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. 2014 Dec 12;26(2):176–192. doi: 10.1021/bc5004982

Table 1. Summary of Methods for Construction of Site-Specific ADCs.

category pros cons specific method comments
cysteine conjugation fast conjugation reactions; minimal structural perturbation requires prereduction and may require reoxidation global reduction/alkylation DAR of 4 or 8 depending on linker chemistry
cysteine to serine mutation DAR of 2, 4, or 6
THIOMAB maleimide conjugates unstable, but newer chemistries exist
N-terminal cysteine conjugation oxazolidine conjugates intentionally unstable
         
glycoconjugation no protein engineering required site of modification is immutable; DARs tend to be lower due to glycan heterogeneity periodate oxidation of fucose or sialic acid methionine oxidation may be problematic
enzymatic transfer of azidosugars asymmetric cyclooctynes yield two regioisomers
metabolic incorporation of thiofucose DAR limited by metabolic incorporation efficiency
         
unnatural or noncanonical amino acid incorporation minimal structural perturbation; potentially enables wide variety of bioorthogonal ligation reactions technically complicated amber codon suppression aryl oxime ligation is slow
cell-free amber codon suppression can quickly screen variants; generates aglycosylated antibody
selenocysteine incorporation mostly conjugates with DAR of 1; C-terminal incorporation
         
peptide tags minimal off-target reactivity; operationally simple enzymatic conversion efficiency is site-dependent deglycosylation followed by transglutaminase treatment generates aglycosylated antibody
transglutaminase tag DAR of 2 or 4
sortase tag must be placed near C terminus
aldehyde tag conjugate stability requires Pictet–Spengler or alternative ligation