西妥昔单抗-多西他赛和帕尼单抗-多西他赛抗体药物偶联物的合成与表征及其在 EGFR 过表达肿瘤治疗中的应用。
Synthesis and Characterization of Cetuximab-Docetaxel and Panitumumab-Docetaxel Antibody-Drug Conjugates for EGFR-Overexpressing Cancer Therapy.
机构信息
Division of Pharmacoengineering and Molecular Pharmaceutics, UNC Eshelman School of Pharmacy , University of North Carolina at Chapel Hill , 125 Mason Farm Road , Chapel Hill , North Carolina 27599 , United States.
Department of Radiology, Biomedical Research Imaging Center , University of North Carolina at Chapel Hill , Marsico Hall, 125 Mason Farm Road , Chapel Hill , North Carolina 27599 , United States.
出版信息
Mol Pharm. 2018 Nov 5;15(11):5089-5102. doi: 10.1021/acs.molpharmaceut.8b00672. Epub 2018 Oct 1.
The safety and efficacy of anticancer antibody-drug conjugates (ADCs) depend on the selection of tumor-targeting monoclonal antibody (mAb), linker, and drug, as well as their specific chemical arrangement and linkage chemistry. In this study, we used a heterobifunctional cross-linker to conjugate docetaxel (DX) to cetuximab (CET) or panitumumab (PAN). The resulting ADCs were investigated for their in vitro EGFR-specific cytotoxicity and in vivo anticancer activity. Reaction conditions, such as reducing agent, time, temperature, and alkylation buffer, were optimized to yield potent and stable ADCs with consistent batch-to-batch drug-to-antibody ratios (DARs). ADCs were synthesized with DARs from 0.4 to 3.0, and all retained their EGFR affinity and specificity after modification. ADCs were sensitive to cell surface wildtype EGFR expression, demonstrating more cytotoxicity in EGFR-expressing A431 and MDA-MB-231 cell lines compared to U87MG cells. A431 tumor-bearing mice treated once weekly for four weeks with 100 mg/kg cetuximab-docetaxel ADC (C-SC-DX, DAR 2.5) showed durable anticancer responses and improved overall survival compared to the same treatment regimen with 1 mg/kg DX, 100 mg/kg CET, or a combination 1 mg/kg DX and 100 mg/kg CET. New treatment options are emerging for patients with both wild-type and mutated EGFR-overexpressing cancers, and these studies highlight the potential role of EGFR-targeted ADC therapies as a promising new treatment option.
抗癌抗体偶联药物(ADC)的安全性和疗效取决于肿瘤靶向单克隆抗体(mAb)、连接子和药物的选择,以及它们特定的化学排列和连接化学。在这项研究中,我们使用杂双功能交联剂将多西紫杉醇(DX)与西妥昔单抗(CET)或帕尼单抗(PAN)偶联。研究了所得 ADC 的体外 EGFR 特异性细胞毒性和体内抗癌活性。优化了反应条件,如还原剂、时间、温度和烷基化缓冲液,以获得具有一致的药物抗体比(DAR)的有效且稳定的 ADC。ADC 的 DAR 从 0.4 到 3.0 不等,并且在修饰后都保留了 EGFR 亲和力和特异性。ADC 对细胞表面野生型 EGFR 表达敏感,与 U87MG 细胞相比,在表达 EGFR 的 A431 和 MDA-MB-231 细胞系中显示出更强的细胞毒性。A431 荷瘤小鼠每周用 100 mg/kg 西妥昔单抗-多西紫杉醇 ADC(C-SC-DX,DAR 2.5)治疗一次,连续四周,与相同治疗方案相比,具有持久的抗癌反应和改善的总生存期 1 mg/kg DX、100 mg/kg CET 或 1 mg/kg DX 和 100 mg/kg CET 的组合。对于具有野生型和突变型 EGFR 过表达癌症的患者,新的治疗选择正在出现,这些研究强调了 EGFR 靶向 ADC 疗法作为一种有前途的新治疗选择的潜在作用。