2019
DOI: 10.3390/molecules24234377
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Anything You Can Do, I Can Do Better: Can Aptamers Replace Antibodies in Clinical Diagnostic Applications?

Abstract: The mainstay of clinical diagnostics is the use of specialised ligands that can recognise specific biomarkers relating to pathological changes. While protein antibodies have been utilised in these assays for the last 40 years, they have proven to be unreliable due to a number of reasons. The search for the ‘perfect’ targeting ligand or molecular probe has been slow, though the description of chemical antibodies, also known as aptamers, nearly 30 years ago suggested a replacement reagent. However, uptake has be… Show more

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Cited by 83 publications
(73 citation statements)
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“…They are single-stranded oligonucleotides that, resembling antibodies, utilize their tridimensional shape for target recognition [63,64]. Active tumor targeting by aptamers, while preserving a nity and speci city similar to mAbs, presents several advantages over them, including smaller size, higher stability, cheaper cost for synthesis, minimal inter-batch variability and lack of immunogenicity [61,[65][66][67]. While aptamers are generally functionalized with cytotoxic payloads for cancer therapy, it has been also demonstrated their ability to be antagonistic agents independent of drug conjugation, exerting signi cant potential as anti-cancer therapeutics [31,37,68].…”
Section: Discussionmentioning
confidence: 99%
“…They are single-stranded oligonucleotides that, resembling antibodies, utilize their tridimensional shape for target recognition [63,64]. Active tumor targeting by aptamers, while preserving a nity and speci city similar to mAbs, presents several advantages over them, including smaller size, higher stability, cheaper cost for synthesis, minimal inter-batch variability and lack of immunogenicity [61,[65][66][67]. While aptamers are generally functionalized with cytotoxic payloads for cancer therapy, it has been also demonstrated their ability to be antagonistic agents independent of drug conjugation, exerting signi cant potential as anti-cancer therapeutics [31,37,68].…”
Section: Discussionmentioning
confidence: 99%
“…They are single-stranded oligonucleotides that, resembling antibodies, utilize their tridimensional shape for target recognition [62,63]. Active tumor targeting by aptamers, while preserving a nity and speci city similar to mAbs, presents several advantages over them, including smaller size, higher stability, cheaper cost for synthesis, minimal inter-batch variability and lack of immunogenicity [60,[64][65][66]. While aptamers are generally functionalized with cytotoxic payloads for cancer therapy, it has been also demonstrated their ability to be antagonistic agents independent of drug conjugation, exerting signi cant potential as anti-cancer therapeutics [31,37,67].…”
Section: Discussionmentioning
confidence: 99%
“…The main stay in human disease research over the past 40 years has been monoclonal antibodies [52]. These have proven to be very effective in diagnostic applications where the antibody has been fully validated and quality controls are in place to ensure each batch of antibody performs to the strict requirements [53]. However, in research applications there have been several limitations, notwithstanding the reproducibility crisis that has been placed at the feet of reagents, and antibodies in particular, in a high percentage of cases [54].…”
Section: Towards a Better System Of Detecting Proteome Signaturesmentioning
confidence: 99%
“…Going back to the protein nature of antibodies and nanobodies, these require special conditions to be used in the field for POCT. For example, transport needs to be refrigerated and antibodies/nanobodies need to be kept cool to ensure they remain functional, whereas aptamers are stable at higher temperatures [53,100]. Additionally, while aptamers have been used to replace antibodies in typical laboratory tests, they have also come into their own in a number of in vitro diagnostic assays that would be easily adapted to in field or POCT [101][102][103][104].…”
Section: In Vitro Applications: Which Is Best?mentioning
confidence: 99%