140
Y. Gilad et al. / European Journal of Medicinal Chemistry 85 (2014) 139e146
Kostenich et al. developed accurate detection of small-cell lung
cancer (SCLC) with fluorescence-based imaging by preparing novel
backbone cyclic somatostatin analogs conjugated with fluorescein
and rhodamine [7]. We recently reported an increased efficacy of
multidose chlorambucilepeptide conjugates on murine leukemic B
cells through receptor-mediated endocytosis [8]. The most clini-
cally advanced peptideedrug-conjugate is GRN1005, an angio-
peptin-2-paclitaxol conjugate that targets lipoprotein receptor
protein-1, a cell surface molecule overexpressed on solid tumor
cells. The conjugate is under clinical assessment for treatment of
advanced solid tumors, in particular in patients with brain metas-
tases [9]. Although diverse, the above examples share one common
feature: they all describe conjugation of just one drug molecule (or
a few copies of the same drug) to the carrier. Nanoparticle systems
represent an approach that could be utilized for multiple drug
delivery [10]. Liposomes were demonstrated to be efficient vehicles
for the delivery of two drugs with very different solubility prop-
erties [11]. However, they suffer various limitations such as stability
and loading efficiency [12]. Cross-linked multilamellar liposomal
vesicles were studied in order to address those limitations [13].
Thus, there are no examples yet of well-defined unimolecular
platforms containing a few different drugs e a cocktail.
The chemistry of carrier-drug attachment has received much
attention. Important parameters include selection of a linker
attachment site that retains carrier activity, linker length and
composition, and the design of drug analogs for attachment to the
linker [14]. For ADCs, two methods are now commonly used for
conjugating drugs to antibodies: alkylation of reduced inter chain
cysteine disulfides through a non-cleavable maleimido linker and
acylation of lysine residues by cleavable linear amino acids [15].
Cathepsin-cleavable linkers are also utilized (for example Val-Cit,
or Phe-Lys) bound to self-emulative moiety PABA (p-aminobenzyl
alcohol), enabling selective drug release in cancer cells [14c].
Spacers are usually essential extensions of the drug linkage and are
responsible for avoiding the shielding of the active site of the
antibody as well as improving solubility properties of ADCs (for
example by the use of polyethylene glycol [16]).
carbonates; (3) Drugs can be linked to MAAPs through these same
types of moieties; (4) Linker-tagged drugs will be enzymatically
cleaved in vivo in the same manner as prodrugs; (5) The release
profile of the drugs will depend on the nature of the linker, linking
moiety and drug itself. By optimizing these parameters in the
design of loaded MAAPs that are subsequently conjugated to a
target specific carrier, we hope to release the payload specifically in
the target cancer cells and thereby avoid exposure of benign tissues
to the cytotoxic treatment [18]. We anticipate that MAAP technol-
ogy can be integrated into the rational design and application of
targeted drug delivery strategies and ultimately to a broader basket
of more effective therapies for cancer patients.
In this communication we describe the synthesis and initial
evaluation of first generation (G1) MAAPs (Fig. 1), linked to known
chemotherapy drugs, as well as the controllable release of the
payload. Several fundamental tasks were achieved during this
research: (1) Development of a novel synthetic protocol of orthog-
onally protective SPOS for the facile synthesis of heterogeneous
L-
Lys, -Ser and -Tyr based G1 MAAPs with selective drug loading
L
L
capabilities; (2) Measurements of chemostability at various pHs and
bio-stability in mouse liver homogenate for linker-containing drugs
and loaded MAAPs; (3) Screening the activity of free drugs vs pep-
tide carrier-conjugated drugs on cancer cells in vitro.
2. Results and discussion
2.1. Synthesis
Initially, we loaded MAAPs with four known anticancer drugs
and drug candidates and one previously reported 9-aminoacridine
anticancer compound YG-42 [19] (Fig. 2). These agents act through
different cellular pathways, therefore their combination on MAAPs
present a model for delivery of chemotherapeutic “cocktails”.
First, the DNA-Topo II intercalating inhibitor Azatoxin (AZA) [20],
the DNA-Topo I intercalating inhibitor Camptothecin (CAMP) and the
synthetic corticosteroid drug Prednisone (PRED) were functional-
ized for linkage to MAAP according to Scheme 1, forming activated
carbonate functionalities through the free phenolic or aliphatic OH.
Chlorambucil (CLB), a well known DNA mustard alkylator, and YG-42
were used without modification due to the presence of an existing
carboxylic group suitable forlinkage. Thereactions of CAMP, AZA and
PRED with pNO2PhOCOCl [21], when carried out under standard
conditions in heated pyridine or in DCM at room temperature in the
presence of excess of DMAP, afforded the preactivated drugs 1e3
respectively. These building blocks were used after standard workup
procedure without any further purification.
We have previously demonstrated that Ligand Drug Conjugates
(LDCs) can be successfully employed for the targeted delivery of
drugs and toxins to receptor-positive murine leukemic cells [8,17].
In particular, the use of multifunctional dendrone linkers that bear
several covalently bound DNA alkylating Chlorambucil molecules
to one peptide carrier have enhanced efficacy of inhibition of target
cancer cell growth [8]. Based on these results, we envision sub-
stantial therapeutic potential for drugecarrier conjugates that
consist of several different cytotoxic compounds linked via biode-
gradable linkages to Multifunctional Amino Acid Platforms (MAAP,
Fig. 1). The rationale behind this concept is based on the following:
(1) Amino acids are not toxic in vivo, (2) Prodrugs can be prepared
with enzymatically cleavable moieties such as esters, carbamates,
Acid-sensitive Cl-Trt polystyrene resin was chosen as solid
support for the synthesis of loaded G1 MAAPs for two reasons: (1)
The resin allows utilization of mild acidic cleavage conditions for
avoiding decomposition of the linked drugs; (2) The system yields
cleavage products of loaded MAAPs with a free carboxylic group
that can act as an anchor point for conjugation chemistry to a
carrier.
Y1
Drug1
Next, orthogonally protected Fmoc-(L)-Lys(Alloc)-OH was
loaded on to the resin using standard methods (DIEA, DMF then
MeOH for capping) [22]. After Fmoc release (20% piperidine/DMF,
2 ꢀ 20 min), the pre-made active ester of CLB (PyBoP, DMF) was
X
reacted with the deprotected L-Lys(Alloc) peptidyl residue at rt for
90 min, yielding the adduct 6. This compound was further depro-
tected to 5 by homogenous catalysis using Pd(PPh3)4 in the pres-
ence of barbituric acid ligand. At this point, adduct 5 was divided
into three parts, and each one was reacted with preactivated YG-42,
AZA or CAMP (see Scheme 2), yielding, after mild acidic cleavage
(3%TFA in DCM), the corresponding 4aec compounds in good yields
and purity (see Supplementary Information). In particular,
Y2 Drug2
X = CO2H, (CH2)nNH2, (CH2)SH; Y1,2= amide, ester, carbamate,
carbonate, sulfonamide, ureido, disulfide, etc
Fig. 1. General structure of multifunctional amino acid platform (MAAP) for loading of
two drugs.