Prodrug-based bispecific antibodies for cancer therapy: advances and future directions

Bispecific antibodies represent an innovative paradigm in cancer therapy, offering broader therapeutic potential compared to conventional monoclonal antibodies. To increase tumor selectivity while mitigating off-target effects in normal tissues, the concept of prodrug-based bispecific antibodies has...

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Main Authors: Zhijuan Ai, Bing Wang, Yunlong Song, Panpan Cheng, Xinlin Liu, Peng Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1523693/full
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author Zhijuan Ai
Zhijuan Ai
Bing Wang
Yunlong Song
Panpan Cheng
Xinlin Liu
Xinlin Liu
Peng Sun
author_facet Zhijuan Ai
Zhijuan Ai
Bing Wang
Yunlong Song
Panpan Cheng
Xinlin Liu
Xinlin Liu
Peng Sun
author_sort Zhijuan Ai
collection DOAJ
description Bispecific antibodies represent an innovative paradigm in cancer therapy, offering broader therapeutic potential compared to conventional monoclonal antibodies. To increase tumor selectivity while mitigating off-target effects in normal tissues, the concept of prodrug-based bispecific antibodies has emerged. This review delineates the various mechanisms underlying the action of prodrug-based bispecific antibodies, including protease-mediated activation, steric hindrance release via proteolytic processing, activation by soluble factors, conditional assembly, and chain exchange-mediated activation. We also address the critical challenges that must be overcome to optimize the development and clinical application of these sophisticated therapeutic agents.
format Article
id doaj-art-59a96116744d4fa6a3079a967e66f8ff
institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-59a96116744d4fa6a3079a967e66f8ff2025-01-22T07:11:26ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011610.3389/fimmu.2025.15236931523693Prodrug-based bispecific antibodies for cancer therapy: advances and future directionsZhijuan Ai0Zhijuan Ai1Bing Wang2Yunlong Song3Panpan Cheng4Xinlin Liu5Xinlin Liu6Peng Sun7The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, ChinaQingdao Cancer Institute, Qingdao, ChinaBiomedical Center of Qingdao University, Qingdao University, Qingdao, ChinaQingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, ChinaQingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao, ChinaThe Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, ChinaQingdao Cancer Institute, Qingdao, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, ChinaBispecific antibodies represent an innovative paradigm in cancer therapy, offering broader therapeutic potential compared to conventional monoclonal antibodies. To increase tumor selectivity while mitigating off-target effects in normal tissues, the concept of prodrug-based bispecific antibodies has emerged. This review delineates the various mechanisms underlying the action of prodrug-based bispecific antibodies, including protease-mediated activation, steric hindrance release via proteolytic processing, activation by soluble factors, conditional assembly, and chain exchange-mediated activation. We also address the critical challenges that must be overcome to optimize the development and clinical application of these sophisticated therapeutic agents.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1523693/fullbispecific antibodiesprodrugcancer therapymechanismtherapeutic efficacy
spellingShingle Zhijuan Ai
Zhijuan Ai
Bing Wang
Yunlong Song
Panpan Cheng
Xinlin Liu
Xinlin Liu
Peng Sun
Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
Frontiers in Immunology
bispecific antibodies
prodrug
cancer therapy
mechanism
therapeutic efficacy
title Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
title_full Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
title_fullStr Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
title_full_unstemmed Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
title_short Prodrug-based bispecific antibodies for cancer therapy: advances and future directions
title_sort prodrug based bispecific antibodies for cancer therapy advances and future directions
topic bispecific antibodies
prodrug
cancer therapy
mechanism
therapeutic efficacy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1523693/full
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