Background
Methyl auristatin E, abbreviated as MMAE, molecular formula: C39H67N5O7, CAS number: 474645-27-7, peptide sequence: Me-Val-Val-Unk, is a synthetic anti-tumor drug. Due to its toxicity, it cannot be used as a drug on its own but is linked to a monoclonal antibody (MAB). MMAE is a potent antimitotic drug derived from a polypeptide called dolastatin present in the marine shellless mollusk dolabellaauricularia. These drugs are up to 200 times more potent than vinblastine. Studies have shown that MMAE can disrupt the microtubule dynamics of cells, block the polymerization of intracellular tubulin, cause cell cycle arrest, inhibit cell division, induce cell apoptosis, and then inhibit cell growth and proliferation, thereby achieving for anti-tumor purposes, it has good activity against various malignant tumors such as gastric cancer, lymphoma and breast cancer. However, MMAE is highly toxic and a poorly soluble small molecule. After intravenous injection, it is often distributed throughout the body, causing serious toxicity and adverse reactions to normal tissues. Therefore, MMAE cannot be administered by intravenous drip. At present, it is only used in antibody-drug conjugates. So far, about half of ADC drugs use MMAE. According to international naming guidelines, all ADC drugs that use MMAE must add vedotin after the name, so as long as you see the name Next is vedotin, which means it uses MMAE. The most famous one at present is Brentuximab vedotin (CD30 antibody conjugate drug, BV).
Figure 1. Permeability and retention (EPR) effect of FRRG-MMAE nanoparticles in a breast tumor model. (Source: Cho H, et al. 2022)
ADC (Antibody–drug conjugates) is an antibody drug conjugate, which consists of three parts: a monoclonal antibody, a coupling chain (linker), and a cytotoxic molecule drug. The monoclonal antibody serves as a carrier to target the cytotoxic molecule (i.e., payload). Transported to target cells to play a role, ADC drugs fill the gap between antibody drugs and traditional chemotherapy drugs, improve the specificity of the drug and improve the treatment window, directional release, and more controllable safety. It is the hot research current field of tumor treatment. There are two main types of payloads in ADC: the first type is tubulin inhibitors that disrupt microtubule assembly and affect mitosis, such as Auristatin, DM1, MMAE, and MMAF (Monomethyl auristatin F). The second category is DNA damaging drugs, such as PDB and ducarmycin. Microtubules are the main component of the cytoskeleton and play an important role in the process of cell division. Since tumor cells will maintain rapid proliferation, tubulin inhibitors that interfere with tumor cell mitosis have become one of the directions for tumor drug development. This type of inhibitor mainly inhibits the polymerization of tubulin or promotes the polymerization of tubulin. Among them, MMAE is a typical agent that promotes tubulin polymerization. It acts on the β-subunit of α-β tubulin dimer, causing the growth of microtubules to be unregulated. It is a popular and effective agent in ADC drug load development.
MMAE is 100-1000 times more potent than doxorubicin and cannot be used as a drug itself. However, as part of the ADC, MMAE is linked to a monoclonal antibody (mAb) that recognizes specific marker expression in cancer cells and directs MMAE to specific target cancer cells. The linker connecting MMAE to the monoclonal antibody is stable in the extracellular fluid, but once the ADC binds to the target cancer cell antigen and enters the cancer cell, it is cleaved by cathepsin, after which the ADC releases toxic MMAE and activates effective anti-mitotic activity mechanism. ADCs can enhance the antitumor effects of antibodies and reduce the adverse systemic effects of potent cytotoxic drugs. Cytotoxic molecules are the key to determining the lethality of ADC. In addition to being extremely toxic, they also need to have sufficient water solubility and stability in serum. Among them, MMAE is the most widely used drug on the market. They are polypeptides composed of 5 units. The molecules are highly stable. They are found in plasma, liver lysosomal extracts or proteases such as tissues. No signs of degradation in proteinase B. MMAE has also shown strong activity in some clinical trials of lymphoma, leukemia and solid tumors. Among the approved ADC drugs, ADC drugs with a payload of MMAE account for nearly 50%.
Alternative Names
Monomethyl auristatin E
References
- 1. Cho H, et al. Tumor-Specific Monomethyl Auristatin E (MMAE) Prodrug Nanoparticles for Safe and Effective Chemotherapy. Pharmaceutics. 2022, 14(10):2131.
References
Development of a MMAE-based antibody-drug conjugate targeting B7-H3 for glioblastoma
Eur J Med Chem
Authors: Mao Y, Wei D, Fu F, Wang H, Sun Z, Huang Z, Wang Y, Zhang G, Zhang X, Jiang B, Chen H.
Abstract
B7-H3 (immunoregulatory protein B7-homologue 3) is overexpressed in many cancer cells with limited expression in normal tissues, considered to be a promising target for tumor therapeutics. Clinical trials of antibody-drug conjugates (ADCs) against different targets for glioblastoma have been investigated and showed potent efficacies. In this study, we developed a homogeneous ADC 401-4 with a drug-to-antibody ratio (DAR) of 4, which was prepared by conjugation of Monomethyl auristatin E (MMAE) to a humanized anti-B7-H3 mAb 401, through a divinylsulfonamide-mediated disulfide re-bridging approach. In vitro studies, 401-4 displayed specific killing against B7-H3-expressing tumors and was more effective in cells with higher levels of B7-H3 for different glioblastoma cells. 401-4 was furthered labeled with Cy5.5 to yield a fluorescent conjugate 401-4-Cy5.5. The in vivo imaging studies showed that the conjugate accumulated in tumor regions and exhibited the ability to target-specific delivery. In addition, significant antitumor activities for 401-4 was observed against U87-derived tumor xenografts in a dose dependent manner.
Bivalent EGFR-Targeting DARPin-MMAE Conjugates
Int J Mol Sci
Authors: Karsten L, Janson N, Le Joncour V, Alam S, Müller B, Tanjore Ramanathan J, Laakkonen P, Sewald N, Müller KM.
Abstract
Epidermal growth factor receptor (EGFR) is a validated tumor marker overexpressed in various cancers such as squamous cell carcinoma (SSC) of the head and neck and gliomas. We constructed protein-drug conjugates based on the anti-EGFR Designed Ankyrin Repeat Protein (DARPin) E01, and compared the bivalent DARPin dimer (DD1) and a DARPin-Fc (DFc) to the monomeric DARPin (DM) and the antibody derived scFv425-Fc (scFvFc) in cell culture and a mouse model. The modular conjugation system, which was successfully applied for the preparation of protein-drug and -dye conjugates, uses bio-orthogonal protein-aldehyde generation by the formylglycine-generating enzyme (FGE). The generated carbonyl moiety is addressed by a bifunctional linker with a pyrazolone for a tandem Knoevenagel reaction and an azide for strain-promoted azide-alkyne cycloaddition (SPAAC). The latter reaction with a PEGylated linker containing a dibenzocyclooctyne (DBCO) for SPAAC and monomethyl auristatin E (MMAE) as the toxin provided the stable conjugates DD1-MMAE (drug-antibody ratio, DAR = 2.0) and DFc-MMAE (DAR = 4.0) with sub-nanomolar cytotoxicity against the human squamous carcinoma derived A431 cells. In vivo imaging of Alexa Fluor 647-dye conjugates in A431-xenografted mice bearing subcutaneous tumors as the SCC model revealed unspecific binding of bivalent DARPins to the ubiquitously expressed EGFR. Tumor-targeting was verified 6 h post-injection solely for DD1 and scFvFc. The total of four administrations of 6.5 mg/kg DD1-MMAE or DFc-MMAE twice weekly did not cause any sequela in mice. MMAE conjugates showed no significant anti-tumor efficacy in vivo, but a trend towards increased necrotic areas (p = 0.2213) was observed for the DD1-MMAE (n = 5).