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A mono-epitope anti-DLL3 antibody-drug conjugate (ADC) is a targeted therapeutic agent composed of a monoclonal antibody that binds to a single specific epitope on the Delta-like ligand 3 (DLL3) protein, linked to a potent cytotoxic payload. DLL3 is an inhibitory Notch ligand that is highly and selectively expressed in small cell lung cancer (SCLC) and various neuroendocrine carcinomas, while remaining largely absent in healthy tissues, making it an ideal target for ADCs. Upon binding to the cell surface DLL3, the ADC is internalized via endocytosis, and the cytotoxic agent is released—typically through linker cleavage or lysosomal degradation—to induce apoptosis in the tumor cell. While early mono-epitope ADCs like rovalpituzumab tesirine (Rova-T) faced challenges in clinical trials due to toxicity and limited efficacy, they established the proof-of-concept for DLL3-targeted delivery and serve as the benchmark for next-generation biparatopic or AI-optimized DLL3-targeted therapies.
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