Antibody-directed enzyme prodrug therapy (ADEPT) aims at the specificactivation of relativelynontoxic prodrugs into active drugs at the tumor site. One of theenzymes described to be useful inADEPT is human
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-glucuronidase (GUS), which is expected to have lowimmunogenicity in patients.A ma
jor obstacle for the use of GUS, however, is its rapidglycan-specific hepatic clearance. Thecarbohydrates of GUS have been modified by subsequent treatment withNaIO
4 and NaBH
4 to improveits retention in the circulation. The modification of GUS did notdecrease the enzyme activity. Invitro it was demonstrated that a con
jugate prepared with a pancarcinomaspecific monoclonal antibody(mAb) 323/A3 and the modified enzyme (mGUS), when bound to tumor cells,was capable of completeprodrug activation. In vivo, the 323/A3-mGUS con
jugate wascleared faster from the circulation ofBALB/c mice (
t1/2 = 9 h) than mAb 323/A3(
t1/2 = 32 h), but it was retained in thecirculation muchlonger than an immunocon
jugate prepared with native GUS(
t1/2 = 24 min). In nude micebearingsubcutaneous OVCAR-3 tumors the distribution of 323/A3-mGUS wasqualitatively comparable tothat of mAb 323/A3. The 323/A3-mGUS con
jugate showed specificlocalization in the tumor but toa lesser extent than mAb 323/A3 (2.7% vs 6.4% in
jected dose per gramat 1 day after iv in
jection). Afavorable tumor-to-blood ratio of >2 was observed for the con
jugate at7 days after administration,which is necessary for tumor-specific prodrug activation.