Mechanistically, antibody-siRNA conjugates (ARCs) exert their activity by
The main advantage of ARCs is high ligand binding efficiency and prolonged presence in blood due to high molecular weight (~150 kDa). However, the development of ARC is still at the early stage. Though the design principle of ARC is somewhat the same with ADC, there are still some challenges for ARC:
Thus, further optimization, including the use of humanized antibodies or Fab fragments, endosomolytic agents, and chemically-modified siRNAs, are potential strategies for the use of ARCs in the clinic.