7-Aminocephalosporin doxorubicin (AC-Dox) was condensed with monometho
xypoly(ethylene glycol)propionic acid N-hydroxysuccinimide ester (5 kD
a) or with a branched form of poly(ethylene glycol)-propionic acid N-h
ydroxysuccinimide ester (10 kDa), forming M-PEG-AC-Dox and B-PEG-AC-Do
x, respectively. These polymer drug derivatives were designed such tha
t doxorubicin would be released upon Enterobacter cloacae beta-lactama
se (bL)-catalyzed hydrolysis. Both M-PEG-AC-Dox (IC50 = 80 mu M) and B
-PEG-AC-Dox (IC50 = 8 mu M) were less toxic to H2981 human lung adenoc
arcinoma cells than doxorubicin (IC50 = 0.1-0.2 mu M) and could be act
ivated in an immunologically specific manner by L6-bL, a monoclonal an
tibody-bL conjugate that bound to H2981 cell surface antigens. In addi
tion, the polymers were relatively stable in mouse plasma (<26% hydrol
ysis after 24 h at 37 degrees C) and were less toxic to mice (maximum
tolerated dose > 52 mu mol/kg) than doxorubicin (maximum tolerated dos
e = 13.8 mu mol/kg). Pharmacokinetic studies were performed in mice be
aring subcutaneous 3677 melanoma tumors. B-PEG-AC-Dox cleared from the
blood more slowly than M-PEG-AC-Dox and was retained to a 2.1-fold gr
eater extent in human 3677 melanoma tumor xenografts over a 4 h period
. The intratumoral concentrations of both polymers far exceeded that o
f doxorubicin. Thus, the PEG-AC-Dox polymers offer the possibility of
generating large intratumoral doxorubicin concentrations owing to thei
r reduced toxicities, the amounts that accumulate in tumors, and the f
act that doxorubicin is released upon beta-lactam ring hydrolysis.