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[CANCER RESEARCH SI. 4310-4315. August 15. 1991] Chemical Engineering of the Monoclonal Antibody A7 by Polyethylene Glycol for Targeting Cancer Chemotherapy1 Kazuya Kitamura,2 Toshio I akahashi, Toshiharu Yamaguchi, Akinori Noguchi, Akira Noguchi, Ken-ichiroh Takashina, Hiroshi Tsurumi, Masao Inagake, Tatsushi Toyokuni, and Sen-ichiroh Hakomori First Department of Surgery, Kyoto Prefectura! University of Medicine, 465 Kawaramachi-hirokoji, Kamikyo-ku, Kyoto, 602 Japan, and The Biomembrane Institute, Seattle, Washington 98104 and immunogenicity ABSTRACT The murine monoclonal antibody A7 (Mah A7) against human colon cancer was chemically modified with methoxypolyethylene glycol (PEG) (M, 5000). A high substitution of PEG molecules on Mali A7 produced a progressive reduction in antibody-binding activity. The pharmacokinetic and immunological properties of PEG-modified monoclonal antibody A7 (Mab A7) and the PEG-modified F(ab')2 fragment, which retained their antibody-binding activity, were assessed and compared with the parent Mab A7 and the parent F(ab')2 fragment. Blood clearance of PEGmodifÃ-edantibodies appeared to be diminished by PEG modification and was fitted by a two-compartment model. Low PEG-substituted Mab A7 showed less organ uptake in the liver and spleen and similar uptake in the lung and kidney, compared with the parent Mab A7. PEG-F(ab')2 showed less uptake in the liver and kidney. Both preparations exhibited less tissuerblood ratios in all resected organs as compared with parent antibodies. Tumor localization was enhanced by PEG modification for the F(ab')2 fragment, but not by PEG modification for the whole Mab A7. Multiple i.v. administration of PEG-modified antibody to rabbit did not appear to elicit a measurable immune response to the antibody portion of the conjugate. In conclusion, PEG-modified antibodies are promising reagents as drug carriers to the target tumor. INTRODUCTION The use of antibodies as a carrier of pharmacological agents has become more practical since the advent of monoclonal antibody technology, and several studies have demonstrated the potential use of ¡mmunoconjugates in clinical application (15). We have reported immunotargeting chemotherapy using a murine monoclonal antibody A7-drug conjugate for colorectal carcinoma patients (6). One problem that has been encountered clinically with the use of murine monoclonal antibodies is the development of an immune response to the administered anti body. This immune response has led to changes in antibody pharmacokinetics and may lead to more serious problems such as anaphylaxis (7). Thus, our study focused on chemical modi fication of murine monoclonal antibody to reduce the murine immune response. Modification of proteins with a straight chain amphiphilic polymer, methoxypolyethylene glycol, has been shown to elim inate the immunogenicity of the proteins and increase their circulating half-lives in vivo, resulting in augmentation of their biological activity (8-15). We esterized methoxypolyethylene glycol with yV-hydroxysuccinimide by activation of the hydroxy group. Then we attached methoxypolyethylene glycol to Mab A7 and its F(ab')2 fragment in order to eliminate the antimurine of PEG'-modified monoclonal antibody A7. MATERIALS AND METHODS Reagents and Animals. Methoxypolyethylene glycol (M, 5000), dicyclohexylcarbodiimide, ¿V-hydroxysuccinimide,and glutaric anhydride were purchased from Aldrich (Milwaukee, WI). Toluene, dicycloethane, dry pyridine, diethyl ether, chloroform, dimethylformamide, benzene, and petroleum ether were obtained from Nakarai Chemical, Ltd. (Kyoto, Japan). All the reagents used were analytical grade. Female BALB/c mice, BALB/c-nw/nu athymic mice and rabbits were obtained from Shimizu, Inc. (Kyoto, Japan). Preparation of Methoxypolyethylene Glycol /V-Hydroxysuccinimidylglutarate. Methoxypolyethylene glycol jV-hydroxysuccinimidylglutarate was prepared in two steps. The first step followed the procedure of Joppich and Luisi (16). Fifty g of PEG were dissolved in 80 ml of toluene and distilled. After cooling, the solution was reacted with glutaric anhydride (11.5 g) in dicycloethane (200 ml) and dry pyridine (5 ml). The mixture was refluxed under nitrogen gas for 3 days. After filtration and evaporation of the solvent, the residue was dissolved in 100 ml of water and washed twice with 50 ml of diethyl ether. PEGglutarate was then extracted from the water phase with two 50-ml chloroform washes. Evaporation of the chloroform yielded about 38 g of PEG-glutarate. The second step followed a modified version of the procedure de scribed by Anderson et al. (17). The PEG-glutarate was dissolved in 200 ml of dimethylformamide at 37°Cand was reacted with 0.94 g of A'-hydroxysuccinimide. The solution was mixed with 1.7 g of dicyclohexylcarbodiimide in dry dimethylformamide and stirred vigorously in an ice bath. The mixture was then stirred at room temperature for 24 h. Precooled benzene (100 ml) was added, and methoxypolyethylene glycol iV-hydroxysuccinimidyl glutarate was precipitated by the dropwise addition of 200 ml of petroleum ether at 0°C.The precipitate was collected on a sintered glass filter. Dissolution in benzene and precipi tation with petroleum ether was repeated three times. NHS-PEG was stored in a desiccator at -20°C. Production of Monoclonal Antibody A7 and Its F(ab')2 Fragment. The murine monoclonal antibody A7 which recognizes the M, 45,000 glycoprotein in human colon cancer (18) was developed as described by Kotanagi et al. (19). The F(ab')2 fragment was produced by the pepsin digestion of Mab A7 as described in a previous report (20). In brief, the Mab A7-secreting hybridoma was injected i.p. into BALB/c mice and then ascitic fluid was collected. Mab A7 was isolated from the fluid by protein A ligand chromatography (Bio-Rad, Richmond, CA). The F(ab')2 fragment of Mab A7 was produced by the pepsin digestion. Pepsin was purchased from Sigma Chemical Co. (St. Louis, MO). Incubation was performed at 37°Cfor 8 h in 100 mM acetate buffer reaction and to increase tumor localization. The present report describes the chemical properties, in vivo pharmacokinetics, (pH 3.6) with an pepsin:antibody ratio of 1:50. These conditions were considered optimal. The fragment preparation was dialyzed against PBS and purified by gel filtration using a Sephacryl S-200 column (Pharmacia, Uppsala, Sweden). Mab A7, the F(ab')2 fragment, LPEG- Received 2/19/91: accepted 6/5/91. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. ' This work was supported in part by Grants-in-Aid for Cancer Research from the Ministry of Education, Science, and Culture and from the Ministry of Health and Welfare, Japan. 3To whom requests for reprints should be addressed. 3The abbreviations used are: PEG, methoxypolyethylene glycol; Mab A7, monoclonal antibody A7; PBS. phosphate buffered saline; NHS-PEG, methoxy polyethylene glycol jV-hydroxysuccinimidylglutarate; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis; LPEG-A7, low PEG substituted Mab A7; MPEG-A7. medium PEG substituted Mab A7; HPEG-A7. high PEG substituted Mah A7: %ID, percentage of injected dose/g of tissue; ELISA, enzyme-linked ¡mmunosorbent assay; TNBS, trinitrobenzene sulfonate. 4310 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. POLYETHYLENE GLYCOL MODIFICATION A7, and PEG-F(ab')2 were radioiodinated with '"I (Amersham Inter national, Amersham, United Kingdom) by the chloramine-T method (21). The specific activity of Mab A7 and PEG-A7 was 6 x IO6 cpm/ jig, and that of the F(ab')2 fragment and PEG-F(ab')2 was 9 x IO6cpm/ Mg. Attachment of PEG to the Antibody. NHS-PEG was reacted to a free amino group of Mab A7 with NHS-PEG:antibody ratios of 1:15, 1:30, and 1:50 in 0.1 M PBS (pH 7.5). The solution was stirred for 30 min at room temperature, and any remaining activated ester was removed by reaction with excess f-aminocaproic acid for 5 min. Unbound NHSPEG was removed from the reaction mixture by molecular-exclusion chromatography on P-100 (Bio-Rad) in 0.1 M PBS (pH 7.5). The protein concentration of PEG-modified antibody was determined from its absorbance at 280 nm. PEG does not absorb at 280 nm. The attachment of PEG to Mab A7 was confirmed by SDS-PAGE (26). The gel was stained with Coomassie Blue R-250 (Nakarai Chemical, Ltd., Kyoto, Japan). The degree of amino group modification in the antibody molecule was determined by measuring the number of free amino groups with TNBS (23). In a separate experiment, NHS-PEG was added at a stoichiometric molar ratio of 10 to a solution of F(ab')2 in 0.1 M PBS (pH 7.5). The OF Mah A7 four rabbits. The resulting rabbit antimurine response was measured by using a ELISA as described by Shawler et al. (4). Microtiter plate wells were coated by exposure to 1 ¿ig of the parent Mab A7 in 0.01 M PBS (pH 7.5) for 2 h at 37°Cand washed thoroughly. Nonspecific binding sites were blocked using a 5% solution of bovine serum albumin in 0.01 M PBS, (pH 7.5). Wells were incubated with serial dilutions of rabbit sera for l h at 37°C,washed thoroughly, and then exposed to peroxidase-conjugated IgG fraction of goat anti-rabbit IgG (Cappel, West Chester, PA). The color was developed with the addition of 1 mg/ml o-phenylenediamine (Dakopatts, Glostrup, Denmark) in 0.1% (v/v) hydrogen peroxide. Color development was quantified by measuring the absorbance at 492 nm with a commercially available ELISA reader. Titers were defined as the reciprocal of the highest dilution of rabbit sera resulting in 50% of the maximum response. RESULTS Chemical Characterization of PEG-Antibody Conjugates. The attachment of PEG to the antibody was confirmed by SDSPAGE. Under the conditions described in "Materials and Meth ods," NHS-PEG:antibody molar ratios of 1:15, 1:30, and 1:50 next procedure was done as described above. Antibody Binding Activity of PEG-Antibody Conjugates. The antibody binding activities were determined by a competitive radioimmunoassay using a human colon cancer cell line, SW1116. Aliquots of SW1116 cells (2 x IO5)were incubated with '"I-labeled Mab A7 (1 x IO5 cpm) produced low, moderate, and high migration bands on SDSPAGE, respectively. We have designated these samples LPEGA7, MPEG-A7, and HPEG-A7, respectively (Fig. 1). Mab A7 and its F(ab')2 fragment were estimated to have 55 and 30 free in the presence of serially diluted antibodies or PEG conjugates (power of 1/5) in PBS at room temperature for 60 min. The concentration of antibody ranged between 1 and (1/5)5 mg/ml for Mab A7, LPEG-A7, MPEG-A7, and HPEG-A7 and 1/5 and (1/5)7 for F(ab')2 and PEGF(ab')2. The each reaction was performed in triplicate. After centrifu- amino groups by TNBS assay, respectively. TNBS assay also revealed that for LPEG-A7, MPEG-A7, and HPEG-A7, 5, 10, and 15 PEG molecules were substituted on each Mab A7, respectively (Table 1). The F(ab')2 fragment was reacted with a NHS-PEG:antibody molar ratio of 1:15 and the resultant con jugate had a substitution rate of 5 PEG molecules/antibody. gation, the cell pellets were subjected to y counting and the percentage inhibition was calculated as compared to the control. Blood Circulation of PEG Conjugates. '"[-Labeled LPEG-A7 or '"!labeled parent Mab A7 (5 x IO6cpm) was injected i.v. into four BALB/ B c mice of each group. Blood samples were drawn from the tail vein into heparinized capillary tubes at various times after injection. The radio activity of blood samples was measured with a gamma counter. Results were expressed as a percentage of blood concentration at various times, compared with that at 15 min after i.v. injection. The level of the antibodies in the blood were analyzed using a two-compartment open pharmacokinetic model. The analysis was performed using the nonlin ear least-squares program SIMPLEX 4 (24). In a separate experiment, '"I-labeled PEG-F(ab')2 or '"I-labeled parent F(ab')2 (5 x IO6 cpm) was injected into four BALB/c mice of D each group and the next procedure was performed as the same manner as described above. Tissue Distribution of PEG-Antibody Conjugates. BALB/c athymic mice, which were inoculated s.c. with SW1116 cells (5 x IO6),developed a palpable tumor 2 weeks after inoculation. '"I-labeled LPEG-A7 or the '"I-labeled Mab A7 was injected i.v. into four mice of each group. Blood, tumor, and visceral organs were resected and subjected to y counting to measure radioactivity. Visceral organs and tumor distribu tions were examined for each preparation with the values expressed as a %ID and tissue:blood ratio. Normal organ distribution of the two preparations was compared as a %ID and tissue:blood ratio 24 h after administration. Tumor localizations of the two were compared as %ID at 1, 3, 5, and 7 days after injection. In a separate experiment, tissue localization of PEG-F(ab')2 was compared with that of the parent F(ab')2 in the same manner as described above. The '"I-labeled F(ab')2 fragment or '"I-labeled PEGF(ab')2 was injected i.v. into four nude mice of each group. The data were expressed as a %ID and a tissue:blood ratio. Normal organ distributions of the two preparations was compared as a %ID and tissue:blood ratio 12 h after administration. Tumor localization of the two was compared as %ID at 6, 12, 36, and 60 h after injection. Evaluation of the Immunogenicity of the Parent Mab A7 and the MPEG-A7. Immunogenicity was evaluated by the i.v. injection of 1 mg of each preparation three times at weekly intervals in two groups of 150K Fig. 1. SDS-PAGE analysis of the parent Mab A7 and its PEG conjugates. Solutions of the parent Mab A7 and PEG-modified antibodies were subjected to SDS-PAGE (7.5%) in the absence of reducing agent. The gel was stained with Coomassie Blue R-250. A, LPEG-A7; B, MPEG-A7; C, HPEG-A7; D, the parent MabAV. Table 1 Attached PEG molecules per antibody The number of PEG molecules substituted on Mab A7 was estimated using a TNBS assay (24). Data were expressed as mean triplicate measurement. Attached PEG/antibody LPEG MPEG HPEG PEG-F(ab')2 5.1 9.8 14.8 4.9 4311 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. POLYETHYLENE GLYCOL MODIFICATION OF Mah A7 33.6 and 38.1 h, respectively (Fig. 3A). Those of F(ab'>2 and PEG-F(ab')2 were tv,a of 3.6 and 5.6 h and tvßof 26.7 and 33.6 h, respectively (Fig. 3Ä). Tissue Distribution. The tissue distributions of LPEG-A7 and PEG-F(ab')2 were compared to those of the parent antibodies in nude mice bearing transplantable xenogenic SW1116 tumors to which the parent antibodies are known to localize (20). The tumor localization profile of LPEG-A7 was identical to that of the parent Mab A7 with respect to %ID in the tumor (Fig. 4). PEG-F(ab')2 had a higher %ID in the tumor when compared with the parent F(ab')2 fragment at various times after injection (Fig. 5). To clarify the specificity, visceral organ distributions of LPEG-A7 and the parent Mab A7 were examined. The results in Fig. 6/4, show %ID 24 h after injection. A higher %ID in the liver and spleen was found for the parent Mab A7 compared to LPEG-A7. There was no difference in kidney and lung distri bution between the parent Mab A7 and LPEG-A7. Tissue:blood ratios were higher for the parent Mab A7 than for the LPEGA7 in all resected organs (Fig. 6B). Additionally, the tissue distribution of PEG-F(ab')2 was compared with that of the parent F(ab')2 fragment with respect to %ID (Fig. 1A) and a Antibody Concentration (mg/ml) 100 90. 80 TO 60 tissue:blood ratio 12 h after injection (Fig. IB). A higher %ID in the liver and kidney was found for the parent F(ab')2 frag- SO ! I 40 30 20 10 fiV IsJ fit UJ fi)4 liY (iV fi)1 Uj UJ UJ UJ 100908070- Antibody Concentration img/mll Fig. 2. Antibody-binding activity of PEG-modified antibodies. SW1 116 cells were incubated with 1 X 10' cpm of '"1-labeled Mah A7 containing various concentrations of antibodies and their PEG conjugates (diluted with power of I/ 5). After washing and centrifugaron, the cell pellets »eresubjected to 7-counting for the measurement of radioactivity. A, the parent Mab A7 (O). LPEG-A7 (•), MPEG-A7 (A), HPEG-A7 (D). B. the parent F(ab')2 fragment (•).PEG-F(ab')2 60- 1 5040302010- P). 0 12 24 hr Antibody Binding Activities of PEG-Antibody Conjugates. The antibody binding activities of LPEG-A7, MPEG-A7, and HPEG-A7 were each compared to the parent Mab A7 by a competitive radioimmunoassay. The results showed that while LPEG-A7 retained the antibody-binding activity of parent Mab A7, the binding activity of HPEG-A7 markedly reduced and that of MPEG-A7 was reduced somewhat (Fig. 2A). In a separate experiment, the binding activity of PEG-F(ab')2 was examined in the same manners as described above. Fig. 2B shows that PEG-F(ab')2 retained a binding activity nearly iden tical to that of the parent F(ab')2 fragment. Blood Clearance. Of the four PEG-antibody preparations characterized thus far, LPEG-A7 and PEG-F(ab')2 were tested for pharmacokinetics. These conjugates were selected because they had the ability to preserve their antibody-binding activity. Blood clearances of LPEG-A7 and PEG-F(ab')2 were each compared to that of their respective parent, Mab A7 or the F(ab')2 fragment. Fig. 3 shows the pharmacokinetic profiles of LPEG-A7, the parent Mab A7, PEG-F(ab')2 and the parent F(ab')2 fragment. In each case, an initial rapid decline was followed by a much slower phase of decline. The observed values closely fit the computer-generated curve for a two-com partment system for 24 h of observation. Blood half-lives of Mab A7 and LPEG-A7 were tv,a of 3.6 and 5.4 h and tv,ß of 24 hr Fig. 3. Blood circulation of PEG conjugates. '"I-labeled Mab A7, the '"Ilabeled F(ab')2 fragment, and their radiolabeled PEG conjugates (5 x 10' cpm, each) were injected i.v. into four BALB/c mice of each groups. Blood samples taken from the tail vein were subjected to i-counting for radioactivity. Data were expressed as a percentage of blood concentration 15 min after injection. Points, mean; bars, SE. A, Mab A7 (•),LPEG-A7 (D). The t*a values of Mab A7 and LPEG-A7 equal 3.6 and 5.4 h, respectively. The rtt/3 values of Mab A7 and LPEG-A7 equal 33.6 and 38.1 h, respectively. B, F(ab')2 fragment (•),PEGF(ab')2 (O). The frt«values of Mab A7 and LPEG-A7 equal 3.6 and 5.6 h, respectively. The tv,ß values of Mab A7 and LPEG equal 26.7 and 33.6 h, respectively. 4312 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. POLYETHYLENE GLYCOL MODIFICATION 100 • 1 3 5 7 day Fig. 4. Tumor localization of the parent Mab A7 and LPEG-A7. '"I-labeled Mab A7 and '"I-labeled LPEG-A7 (5 x 10' cpm, each) were injected i.v. into four nude mice of each group. Mice were sacrificed at 1,3, 5, and 7 days after injection and tumors were resected and weighed. The tumors were then subjected to 7-counting for radioactivity. Data were expressed as a %ID. Points, mean; bars, SE. Mab A7 (O), LPEG-A7 (A). OF Mah A7 molar ratio of activated PEG to antibody, yielding conjugates with an average of 5 to 20 molecules of PEG per antibody. An initial stoichiometric molar ratio greater than 100:1 generates the formation of high molecular weight polymeric aggregation. We produced antibodies with low, moderate, and high degrees of PEG substitution on Mab A7 (LPEG-A7, MPEG-A7, HPEG-A7) and examined their antibody-binding activities. The result showed that the antibody binding activity to antigenpositive cells was retained by LPEG-A7, lost by HPEG-A7, and partially lost by MPEG-A7. The loss of antibody-binding activ ity after extensive chemical modification suggests that lysine residues may be involved at the antigen-binding site of the antibody. Since increasing the extent of PEG modification excessively caused a progressive reduction in the antibody-binding activity, LPEG-A7 and PEG-F(ab')2 were tested for the pharmacokinetics and tissue distributions. As was the case with some enzymes, PEG attachment to Mab A7 or its F(ab')2 was shown to markedly increase the circulatory half-life of the antibody. I I SPLEEN 20 60 hr 40 Fig. 5. Tumor localization of the F(ab')2 fragment and PEG-F(ab')2. The 12!1labeled F(ab')2 fragment and '"I-labeled PEG-F(ab')2 (5 x 10' cpm, each) were LIVER injected i.v. into four nude mice of each group. Mice were killed at 6, 12, 36. and 60 h after injection and resected tumors were weighed, the tumors were then subjected to -y-counting for radioactivity. Data were expressed as a %ID. Points, mean; ears, SE. F(ab')2 fragment (O), PEG-F(ab')2 (•). TUMOR ment. The ratios were found to be higher for the parent F(ab')2 fragment in all resected organs. Immunogenicity of PEG-modified Mab A7. The immunogenicity of MPEG-A7 was evaluated by measuring the immune response. Rabbits were repeatedly immunized with either the parent Mab A7 or MPEG-A7 as indicated in "Materials and Methods" and the antimurine immune response was deter BLOOD mined by ELISA (Fig. 8). After three i.v. immunizations with the parent Mab A7 (shown by arrow), the rabbits developed a marked immune response against the parent Mab A7. In con trast, when MPEG-A7 was administered i.v., a significant im mune response was not observed although a slight response was observed after the second injection. These findings suggest that PEG modification of murine monoclonal antibodies reduces the host immune response against the murine antibody. LUNG KIDNEY SPLEEN LIVER DISCUSSION TUMOR Methoxypolyethylene glycol was esterized with 7V-hydroxysuccinimide by activation of the hydroxy group in two steps (13). The active ester content was 77% as measured by Nhydroxysuccinimide release (24) (data not shown). This ester reacts predominantly with free amino groups mainly derived from the lysine residue of the antibody. The degree of PEG substitution can be varied by adjusting the initial stoichiometric 0.2 0.4 0.8 1.0 TISSUE TO BLOOD RATIOS Fig. 6. Tissue distribution of the parent Mab A7 and LPEG-A7. '"I-labeled Mab A7 and I-labeled PEG-A7 were injected i.v. into four nude mice of each group which were sacrificed 24 h after injection. Tissues were resected, weighed, and subjected to 7-counting. Data were expressed as a %ID (A) and a tissue:blood ratio (B). Bars, SE. Mab A7 (•),LPEG-A7 (m). 4313 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. POLYETHYLENE GLYCOL MODIFICATION OF Mah A7 Tissue:blood ratios were simultaneously calculated at the same time points. Because our preliminary experiment have revealed that tissue accumulation of F(ab')2 fragment and whole Mab BLOOD A7 reached maximum 12 and 24 h after injection, respectively. LPEG-A7 was absorbed less by the liver and spleen than the parent Mab A7. PEG-F(ab')2 was absorbed less by the liver and kidney than the parent F(ab')2 fragment. The difference in tissue distribution between PEG modified antibodies and the parent antibodies was especially pronounced for the liver. The thera peutic effect of the immunoconjugate A7-NCS was tested clin ically on patients who had metastatic colorectal carcinoma in the liver (6). In addition, radioimmunodetection of liver metas tasis is being undertaken using whole Mab A7 and its F(ab')2 fragment. LPEG-A7 and PEG-F(ab')2 may be appropriate for LIVER targeting cancer chemotherapy or radioimmunodetection of liver metastasis, since it is distributed to the normal liver tissue to a lesser extent and remains in the tumor at a high concentra tion. Although it is unclear why PEG-modified antibodies ac cumulate less in normal organs, an inherent property of PEG or a removal of nonspecific binding to the Fc portion by a masking effect of PEG may be responsible for this. In tumor localization studies, LPEG-A7 showed a profile identical to that of the parent Mab A7, while tumor localization of the F(ab')2 fragment was enhanced by PEG modification. In TUMOR BLOOD spite of enhanced blood retention, PEG modification did not increase tumor localization for whole Mab A7. On the other hand, PEG-F(ab')2 exhibited augmented tumor localization in comparison with the parent F(ab')2 fragment. It is suggested LUNG KIDNEY that the reason for this discrepancy between whole Mab A7 and F(ab')2 fragment is the difference in molecular size. In other words, the target tumor is more accessible to PEG-F(ab')2 since SPLEEN it can easily exude through the transcapillary route due to a smaller molecular size. F(ab')2 fragment is thought to have LIVER TUMOR 0.2 0.4 0.6 0.8 1.0 TISSUE TO BLOOD RATIOS Fig. 7. Tissue distribution of the F(ab')2 fragment and PEG-F(ab')2. 125Ilabeled F(ab')2 fragment and '"I-labeled PEG-F(ab')2 (5 x 10' each) were injected i.v. into four nude mice of each group. Mice were sacrificed at 12 h after injection, and the liver, spleen, kidneys, and lungs were resected to be subjected to ycounting. Data were expressed as a %ID and a tissue:blood ratios. Bars, SE. F(ab')2 (•):PEG-F(ab')2 (E). Those clearance curves were best fitted to a two-compartment model. In both antibody preparations, PEG modification en hanced «and ßhalf-lives of parent antibodies. Lobuglio et al. (25) have reported that the a half-life represented the equilib rium of IgG between the intra- and extravascular spaces. Lisi et al. (26) have shown that PEG-modified proteins are more resistant to proteolysis than the corresponding unmodified protein, suggesting that the ßhalf-life is thought to be reflect the catabolism of immunoglobulin. Therefore, the prolongation of circulatory half-life by PEG modification may be accounted for as follows: (a) PEG shields the proteolytic site on the antibody with resulted in inhibiting catabolism of the antibody; and (b) PEG modification decreases normal organ uptake of the antibody. Normal organ distribution of the parent antibodies and those PEG conjugates were compared by examining a %ID 12 h for F(ab')2 fragment and 24 h after injection for whole Mab A7. rapid blood clearance resulting in less tumor accumulation as compared with whole antibody. Chemical modification such as PEG attachment may be especially beneficial for the use of the F(ab')2 fragment in targeting cancer therapy. When MPEG-A7 or the parent Mab A7 was repeatedly injected i.v. into rabbits, the Mab A7-treated group exhibited a strong antimurine reaction against the protein portion of the conjugate, while no significant anti-murine antibody formation was observed in the MPEG-A7-treated group. In this study, the MPEG-A7 preparation was used instead of the LPEG-A7 I I P 1 3 3 12345 1 Wwk»aft«rinjection Fig. 8. Antimurine immune response. One mg of Mab A7 (•)or MPEG-A7 (O) was injected i.v. into three rabbits of each group. Rabbit anti-murine IgG response was measured by ELISA as described in "Materials and Methods" Arrows, indicate injection with 1 mg of Mab A7 or MPEG-A7. Titers were expressed as the reciprocal of the highest dilution of rabbit sera resulting in 50% of the maximum response. Points, mean. Arrows, infusion of I mg of antibody preparations. 4314 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. POLYETHYLENE GLYCOL MODIFICATION preparation since it was impossible to separate the unmodified Mab A7 from the LPEG-A7 preparation. If the PEG-modified antibody preparation contains even a small amount of unmod ified antibody, an antimurine immune response would be in duced in the same manner as observed in the parent Mab A7treated group. In preliminary experiments, a solid phase sand wich ELISA revealed that anti-murine rabbit or goat serum reacted with Mab A7 but not with LPEG-A7. This suggests the PEG attached to the antibody may hinder a immunogenic portion of antibody which would cause an antimurine reaction. These findings indicate that PEG modification can apparently reduce the host immune response against murine monoclonal antibodies. In summary, this report described the chemical modification of Mab A7 by covalent attachment of PEG to generate conju gates with low nonspecific uptake, low immunogenicity, and high tumor uptake. This modified form of the antibody may be useful in clinical applications of murine monoclonal antibodies. 11. 12. 13. 14. 15. 16. 17. 18. REFERENCES 1. Miller, R. A., and Levy, R. Response to cutaneous T cell lymphoma to therapy with hybridoma monoclonal antibody. Lancet. 2: 226-230. 1981. 2. Herlyn. D.. and Koprowski, H. IgG2a monoclonal antibodies inhibit human tumor growth through interaction with effector cells. Proc. Nati. Acad. Sci. USA. 79:4761-4765, 1982. 3. Hurwitz. E. Specific and nonspecific macromolecule-drug conjugates for the improvement of cancer chemotherapy. Biopolymer. 22: 557-567. 1983. 4. Shawler. D. L., Bartholomew, R. M., Smith, L. M., and Dillman, R. O. Human immune response to multiple injection of murine monoclonal IgG. J. Immunol., 135: 1530-1535. 1985. 5. Tsukada. Y., Ohkawa. K.. and Hibi. N. Therapeutic effect of treatment with polyclonal or monoclonal antibodies to «-fetoprotein that have been conju gated to daunomycin via dextran bridge: studies with an «-fetoprotein pro ducing rat hepatoma tumor model. Cancer Res.. 47: 4293-4295, 1987. 6. Takahashi, T., Yamaguchi, T., Riunitimi. K., Suzuyama, H.. Honda, M., Yokota. T., Kotanagi, H., Takahashi, M., and Hashimoto. Y. Clinical appli cation of monoclonal antibody-drug conjugates for immunotargeting chemo therapy of colorectal carcinoma. Cancer (Phila.). 61: 881-888, 1988. 7. Honda, M., Takahashi. T., and Yamaguchi, T. Immunoresponse in clinical use of immunoconjugate A7-NCS—with special reference to changes in human anti-mouse antibody level (in Japanese). Biotherapy 4: 844-847, 1990. 8. Abuchowski, A.. McCoy. J. R.. Palczuk. T. E.. and Davis. F. F. Effects of covalent attachment of polyethylene glycol on immunogenicity and circulat ing life of bovine liver cataÃ-ase.J. Biol. Chem., 252: 3582-3586, 1977. 9. Davis, S., Park, Y.. Abuchowski. A., and Davis. F. F. Hypouricaemic effect of polyethylene glycol modified urate oxidase. Lancet. 2: 281-283. 1981. 10. Abuchowski, A., Davis, F. F., and Davis, S. Immunosuppressive properties and circulating life of Achromobacler glutaminase-asparaginase covalenti}' 19. 20. 21. 22. 23. 24. 25. 26. 27. OF Mah A7 attached to polyethylene glycol in man. Cancer Treat. Res., 65: 1077-1081, 1981. Abuchowski, A., Karp, D., and Davis, F. F. Reduction of plasma urate levels in the cockerel with polyethylene glycol-uricase. J. Pharmacol. Exp. Ther., 2/9:352-354, 1981. Matsushima, A.. Okada. M.. and Inada. Y. Chymotrypsin modified with polyethylene glycol catalyzes peptide synthesis reaction in benzene. FEBS Lett., 178: 275-277. 1984. Abuchowski. A.. Kazo. G. M., Verhoest, C. R.. Es, T. V., Kafkewitz, D., Nucci, M. L., Viau, A. T., and Davis, F. F. Cancer therapy with chemically modified enzymes. Anti-tumor properties of polyethylene glycol-asparaginase conjugates. Cancer Biochem. Biophys.. 7: 175-186, 1984. Katre, N. V., Knauf, M. J., and Laird. W. J. Chemical modification of recombinant interleukin 2 by polyethylene glycol increases its potency in the murine Meth A sarcoma model. Proc. Nati. Acad. Sci. USA. 84:1487-1491, 1987. Wilkinson. I., Jackson, C. J. C.. Lang, G. M., Strevens-Holford, V., and Schon, A. H. Tolerogenic polyethylene glycol derivatives of xenogeneic monoclonal immunoglobulins. Immunol. Lett., /5: 17-22, 1987. Joppich. M., and Luisi. P. L. Peptides flanked by two polymer chains: synthesis of glycyl-L-tryptophylglycine substituted by polyethylene oxide at both the carboxy and the amino end groups. Macromol. Chem.. 180: 1381, 1979. Anderson, G. W.. Zimmerman. J. E., and Callahan, F. M. The use of esters of iV-hydroxysuccinimide in peptide synthesis. J. Am. Chem. Soc., 86: 18391842, 1964. k il,m im.i. K.. Takahashi. T.. Yamaguchi, T.. Yokota, T., Noguchi, A., Amagai, T., and Imanishi. J. Immunochemical characterization of the antigen recognized by the murine monoclonal antibody A7 against human colorectal cancer. Tohoku J. Exp. Med.. 757: 83-92. 1988. Kotanagi, H.. Takahashi. T.. Masuko, T., Hashimoto, Y., and Koyama, K. A monoclonal antibody against human colon cancers. Tohoku J. Exp. Med., 148: 353-360. 1986. Kitamura, K., Takahashi, T., Yamaguchi, T., Kitai, S., Amagai, T., and Imanishi. J. Monoclonal antibody A7 tumor localization enhancement by its F(ab')2 fragment to colon carcinoma xenografts in nude mice. Jpn. J. Clin. Oncol., 20: 139-144, 1990. Greenwood, F. C., Hunter, W. M., and Glover, J. S. The preparation of 131Ilabeled human growth hormone of high specific reactivity. Biochem. J., 89: 114-123, 1963. laminili. U. K. Cleavage of structural proteins during the assembly of the band of bacteriophage T4. Nature (Lond.), 227: 680-685, 1970. Synder, S. L., and Sobocinski, P. Z. An improved 2,4,6-trinitrobenzenesulfonic acid method for the determination of amines. Anal. Biochem., 64: 284288, 1975. Mirón,T., and Wilchek, M. A spectrometric assay for soluble and immobi lized iV-hydroxysuccinimide esters. Anal. Biochem., 126:433-435, 1982. Lobuglio. A. F.. Wheeler. R. H., Trang, J., Haynes, A., Rogers, K., Harvey, E. B., Sun, L.. Ghrayeb, J.. and Khazaeli. M. B. Mouse/human chimeric monoclonal antibody in man: kinetics and immune response. Proc. Nati. Acad. Sci., USA, 86: 4220-4224, 1989. Lisi, P. L., van Es, T., Abuchowski, A., Palczuk, N. C., and Davis, F. F. Polyethylene glycol:/j-glucuronidase conjugates as potential therapeutic agents in acid mucopolysaccharidosis. J. Appi. Biochem., 4: 19-33, 1982. Andrew. S. M., Pimm. M. V.. Perkins, A. C.. and Baldwin. R. W. Compar ative imaging and biodistribution studies with an anti-CEA monoclonal antibody and its F(ab')2 and Fab fragments in mice with colon carcinoma xenografts. Eur. J. NucÃ-.Med., 12: 168-175, 1986. 4315 Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research. Chemical Engineering of the Monoclonal Antibody A7 by Polyethylene Glycol for Targeting Cancer Chemotherapy Kazuya Kitamura, Toshio Takahashi, Toshiharu Yamaguchi, et al. Cancer Res 1991;51:4310-4315. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/51/16/4310 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. Downloaded from cancerres.aacrjournals.org on August 9, 2017. © 1991 American Association for Cancer Research.