Marei Hany E, Cenciarelli Carlo, Hasan Anwarul
Department of Cytology and Histology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.
Institute of Translational Pharmacology (IFT)-CNR, Rome, Italy.
Cancer Cell Int. 2022 Aug 13;22(1):255. doi: 10.1186/s12935-022-02679-8.
The primary purpose of ADCs is to increase the efficacy of anticancer medications by minimizing systemic drug distribution and targeting specific cells. Antibody conjugates (ADCs) have changed the way cancer is treated. However, because only a tiny fraction of patients experienced long-term advantages, current cancer preclinical and clinical research has been focused on combination trials. The complex interaction of ADCs with the tumor and its microenvironment appear to be reliant on the efficacy of a certain ADC, all of which have significant therapeutic consequences. Several clinical trials in various tumor types are now underway to examine the potential ADC therapy, based on encouraging preclinical results. This review tackles the potential use of ADCs in cancer therapy, emphasizing the essential processes underlying their positive therapeutic impacts on solid and hematological malignancies. Additionally, opportunities are explored to understand the mechanisms of ADCs action, the mechanism of resistance against ADCs, and how to overcome potential resistance following ADCs administration. Recent clinical findings have aroused interest, leading to a large increase in the number of ADCs in clinical trials. The rationale behind ADCs, as well as their primary features and recent research breakthroughs, will be discussed. We then offer an approach for maximizing the potential value that ADCs can bring to cancer patients by highlighting key ideas and distinct strategies.
抗体偶联药物(ADCs)的主要目的是通过减少全身药物分布并靶向特定细胞来提高抗癌药物的疗效。抗体偶联物(ADCs)改变了癌症的治疗方式。然而,由于只有一小部分患者获得了长期益处,目前癌症的临床前和临床研究主要集中在联合试验上。ADCs与肿瘤及其微环境的复杂相互作用似乎取决于特定ADCs的疗效,所有这些都具有重大的治疗意义。基于令人鼓舞的临床前结果,目前正在对多种肿瘤类型进行多项临床试验,以研究ADCs治疗的潜力。本综述探讨了ADCs在癌症治疗中的潜在用途,强调了其对实体瘤和血液系统恶性肿瘤产生积极治疗影响的基本过程。此外,还探讨了了解ADCs作用机制、对ADCs耐药机制以及在给予ADCs后如何克服潜在耐药性的机会。最近的临床发现引起了人们的兴趣,导致临床试验中ADCs的数量大幅增加。将讨论ADCs的基本原理及其主要特点和最近的研究突破。然后,我们通过强调关键理念和独特策略,提供一种方法来最大化ADCs给癌症患者带来的潜在价值。