ATTEMPTS system: a macromolecular prodrug strategy for cancer drug delivery

Curr Pharm Des. 2010 Jul;16(21):2369-76. doi: 10.2174/138161210791920441.

Abstract

In order to reduce systemic toxicity and effectively deliver macromolecular drug into tumor cells, a system termed "ATTEMPTS" (antibody targeted, [protamine] triggered, electrically modified prodrug-type strategy) was developed in our laboratory. This approach was adapted from our previously reported heparin/protamine-based system for controlled delivery of protease drugs such as tissue- specific plasminogen activator (tPA). In this "ATTEMPTS" system, the cell-permeable protein drugs are synthesized by conjugating proteins to cell-penetrating peptides (CPPs). Cell penetration ability of such CPP-protein conjugates would initially be disabled, acting as a "prodrug", by forming polyelectrolyte complexes with a functionalized heparin-antibody moiety. The complexes would accumulate in tumor sites by the antibody targeting function, and then the local release of CPP-protein conjugates would be triggered by protamine. We applied this system to the macromolecular anticancer agents, such as the protein drugs (gelonin and asparaginase) as well as the polymerdrugs (polyrotaxane-doxorubicin and polyrotaxane-camptothecin). Both in vitro and preliminary in vivo studies demonstrated the regulable cell penetration behavior based on the competitive ionic interactions between CPP/heparin and heparin/protamine. Thus, this ATTEMPTS approach provides a multi-functionalized system incorporating the features of targeting, prodrug-like, triggerable release, and cell penetration ability for the delivery of macromolecular anticancer agents. A summary of our work on "ATTEMPTS" is presented in this review.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies, Neoplasm / administration & dosage
  • Antibodies, Neoplasm / physiology
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / chemistry*
  • Cell Line, Tumor
  • Drug Delivery Systems / methods*
  • Heparin / administration & dosage
  • Humans
  • Macromolecular Substances / administration & dosage
  • Macromolecular Substances / chemistry
  • Prodrugs / administration & dosage
  • Prodrugs / chemistry*
  • Protamines / administration & dosage

Substances

  • Antibodies, Neoplasm
  • Antineoplastic Agents
  • Macromolecular Substances
  • Prodrugs
  • Protamines
  • Heparin