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Published on: March 8, 2018
Selective activation of anticancer prodrugs by monoclonal antibody-enzyme conjugates
1Bristol Myers Squibb Pharmaceutical Research Institute, Seattle, Washington.
Abstract:
Several recent reports have demonstrated that anticancer drugs can be generated site-selectively at solid tumors by monoclonal antibody-enzyme conjugates targeted to antigens on tumor cell surfaces. The first step in this drug targeting approach involves the delivery of the enzyme conjugate to a tumor cell population. After the conjugate has localized within the tumor and cleared from non-target tissues, a relatively non-cytotoxic drug precursor (prodrug) is administered. Upon contact with the targeted enzyme, the prodrug is converted into a toxic drug. Several examples are presented to illustrate this targeting strategy. Monoclonal antibody-beta-lactamase conjugates have been developed to activate a panel of anticancer prodrugs that are mechanistically dissimilar. The antitumor activities of the monoclonal antibody-beta-lactamase conjugate/prodrug combinations exceed those obtained by systemic drug administration, and are immunologically specific. In another example involving targeted cytosine deaminase for the generation of 5-fluorouracil, it is shown that as much as 17 times more drug can be delivered within a tumor compared to when 5-fluorouracil is administered alone. The method of using targeted enzymes for prodrug activation can be extended to include prodrugs that release very potent drugs, such as palytoxin, a marine natural product, and to treat cells that have the multidrug resistance phenotype. Some of the requirements for successful therapy with this approach for cancer therapy are discussed.
Insights
Targeted monoclonal antibody-enzyme conjugates enable site-selective anticancer drug generation at solid tumors. This approach enhances drug delivery and antitumor activity compared to systemic administration, offering a promising cancer therapy strategy.
Area of Science:
- Biotechnology
- Oncology
- Pharmacology
Background:
- Anticancer drug development faces challenges in achieving site-selectivity and minimizing systemic toxicity.
- Targeted drug delivery systems are crucial for improving therapeutic efficacy in cancer treatment.
- Monoclonal antibody-enzyme conjugates offer a promising platform for site-specific prodrug activation.
Purpose of the Study:
- To demonstrate the efficacy of monoclonal antibody-enzyme conjugates for site-selective anticancer drug generation at solid tumors.
- To evaluate the antitumor activity and specificity of antibody-enzyme/prodrug combinations.
- To explore the potential of this approach for delivering potent drugs and overcoming multidrug resistance.
Main Methods:
- Development of monoclonal antibody-beta-lactamase conjugates for activating various anticancer prodrugs.
- Utilizing targeted cytosine deaminase for enhanced 5-fluorouracil generation within tumors.
- Investigating prodrugs releasing potent toxins and targeting multidrug-resistant cancer cells.
Main Results:
- Monoclonal antibody-beta-lactamase conjugate/prodrug combinations showed superior antitumor activity compared to systemic drug administration.
- The targeted approach demonstrated immunological specificity.
- Targeted cytosine deaminase resulted in up to 17-fold greater drug delivery within tumors than standalone 5-fluorouracil.
Conclusions:
- Site-selective prodrug activation using targeted antibody-enzyme conjugates is an effective strategy for cancer therapy.
- This method significantly enhances drug concentration at the tumor site and improves therapeutic outcomes.
- The approach holds potential for delivering highly potent drugs and treating challenging cancer phenotypes, including multidrug resistance.
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