4.5 Review

Extending traditional antibody therapies: Novel discoveries in immunotherapy and clinical applications

Journal

MOLECULAR THERAPY-ONCOLYTICS
Volume 22, Issue -, Pages 166-179

Publisher

CELL PRESS
DOI: 10.1016/j.omto.2021.08.005

Keywords

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Funding

  1. Basic Science Research Program through the National Research Foundation of Korea (NRF) - Korean government [NRF-2020R1I1A1A01065254, NRF-2018R1A6A1A03025124]

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Immunotherapy is considered a safer and antigen-specific anti-cancer treatment compared to first-generation chemotherapy. The development of novel antibody-based therapies, including various types of therapeutic antibodies, genetic and chemical modifications to monoclonal antibodies, has rapidly expanded in recent decades. This review provides a comprehensive overview of the structure, cytotoxicity mechanisms, types, and development of therapeutic antibodies, as well as current clinical trials and approved commercial immunotherapeutic drugs.
Immunotherapy has been well regarded as one of the safer and antigen-specific anti-cancer treatments compared to first-generation chemotherapy. Since Coley's discovery, researchers focused on engineering novel antibody-based therapies. Including artificial and modified antibodies, such as antibody fragments, antibody-drug conjugates, and synthetic mimetics, the variety of immunotherapy has been rapidly expanding in the last few decades. Genetic and chemical modifications to monoclonal antibody have been brought into academia, in vivo trials, and clinical applications. Here, we have looked around antibodies overall. First, we elucidate the antibody structure and its cytotoxicity mechanisms. Second, types of therapeutic antibodies are presented. Additionally, there is a summarized list of US Food and Drug Administration (FDA)-approved therapeutic antibodies and recent clinical trials. This review provides a comprehensive overview of both the general function of therapeutic antibodies and a few main variations in development, including recent advent with the proposed mechanism of actions, and we introduce types of therapeutic antibodies, clinical trials, and approved commercial immunotherapeutic drugs.

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