靶向受体酪氨酸激酶RON的抗体药物偶联物及其抗癌作用
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浙江大学医学院附属第一医院传染病重症诊治全国重点实验室

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国家自然科学基金


Antibody-Drug Conjugates Targeting RON Receptor Tyrosine Kinase and Their Anti-Cancer Effects
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State Key Laboratory for Diagnosis and Treatment of Infectious Diseases,National Clinical Research Center for Infectious diseases,First Affiliated Hospital,Zhejiang University School of Medicine

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The National Natural Science Foundation of China

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    摘要:

    受体酪氨酸激酶(receptor tyrosine kinases, RTKs)是一类细胞表面跨膜酶联受体,在生理状态下参与多种细胞生命过程。RTK及其信号的异常与肿瘤等多种人类疾病密切相关。RON作为RTK的成员,当其异常表达时,能够通过复杂的下游信号转导参与肿瘤的发生发展,因此被认为是肿瘤靶向治疗的有力靶点。近年来,多种靶向RON的抗体药物偶联物(antibody-drug conjugates, ADCs)被开发和研究。本文对具有代表性的抗RTK-ADC进行总结,对抗RON-ADC的构建、体内外抗癌疗效以及药理学和毒性特征进行了系统综述。总体而言,抗RON-ADC稳定性良好,在动物模型中表现出显著的抗癌活性和可控的毒性,具有乐观的临床转化前景。然而,现阶段抗RON-ADC仍存在较多局限,需要在有效载荷选择和内吞效率优化等方面继续推进下一代抗RON-ADC的研发,并全面评估其临床转化的潜在挑战和实施方法,从而加速抗RON-ADC临床试验的推行,以期最终实现临床应用。

    Abstract:

    Receptor tyrosine kinases (RTKs) are a class of transmembrane cell surface enzyme-linked receptors that play essential roles in various cellular life processes under normal physiological conditions. Dysregulation of RTKs and their signaling pathways is closely associated with multiple human diseases, including cancer. RON is a member of the RTK family. When RON is abnormally expressed, it can actively drive the proliferation, metastasis, and epithelial-mesenchymal transition of cancer cells through complex downstream signal transduction pathways, thereby contributing to the occurrence and subsequent development process of various types of cancers. Consequently, RON is regarded as a potent target for cancer targeted therapy. In recent years, as RTKs have gradually become popular candidate targets for antibody-drug conjugates (ADCs), a variety of ADCs targeting RON have been successfully developed and studied. To highlight the therapeutic potential of anti-RON ADCs in cancer treatment and to provide a foundation for further development and clinical research of them, this article summarized the selected components and construction strategies of existing anti-RON ADCs, and systematically reviewed their in vitro and in vivo anticancer efficacy, as well as their pharmacological and toxicological characteristics. Anti-RON ADCs demonstrated favorable stability both in vitro and in vivo. In cellular models, anti-RON ADCs carrying different payloads all exhibited potent cytotoxic effects. In animal models, anti-RON ADCs all convincingly demonstrated significant anti-cancer activity, with stable pharmacological properties and manageable toxicity at therapeutic doses. Anti-RON ADCs have a number of distinct therapeutic advantages. Compared with ADCs targeting other RTKs, anti-RON ADCs have unique effects in regulating the immune microenvironment and can potentially provide additional therapeutic options for overcoming drug resistance. Compared with RON antibodies and small molecule inhibitors, anti-RON ADCs do not rely on the RON signaling pathways, thereby significantly enhancing therapeutic efficacy. Moreover, anti-RON ADCs show therapeutic potential for targeting RON variants. In summary, the results of basic researches indicated that anti-RON ADCs have favorable anti-cancer effects and show promising clinical translation prospects. In addition, this article analyzed the current limitations of anti-RON ADCs and emphatically discussed their future development directions. The payloads of the existing anti-RON ADCs are relatively limited, and the drug-to-antibody ratio (DAR) of each ADC is not uniform. There also remains considerable room for improvement in terms of endocytosis efficiency and drug combination strategies. Therefore, the development of the next-generation anti-RON ADCs should focus on the diversification of the payloads, and explore new types of ADCs, dual-load ADCs, etc. Additionally, the structure of the antibodies or ADCs could be optimized to enhance the endocytosis efficiency and progressively overcome current limitations. At present, anti-RON ADCs are limited to basic research, and the current research outcomes and observations indicated their potential for clinical application. Therefore, the clinical translation of anti-RON ADCs will be an important objective for future development. To this end, it is necessary to carefully devise a rational clinical translation pathway for anti-RON ADCs, and comprehensively evaluate the potential challenges that may arise during the implementation, so as to accelerate the initiation of clinical trials. Ultimately, clinical application of anti-RON ADCs will be realized, providing more treatment options for cancer patients.

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孙 婷,姚航平.靶向受体酪氨酸激酶RON的抗体药物偶联物及其抗癌作用[J].生物化学与生物物理进展,,():

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  • 收稿日期:2026-01-30
  • 最后修改日期:2026-04-16
  • 录用日期:2026-04-16
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