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Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate (ADC) composed of a humanized IgG1 monoclonal antibody (polatuzumab) covalently linked to the microtubule-disrupting agent monomethyl auristatin E (MMAE) via a protease-cleavable valine-citrulline linker. CD79b is a surface protein specifically expressed on B-cells and is a component of the B-cell receptor complex, making it an ideal target for B-cell malignancies. Upon binding to CD79b, the ADC is internalized into the lysosomal compartment where the linker is cleaved, releasing MMAE into the cytosol. MMAE then binds to tubulin and inhibits its polymerization, resulting in G2/M phase cell cycle arrest and apoptosis. Developed by Genentech (Roche), it is FDA-approved for use in combination with other therapies for the treatment of diffuse large B-cell lymphoma (DLBCL) and is being investigated for other B-cell non-Hodgkin lymphomas, including mantle cell lymphoma.
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