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A101-VC-MMAE is a mesothelin (MSLN)-targeted nanobody-drug conjugate (NDC) developed for the treatment of pancreatic ductal adenocarcinoma (PDAC). It consists of a camelid-derived VHH nanobody (A101) that binds to MSLN with high affinity, conjugated to the cytotoxic microtubule inhibitor monomethyl auristatin E (MMAE) via a cathepsin-cleavable valine-citrulline (VC) linker. The nanobody format is specifically designed to improve tumor penetration within the dense stroma of the pancreatic tumor microenvironment compared to traditional antibody-drug conjugates. Upon binding to MSLN on the surface of cancer cells, the conjugate is internalized, and the VC linker is cleaved by intracellular proteases to release MMAE, which inhibits tubulin polymerization and induces cell death. Preclinical studies have demonstrated its efficacy in MSLN-positive tumor models, although related constructs with alternative linkers are also being explored for potentially superior specificity.
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