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Updated: Jan 20, 2026

Evaluating the Intracellular Distribution of Virus-Derived Peptide-Modified Antibody Conjugates
Antibody-Drug Conjugate that Exhibits Synergistic Cytotoxicity with an Endosome-Disruptive Peptide
Kelsey E Knewtson1, Chamani Perera1, David Hymel1
1Department of Medicinal Chemistry, The University of Kansas, Lawrence, Kansas 66045, United States.
Abstract:
Antibody-drug conjugates are an important class of cancer therapeutics. These agents generally bind a specific cell surface receptor, undergo receptor-mediated endocytosis, and enter the endosomal-lysosomal system, where the environment in these organelles facilitates the release of a membrane-permeable cytotoxin. By using a membrane-impermeable cytotoxin, we describe here a method that allows the cytotoxicity of an antibody conjugate to be triggered by co-administration with an endosome-disruptive peptide that exhibits low toxicity. This approach was validated by conjugation of an anionic derivative of the tubulin-binding cytotoxin colchinol methyl ether to lysine residues of the HER2-targeting antibody trastuzumab (Herceptin) via a disulfide. When this antibody binds HER2 on SKBR3 breast cancer cells and undergoes endocytosis, the membrane-impermeable cytotoxin is released, but it becomes trapped in endosomes, resulting in relatively low cytotoxicity (IC50 > 1 μM). However, co-administration with an essentially nontoxic (IC50 > 10 μM) cholesterol-linked endosome-disruptive peptide promotes the release of this small molecule into the cytoplasm, conferring subnanomolar cytotoxic potency (IC50 = 0.11 ± 0.07 nM). Studies of a structurally related fluorophore conjugate revealed that the endosome-disruptive peptide does not substantially enhance cleavage of the disulfide (t 1/2 = 8 ± 2 h) within endosomes, suggesting that the mechanism of endosomal escape involves the efflux of some small molecules without facilitating substantial influx of reduced glutathione.
Insights
This study introduces a novel antibody-drug conjugate strategy using a membrane-impermeable cytotoxin. Co-administration with an endosome-disruptive peptide enhances cancer cell killing by enabling cytoplasmic release of the toxin.
Area of Science:
- Oncology
- Molecular Biology
- Drug Delivery
Background:
- Antibody-drug conjugates (ADCs) are key cancer therapeutics that rely on intracellular toxin release.
- Conventional ADCs often use membrane-permeable toxins, limiting their efficacy and increasing systemic toxicity.
- The endosomal-lysosomal system is crucial for ADC processing and subsequent cytotoxin release.
Purpose of the Study:
- To develop a novel ADC strategy utilizing a membrane-impermeable cytotoxin.
- To investigate the synergistic effect of an endosome-disruptive peptide on ADC-mediated cytotoxicity.
- To enhance the targeted delivery and efficacy of cancer therapeutics.
Main Methods:
- Conjugation of an anionic colchinol methyl ether derivative to trastuzumab (Herceptin) via a disulfide bond.
- Utilizing HER2-positive SKBR3 breast cancer cells for in vitro validation.
- Co-administration of the ADC with a cholesterol-linked, non-toxic endosome-disruptive peptide.
Main Results:
- The antibody-drug conjugate alone exhibited low cytotoxicity (IC50 > 1 μM) due to endosomal trapping of the membrane-impermeable toxin.
- Co-administration with the endosome-disruptive peptide significantly enhanced cytotoxicity, achieving subnanomolar potency (IC50 = 0.11 ± 0.07 nM).
- The peptide facilitated endosomal escape of the cytotoxin without significantly affecting disulfide bond cleavage or promoting glutathione influx.
Conclusions:
- A novel antibody-drug conjugate approach using a membrane-impermeable cytotoxin and an endosome-disruptive peptide offers potent and targeted cancer therapy.
- This strategy overcomes limitations of conventional ADCs by enabling efficient cytoplasmic delivery of the payload.
- The findings suggest a promising new direction for developing next-generation antibody-drug conjugates with improved efficacy and safety profiles.
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