Glucarpidase (carboxypeptidase G2) : Biotechnological production, clinical application as a methotrexate antidote, and placement in targeted cancer therapy

Copyright © 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved..

Patients receiving high-dose methotrexate (HDMTX) for malignancies are exposed to diverse complications, including nephrotoxicity, hepatotoxicity, mucositis, myelotoxicity, neurological symptoms, and death. Glucarpidase is a recombinant carboxypeptidase G2 (CPG2) that converts MTX into nontoxic metabolites. In this study, the role of vector type, gene optimization, orientation, and host on the expression of CPG2 is investigated. The effectiveness of various therapeutic regimens containing glucarpidase is classified and perspectives on the dose adjustment based on precision medicine are provided. Conjugation with cell-penetrating peptides, human serum albumin, and polymers such as PEG and dextran for delivery, higher stability, and production of the biobetter variants of CPG2 is highlighted. Conjugation of CPG2 to F(ab՜)2 or scFv antibody fragments against tumor-specific antigens and the corresponding prodrugs for tumor-targeted drug delivery using the antibody-directed enzyme prodrug therapy (ADEPT) is communicated. Trials to reduce the off-target effects and the possibility of repeated ADEPT cycles by adding pro-domains sensitive to tumor-overexpressed proteases, antiCPG2 antibodies, CPG2 mutants with immune-system-unrecognizable epitopes, and protective polymers are reported. Intracellular cpg2 gene expression by gene-directed enzyme prodrug therapy (GDEPT) and the concerns regarding the safety and transfection efficacy of the GDEPT vectors are described. A novel bifunctional platform using engineered CAR-T cell micropharmacies, known as Synthetic Enzyme-Armed KillER (SEAKER) cells, expressing CPG2 to activate prodrugs at the tumor niche is introduced. Taken together, integrated data in this review and recruiting combinatorial strategies in novel drug delivery systems define the future directions of ADEPT, GDEPT, and SEAKER cell therapy and the placement of CPG2 therein.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:166

Enthalten in:

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie - 166(2023) vom: 01. Okt., Seite 115292

Sprache:

Englisch

Beteiligte Personen:

Moradbeygi, Fatemeh [VerfasserIn]
Ghasemi, Younes [VerfasserIn]
Farmani, Ahmad Reza [VerfasserIn]
Hemmati, Shiva [VerfasserIn]

Links:

Volltext

Themen:

2GFP9BJD79
Antibodies
Antibody
Antidotes
CAR-T cell
Cell-penetrating peptides
Drug delivery system
EC 3.4.19.9
Gamma-Glutamyl Hydrolase
Glucarpidase
Journal Article
Methotrexate
Personalized medicine
Polymers
Prodrugs
Review
Targeted cancer therapy
YL5FZ2Y5U1

Anmerkungen:

Date Completed 18.09.2023

Date Revised 18.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.biopha.2023.115292

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36079033X