Calvete J A, Newell D R, Charlton C J, Wright A F
Cancer Research Unit, University of Newcastle upon Tyne, Tyne and Wear, UK.
Br J Cancer. 1993 Jun;67(6):1310-5. doi: 10.1038/bjc.1993.243.
A colorectal tumour-directed immunotoxin, ICI D0490, has been constructed by linking recombinant ricin A-chain to C242, a mouse monoclonal antibody, by means of a methyl-hindered disulphide bond. Recombinant ricin A-chain and a hindered disulphide linker were anticipated to confer favourable pharmacokinetic properties on the immunotoxin. The pharmacokinetics of ICI D0490 have been studied in mice following single and repeated i.v. administration. The concentrations of intact immunotoxin in mouse plasma at various time intervals after injection for up to 96 h were measured by a solid-phase enzyme-linked immunosorbent assay (ELISA) and the data analysed by both model-dependent (two compartment) and model-independent methods. Following a single i.v. bolus dose of 2.5 mg kg-1 (50% of the LD10 in mice), the clearance of ICI D0490 from the plasma was extremely slow; 34 microliters min-1 kg-1, t1/2 beta = 33 h. Model-dependent and model-independent analyses gave comparable results with steady state volumes of distribution of 93 and 69 ml kg-1, respectively. The two compartment analysis gave an initial volume of distribution (63 ml kg-1) which is consistent with the predicted plasma volume. Over the dose range 0.05-5 mg ICI D0490 kg-1, plasma levels at 2 and 24 h were linearly related to dose (r > or = 0.98) indicating that at doses up to 5 mg ICI D0490 kg-1 clearance does not appear to have a saturable component. Repeated doses of ICI D0490 (1 mg kg-1 day x 5) did not lead to drug accumulation. These studies demonstrate that ICI D0490 has excellent in vivo stability and persistence which, in conjunction with activity and toxicity data, identify ICI D0490 as a promising candidate for clinical evaluation in the treatment of colorectal cancer.
一种靶向结肠直肠肿瘤的免疫毒素ICI D0490,是通过甲基受阻二硫键将重组蓖麻毒素A链与小鼠单克隆抗体C242连接而成。预计重组蓖麻毒素A链和受阻二硫键连接体将赋予免疫毒素良好的药代动力学特性。在小鼠单次和重复静脉注射后,对ICI D0490的药代动力学进行了研究。通过固相酶联免疫吸附测定(ELISA)测量注射后长达96小时内不同时间间隔小鼠血浆中完整免疫毒素的浓度,并采用依赖模型(二室模型)和非依赖模型的方法对数据进行分析。单次静脉推注剂量为2.5 mg kg-1(小鼠LD10的50%)后,ICI D0490从血浆中的清除极其缓慢;清除率为34微升 min-1 kg-1,t1/2β = 33小时。依赖模型和非依赖模型分析得到了可比的结果,稳态分布容积分别为93和69 ml kg-1。二室模型分析得到的初始分布容积(63 ml kg-1)与预测的血浆容积一致。在0.05 - 5 mg ICI D0490 kg-1的剂量范围内,2小时和24小时的血浆水平与剂量呈线性相关(r≥0.98),表明在高达5 mg ICI D0490 kg-1的剂量下,清除似乎没有饱和成分。重复给予ICI D0490(1 mg kg-1 每天×5次)未导致药物蓄积。这些研究表明,ICI D0490具有出色的体内稳定性和持久性,结合活性和毒性数据,确定ICI D0490是结直肠癌临床评估中有前景的候选药物。