. 2021 Jan-Dec;13(1):1951427. doi: 10.1080/19420862.2021.1951427. Erratum in: MAbs. 2021 Jan-Dec;13(1):1966993. PMID: 34291723; PMCID: PMC8300931.

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Pre-Made Telimomab Aritox Biosimilar, Whole Mab Adc, Anti-Cd5 Antibody: Anti-LEU1/T1 therapeutic antibody
telimomab aritox
NA
CD5
ADC
Pre-Made Telisotuzumab Vedotin Biosimilar, Whole Mab Adc, Anti-Met Antibody: Anti-AUTS9/DFNB97/HGFR/RCCP2/c-Met therapeutic antibody Drug Conjugate
telisotuzumab vedotin
NA
MET
Whole mAb ADC
Pre-Made Tisotumab Vedotin Biosimilar, Whole Mab Adc, Anti-F3 Antibody: Anti-CD142/TF/TFA therapeutic antibody Drug Conjugate
tisotumab vedotin
NA
F3
Whole mAb ADC
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NA
ERBB2
Whole mAb ADC
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trastuzumab duocarmazine
NA
ERBB2
Whole mAb ADC
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NA
ERBB2
Whole mAb ADC
Pre-Made Tusamitamab Ravtansine Biosimilar, Whole Mab Adc, Anti-CEACAM5/CD66e Antibody: Anti-CEA therapeutic antibody Drug Conjugate
tusamitamab ravtansine
NA
CEACAM5
Whole mAb ADC
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NA
SLC34A2
Whole mAb ADC
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NA
CD33
Whole mAb ADC
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NA
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NA
CD70
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zilovertamab vedotin
NA
ROR1
Whole mAb ADC
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NA
CD5
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actinium (225Ac) lintuzumab satetraxetan
NA
CD33
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NA
MSLN
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NA
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NA
FGFR2
Whole mAb ADC
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NA
SLAMF7
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NA
TNFRSF17
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NA
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cantuzumab mertansine
NA
MUC1
Whole mAb ADC
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NA
MUC1
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NA
EGFR
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clivatuzumab tetraxetan
NA
MUC1
Whole mAb ADC
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PTK7
Whole mAb ADC
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NA
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CD3E
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NA
TACSTD2
Whole mAb ADC
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NA
CD19
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NA
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NA
ERBB2
Whole mAb ADC
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NA
40S ribosomal protein S18
ADC
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NA
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PVRL4
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NA
FOLR1
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NA
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NA
GPNMB
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NA
CD79B
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GUCY2C
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CD22
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NA
CEACAM5
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SLC39A6
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NA
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SLC34A2
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