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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
vß3 and
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
vß3 and
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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