Abstract
This work describes use of anti-carcinoembryonic antigen antibodies (10H6, T84.66) for targeted delivery of an endosomal escape peptide (H6CM18) and gelonin, a type I ribosome inactivating protein. The viability of colorectal cancer cells (LS174T, LoVo) was assessed following treatment with gelonin or gelonin immunotoxins, with or without co-treatment with T84.66-H6CM18. Fluorescent microscopy was used to visualize the escape of immunoconjugates from endosomes of treated cells, and efficacy and toxicity were assessed in vivo in xenograft tumor-bearing mice following single- and multiple-dose regimens. Application of 25 pM T84.66-H6CM18 combined with T84.66-gelonin increased gelonin potency by ~ 1,000-fold and by ~ 6,000-fold in LS174T and LoVo cells. Intravenous 10H6-gelonin at 1.0 mg/kg was well tolerated by LS174T tumor-bearing mice, while 10 and 25 mg/kg doses led to signs of toxicity. Single-dose administration of PBS, gelonin conjugated to T84.66 or 10H6, T84.66-H6CM18, or gelonin immunotoxins co-administered with T84.66-H6CM18 were evaluated. The combinations of T84.66-gelonin + 1.0 mg/kg T84.66-H6CM18 and 10H6-gelonin + 0.1 mg/kg T84.66-H6CM18 led to significant delays in LS174T growth. Use of a multiple-dose regimen allowed further anti-tumor effects, significantly extending median survival time by 33% and by 69%, for mice receiving 1 mg/kg 10H6-gelonin + 0.1 mg/kg T84.66-H6CM18 (p = 0.0072) and 1 mg/kg 10H6-gelonin + 1 mg/kg T84.66-H6CM18 (p = 0.0017). Combined administration of gelonin immunoconjugates with antibody-targeted endosomal escape peptides increased the delivery of gelonin to the cytoplasm of targeted cells, increased gelonin cell killing in vitro by 1,000–6,000 fold, and significantly increased in vivo efficacy.
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Acknowledgements
The authors would like to thank Jacobs School of Medicine and Biomedical Sciences for the use of Leica DMi 8 inverted fluorescence microscope for live cell imaging.
Funding
This work was supported by the National Cancer Institute of National Institutes of Health (grant numbers CA204192 and CA246785).
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J.R.P. and J.P.B. contributed to conceptualization; J.R.P. and P.C. contributed to methodology; J.R.P and P.C. contributed to investigation; J.R.P. contributed to writing—original draft preparation; J.R.P., P.C., B.M.B. and J.P.B. contributed to writing—review and editing; J.P.B. contributed to funding acquisition; J.P.B. provided the resources; J.P.B. contributed to supervision.
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J.P.B. serves as the Director of the University at Buffalo Center for Protein Therapeutics, which is supported by an industry consortium. Through the consortium, J.P.B. has received research support, for work unrelated to this report, from Abbvie, Amgen, CSL-Behring, Eli Lilly, Genentech, GSK, Janssen, Merck, Roche, and Sanofi. During the course of this work, J.P.B. has received consulting fees from companies involved with the development of cancer therapies, including: Abbvie, Amgen, Eli Lilly, Merck, and Pfizer
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Protocols for animal experiments were approved by the Institutional Animal Use and Care Committee of the University at Buffalo (PHC44086Y).
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Polli, J.R., Chen, P., Bordeau, B.M. et al. Targeted Delivery of Endosomal Escape Peptides to Enhance Immunotoxin Potency and Anti-cancer Efficacy. AAPS J 24, 47 (2022). https://doi.org/10.1208/s12248-022-00698-x
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DOI: https://doi.org/10.1208/s12248-022-00698-x