Evidence map›Paper›PMID 41896476›Full record

ArticleNature biotechnology2026

DNA-drug conjugates enable logic-gated drug delivery amplified by hybridization chain reactions.

Si-Kai Chen, Miguel López-Tena, Francesco Russo, Emma E Watson, Millicent Dockerill, Javier Cabello Garcia, Sofia Barluenga, Nicolas Winssinger

Abstract read
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Article in Nature biotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Programmable DNA Logic Systems for Applications in Biomedicine.Chemistry (Weinheim an der Bergstrasse, Germany) · 2026
    Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Si-Kai ChenDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-5466-226X
Miguel López-TenaDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-0294-2697
Francesco RussoDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-7047-3423
Emma E WatsonDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-5946-473X
Millicent DockerillDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-4657-1637
Javier Cabello GarciaDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-4025-1053
Sofia BarluengaDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-3830-1178
Nicolas WinssingerDepartment of Organic Chemistry, Faculty of Sciences, University of Geneva, Geneva, Switzerland. Nicolas.winssinger@unige.ch.ORCID http://orcid.org/0000-0003-1636-7766

Funding

European Molecular Biology Organization (EMBO) ALTF 1015-2020Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 219316
6 · The paper itself

Abstract

Antibody-drug conjugates enable highly specific delivery of potent cytotoxics to biomarker-expressing cells. In parallel, advances in DNA circuitry and DNA-protein conjugates have allowed programmable integration of molecular inputs and signal amplification via hybridization chain reactions (HCRs). Here we present a system using affibody-DNA and aptamer-DNA conjugates to execute a Boolean logic operation on cell-surface biomarkers, resulting in amplified payload delivery using an HCR of DNA-drug conjugates. Proximity-induced assembly of the biomarker binders generates the initiator that triggers an HCR. The resulting assembly undergoes endocytosis, enabling controlled payload release of drugs conjugated to the DNA with cathepsin-cleavable linkers. We show that DNA-drug conjugates achieve targeted delivery with >100-fold amplification relative to the input biomarkers using fluorescence quantifications. We also identify payloads that strongly influence delivery efficiency and demonstrate delivery of different drug combinations. Finally, we show that biomarker-triggered HCRs can recruit generic antibodies. This modular technology enables tailored combinations of biomarker inputs and drug outputs toward more precise and personalized treatment.

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.