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Antibodies for the treatment of brain metastases, a dream or a reality?

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Resumo:The incidence of brain metastases (BM) in cancer patients is increasing. After diagnosis, overall survival (OS) is poor, elicited by the lack of an effective treatment. Monoclonal antibody (mAb)-based therapy has achieved remarkable success in treating both hematologic and non-central-nervous system (CNS) tumors due to their inherent targeting specificity. However, the use of mAbs in the treatment of CNS tumors is restricted by the blood-brain barrier (BBB) that hinders the delivery of either small-molecules drugs (sMDs) or therapeutic proteins (TPs). To overcome this limitation, active research is focused on the development of strategies to deliver TPs and increase their concentration in the brain. Yet, their molecular weight and hydrophilic nature turn this task into a challenge. The use of BBB peptide shuttles is an elegant strategy. They explore either receptor-mediated transcytosis (RMT) or adsorptive-mediated transcytosis (AMT) to cross the BBB. The latter is preferable since it avoids enzymatic degradation, receptor saturation, and competition with natural receptor substrates, which reduces adverse events. Therefore, the combination of mAbs properties (e.g., selectivity and long half-life) with BBB peptide shuttles (e.g., BBB translocation and delivery into the brain) turns the therapeutic conjugate in a valid approach to safely overcome the BBB and efficiently eliminate metastatic brain cells.
Autores principais:Cavaco, Marco
Outros Autores:Gaspar, Diana; Castanho, Miguel A. R. B.; Neves, Vera
Assunto:Adsorptive-mediated transcytosis Antibody fragments Blood–brain barrier Brain metastases Monoclonal antibodies Peptide shuttles
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Cavaco, Marco
author2 Gaspar, Diana
Castanho, Miguel A. R. B.
Neves, Vera
author2_role author
author
author
author_facet Cavaco, Marco
Gaspar, Diana
Castanho, Miguel A. R. B.
Neves, Vera
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Cavaco, Marco\",\"Person.identifier.orcid\":\"0000-0002-0938-9038\"},{\"Person.name\":\"Gaspar, Diana\",\"Person.identifier.orcid\":\"0000-0002-9602-567X\"},{\"Person.name\":\"Castanho, Miguel A. R. B.\",\"Person.identifier.orcid\":\"0000-0001-7891-7562\"},{\"Person.name\":\"Neves, Vera\",\"Person.identifier.orcid\":\"0000-0002-2989-7208\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Cavaco, Marco
Gaspar, Diana
Castanho, Miguel A. R. B.
Neves, Vera
datacite.date.Accepted.fl_str_mv 2020-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2021-09-21T15:59:56Z
datacite.date.embargoed.fl_str_mv 2021-09-21T15:59:56Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
datacite.titles.title.fl_str_mv Antibodies for the treatment of brain metastases, a dream or a reality?
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Cavaco, Marco
Gaspar, Diana
Castanho, Miguel A. R. B.
Neves, Vera
dc.date.Accepted.fl_str_mv 2020-01-01T00:00:00Z
dc.date.available.fl_str_mv 2021-09-21T15:59:56Z
dc.date.embargoed.fl_str_mv 2021-09-21T15:59:56Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/49569
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv MDPI
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
dc.title.fl_str_mv Antibodies for the treatment of brain metastases, a dream or a reality?
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description The incidence of brain metastases (BM) in cancer patients is increasing. After diagnosis, overall survival (OS) is poor, elicited by the lack of an effective treatment. Monoclonal antibody (mAb)-based therapy has achieved remarkable success in treating both hematologic and non-central-nervous system (CNS) tumors due to their inherent targeting specificity. However, the use of mAbs in the treatment of CNS tumors is restricted by the blood-brain barrier (BBB) that hinders the delivery of either small-molecules drugs (sMDs) or therapeutic proteins (TPs). To overcome this limitation, active research is focused on the development of strategies to deliver TPs and increase their concentration in the brain. Yet, their molecular weight and hydrophilic nature turn this task into a challenge. The use of BBB peptide shuttles is an elegant strategy. They explore either receptor-mediated transcytosis (RMT) or adsorptive-mediated transcytosis (AMT) to cross the BBB. The latter is preferable since it avoids enzymatic degradation, receptor saturation, and competition with natural receptor substrates, which reduces adverse events. Therefore, the combination of mAbs properties (e.g., selectivity and long half-life) with BBB peptide shuttles (e.g., BBB translocation and delivery into the brain) turns the therapeutic conjugate in a valid approach to safely overcome the BBB and efficiently eliminate metastatic brain cells.
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eu_rights_str_mv openAccess
format article
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id ul_ea08aacdafcddf35e151c8efddaaa784
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institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/49569
organization_str_mv urn:organizationAcronym:ul
person_str_mv Cavaco, Marco
Cavaco, Marco
https://www.ciencia-id.pt/1412-63B8-7494
1412-63B8-7494
http://orcid.org/0000-0002-0938-9038
0000-0002-0938-9038
Gaspar, Diana
Gaspar, Diana
http://orcid.org/0000-0002-9602-567X
0000-0002-9602-567X
Castanho, Miguel A. R. B.
Castanho, Miguel A. R. B.
http://orcid.org/0000-0001-7891-7562
0000-0001-7891-7562
Neves, Vera
Neves, Vera
https://www.ciencia-id.pt/671C-1860-A160
671C-1860-A160
http://orcid.org/0000-0002-2989-7208
0000-0002-2989-7208
publishDate 2020
publisher.none.fl_str_mv MDPI
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engMDPIpt_PTThe incidence of brain metastases (BM) in cancer patients is increasing. After diagnosis, overall survival (OS) is poor, elicited by the lack of an effective treatment. Monoclonal antibody (mAb)-based therapy has achieved remarkable success in treating both hematologic and non-central-nervous system (CNS) tumors due to their inherent targeting specificity. However, the use of mAbs in the treatment of CNS tumors is restricted by the blood-brain barrier (BBB) that hinders the delivery of either small-molecules drugs (sMDs) or therapeutic proteins (TPs). To overcome this limitation, active research is focused on the development of strategies to deliver TPs and increase their concentration in the brain. Yet, their molecular weight and hydrophilic nature turn this task into a challenge. The use of BBB peptide shuttles is an elegant strategy. They explore either receptor-mediated transcytosis (RMT) or adsorptive-mediated transcytosis (AMT) to cross the BBB. The latter is preferable since it avoids enzymatic degradation, receptor saturation, and competition with natural receptor substrates, which reduces adverse events. Therefore, the combination of mAbs properties (e.g., selectivity and long half-life) with BBB peptide shuttles (e.g., BBB translocation and delivery into the brain) turns the therapeutic conjugate in a valid approach to safely overcome the BBB and efficiently eliminate metastatic brain cells.application/pdfpt_PTAntibodies for the treatment of brain metastases, a dream or a reality?PersonalCavaco, MarcoDSpacehttp://dspace.org/items/ce7bbed1-4210-464f-93ac-f270ca7d2140DSpacehttp://dspace.org/items/ce7bbed1-4210-464f-93ac-f270ca7d2140CavacoMarcoCiência IDhttps://www.ciencia-id.pt1412-63B8-7494ORCIDhttp://orcid.org0000-0002-0938-9038PersonalGaspar, DianaDSpacehttp://dspace.org/items/9fe9e286-d492-4b04-b6ba-5b214f661b7fDSpacehttp://dspace.org/items/9fe9e286-d492-4b04-b6ba-5b214f661b7fGasparDianaORCIDhttp://orcid.org0000-0002-9602-567XResearcher IDhttps://www.researcherid.comM-9562-2015Scopus Author IDhttps://www.scopus.com55180303000PersonalCastanho, Miguel A. R. B.DSpacehttp://dspace.org/items/f5e46f85-fabf-450a-9ee2-1c7b59410892DSpacehttp://dspace.org/items/f5e46f85-fabf-450a-9ee2-1c7b59410892CastanhoMiguelORCIDhttp://orcid.org0000-0001-7891-7562Scopus Author IDhttps://www.scopus.com56605575600PersonalNeves, VeraDSpacehttp://dspace.org/items/f62bb731-3f4d-4eaf-bc6b-dd379f6c2327DSpacehttp://dspace.org/items/f62bb731-3f4d-4eaf-bc6b-dd379f6c2327NevesVeraCiência IDhttps://www.ciencia-id.pt671C-1860-A160ORCIDhttp://orcid.org0000-0002-2989-7208Researcher IDhttps://www.researcherid.comO-2176-2018Scopus Author IDhttps://www.scopus.com26537945300HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptDOIIsPartOf10.3390/pharmaceutics120100622021-09-21T15:59:56Z20202020-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/49569http://purl.org/coar/access_right/c_abf2open accessAdsorptive-mediated transcytosisAntibody fragmentsBlood–brain barrierBrain metastasesMonoclonal antibodiesPeptide shuttles3102969 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2020http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/7e690284-9149-4337-9443-fce78bbc5f56/downloadPharmaceutics121
spellingShingle Antibodies for the treatment of brain metastases, a dream or a reality?
Cavaco, Marco
Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
status SINGLETON
subject.fl_str_mv Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
title Antibodies for the treatment of brain metastases, a dream or a reality?
title_full Antibodies for the treatment of brain metastases, a dream or a reality?
title_fullStr Antibodies for the treatment of brain metastases, a dream or a reality?
title_full_unstemmed Antibodies for the treatment of brain metastases, a dream or a reality?
title_short Antibodies for the treatment of brain metastases, a dream or a reality?
title_sort Antibodies for the treatment of brain metastases, a dream or a reality?
topic Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
topic_facet Adsorptive-mediated transcytosis
Antibody fragments
Blood–brain barrier
Brain metastases
Monoclonal antibodies
Peptide shuttles
url http://hdl.handle.net/10451/49569
visible 1