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Ocular toxicities associated with antibody drug conjugates
Journal article   Peer reviewed

Ocular toxicities associated with antibody drug conjugates

Rayna F Marshall, Hannah Xu and Meghan Berkenstock
Current opinion in ophthalmology, v 35(6), pp 494-498
01 Nov 2024
PMID: 38814581

Abstract

Antineoplastic Agents, Immunological - adverse effects Eye Diseases - chemically induced Humans Immunoconjugates - adverse effects
To review the structure, mechanism of action, and pathophysiology of antibody-drug conjugates (ADCs) used to treat gynecological malignancies associated with ocular adverse effects. Recent research shows tisotumab vedotin causes ocular toxicity localized to the conjunctiva, with common adverse effects being conjunctivitis, dry eye, blepharitis, and keratitis. Toxicity is likely due to targeting tissue factor (TF) in the conjunctiva, leading to direct delivery of the cytotoxic payload resulting in apoptosis and bystander killing. Mirvetuximab soravtansine causes blurred vision, keratitis, or dry eye with toxicity often localized in the cornea. Off-target inflammation appears to cause ocular adverse effects, with nonreceptor mediated macropinocytosis by corneal stem cells. Collaboration between oncologists and ophthalmologists with adherence to mitigation protocols can decrease the risk of ocular adverse events.

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Collaboration types
Domestic collaboration
Web of Science research areas
Ophthalmology
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