“…The amino acid-drug metabolites from conjugates with noncleavable linkers are more hydrophilic and much less membrane permeable, which leads to less bystander effects and less nonspecific toxicities compared to conjugates with a cleavable linker (Erickson et al, 2006;Okeley et al, 2010). Early examples for immunoconjugates with noncleavable linkers include immunoconjugates of methotrexate (Endo et al, 1987), daunorubicin (Pimm, Paul, Ogumuyiwa, & Baldwin, 1988), the vinca alkaloids (Spearman, Goodwin, Apelgren, & Bumol, 1987), mitomycin C (Kato, Tsukada, Hara, & Hirai, 1983), idarubicin (Rowland, Pietersz, & McKenzie, 1993), and N-acetyl melphalan (Smyth, Pietersz, & McKenzie, 1987) via amide or succinimide spacers to different murine monoclonal antibodies. At this time, the most commonly used noncleavable linkages in antibody-drug conjugates are succinimide-thioether bonds, which are formed by the reaction of maleimides with thiols.…”