Antibody-Oligonucleotide Conjugation – Chemistry, Biology and Therapeutics
Nucleic acid therapeutics (NATs) have opened up novel therapeutic opportunities for treating diseases such as cancer, retinopathies and neurodegenerative disorders. However, there have been numerous reports of toxicity and potency-related concerns during the development of NATs. Antibody-oligonucleotide conjugates (AOCs) offer an innovative and highly promising approach to help deliver NATs, where precise targeting of disease-associated cell types and tissues can result in enhanced therapeutic efficacy. The use of advanced conjugation techniques to combine the oligonucleotide and antibody, such as click chemistry, provide safe and effective strategies for AOC synthesis. Importantly, more suitable preclinical models and early pre-clinical testing of AOCs are required to investigate their mechanistic behaviour and translational potential. In this review, we present an overview of the chemistry, biology and therapeutic applications of AOCs.