Trifunctional antibody

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Trifunctional antibody is a type of antibody that has been engineered to have three distinct functional properties. These antibodies are designed to enhance the body's immune response to cancer cells and other harmful agents.

Structure and Function[edit | edit source]

A trifunctional antibody is composed of two different antigen binding sites and a functional Fc region. The two antigen binding sites allow the antibody to bind to two different targets simultaneously, while the Fc region can interact with immune cells to trigger an immune response.

The first function of a trifunctional antibody is to bind to a specific antigen on the surface of a cancer cell. The second function is to bind to a different antigen on the surface of an immune cell, such as a T cell or natural killer cell. This dual binding capability allows the antibody to bring the immune cell into close proximity with the cancer cell, facilitating the immune cell's attack on the cancer cell.

The third function of a trifunctional antibody is to activate the immune system through the Fc region. This region can bind to Fc receptors on other immune cells, triggering a cascade of immune responses that can lead to the destruction of the cancer cell.

Clinical Applications[edit | edit source]

Trifunctional antibodies have been investigated for use in the treatment of various types of cancer, including breast cancer, lung cancer, and melanoma. They have shown promise in preclinical and early clinical trials, demonstrating an ability to enhance the body's immune response to cancer cells and potentially improve patient outcomes.

One example of a trifunctional antibody is catumaxomab, which is approved in Europe for the treatment of malignant ascites in patients with epithelial cell cancers. Catumaxomab binds to the EpCAM antigen on cancer cells and the CD3 antigen on T cells, and activates immune cells through its Fc region.

Future Directions[edit | edit source]

Research is ongoing to develop new trifunctional antibodies and to optimize their design for improved efficacy and safety. Potential areas of focus include the identification of new antigen targets, the engineering of antibodies with enhanced binding affinity or specificity, and the development of strategies to minimize potential side effects.

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Contributors: Prab R. Tumpati, MD