Wade H E
Dev Biol Stand. 1977;38:73-9.
The development of microbial enzymes for cancer therapy presents difficulties not commonly experienced with biological drugs. The development of the enzyme asparaginase from Escherichia coli in the USA and of the serologically different asparaginase from the plant pathogen Erwinia carotovora in this Establishment, has not only added to the choice of antileukaemia drugs but also provided a valuable guide to the selection and development of new therapeutic enzymes. Our own programme has led to the study of enzymes that degrade other amino acids (glutamine, arginine, phenylalanine and tyrosine) that appear to be important to certain leukaemia cells. Microbes with only remote associations with man were considered as a source of these to minimize initial immunological sensitivity. In the case of erwinia asparaginase the benefits of this have probably included a lower incidence of anaphylaxis compared with the escherichia enzyme. The selection of a stable, high-affinity enzyme that operates efficiently under physiological conditions ensures effective depletion of a circulating amino acid but the choice is very limited. It is also difficult to assess from laboratory tests the likely persistence, toxicity and efficacy of the enzyme in clinical use and to arrive at meaningful biological tests for the quality control of the finished product. Some of the difficulties will be described and proposals made for criteria of acceptance for this type of drug in experimental use.
开发用于癌症治疗的微生物酶存在一些生物药物通常不会遇到的困难。美国从大肠杆菌中开发出天冬酰胺酶,而本机构从植物病原菌胡萝卜软腐欧文氏菌中开发出血清学上不同的天冬酰胺酶,这不仅增加了抗白血病药物的选择,还为新型治疗酶的筛选和开发提供了宝贵的指导。我们自己的项目已促使人们对能降解其他氨基酸(谷氨酰胺、精氨酸、苯丙氨酸和酪氨酸)的酶展开研究,这些氨基酸似乎对某些白血病细胞很重要。与人类关系较远的微生物被视为这些酶的来源,以尽量降低初始免疫敏感性。就欧文氏菌天冬酰胺酶而言,这样做的好处可能包括与大肠杆菌来源的酶相比,过敏反应的发生率更低。选择一种在生理条件下能高效发挥作用的稳定、高亲和力的酶可确保有效消耗循环中的氨基酸,但选择非常有限。从实验室测试中也很难评估该酶在临床使用中可能的持久性、毒性和疗效,以及得出用于成品质量控制的有意义的生物学测试方法。将描述其中一些困难,并就这类药物在实验使用中的验收标准提出建议。