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Vol. 1, 901-911, September 2002     Molecular Cancer Therapeutics
© 2002 American Association for Cancer Research

Design, Synthesis, and Biological Evaluation of a Dual Tumor-specific Motive Containing Integrin-targeted Plasmin-cleavable Doxorubicin Prodrug 1

Franciscus M. H. de Groot2, Henk J. Broxterman, Hans P. H. M. Adams, Alexandra van Vliet, Godefridus I. Tesser, Yvonne W. Elderkamp, Astrid J. Schraa, Robbert Jan Kok, Grietje Molema, Herbert M. Pinedo and Hans W. Scheeren3

Department of Organic Chemistry, NSR-Center for Molecular Structure, Design and Synthesis, University of Nijmegen, 6525 ED Nijmegen [F. M. H. d. G., H. P. H. M. A., G. I. T., H. W. S.]; Department of Medical Oncology, Academic Hospital Vrije Universiteit, 1007 MB Amsterdam [H. J. B., Y. W. E., H. M. P.]; Ansynth Service B.V., 4703 LE Roosendaal [A. v. V.]; Department of Pathology and Laboratory Medicine, Medical Biology Section, Tumor Immunology Laboratory, 9713 GZ Groningen [A. J. S., G. M.]; and Department of Pharmacokinetics and Drug Delivery, University Centre for Pharmacy, 9713 AV Groningen, [R. J. K.], the Netherlands

The design, synthesis, and initial biological evaluation of a doxorubicin prodrug that contains a dual tumor specific moiety, which allows enhanced tumor recognition potential, is reported. Both a tumor-specific recognition site and a tumor selective enzymatic activation sequence are incorporated in the prodrug. The first tumor-specific sequence is the bicyclic CDCRGDCFC (RGD-4C) peptide that selectively binds {alpha}vß3 and {alpha}vß5 integrins. These integrins are highly overexpressed on invading tumor endothelial cells. The second tumor-specific sequence is a D-Ala-Phe-Lys tripeptide that is selectively recognized by the tumor-associated protease plasmin, which is involved in tumor invasion and metastasis. An aminocaproyl residue was incorporated as a spacer between the two peptide sequences, whereas a self-eliminating 4-aminobenzyl alcohol spacer was inserted between the plasmin substrate and doxorubicin. Although the prodrug showed a decreased binding affinity as compared with the unconjugated reference peptide, it was still a potent ligand for {alpha}vß3 and {alpha}vß5 integrin receptors. The synthesized construct also possessed plasmin substrate properties as demonstrated by doxorubicin release from 1 upon incubation with plasmin. The release of doxorubicin from 1 was not complete, possibly related to low prodrug solubility. In vitro prodrug 1 showed plasmin-dependent cytotoxicity for endothelial cells and HT1080 fibrosarcoma cells. On the basis of these in vitro results, derivatives of 1 with improved water solubility are considered good candidates for additional development and in vivo evaluation of this dual targeting concept.




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Copyright © 2002 by the American Association for Cancer Research.