Tsuchikama Kyoji
Texas Therapeutics Institute, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center at Houston.
Yakugaku Zasshi. 2019;139(2):209-219. doi: 10.1248/yakushi.18-00169-3.
Antibody-drug conjugates (ADCs), monoclonal antibodies conjugated with highly potent drugs (payloads) through chemical linkers, are an emerging class of therapeutic agents for cancer chemotherapy. Their clinical success has been demonstrated by the 4 ADCs already approved by the U.S. Food and Drug Administration (FDA), and more than 60 promising ADCs now in clinical trials. Further advancement of this novel molecular platform could potentially revolutionize current strategies and regimens for treating cancers. The linker structure and antibody-linker conjugation modality critically contribute to ADC homogeneity, circulation stability, pharmacokinetic profiles, tolerability, and overall treatment efficacy. Despite extensive efforts to improve these parameters, most ADC linkers used to date possess linear structures, and therefore accommodate only single payloads. The clinical potential of branched ADC linkers, enabling the installation of two payload molecules, remains unexplored because of the lack of efficient conjugation methods. In addition, according to a recent report, the stability of enzymatically cleavable linkers in mouse circulation is another crucial factor for the successful evaluation of ADCs in preclinical studies. In this review, I present my research group's effort to develop both branched linkers and efficient conjugation methods for constructing dual-loading ADCs with high homogeneity and enhanced potency. I also present a novel tripeptide ADC linker with enhanced stability in mouse circulation. Multidisciplinary experience, approaches, and collaboration are key to successfully advancing our ADC research programs. I herein describe how my experience in the U.S. has helped to develop and manage complex biomedical research projects in a small academic laboratory setting.
抗体药物偶联物(ADCs)是一类新兴的癌症化疗治疗药物,它是通过化学连接子将单克隆抗体与高效药物(payload)偶联而成。美国食品药品监督管理局(FDA)已批准的4种ADC药物证明了其临床疗效,目前还有60多种有前景的ADC药物正在进行临床试验。这一新型分子平台的进一步发展可能会彻底改变当前的癌症治疗策略和方案。连接子结构和抗体-连接子偶联方式对ADC的同质性、循环稳定性、药代动力学特征、耐受性和整体治疗效果起着关键作用。尽管人们为改善这些参数付出了巨大努力,但迄今为止使用的大多数ADC连接子都具有线性结构,因此只能容纳单个payload。由于缺乏有效的偶联方法,能够安装两个payload分子的分支ADC连接子的临床潜力尚未得到探索。此外,根据最近的一份报告,可酶切连接子在小鼠循环中的稳定性是临床前研究中成功评估ADC药物的另一个关键因素。在这篇综述中,我介绍了我的研究团队为开发分支连接子和高效偶联方法所做的努力,以构建具有高同质性和增强效力的双负载ADC。我还介绍了一种在小鼠循环中具有增强稳定性的新型三肽ADC连接子。多学科经验、方法和合作是成功推进我们的ADC研究项目的关键。我在此描述了我在美国的经历如何帮助在一个小型学术实验室环境中开展和管理复杂的生物医学研究项目。