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ARTICLE SelectiveTumorCellTargetingUsing Low-Affinity,MultivalentInteractions CobyB.Carlson†,‡,PatriciaMowery‡,RobertM.Owen†,EmilyC.Dykhuizen†,and LauraL.Kiessling†,‡,§,* †DepartmentofChemistry,1101UniversityAvenue,UniversityofWisconsin–Madison,Madison,Wisconsin53706, ‡DepartmentofBiochemistry,433BabcockDrive,UniversityofWisconsin–Madison,Madison,Wisconsin53706,and §UniversityofWisconsinComprehensiveCancerCenter,Madison,Wisconsin53706 nehundredyearshavepassedsincePaul Ehrlichcoinedtheterm“magicbullet”tode-ABSTRACTThisreporthighlightstheadvantagesoflow-affinity,multivalentin- Oscribeachemotherapeuticthatseeksoutandteractionstorecognizeonecelltypeoveranother.Ourgoalwastodeviseastrat- killsdisease-causingcellswhileleavingnormalonesegytomediateselectivekillingoftumorcells,whichareoftendistinguishedfrom unaffected(1).Thisvisionaryconceptremainsaninspi-normalcellsbytheirhigherlevelsofparticularcellsurfacereceptors.Totest rationformanytargeteddrugstrategies.Indeed,numer-whethermultivalentinteractionscouldleadtohighlyspecificcelltargeting,we ousanticancerdrugsrelyonthehigh-affinitymono-usedachemicallysynthesizedsmall-moleculeligandcomposedoftwodistinctmo- Ϸ–9 valentinteractionbetweenacell-bindingagent(e.g.,tifs:(1)anArg-Gly-Asp(RGD)peptidomimeticthatbindstightly(Kd10M)to ␣␤␣␣ monoclonalantibodyorfragmentthereof)andatumor-v3integrinsand(2)thegalactosyl-(1–3)galactose(-Galepitope),whichisrec- associatedantigentodirectacytotoxicmoietyselec-ognizedbyhumananti-␣-galactosylantibodies(anti-Gal).Importantly,anti-Gal tivelytothetumor(2).Despitethepotentialadvantagesbindingrequiresamultivalentpresentationofcarbohydrateresidues;anti-Galan- Ϸ–5 ofthisstrategy,thismodeofcellrecognitionisabiotic.tibodiesinteractweaklywiththemonovalentoligosaccharide(Kd10M)but Ϸ–11␣ Onecriticalconsequenceofsuchnon-naturalrecogni-bindtightly(Kd10M)tomultivalentdisplaysof-Galepitopes.Suchadis- tionisthatitoftenlackstherequiredselectivity.Thus,playisgeneratedwhenthebifunctionalconjugatedecoratesacellpossessin