Here we describe the synthesis and biological properties of two types of star-shaped polymer-doxorubicin conjugates: non-targeted conjugate prepared as long-circulating high-molecular-weight (HMW) polymer prodrugs with a dendrimer core and a targeted conjugate with the anti-CD20 monoclonal antibody (mAb) rituximab (RTX). The copolymers were linked to the dendrimer core or to the reduced mAb via one-point attachment forming a star-shaped structure with a central antibody or dendrimer surrounded by hydrophilic polymer chains. The anticancer drug doxorubicin (DOX) was attached to the N-(2-hydroxypropyl)methacrylamide (HPMA)-based copolymer chain in star polymer systems via a pH-labile hydrazone linkage. Such polymer-DOX conjugates were fairly stable in aqueous solutions at pH 7.4, and the drug was readily released in mildly acidic environments at pH 5-5.5 by hydrolysis of the hydrazone bonds. The cytotoxicity of the polymer conjugates was tested on several CD20-positive or negative human cell lines. Similar levels of in vitro cytotoxicity were observed for all tested polymer conjugates regardless of type or structure. In vivo experiments using primary cell-based murine xenograft models of human diffuse large B-cell lymphoma confirmed the superior anti-lymphoma efficacy of the polymer-bound DOX conjugate when compared with the original drug. Targeting with RTX did not further enhance the anti-lymphoma efficacy relative to the non-targeted star polymer conjugate. Two mechanisms could play roles in these findings: changes in the binding ability to the CD-20 receptor and a significant loss of the immunological properties of RTX in the polymer conjugates.

• Keywords
• HPMA copolymers, doxorubicin, drug delivery systems, drug targeting, monoclonal antibody,
• MeSH
• Apoptosis drug effects   MeSH
• Doxorubicin chemistry   pharmacology   MeSH
• Drug Delivery Systems MeSH
• Humans MeSH
• Lymphoma drug therapy   mortality   pathology   MeSH
• Disease Models, Animal MeSH
• Mice MeSH
• Cell Line, Tumor MeSH
• Polymers * chemistry   MeSH
• Prodrugs * chemistry   pharmacology   MeSH
• Antineoplastic Agents chemistry   pharmacology   MeSH
• Rituximab chemistry   pharmacology   MeSH
• Drug Liberation MeSH
• Cell Survival drug effects   MeSH
• Xenograft Model Antitumor Assays MeSH
• Animals MeSH
• Check Tag
• Humans MeSH
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Doxorubicin MeSH
• Polymers * MeSH
• Prodrugs * MeSH
• Antineoplastic Agents MeSH
• Rituximab MeSH

To avoid the side effects of the anti-cancer drug doxorubicin (Dox), we conjugated this drug to a N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer backbone. Dox was conjugated via an amide bond (Dox-HPMA(AM), PK1) or a hydrazone pH-sensitive bond (Dox-HPMA(HYD)). In contrast to Dox and Dox-HPMA(HYD), Dox-HPMA(AM) accumulates within the cell's intracellular membranes, including those of the Golgi complex and endoplasmic reticulum, both involved in protein glycosylation. Flow cytometry was used to determine lectin binding and cell death, immunoblot to characterize the presence of CD7, CD43, CD44, and CD45, and high-performance anion exchange chromatography with pulsed amperometric detector analysis for characterization of plasma membrane saccharide composition. Incubation of EL4 cells with Dox-HPMA(AM) conjugate, in contrast to Dox or Dox-HPMA(HYD), increased the amounts of membrane surface-associated glycoproteins, as well as saccharide moieties recognized by peanut agglutinin, Erythrina cristagalli, or galectin-1 lectins. Only Dox-HPMA(AM) increased expression of the highly glycosylated membrane glycoprotein CD43, while expression of others (CD7, CD44, and CD45) was unaffected. The binding sites for galectin-1 are present on CD43 molecule. Furthermore, we present that EL4 treated with Dox-HPMA(AM) possesses increased sensitivity to galectin-1-induced apoptosis. In this study, we demonstrate that Dox-HPMA(AM) treatment changes glycosylation of the EL4 T cell lymphoma surface and sensitizes the cells to galectin-1-induced apoptosis.

• MeSH
• Amides chemistry   MeSH
• Leukosialin metabolism   MeSH
• Apoptosis MeSH
• Doxorubicin analogs & derivatives   pharmacology   MeSH
• Endoplasmic Reticulum metabolism   MeSH
• Galectin 1 metabolism   MeSH
• Glycosylation MeSH
• Golgi Apparatus metabolism   MeSH
• Polymethacrylic Acids pharmacology   MeSH
• Lymphoma, T-Cell drug therapy   metabolism   pathology   MeSH
• Mice MeSH
• Cell Line, Tumor drug effects   MeSH
• Drug Carriers MeSH
• Cell Proliferation MeSH
• Antibiotics, Antineoplastic pharmacology   MeSH
• Flow Cytometry MeSH
• Blotting, Western MeSH
• Animals MeSH
• Check Tag
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• Amides MeSH
• Leukosialin MeSH
• doxorubicin-N-(2-hydroxypropyl)methacrylamide copolymer conjugate MeSH Browser
• Doxorubicin MeSH
• Galectin 1 MeSH
• Polymethacrylic Acids MeSH
• Drug Carriers MeSH
• Antibiotics, Antineoplastic MeSH

PURPOSE: In vivo efficacy and safety of HPMA-based copolymers armed with doxorubicin via a spacer containing pH-sensitive linkage that can be prepared within a broad range of attached drug contents (1) was tested in murine tumor models. METHODS: Mice bearing T cell lymphoma EL4 or B cell lymphoma 38C13 were treated with a single dose of the conjugate (15, 25, and 75 mg Dox eq./kg i.v.) in a therapeutic regime. Anti-tumor resistance of the cured animals was proved by a second challenge with a lethal dose of tumor cells without additional treatment. RESULTS: The content of drug bound to the polymer is an important parameter in relation to the conjugate therapeutic efficacy. The best anti-tumor effects were produced by conjugates with 10 - 13 wt% of bound doxorubicin. Free doxorubicin up to 4.6% relative to total drug content had no impact on the treatment efficacy and acute toxicity. The conjugates induced a complete cure of mice and regular treatment-dependent development of specific anti-tumor resistance. No myelosuppression or organ damage was observed. CONCLUSIONS: A well-defined HPMA copolymer-doxorubicin conjugate with pH-sensitive drug release is a good candidate for clinical trials as it has remarkable anti-tumor efficacy and a favorable safety profile.

• MeSH
• Doxorubicin analogs & derivatives   chemical synthesis   pharmacokinetics   pharmacology   MeSH
• Immunomodulation drug effects   MeSH
• Hydrogen-Ion Concentration MeSH
• Polymethacrylic Acids chemical synthesis   pharmacokinetics   pharmacology   MeSH
• Mice MeSH
• Cell Line, Tumor MeSH
• Drug Carriers chemical synthesis   pharmacokinetics   pharmacology   MeSH
• Polymers * chemical synthesis   pharmacokinetics   pharmacology   MeSH
• Cell Proliferation drug effects   MeSH
• Antibiotics, Antineoplastic pharmacokinetics   pharmacology   MeSH
• Xenograft Model Antitumor Assays MeSH
• Animals MeSH
• Check Tag
• Male MeSH
• Mice MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• doxorubicin-N-(2-hydroxypropyl)methacrylamide copolymer conjugate MeSH Browser
• Doxorubicin MeSH
• Polymethacrylic Acids MeSH
• Drug Carriers MeSH
• Polymers * MeSH
• Antibiotics, Antineoplastic MeSH

Linkage of doxorubicin (Dox) to a water-soluble synthetic N-(2-hydroxypropyl)methacrylamide copolymer (PHPMA) eliminates most of the systemic toxicity of the free drug. In EL-4 lymphoma-bearing C57BL/6 mice, a complete regression of pre-established tumours has been achieved upon treatment with Dox-PHPMA-HuIg conjugate. The treatment was effective using a range of regimens and dosages, ranging from 62.5 to 100% cured mice treated with a single dose of 10-20 mg of Dox eq./kg, respectively. Fractionated dosages producing lower levels of the conjugate for a prolonged time period had substantial curative capacity as well. The cured mice developed anti-tumour protection as they rejected subsequently re-transplanted original tumour. The proportion of tumour-protected mice inversely reflected the effectiveness of the primary treatment. The treatment protocol leading to 50% of cured mice produced only protected mice, while no mice treated with early treatment regimen (i.e. starting on day 1 after tumour transplantation) rejected the re-transplanted tumour. Exposure of the host to the cancer cells was a prerequisite for developing protection. The anti-tumour memory was long lasting and specific against the original tumour, as the cured mice did not reject another syngeneic tumour, melanoma B16-F10. The immunity was transferable to naïve recipients in in vivo neutralization assay by spleen cells or CD8(+) lymphocytes derived from cured animals. We propose an effective treatment strategy which eradicates tumours without harming the protective immune anti-cancer responses.

• MeSH
• Doxorubicin analogs & derivatives   therapeutic use   MeSH
• Immunoglobulins therapeutic use   MeSH
• Immune Tolerance * MeSH
• Polymethacrylic Acids therapeutic use   MeSH
• Humans MeSH
• Lymphoma, T-Cell drug therapy   immunology   prevention & control   MeSH
• Melanoma, Experimental drug therapy   immunology   metabolism   MeSH
• Survival Rate MeSH
• Mice, Inbred C57BL MeSH
• Mice, Nude MeSH
• Mice MeSH
• Tumor Cells, Cultured transplantation   MeSH
• Skin Neoplasms drug therapy   immunology   metabolism   MeSH
• Drug Carriers MeSH
• Antibiotics, Antineoplastic therapeutic use   MeSH
• Animals MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Mice MeSH
• Female MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• doxorubicin-N-(2-hydroxypropyl)methacrylamide copolymer conjugate MeSH Browser
• Doxorubicin MeSH
• Immunoglobulins MeSH
• Polymethacrylic Acids MeSH
• Drug Carriers MeSH
• Antibiotics, Antineoplastic MeSH