The design, synthesis, and initial
biological evaluation of a
doxorubicin prodrug that contains a dual
tumor specific moiety, which allows enhanced
tumor recognition potential, is reported. Both a
tumor-specific recognition site and a
tumor selective enzymatic activation sequence are incorporated in the
prodrug. The first
tumor-specific sequence is the bicyclic CDCRGDCFC (RGD-4C)
peptide that selectively binds alpha v beta 3 and alpha v beta 5
integrins. These
integrins are highly overexpressed on invading
tumor endothelial cells. The second
tumor-specific sequence is a D-
Ala-Phe-Lys tripeptide that is selectively recognized by the
tumor-associated
protease plasmin, which is involved in
tumor invasion and
metastasis. An aminocaproyl residue was incorporated as a spacer between the two
peptide sequences, whereas a self-eliminating
4-aminobenzyl alcohol spacer was inserted between the
plasmin substrate and
doxorubicin. Although the
prodrug showed a decreased binding affinity as compared with the unconjugated reference
peptide, it was still a potent
ligand for alpha v beta 3 and alpha v
beta 5 integrin receptors. The synthesized construct also possessed
plasmin substrate properties as demonstrated by
doxorubicin release from 1 upon incubation with
plasmin. The release of
doxorubicin from 1 was not complete, possibly related to low
prodrug solubility. In vitro
prodrug 1 showed
plasmin-dependent cytotoxicity for endothelial cells and HT1080
fibrosarcoma cells. On the basis of these in vitro results, derivatives of 1 with improved water solubility are considered good candidates for additional development and in vivo evaluation of this dual targeting concept.