Sep 2026· Adolescência e Saúde· 0 citations· 34 references
TL;DR
The Multi-Parameter Adaptive ADC Engineering Framework (MAAEF) is introduced, a prospective, falsifiable design-and-verification strategy for solid tumours with heterogeneous antigen expression that addresses a recurrent source of overclaiming in preclinical ADC research.
Abstract
Antibody–drug conjugates (ADCs) are often optimized one component at a time even though clinical performance emerges from interactions among target density, internalisation, linker stability, payload mechanism, drug-to-antibody ratio (DAR), tumour penetration and resistance. This paper introduces the Multi-Parameter Adaptive ADC Engineering Framework (MAAEF), a prospective, falsifiable design-and-verification strategy for solid tumours with heterogeneous antigen expression. MAAEF combines dual-target recognition, tumour-responsive release, orthogonal dual payloads and site-specific DAR control in a seven-group factorial architecture. It pre-specifies construct-quality gates, antigen-stratified two-dimensional and three-dimensional assays, 12-cycle resistance evolution, molecular profiling and locked multi-objective model validation. Five normalized indices quantify linker selectivity, heterogeneity coverage, penetration, resistance suppression and safety; a composite score is permitted only after weight sensitivity and external validation. The framework’s immediate output is not a claim of therapeutic superiority, but an auditable route for determining whether integrated co-engineering produces synergistic benefit beyond component-level gains. By separating design targets from observations and requiring efficacy and developability to pass independent advancement gates, MAAEF addresses a recurrent source of overclaiming in preclinical ADC research. The protocol is intended to support reproducible candidate ranking, transparent failure analysis and clinically relevant go/no-go decisions before in-vivo translation.
Abstract Antibody–drug conjugates (ADCs) have become a major therapeutic class in breast cancer, but their clinical performance cannot be predicted by antigen expression alone. This review uses therapeutic-window engineering as a unifying framework to connect ADC molecular architecture with tumor heterogeneity, clinica...
Shi-Yan Zeng, Li Wang, Wan-Qin Zeng et al.· Drug Design, Development and...· 0 citations
The biological basis and translational challenges of de novo and acquired resistance related to targets, payloads, and tumor microenvironmental constraints, as well as the implications of these mechanisms for biomarker development, sequencing rationales, and combination strategies with immune checkpoint inhibitors and...
Chen-Xu Guo, L. Ellisen· Journal of Clinical Investig...· 0 citations
Antibody–drug conjugates (ADCs) represent a rapidly expanding class of targeted cancer therapeutics that combine the high selectivity of monoclonal antibodies with the potent cytotoxic activity of small-molecule drugs. Their clinical success relies on the simultaneous optimization of multiple interdependent parameters,...
Alberto Ocaña, J. R. Espinosa, C. Alonso-Moreno et al.· Signal Transduction and Targ...· 0 citations
Bispecific antibody–drug conjugates (bsADCs) are being developed to address limitations of conventional ADCs, including heterogeneous antigen expression, insufficient tumor–normal discrimination, and suboptimal intracellular trafficking. This review evaluates bsADCs from a preclinical-to-clinical translational perspect...
Jun Kim, Seounghun Kang· International Journal of Mol...· 0 citations
Abstract Conventional antibody–drug conjugates (ADCs) are typically limited to drug-to-antibody ratios (DARs) of ≤8 because of restricted conjugation sites and unfavorable physicochemical properties at higher DARs, including increased hydrophobicity, aggregation, and rapid systemic clearance. Consequently, most clinica...
Hao-Sheng Feng, Bin Liu· Antibody Therapeutics· 0 citations
Despite advances in immune checkpoint inhibitor (ICI)-based therapy, hepatocellular carcinoma (HCC) frequently develops treatment resistance, creating a need for mechanistically distinct therapies. Antibody-drug conjugates (ADCs) combine tumor-directed recognition with intracellular payload delivery, but their developm...
Wen-Xun Cai, Suo-Yi Dai, Yu-Hang Chen et al.· Biochimica et biophysica act...· 0 citations
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