SummationAntibodies are highly versatile proteins with the ability to be used to target diverse compounds, such as radionuclides for imaging and therapy, or drugs and toxins for therapy, but also can be used unconjugated to elicit therapeutically beneficial responses, usually with minimal toxicity. This update describes a new procedure for forming multivalent and=or multispecific proteins, known as the dock-and-lock (DNL) technique. Developed as a procedure for preparing bispecific antibodies capable of binding divalently to a tumor antigen and monovalently to a radiolabeled hapten-peptide for pretargeted imaging and therapy, this methodology has the flexibility to create a number of other biologic agents of therapeutic interest. A variety of constructs, based on anti-CD20 and CD22 antibodies, have been made, with results showing that multispecific antibodies have very different properties from the respective parental monospecific antibodies. The technique is not restricted to antibody combination, but other biologics, such as interferon-a2b, have been prepared. These types of constructs not only allow small biologics to be sustained in the blood longer, but also to be selectively targeted. Thus, DNL technology is a highly flexible platform that can be used to prepare many different types of agents that could further improve cancer detection and therapy.Key words: recombinant antibodies, bispecific antibodies, non-Hodgkin's lymphoma, pretargeting, molecular imaging, antibody therapy, radioimmunotherapy Introduction A ntibodies might not be the proverbial ''magic bullet'' as initially hoped, but they undoubtedly have played a very important role in the detection and treatment of cancer, helping pave the way for a new era of targeted therapy. As is often the case when new discoveries are made, our visions of what they can be are ahead of our ability to put them into practice. For example, studies first performed in the early 1950s established the feasibility of specifically targeting radionuclides to tumors in animal models, but at the time, there were not any suitable targets known to be associated with human tumors.1-3 Many other technical hurdles, such as better-defined antibodies and improved ways to radiolabel proteins, would not become available for 20-30 years. Even in the 1970s, when the localization of a radiolabeled antibody to a human tumor-associated antigen was finally demonstrated, still, affinity-purified polyclonal antibodies were the state of the art, and computer-assisted subtraction technology was required to visualize uptake. [4][5][6][7][8] By the 1980s, new chemistries for radiolabeling proteins were being developed that greatly expanded the possibilities for a variety of imaging and therapeutic radionuclides, and, importantly, murine monoclonal antibodies became available. [9][10][11][12][13][14][15][16][17][18][19] Hybridoma technology ultimately ushered in a new age of molecular engineering that has revolutionized the applications of antibodies and biologics alike. Murine monoclonal antibo...