Better safe than sorry: dual targeting antibodies for cancer immunotherapy

Biol Chem. 2024 Feb 1;405(7-8):443-459. doi: 10.1515/hsz-2023-0329. Print 2024 Jul 26.

Abstract

Antibody-based therapies are revolutionizing cancer treatment and experience a steady increase from preclinical and clinical pipelines to market share. While the clinical success of monoclonal antibodies is frequently limited by low response rates, treatment resistance and various other factors, multispecific antibodies open up new prospects by addressing tumor complexity as well as immune response actuation potently improving safety and efficacy. Novel antibody approaches involve simultaneous binding of two antigens on one cell implying increased specificity and reduced tumor escape for dual tumor-associated antigen targeting and enhanced and durable cytotoxic effects for dual immune cell-related antigen targeting. This article reviews antibody and cell-based therapeutics for oncology with intrinsic dual targeting of either tumor cells or immune cells. As revealed in various preclinical studies and clinical trials, dual targeting molecules are promising candidates constituting the next generation of antibody drugs for fighting cancer.

Keywords: bispecific antibody; cancer immunotherapy; dual targeting; immune cell engager; multispecific antibody.

Publication types

  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Antineoplastic Agents, Immunological / immunology
  • Antineoplastic Agents, Immunological / pharmacology
  • Antineoplastic Agents, Immunological / therapeutic use
  • Humans
  • Immunotherapy*
  • Neoplasms* / drug therapy
  • Neoplasms* / immunology
  • Neoplasms* / therapy

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents, Immunological