1. Targeted Therapy in Breast Cancer: Advantages and Advancements of Antibody–Drug Conjugates, a Type of Chemo-Biologic Hybrid Drugs.
- Author
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Mukherjee, Attrayo and Bandyopadhyay, Debasish
- Subjects
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THERAPEUTIC use of antineoplastic agents , *THERAPEUTIC use of monoclonal antibodies , *BREAST tumors , *ANTINEOPLASTIC agents , *CANCER chemotherapy , *CELL lines , *MONOCLONAL antibodies , *MOLECULAR structure , *DRUG efficacy , *PHARMACODYNAMICS - Abstract
Simple Summary: Cancer is one of the leading causes of death, with one out of six deaths worldwide. Breast cancer has the highest occurrence of other cancers, although, in terms of the number of deaths, breast cancer ranks fifth among all cancers. Depending on the nature of the cells and the associated cellular environment, different types of breast cancer are possible. Many breast cancer types are highly challenging to treat, and even if treatable, the treatments involve several side effects. Antibody–drug conjugates (ADCs) comprise monoclonal antibodies that explicitly target the tumor-specific antigens and cytotoxic drugs (mainly small molecules) that act as payloads to kill the malignant cells/tumor. As a result, the healthy cells are not affected by the toxic drugs, which potentially reduces the side effects. These target-specific chemo-biologic drugs (ADCs) have shed new light on hopes in cancer therapy. Currently, three ADCs have been approved for breast cancer treatment, and many are in clinical trials. A detailed discussion on the biochemical nature, mechanism of action, and current status of ADCs in breast cancer treatments has been accomplished in this article. While we made every effort to include all the related developments in this field, any omission is truly unintentional. Cancer is a significant health challenge globally, with millions of people affected every year, resulting in high morbidity and mortality. Although other treatment options are available with limitations, chemotherapy, either standalone or combined with other therapeutic procedures, is the most commonly used practice of treating cancer. In chemotherapy, cancer cells/malignant tumors are targeted; however, due to less target specificity, along with malignant cells, normal cells are also affected, which leads to various off-target effects (side effects) that impact the patient quality of life. Out of all the different types of cancers, breast cancer is the most common type of cancer in humans worldwide. Current anticancer drug discovery research aims to develop therapeutics with higher potency and lower toxicity, which is only possible through target-specific therapy. Antibody–drug conjugates (ADCs) are explicitly designed to target malignant tumors and minimize off-target effects by reducing systemic cytotoxicity. Several ADCs have been approved for clinical use and have shown moderate to good efficacy so far. Considering various aspects, chemotherapy and ADCs are useful in treating cancer. However, ADCs provide a more focused and less toxic approach, which is especially helpful in cases where resistance to chemotherapy (drug resistance) occurs and in the type of malignancies in which specific antigens are overexpressed. Ongoing ADC research aims to develop more target-specific cancer treatments. In short, this study presents a concise overview of ADCs specific to breast cancer treatment. This study provides insight into the classifications, mechanisms of action, structural aspects, and clinical trial phases (current status) of these chemo-biologic drugs (ADCs). [ABSTRACT FROM AUTHOR]
- Published
- 2024
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