Poly(ethylene glycol) (PEG) modification of substances with antitumor activ
ity was shown to enhance penetration into growing solid tumors and extend a
ntitumor effects. Accordingly, PEG was introduced as a modifier to two type
s of monoclonal antibodies (N12 and L26) specific to the ErbB2 (HER2) oncop
rotein. These antibodies suppress the growth of tumors overexpressing ErbB2
(e.g. N87 human tumor) and the effect of PEG on their antitumor activity w
as evaluated. Methoxy-PEG-maleimide conjugated to sulfhydryl groups at the
hinge region of the antibodies impaired their antibody binding to N87 tumor
cells and did not enhance the antitumor inhibitory activity in tumor-beari
ng mice. A branched N-hydroxysuccinimide-activated PEG (PEG2), conjugated t
hrough amino groups of the protein, was used for binding to the whole antib
ody (Ab) or to its monomeric Fab' fragment. When tested against N87 cells i
n vitro, the binding activity and antitumor cytotoxic effects of Ab-PEG2 we
re mostly preserved. PEG2 modification did not seem to alter the tumor-inhi
bitory activity of the antibodies in vivo and the same pattern of tumor dev
elopment was observed during the first few weeks following administration.
However, the stimulating effects of PEG were observed at later stages of tu
mor growth since tumor development was either slowed down or completely arr
ested. Furthermore, a second tumor implanted into the same mice during this
later stage was significantly or completely inhibited, as compared to resu
lts in mice injected with the unmodified antibody. The Fab'-PEG2 monomeric
derivative was also shown to be effective in inhibiting the growth of a sec
ond tumor. The extended and prolonged enhancing effect of PEG on the antitu
mor activity of antibodies or Fab' fragments directed against ErbB2 may be
of importance in the treatment of ErbB2-overexpressing neoplasms.