Growth
hormone (GH) has been implicated in cancer progression andis
a potential target for anticancer therapy. Currently, pegvisomant
is the only GH receptor (GHR) antagonist approved for clinical use.
Pegvisomant is a mutated GH molecule (B2036) which is PEGylated on
amine groups to extend serum half-life. However, PEGylation significantly
reduces the bioactivity of the antagonist in mice. To improve bioactivity,
we generated a series of B2036 conjugates with the site-specific attachment
of 20, 30, or 40 kDa methoxyPEG maleimide (mPEG maleimide) by introduction
of a cysteine residue at amino acid 144 (S144C). Recombinant B2036–S144C
was expressed in Escherichia coli,
purified, and then PEGylated using cysteine-specific conjugation chemistry.
To avoid issues with dimerization due to the introduced cysteine,
B2036–S144C was PEGylated while immobilized on an Ni-nitrilotriacetic
(Ni-NTA) acid column, which effectively reduced disulfide-mediated
dimer formation and allowed efficient conjugation to mPEG maleimide.
Following PEGylation, the IC50 values for the 20, 30, and
40 kDa mPEG maleimide B2036–S144C conjugates were 66.2 ±
3.8, 106.1 ± 7.1, and 127.4 ± 3.6 nM, respectively. The
circulating half-life of the 40 kDa mPEG conjugate was 58.3 h in mice.
Subcutaneous administration of the 40 kDa mPEG conjugate (10 mg/kg/day)
reduced serum insulin-like growth factor I (IGF-I) concentrations
by 50.6%. This in vivo reduction in serum IGF-I was
at a considerably lower dose compared to the higher doses required
to observe comparable activity in studies with pegvisomant. In conclusion,
we have generated a novel PEGylated GHR antagonist by the solid-phase
site-specific attachment of mPEG maleimide at an introduced cysteine
residue, which effectively reduces serum IGF-I in vivo.