The high selectivity and affinity of antibodies toward
their antigens
have made them a highly valuable tool in disease therapy, diagnosis,
and basic research. A plethora of chemical and genetic approaches
have been devised to make antibodies accessible to more “undruggable”
targets and equipped with new functions of illustrating or regulating
biological processes more precisely. In this Review, in addition to
introducing how naked antibodies and various antibody conjugates (such
as antibody-drug conjugates, antibody-oligonucleotide conjugates,
antibody-enzyme conjugates, etc.) work in therapeutic applications,
special attention has been paid to how chemistry tools have helped
to optimize the therapeutic outcome (i.e., with enhanced efficacy
and reduced side effects) or facilitate the multifunctionalization
of antibodies, with a focus on emerging fields such as targeted protein
degradation, real-time live-cell imaging, catalytic labeling or decaging
with spatiotemporal control as well as the engagement of antibodies
inside cells. With advances in modern chemistry and biotechnology,
well-designed antibodies and their derivatives via size miniaturization
or multifunctionalization together with efficient delivery systems
have emerged, which have gradually improved our understanding of important
biological processes and paved the way to pursue novel targets for
potential treatments of various diseases.