Sheikh M Saeed, Huang Ying
Department of Pharmacology, State University of New York, Upstate Medical University, Syracuse, NY, 13210, USA.
Recent Pat Anticancer Drug Discov. 2022;18(2):108-113. doi: 10.2174/1574892817666220729121205.
The use of antibody-drug conjugates is expected to transform the management of human malignancy. Antibody-drug conjugates for cancer treatment are designed to deliver anticancer drugs to tumor cells. The main components of such conjugates are a monoclonal antibody that binds to a tumor antigen, an anticancer drug to inhibit tumor cell growth and a linker that serves to conjugate the antibody and drug. The antibody-drug conjugates developed and approved for breast cancer treatment are ado-trastuzumab emtansine, (fam)-trastuzumab deruxtecan-nxki and sacituzumab govitecan. The mechanisms of action, clinical uses and toxic effects of these antibody-drug conjugates are discussed.
抗体药物偶联物的应用有望改变人类恶性肿瘤的治疗方式。用于癌症治疗的抗体药物偶联物旨在将抗癌药物递送至肿瘤细胞。此类偶联物的主要成分包括与肿瘤抗原结合的单克隆抗体、抑制肿瘤细胞生长的抗癌药物以及用于连接抗体和药物的连接子。已研发并获批用于乳腺癌治疗的抗体药物偶联物有ado曲妥珠单抗恩美曲妥珠单抗、(fam)曲妥珠单抗德曲妥珠单抗-nxki和戈沙妥珠单抗。本文讨论了这些抗体药物偶联物的作用机制、临床应用及毒性作用。