Recombinant
arginine deiminase (rADI) has been used in clinical trials for
arginine-auxotrophic
cancers. However, the emergence of rADI resistance, due to the overexpression of
argininosuccinate synthetase (AS), has introduced an obstacle in its clinical application. Here, we have proposed a strategy for the intracellular delivery of rADI, which depletes both extracellular and intracellular
arginine, to restore the sensitivity of rADI-resistant
cancer cells. In this study, the C terminus of
heparin-binding hemagglutinin adhesion
protein from Mycobacterium tuberculosis (HBHAc), which contains 23
amino acids, was used to deliver rADI into rADI-resistant human breast
adenocarcinoma cells (MCF-7). Chemical conjugates (l- and d-HBHAc-
SPDP-rADI) and a
recombinant fusion protein (rHBHAc-ADI) were produced. l- and d-HBHAc-
SPDP-rADI showed a significantly higher cellular uptake of rADI by MCF-7 cells compared to that of rADI alone. Cell viability was significantly decreased in a dose-dependent manner in response to l- and d-HBHAc-
SPDP-rADI treatments. In addition, the ratio of intracellular concentration of
citrulline to
arginine in cells treated with l- and d-HBHAc-
SPDP-rADI was significantly increased by 1.4- and 1.7-fold, respectively, compared with that obtained in cells treated with rADI alone (p < 0.001). Similar results were obtained with the
recombinant fusion protein rHBHAc-ADI. Our study demonstrates that the increased cellular uptake of rADI by HBHAc modification can restore the sensitivity of rADI treatment in MCF-7 cells. rHBHAc-ADI may represent a novel class of antitumor
enzyme with an intracellular mechanism that is independent of AS expression.