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CD169 antibody–monomethyl auristatin E (CD169Ab-MMAE) is an experimental antibody-drug conjugate (ADC) designed to selectively deplete CD169+ (sialoadhesin-positive) macrophages. Developed by researchers at Brigham and Women's Hospital and Harvard Medical School, this therapeutic candidate targets CD169, a cell-surface receptor highly expressed on a distinct subset of bone marrow-derived macrophages that accumulate in chronically rejected cardiac allografts and drive inflammation. The conjugate consists of a monoclonal antibody targeting CD169 linked to the cytotoxic payload monomethyl auristatin E (MMAE), a potent microtubule inhibitor. Upon binding and internalization, MMAE is released, leading to the selective depletion of CD169+ macrophages, which in turn reduces the infiltration of T and B cells, decreases pro-inflammatory cytokine expression, and mitigates chronic transplant rejection.
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