Design and synthesis of a pro-drug of vinblastine targeted at treatment of prostate cancer with enhanced efficacy and reduced systemic toxicity

J Med Chem. 2002 Oct 10;45(21):4706-15. doi: 10.1021/jm020139f.

Abstract

Chemotherapy of prostate cancer with antimitotic agents such as vinblastine and doxorubicin is only marginally effective, due to dose-limiting systemic toxicity. Herein we report the development of peptidyl conjugate 5 of the cytotoxic agent vinblastine (1), along with the results of its in vitro and in vivo evaluation as a pro-drug targeted at prostate cancer cells. Prostate-derived tumors are known to produce significant amounts of prostate specific antigen (PSA), a serine protease with chymotrypsin-like properties. Earlier work in these laboratories established that an appropriately engineered peptidyl pro-drug will release active cytotoxic agent strictly within the microenvironment of the tumor tissue (Garsky, V. M., et al. J. Med.Chem. 2001, 44, 4216-4224). Conjugate 5, which features an octapeptide segment attached by an ester linkage at the 4-position of vinblastine (1), undergoes rapid cleavage by PSA (T(1/2) = 12 min) between the Gln and Ser residues. In nude mouse xenograft studies, 5 reduced circulating PSA levels by 99% and tumor weight by 85% at a dose just below its MTD. By contrast, the putative end-point metabolite, the cytotoxic agent des-acetyl vinblastine (1b), was ineffective in reducing PSA levels and tumor burden at its maximum tolerated doses. Additional data from metabolism studies on 5 support the supervention of a novel in vivo processing mechanism, the spontaneous release of 1b from a dipeptidyl intermediate driven by favorable diketopiperazine formation.

MeSH terms

  • Animals
  • Antineoplastic Agents / chemical synthesis*
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / toxicity
  • Drug Screening Assays, Antitumor
  • Humans
  • Male
  • Mice
  • Mice, Nude
  • Neoplasm Transplantation
  • Oligopeptides / chemical synthesis*
  • Oligopeptides / pharmacology
  • Oligopeptides / toxicity
  • Prodrugs / chemical synthesis*
  • Prodrugs / pharmacology
  • Prodrugs / toxicity
  • Prostatic Neoplasms / drug therapy*
  • Prostatic Neoplasms / pathology
  • Structure-Activity Relationship
  • Tumor Cells, Cultured
  • Vinblastine / analogs & derivatives*
  • Vinblastine / chemical synthesis*
  • Vinblastine / pharmacology
  • Vinblastine / toxicity

Substances

  • 4-O-(acetyl-hydroxyprolyl-seryl-seryl-cyclohexylglycyl-glutaminyl-seryl-seryl-prolyl)-desacetylvinblastine
  • Antineoplastic Agents
  • Oligopeptides
  • Prodrugs
  • Vinblastine