Fmh. De Groot et al., Synthesis and biological evaluation of novel prodrugs of anthracyclines for selective activation by the tumor-associated protease plasmin, J MED CHEM, 42(25), 1999, pp. 5277-5283
New prodrugs of daunorubicin and doxorubicin designed for selective activat
ion by the serine protease plasmin are described. The low toxic prodrugs 3,
4, and 5 are converted to the corresponding cytotoxic drugs upon proteolys
is by the tumor-associated protease plasmin. Application of a self-eliminat
ing spacer was essential for enzyme activation. A prodrug containing a chlo
ro-substituted spacer was synthesized with the aim of enhancing the rate of
conversion by plasmin. All prodrugs were highly stable in buffer solution
and in serum and on the average 15-fold less cytotoxic than the parent drug
s in seven human tumor cell lines. A marked in vitro selectivity was demons
trated by incubation of the doxorubicin prodrugs with a plasmin generating
MCF-7 breast cancer cell. line transfected with urokinase-type plasminogen
activator (u-PA) in comparison with the nontransfected nonplasmin generatin
g cell line. Prodrugs 4 and 5 showed the same cytotoxic effect as the free
parent drug doxorubicin in the u-PA transfected cells, indicating complete
conversion of the prodrug by plasmin. Addition of the plasmin inhibitor Tra
sylol drastically increased the ID50 values in the u-PA transfected MCF-7 c
ells for both prodrugs 4 and 5.