Herein we report the development and biological screening of a bioorthogonal palladium-labile prodrug of the nucleoside analogue floxuridine, a potent antineoplastic drug used in the clinic to treat advanced cancers. N-propargylation of the N3 position of its uracil ring resulted in a vast reduction of its biological activity (~6,250-fold). Cytotoxic properties were bioorthogonally rescued in cancer cell culture by heterogeneous palladium chemistry both in normoxia and hypoxia. Within the same environment, the reported chemo-reversible prodrug exhibited up to 1,450-fold difference of cytotoxicity whether it was in the absence or presence of the extracellular palladium source, underlining the precise modulation of bioactivity enabled by this bioorthogonally-activated prodrug strategy.
Bioorthogonally-activated prodrug therapies are a heterogeneous group of experimentally and clinically-used therapeutic strategies that are founded on a common principle: the site-specific activation of pharmaceutical substances by the mediation of non-biological, non-perturbing physical or chemical stimuli. While the nature and properties of the triggering stimulus can be manifestly diverse and seemingly unrelated (e.g. benign electromagnetic radiations1,2,3,4, metal-free click chemistry5,6,7, mild hyperthermia8,9, bioorthogonal organometallic (BOOM) reactions10,11,12,13, etc.), all these strategies are intrinsically linked by the wide-ranging notion of bioorthogonality coined by Bertozzi a decade ago14,15,16. By virtue of the bioorthogonal action of an external or internal source, precursors of various therapeutic substances, such as reactive oxygen species (photodynamic therapy1), cytotoxic small molecules (activated by photolysis2,3,4, or chemolysis5,6,7,10,11,12,13) or thermoresponsive drugs8,9, can be selectively activated within an anatomical area of a patient (e.g. a tumour), thus reducing the systemic adverse effects of the therapy.
Contributing to the “explosive” emergence of palladium in chemical biology17,18,19,20,21,22,23,24,25, we have recently reported a novel application of BOOM chemistry whereby polymer-entrapped palladium nanoparticles are deployed as extracellular heterogeneous catalysts in cancer cell culture to cleave protecting groups used to inactivate cytotoxic agents, thus restoring the drugs' pharmacological properties in situ10,11,12. Unlike other classes of locally-activated chemotherapies where the activating source generates a short-lived triggering stimulus, the catalytic nature of the reported BOOM reactions means that palladium-functionalized inserts could induce successive activating stimuli (catalytic cycles) in a continuous manner. Thereby, following the intratumoral implantation of a palladium-functionalized device (e.g. by minor surgery), cytotoxic drugs could be locally generated in the area surrounding the insert at levels sustained by the controlled flow (via dosing regulation) of a systemically-administered prodrug.
To develop this experimental approach into an effective therapeutic option, such novel class of drug precursors —i.e. palladium-labile prodrugs— have to be specifically designed to accomplish three goals: (i) eliminating their pharmacological properties; (ii) minimizing their susceptibility to enzymatic cleavage; and (iii) rendering them “cleavable” by palladium catalysis within physiological and pathophysiological environs. So far, only two prodrugs meeting such requirements have been described: 5-fluoro-1-propargyluracil (Pro-5FU, 1)10, which generates cytotoxic 5-fluorouracil (5FU) upon palladium-mediated N-dealkylation; and N-propargyloxycarbonyl (N-Poc) gemcitabine (2)11 which undergoes rapid carbamate cleavage by Pd0 catalysis (Fig. 1a). On the basis of its high sensitivity to palladium and remarkable bioorthogonality (>500-fold less cytotoxic than 5FU), Pro-5FU (1) ideally features the sought-after properties required to implement a palladium-activated prodrug approach. However, since 5FU is a cytotoxic nucleobase of relatively low antiproliferative potency10,12, the levels of drug required to induce a strong phenotypic response could become a limiting factor for its clinical application. On the contrary, the BOOM activation of N-Poc-gemcitabine (2) results in the rapid and efficient generation of a potent anticancer drug (EC50 < 100 nM in tumoral cell lines)11. The caveat for this strategy is that, although it enables the reduction of the prodrug's bioactivity to levels that were satisfactory for cell culture studies (~25-fold decrease of cytotoxicity relative to the parental drug), the limitations in bioorthogonality of the N-Poc masking group were exposed in vivo in zebrafish embryos, where N-Poc-protected rhodamine showed low biochemical stability in the intestinal tract11. Hence, this masking strategy is likely to be suboptimal to satisfy the stability demands required for the translation of this chemistry into the clinic; particularly when the preferable route of administration is enteral.
Given the superior bioorthogonal properties of N-alkyl protecting groups and the efficacy of palladium to cleave propargyl groups at endocyclic nitrogen atoms with lactam/lactim tautomery10,12, we were prompted to investigate whether this novel chemistry could be compatible with drugs of higher structural complexity such as nucleoside analogues, which are reported to be significantly more potent than cytotoxic nucleobases26,27. Based on its chemical structure (Fig. 1b), we reasoned that the clinically-used anticancer drug floxuridine (also known as FUdR, 3) was optimal for developing, and further validating, a propargylation/depropargylation strategy (coupling & decoupling chemistry28).
Results and Discussion
FUdR is an antineoplastic antimetabolite that upon intracellular phosphorylation (on its 5′-OH) causes the inhibition of thymidylate synthetase, resulting in the disruption of DNA synthesis and cytotoxicity. It is the deoxynucleoside analogue of 5FU, possessing superior activity both in cancer cell lines and animal tumour model systems29. While 5FU is predominantly converted into its uridine analogue and incorporated into the RNA, the active forms of FUdR (phosphorylated derivatives) directly disrupt DNA replication, what is supposed to account for the comparative difference in cytotoxicity between the two antimetabolites27,29. FUdR is most commonly administered to patients with advanced colorectal, kidney and stomach cancer, including use as a specific treatment for patients to whom the primary colorectal tumour has metastasized to the liver, where it cannot be removed by surgery30. FUdR clinical trials for the treatment of other late-stage cancers, e.g. advanced pancreatic cancer31, have also found improved survival rates as compared to other chemotherapeutic agents. Treatment with FUdR is however limited by several severe side effects including dose limiting toxicities upon diarrhoea and neutropenia30,31. Apart from systemic adverse effects, its therapeutic action is limited by a short half-life30. FUdR is systemically catabolized into 5FU29,32, thus largely reducing the pharmacodynamic advantage of using FUdR over 5FU.
To overcome FUdR pharmacokinetics issues, a number of prodrugs have been reported in the literature during the last decade33,34,35,36,37,38,39, among which include studies from Nishimoto, Tanabe and coworkers36,37,38,39, who have intensively investigated the development of a varied range of N3-modified stimuli-sensitive FUdR prodrugs. These masking strategies significantly decrease the cytotoxic effect of the drug, thus potentially improving FUdR's therapeutic window, but at levels similar to those found by us when using the carbamate masking strategy11. In contrast, a recent study reported by our group have shown that alkylation of the N3 position of the related drug 5FU results in superior suppression of drug's antiproliferative properties (>100-fold difference)12. Along with this fact, this hydrogen donor group is known to display a fundamental role in the substrate recognition of FUdR by both anabolic and catabolic enzymes40. Consequently, the propargylation of the N3 position of FUdR would not only suppress drug's pharmacological activity but should also protect it from its systemic metabolization into 5FU before reaching the target. Encouraged by this rationale and the unique chemistry of the N3 position (it possesses lactam/lactim tautomery), we decided to investigate the implementation of a bioorthogonal control of drug's pharmacodynamics via heterogeneous palladium chemistry. Pro-FUdR (4) was therefore synthesized following the 3 step procedure described in Fig. 2. In short, hydroxyl groups in the positions 3′ and 5′ of FUdR (3) were first protected using tert-butyldimethylsilyl chloride (TBS-Cl) and imidazole to yield bis-silylated derivative 5. N-alkylation using propargyl bromide41 in the presence of 1,8-diazabicycloundec-7-ene (DBU) and subsequent desilylation of (non-isolated) intermediate 6 with tetrabutylammonium fluoride (TBAF) in THF yielded Pro-FUdR (4) in good overall yield.
The efficacy and stability of the deactivation strategy was first tested in cell culture by performing dose response studies with FUdR and Pro-FUdR in two human cancer cell lines: colorectal cancer HCT116 cells and pancreas adenocarcinoma BxPC-3 cells. As shown in Fig. 3, the 3-propargyl derivative of FUdR displayed a vast reduction in its biological properties relative to the parental drug, with a difference in antiproliferative activity between the two of >6,000-fold (EC50 (Pro-FUdR)/EC50 (FUdR)). This dramatic decrease in cytotoxicity does not only underline the relevant role played by the N3 position in the drug's biological properties, but also the remarkable stability ( = bioorthogonality) of the N-propargyl group to the cell metabolism.
Based on the validated biocompatibility of the components of the solid support42,43 and its suitable size (spheres of 150 μm in diameter, much larger than human cells), Pd0-resins consisting of palladium nanoparticles captured in PEG-grafted polystyrene particles (Supplemental Figure 1) were used to mediate the BOOM conversion of Pro-FUdR into FUdR. Since advanced solid tumors are estimated to have a slightly acidic pH (approx. 0.5–1.0 units below that of healthy tissues)44,45,46, N-dealkylation of Pro-FUdR's was tested in PBS (isotonic buffered solution) at two different pH's (6.5 and 7.5) to assess the compatibility of the reaction in both slightly alkaline and acidic pH's typical from normal and cancer-like extracellular environs. Pd0-resins (0.67 mg/ml) and Pro-FUdR (30 μM) were dispersed in the corresponding biocompatible solution and incubated at 37°C in a thermomixer. Reaction crudes were analyzed at 3 time points (4, 8 and 24 h) by HPLC using a UV detector. Chromatogram analysis showed that, while Pro-FUdR was fully stable in the absence of the triggering stimulus, it completely disappeared in the presence of Pd0 at each of the pH's tested before 24 h incubation, generating FUdR as the main reaction product (see HPLC chromatograms in Supplemental Figure 2). The effect of the pH was noticeable in the shorter incubation periods (4 and 8 h), with slightly superior reaction kinetics being observed at pH = 7.5 (see Table 1). This experiment suggests that the palladium-mediated N-dealkylation of Pro-FUdR is compatible with the range of pH expected to be found in both early (normoxic) and late-stage (hypoxic) cancers.
The efficacy by which the floxuridine prodrug is reverted to its active form via heterogeneous palladium catalysis ( = Pro-FUdR's toxigenicity11) was investigated in cancer cell culture. BxPC-3 and HCT116 cells were treated with Pd0-resins (0.67 mg/ml) and Pro-FUdR (0.0003 to 30 μM) separately (negative controls) or in combination (BOOM activation assay), and unmodified FUdR (0.0003–30 μM) used as the positive control. As expected, cells independently treated with either Pro-FUdR or Pd0-resins did not exhibit any reduction in cell viability (Fig. 4a, b). By contrast, the Pro-FUdR/Pd0-resins combinations displayed a strong toxigenic effect, evidence of the in situ generation of FUdR. Under the action of the triggering stimulus (Pd0-resins), Pro-FUdR exhibited an EC50 value of 0.319 μM in HCT116 cells (see Supplemental Figure 3). Considering that its EC50 without Pd0-resins was 181.1 μM, Pro-FUdR displayed a difference in biological properties of >560-fold from being in the presence or the absence of palladium (EC50 (Pro-FUdR)/EC50 (Pro-FUdR + Pd0)). In agreement with the lower levels of drug required to generate a cytotoxic phenotype in BxPC-3 cells, the EC50 value of the Pro-FUdR/Pd0-resins combination was 0.016 μM (Supplemental Figure 2), thus showing an even higher disparity between the inactive and reactivated drug (23.2 μM vs. 0.016 μM = 1,450-fold). To the best of our knowledge, Pro-FUdR exhibits one of the greatest therapeutic windows displayed in vitro by an antimetabolite prodrug, while having the smallest pro-moiety (38 atomic mass units) used to mask the activity of this family of drugs.
To evaluate whether the reaction kinetics between Pro-FUdR and Pd0-resins could match the direct cytotoxic effect provided by treatment with unmodified FUdR, cell proliferation was monitored for five days by time-lapse imaging using an IncuCyte ZOOM device. As shown in Fig. 4c–f, cells incubated with either Pro-FUdR (in blue) or Pd0-resins (in black) showed a growth curve equivalent to that of untreated cells (in grey). Conversely, combination of Pro-FUdR with Pd0-resins displayed a cytotoxic effect (in green) identical to that of cells incubated with the parental drug (in red). Pro-FUdR's ability to generate an immediate phenotypic effect only when Pd0-resins have been deployed in the culture media (see Supplemental Movies 1 and 2) demonstrates the efficacy of the deactivation strategy, the rapid reaction kinetics of the palladium-mediated N-depropargylation process and the high cytotoxic activity of the released drug (FUdR is 50 to 100-fold more potent than 5FU)10.
Last, the compatibility of the Pro-FUdR's BOOM activation within oxygen deprived environs was investigated by performing the conversion assays with colorectal cancer HCT116 cells inside a hypoxic chamber ([O2] = 0.5%)46. As shown in Fig. 5, the toxigenic effect mediated by the Pro-FUdR/Pd0-resins combination in HCT116 cells in hypoxia were found to be equivalent to that of the combination in normoxic conditions (Fig. 4b), indicating that the oxygen levels have minimal or no influence on the BOOM reaction (see EC50 calculations in Supplemental Figure 4). While this result was anticipated based upon the mechanistic understanding of the dealkylation process11, it is nevertheless important because it suggests that the Pd0-mediated prodrug activation would be compatible with the anticipated oxygen deprived environment found in late-stage tumours. From a chemical point of view, given that the reductive environment of the hypoxic chamber is expected to significantly favour the oxidation state zero of the metal, these results further support that the dealkylation process is mediated by Pd0 in the liquid-solid interphase.
In conclusion, a propargylation/depropargylation strategy has been successfully implemented to develop a truly-bioorthogonal palladium-labile prodrug of a nucleoside analogue, the cytotoxic agent floxuridine (FUdR): a potent drug employed in the clinic to fight advanced solid tumours. Propargylation of the NH group of FUdR's pyrimidine ring yielded a biochemically stable derivative (Pro-FUdR) displaying a vast reduction in cytotoxic activity relative to the unmodified drug (~6,250-fold). Complete palladium-mediated dealkylation of Pro-FUdR was shown to occur in less than 24 h across a range of pH from slightly acidic to physiological, allowing for the induction of a strong and rapid toxigenic effect in cancer cell culture regardless of the oxygen levels. This is the first study to report that palladium depropargylation chemistry is compatible with the relatively low pH and oxygen levels typically found in advanced human cancers. Within the same cellular environment, chemoreversible Pro-FUdR enabled an exquisite pharmacodynamic control by displaying a difference in biological activity of up to 1,450-fold whether it was in the presence or absence of palladium. From a synthetic perspective, the efficacy of palladium in triggering the dealkylation of a compound with the structural complexity of Pro-FUdR significantly expands the scope and applicability of the N-depropargylation approach as a bioorthogonal reaction. The remarkable biological and chemical properties of Pro-FUdR supports further investigations in clinically-relevant animal models and underline the precise modulation of prodrug activation that can be enabled by biocompatible palladium catalysis.
Cell lines were grown in culture media supplemented with serum (10% FBS) and L-glutamine (2 mM) and incubated in a tissue culture incubator at 37°C and 5% CO2. Human pancreas adenocarcinoma BxPC-3 cells (a kind gift from Dr Mark Duxbury) were cultured in Roswell Park Memorial Institute (RPMI) media. Human colorectal carcinoma HCT116 cells (a kind gift from Dr Van Schaeybroeck) was cultured in Dulbecco's Modified Eagle Media (DMEM).
Cell viability studies
Cells were seeded in a 96 well plate format (at 1,000 cells/well for HCT116 and 2,500 cells/well for BxPC-3) and incubated for 48 h before treatment. Each well was then replaced with fresh media containing compound Pro-FUdR or FUdR and incubated for 5 days. Untreated cells were incubated with DMSO (0.1% v/v). Experiments were performed in triplicates. PrestoBlue™ cell viability reagent (10% v/v) was added to each well and the plate incubated for 1 h. Fluorescence emission was detected using a PerkinElmer EnVision 2101 multilabel reader (Perkin Elmer; excitation filter at 540 nm and emissions filter at 590 nm). All conditions were normalized to the untreated cells (100%) and curves fitted using GraphPad Prism using a sigmoidal variable slope curve.
Pd0-mediated dealkylation of Pro-FUdR in cancer cell culture
HCT116 and BxPC-3 cells were plated as described above. Each well was then replaced with fresh media containing: Pd0-resins (0.67 mg/mL); Pro-FUdR (0.3 nM to 30 μM); FUdR (0.3 nM to 30 μM); or combination of 0.67 mg/mL of Pd0-resins + Pro-FUdR (0.3 nM to 30 μM). All experiments, including the untreated cells, contained 0.1% v/v of DMSO and were performed in triplicates. Cells were incubated with drugs for 5 days. PrestoBlue™ cell viability reagent (10% v/v) was added to each well and the plates were incubated for 1 h. Fluorescence emission was detected using a microplate reader and results normalized.
Time-lapse IncuCyte proliferation study
Cell seeding density was optimized to reach confluency at day 5. HCT116 and BxPC-3 cells were plated as described above and each well was then replaced with fresh media containing: Pd0-resins (0.67 mg/mL); Pro-FUdR (3 μM for BxPC-3 and 10 µM for HCT116 cells); FUdR (3 or 10 μM); or combination of 0.67 mg/mL of Pd0-resins + Pro-FUdR (3 or 10 μM). All experiments, including the untreated cells, contained 0.1% v/v of DMSO and were performed in triplicate. Each well was imaged every 3 h over 5 d under standard incubation conditions using an IncuCyte™ ZOOM microscope placed inside an incubator. Image-based analysis of cell confluence was carried out using the IncuCyte™ software.
Pd0-mediated dealkylation of Pro-FUdR in hypoxic model of colorectal cancer
Before treatment, 1,000 cells/well of HCT116 cells were seeded and incubated for 48 h under normoxic conditions. Cells were then treated as described above and immediately placed in a hypoxia chamber H35 Hypoxystation (Don Whitley, Yorks), which was flushed by a gas mixture calibrated to 0.5% O2 concentration. Cell viability experiments were performed and analysed at day 5 of treatment as described before.
We are grateful to the Edinburgh Cancer Research UK Centre for funding this research through the CRUK Development Fund. JTW is grateful to the College of Medicine and Veterinary Medicine and the University of Edinburgh for a Darwin International Scholarship and an Edinburgh Global Research Scholarship. NOC and AUB thank RCUK and IGMM, respectively, for an Academic Fellowship. We thank Carol Ward for her guidance on cell culture in hypoxia.