Abstract
Antibody-drug conjugates (ADCs) reflect a new promising approach in prostate cancer,
even more so after the practice-changing results in other malignancies, either hematologic
or solid. ADCs consist of monoclonal antibodies (mAb) targeted at specific antigens
overly expressed on cancer cells compared to normal cells. A cytotoxic payload is
attached to the mAb using a stable linker. In prostate cancer, PSMA, STEAP1, TROP2,
CD46 and B7-H3 are antigens currently being studied as targets for ADCs. In this paper,
we discuss the composition of ADCs and focus on their application and challenges as
treatment options in prostate cancer.
Keywords
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References
- Paul ehrlich's magic bullet concept: 100 years of progress.Nat Rev Cancer. 2008 Jun; 8: 473-480
- Antibody-drug conjugate-based therapeutics: state of the science.JNCI J Natl Cancer Inst. 2019 Jun 1; 111: 538-549
- Intracellular released payload influences potency and bystander-killing effects of antibody-drug conjugates in preclinical models.Cancer Res. 2016 May 1; 76: 2710-2719
- Antibody-drug conjugates: promising and efficient tools for targeted cancer therapy.J Cell Physiol. 2018 Sep; 233: 6441-6457
- Antibody–drug conjugates: a comprehensive review.Mol Cancer Res. 2020 Jan; 18: 3-19
- Novel development strategies and challenges for anti-Her2 antibody-drug conjugates.Antib Ther. 2022 Jan; 5: 18-29
- Antibody-drug conjugates (ADCs) delivering pyrrolobenzodiazepine (PBD) dimers for cancer therapy.Expert Opin Biol Ther. 2021 Jul; 21: 931-943
- Antibody drug conjugates and bystander killing: is antigen-dependent internalisation required?.Br J Cancer. 2017 Dec; 117: 1736-1742
- Enfortumab vedotin for cisplatin-ineligible urothelial cancer.Lancet Oncol. 2021 Jun; 22: 748-749
- Phase I trial of the prostate-specific membrane antigen–directed immunoconjugate MLN2704 in patients with progressive metastatic castration-resistant prostate cancer.J Clin Oncol. 2008 May 1; 26: 2147-2154
- Phase 1/2 multiple ascending dose trial of the prostate-specific membrane antigen-targeted antibody drug conjugate MLN2704 in metastatic castration-resistant prostate cancer.Urol Oncol Semin Orig Investig. 2016 Dec; 34: 530.e15-530.e21
- Potent antitumor activity of an auristatin-conjugated, fully human monoclonal antibody to prostate-specific membrane antigen.Clin Cancer Res. 2006 Apr 15; 12: 2591-2596
- Development of potent monoclonal antibody auristatin conjugates for cancer therapy.Nat Biotechnol. 2003 Jul 1; 21: 778-784
- Phase 1 study of PSMA ADC, an antibody-drug conjugate targeting prostate-specific membrane antigen, in chemotherapy-refractory prostate cancer.The Prostate. 2019 May; 79: 604-613
- PSMA ADC monotherapy in patients with progressive metastatic castration-resistant prostate cancer following abiraterone and/or enzalutamide: efficacy and safety in open-label single-arm phase 2 study.The Prostate. 2020 Jan; 80: 99-108
- Phase I study of MEDI3726: a prostate-specific membrane antigen-targeted antibody–drug conjugate, in patients with mCRPC after failure of abiraterone or enzalutamide.Clin Cancer Res. 2021 Jul 1; 27: 3602-3609
- STEAP: A prostate-specific cell-surface antigen highly expressed in human prostate tumors.Proc Natl Acad Sci. 1999 Dec 7; 96: 14523-14528
- Phase I study of DSTP3086S, an antibody-drug conjugate targeting six-transmembrane epithelial antigen of prostate 1, in metastatic castration-resistant prostate cancer.J Clin Oncol. 2019 Dec 20; 37: 3518-3527
- Trop-2 is up-regulated in invasive prostate cancer and displaces FAK from focal contacts.Oncotarget. 2015 Jun 10; 6: 14318-14328
- Epigenetic modulations and lineage plasticity in advanced prostate cancer.Ann Oncol. 2020 Apr; 31: 470-479
- Targeting CD46 for both adenocarcinoma and neuroendocrine prostate cancer.JCI Insight. 2018 Sep 6; 3121497
- Phase 1a/1b study of FOR46, an antibody drug conjugate (ADC), targeting CD46 in metastatic castration-resistant prostate cancer (mCRPC).J Clin Oncol. 2022 Jun; 40: 3001
- Advances and limitations of antibody drug conjugates for cancer.Biomedicines. 2021 Jul 23; 9: 872
- Antibody-drug conjugates: resurgent anticancer agents with multi-targeted therapeutic potential.Pharmacol Ther. 2022 Jan 4; 236108106
- Microtubule and tubulin binding and regulation of microtubule dynamics by the antibody drug conjugate (ADC) payload, monomethyl auristatin E (MMAE): mechanistic insights into MMAE ADC peripheral neuropathy.Toxicol Appl Pharmacol. 2021 Jun 15; 421115534
- Real-time analysis on drug-antibody ratio of antibody-drug conjugates for synthesis, process optimization, and quality control.Sci Rep. 2017 Aug 10; 7: 7763
- Acquired resistance to antibody-drug conjugates.Cancers. 2019 Mar 20; 11: 394
- Resistance to antibody-drug conjugates.Cancer Res. 2018 May 1; 78: 2159-2165
- Bispecific antibodies and antibody–drug conjugates for cancer therapy: technological considerations.Biomolecules. 2020 Feb 26; 10: 360
Article info
Publication history
Published online: July 23, 2022
Accepted:
July 19,
2022
Received in revised form:
July 18,
2022
Received:
July 5,
2022
Identification
Copyright
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