Patel V F, Hardin J N, Mastro J M, Law K L, Zimmermann J L, Ehlhardt W J, Woodland J M, Starling J J
Lilly Research Laboratories, Eli Lilly & Company, Indianapolis, Indiana 46285, USA. PATEL_VINOD_F@LILLY. COM
Bioconjug Chem. 1996 Jul-Aug;7(4):497-510. doi: 10.1021/bc960038u.
LY207702 (1) is a difluorinated purine nucleoside that exhibits impressive antitumor activity in preclinical models. This agent, however, also possesses cardiotoxicity which limits the potential clinical utility of this novel drug candidate. We therefore developed linker chemistry whereby regioselective N6-tritylation of LY207702 (1) allowed this drug to be coupled to epsilon-lysine amino groups of mAb's reactive with human tumor-associated antigens. The resulting immunoconjugates 3 possessed conjugation ratios ranging from 5 to 7 mol of LY207702/mol of mAb, minimal aggregate content (5-10%), and good immunoreactivity. The electronic nature of substituents on the aromatic rings of the trityl group dictated the degree of acid lability of the trityl linker. Increased electronic stabilization of the transient trityl carbocation led to increase in the release rate of free drug, i.e., m-DMT 10a = p-DMT 10b > p-MMT 10d > p-T 10f. Consequently, the more acid labile DMT conjugates 3a and 3b proved to be the most potent cytotoxic agents, and the most stable p-T conjugate 3f exhibited the least antitumor activity when evaluated in vitro and in vivo. p-MeT-linked conjugate 3e, the most stable construct that retained excellent in vivo antitumor activity, was selected for more extensive evaluation. No detectable free drug or metabolite was observed in mouse plasma at a single intravenous dose of p-MeT conjugate 3e, which was consistent with its predicted stability under physiological conditions. This construct did, however, exhibit significant antigen-mediated antitumor activity in vivo. No cardiotoxicity was detected in mice dosed with conjugate 3e (6 mg/kg free drug content per day for 21 days) equivalent to approximately 8 times the total dose required for complete regression of well-established (approximately 1 g) HC1 human colon tumor xenografts in nude mice. Cardiotoxicity was induced in 20% of free drug 1 treated group at the equivalent dose. Cardiomyopathy was, however, observed when the dose of conjugate 3e was increased to 8 mg/kg per day for 21 days. These data suggest that antitumor activity of LY207702 (1) was maintained and its cardiotoxic potential reduced when this agent was administered to human tumor xenograft bearing nude mice as COL1-N6-p-MeT-207702 conjugate 3e.
LY207702(1)是一种二氟嘌呤核苷,在临床前模型中表现出令人印象深刻的抗肿瘤活性。然而,这种药物也具有心脏毒性,这限制了这种新型候选药物的潜在临床应用。因此,我们开发了连接子化学方法,通过对LY207702(1)进行区域选择性N6-三苯甲基化,使这种药物能够与与人肿瘤相关抗原反应的单克隆抗体的ε-赖氨酸氨基偶联。得到的免疫缀合物3的缀合比为每摩尔单克隆抗体含5至7摩尔LY207702,聚集物含量最低(5 - 10%),且具有良好的免疫反应性。三苯甲基基团芳香环上取代基的电子性质决定了三苯甲基连接子的酸不稳定程度。瞬态三苯甲基碳正离子的电子稳定性增加导致游离药物释放速率加快,即间位二甲氧基三苯甲基(m-DMT)10a = 对位二甲氧基三苯甲基(p-DMT)10b > 对位甲氧基三苯甲基(p-MMT)10d > 对甲苯基(p-T)10f。因此,在体外和体内评估时,酸不稳定的DMT缀合物3a和3b被证明是最有效的细胞毒性药物,而最稳定的p-T缀合物3f表现出最低的抗肿瘤活性。保留了优异体内抗肿瘤活性的最稳定构建体——对甲基苯硫醚连接的缀合物3e,被选用于更广泛的评估。在以单剂量静脉注射p-MeT缀合物3e后,小鼠血浆中未观察到可检测到的游离药物或代谢物,这与其在生理条件下预测的稳定性一致。然而,这种构建体在体内确实表现出显著的抗原介导的抗肿瘤活性。给小鼠注射相当于裸鼠中已建立的(约1 g)HC1人结肠肿瘤异种移植物完全消退所需总剂量约8倍的缀合物3e(每天6 mg/kg游离药物含量,共21天),未检测到心脏毒性。在同等剂量下,20%的游离药物1治疗组诱导出了心脏毒性。然而,当缀合物3e的剂量增加到每天8 mg/kg,持续21天时,观察到了心肌病。这些数据表明,当以COL1-N6-p-MeT-207702缀合物3e的形式给荷人肿瘤异种移植物的裸鼠给药时,LY207702(1)的抗肿瘤活性得以维持,其心脏毒性潜力降低。