Antibody drug conjugates and bystander killing: is antigen-dependent internalisation required?

Abstract:

:Antibody drug conjugates (ADCs) employ the exquisite specificity of tumour-specific monoclonal antibodies (mAb) for the targeted delivery of highly potent cytotoxic drugs to the tumour site. The chemistry of the linker, which connects the drug to the mAb, determines how and when the drug is released from the mAb. This, as well as the chemistry of the drug, can dictate whether the drug can diffuse into surrounding cells, resulting in 'bystander killing'. Initially, any bystander killing mechanism of action of an ADC was understood to involve an essential sequence of steps beginning with surface antigen targeting, internalisation, intracellular linker cleavage, drug release, and diffusion of drug away from the targeted cell. However, recent studies indicate that, depending on the linker and drug combination, this mechanism may not be essential and ADCs can be cleaved extracellularly or via other mechanisms. In this minireview, we will examine the role of bystander killing by ADCs and explore the emerging evidence of how this can occur independently of internalisation.

journal_name

Br J Cancer

authors

Staudacher AH,Brown MP

doi

10.1038/bjc.2017.367

subject

Has Abstract

pub_date

2017-12-05 00:00:00

pages

1736-1742

issue

12

eissn

0007-0920

issn

1532-1827

pii

bjc2017367

journal_volume

117

pub_type

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