郭建军, 高然, 权腾飞, 朱凌宇, 史犇, 赵永跃, 朱晶, 李梦莎, 卜海之. 抗体偶联药物的药代动力学研究进展J. 药学学报, 2015,50(10): 1203-1209.
引用本文: 郭建军, 高然, 权腾飞, 朱凌宇, 史犇, 赵永跃, 朱晶, 李梦莎, 卜海之. 抗体偶联药物的药代动力学研究进展J. 药学学报, 2015,50(10): 1203-1209.
GUO Jian-jun, GAO Ran, QUAN Teng-fei, ZHU Ling-yu, SHI Ben, ZHAO Yong-yue, ZHU Jing, LI Meng-sha, BU Hai-zhi. Progress on pharmacokinetic study of antibody-drug conjugatesJ. Acta Pharmaceutica Sinica, 2015,50(10): 1203-1209.
Citation: GUO Jian-jun, GAO Ran, QUAN Teng-fei, ZHU Ling-yu, SHI Ben, ZHAO Yong-yue, ZHU Jing, LI Meng-sha, BU Hai-zhi. Progress on pharmacokinetic study of antibody-drug conjugatesJ. Acta Pharmaceutica Sinica, 2015,50(10): 1203-1209.

抗体偶联药物的药代动力学研究进展

Progress on pharmacokinetic study of antibody-drug conjugates

  • 摘要: 抗体偶联药物 (antibody-drug conjugate, ADC) 是一类由单克隆抗体和小分子细胞毒素通过化学偶联子连接起来的新型药物。ADC分子进入体内后, 可通过单克隆抗体的导向作用与靶细胞表面的抗原结合, 并进一步转入靶细胞内。进入细胞内 (主要在溶酶体内) 的ADC分子, 可通过化学和/或酶促作用释放小分子毒素和/或毒素类似物 (即效应分子) 以“杀灭”靶细胞。ADC药物在结合了单克隆抗体的高度靶向性和小分子毒素的强细胞毒性等优点时, 也给其药代动力学研究带来了诸多挑战, 主要体现在药代动力学特征、内在机制、药动-药效关系、分析物质、分析方法和数据解释的复杂性和多样性。本文对ADC药物的药代动力学特征和内在机制、研究策略及数据解释等方面的进展进行了综合归纳和阐述。

     

    Abstract: Antibody-drug conjugate (ADC) is a new class of therapeutics composed of a monoclonal antibody and small cytotoxin moieties conjugated through a chemical linker. ADC molecules bind to the target antigens expressed on the tumor cell surfaces guided by the monoclonal antibody component. The binding ADC molecules can be internalized and subsequently the toxin moieties can be released within the tumor cells via chemical and/or enzymatic reactions to kill the target cells. The conjugation combines the merits of both components, i.e., the high target specificity of the monoclonal antibody and the highly potent cell killing activity of the cytotoxin moieties. However, such complexities make the pharmacokinetic and metabolic studies of ADCs highly challenging. The major challenges should include characterization of absorption, distribution, metabolism and excretion, investigation of underlying mechanisms, assessment of pharmacokinetic- pharmacodynamic relationship, and analytical method development of ADC drugs. This review will discuss common pharmacokinetic issues and considerations, as well as tools and strategies that can be utilized to characterize the pharmacokinetic and metabolic properties of ADCs.

     

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