Polymer-directed enzyme prodrug therapy (PDEPT) is a novel two-step antitumor approach that usesa combination of a polymeric prodrug and polymer-enzyme conjugate to generate a cytotoxic drugrapidly and selectively at the tumor site. Previously we have shown that
N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-bound cathepsin B can release doxorubicin intratumorally froman HPMA copolymer conjugate PK1. Here we describe for the first time the synthesis and biologicalcharacterization of a PDEPT model combination that uses an HPMA-copolymer-methacryloyl-glycine-glycine-cephalosporin-doxorubicin (HPMA-
co-MA-GG-C-Dox) as the macromolecular prodrug andan HPMA copolymer conjugate containing the nonmammalian enzyme
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-lactamase (HPMA-
co-MA-GG-
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-L) as the activating component. HPMA-
co-MA-GG-C-Dox had a molecular weight of ~31 600Da and a C-Dox content of 5.85 wt %. Whereas free
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-L has a molecular weight of 45 kDa, the HPMA-
co-MA-GG-
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-L conjugate had a molecular weight in the range of 75-150 kDa, and followingpurification no free enzyme was detectable. Against the cephalosporin C or HPMA-
co-MA-GG-C-Dox substrates, the HPMA-
co-MA-GG-
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-L conjugate retained 70% and 80% of its activity, respectively.In vivo
125I-labeled HPMA-
co-MA-GG-
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-L showed prolonged plasma concentration and greater tumortargeting than
125I-labeled
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-L due to the enhanced permeability and retention (EPR) effect. Moreover,administration of HPMA-
co-MA-GG-C-Dox iv to mice bearing sc B16F10 melanoma followed after 5h by HPMA-
co-MA-GG-
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-L led to release of free Dox. The PDEPT combination caused a significantdecrease in tumor growth (
T/
C = 132%) whereas neither free Dox nor HPMA-
co-MA-GG-C-Dox alonedisplayed activity. The PDEPT combination displayed no toxicity at the doses used, so furtherevaluation of this approach to establish the maximum tolerated dose (MTD) is recommended.