S. Li et al., FOLATE-MEDIATED TARGETING OF ANTISENSE OLIGODEOXYNUCLEOTIDES TO OVARIAN-CANCER CELLS, Pharmaceutical research, 15(10), 1998, pp. 1540-1545
Purpose. Receptors for vitamin folic acid are frequently overexpressed
on epithelial cancer cells, especially ovarian cancer cells. In this
study, we examined whether this expression might be exploited to speci
fically deliver antisense oligodeoxynucleotides (ODN) to tumor cells.
Methods. A conjugate was prepared by directly coupling folic acid to t
he 3' terminus of an anti-c-fos ODN and its cellular uptake and tumor
inhibitory effect were evaluated using FD2008 cells that overexpress f
olate receptors. Results. When a phosphorothioate (PS)/phosphodiester
(PO) chimeric ODN was conjugated with folic acid, its uptake by FD2008
cells was increased by about 8-Fold (P < 0.01). In contrast, conjugat
ion of folate to the ODN did not increase its uptake by CHO cells that
lack the expression of FBP (P > 0.05). Furthermore, the increase in t
he uptake of conjugated ODN by FD2008 cells could be blocked by adding
an excess amount of folic acid. The PS/PO antisense ODN had some inhi
bitory effect on the growth of FD2008 cells. However, its activity was
significantly increased following conjugation with folic acid (P < 0.
01). ODN of scrambled sequences with and without conjugation with foli
c acid failed to inhibit the growth of FD2008 cells. Finally, the anti
sense effect of the conjugated ODN on FD2008 cells was inhibited by an
excess amount of free folic acid, suggesting that the sequence-depend
ent effect of folate-antisense ODN conjugate was mediated by folate bi
nding protein. Conclusions. Direct derivatization of ODN with folate s
ignificantly improves their targeting efficiency to tumor cells in vit
ro. The folate-conjugated ODN, due to their small size and possibly ef
ficient extravasation at tumor site, has the potential for treating so
lid tumors that overexpress folate receptors.