Immunotoxins are composed of:
Immunotoxins constructed to overcome lack of selectivity of conventional chemotherapy achieve tumor specific delivery of ultrapotent protein toxins that cannot enter mammalian cells unaided. Design consists of targeting moiety typically single-chain variable fragment scFv or disulfide stabilized Fab derived from murine or humanized antibody recognizing tumor antigen CD22 on hairy cell leukemia, CD25 on adult T cell leukemia, mesothelin on mesothelioma, linked via flexible glycine-serine peptide or reducible disulfide bond formed between engineered cysteines to effector toxin devoid of native receptor binding domain to prevent off target internalization. Toxin moiety from Pseudomonas aeruginosa exotoxin A truncated to 38 kDa PE38 containing ADP-ribosylation domain plus translocation domain or diphtheria toxin DT388 lacking receptor domain 1-389, or plant toxin ricin A chain 32 kDa. This mechanistic insight supports diagnostic and therapeutic applications while reinforcing core immunological and cell biology principles taught in advanced curricula. This mechanistic detail underpins practical applications in diagnostics, vaccine design, and biopharmaceutical manufacturing.
Ref: Pastan et al Nature Rev Cancer 2006 6:559 immunotoxins PE38; Kreitman Clin Cancer Res 2009 fusion toxin de-immunized.