Nandan Sheernaly‡
a,
Irene Shajan‡
b,
Axel Steinbrueck
a,
Bauke Albada
b and
Nils Metzler-Nolte
*a
aFaculty of Chemistry and Biochemistry, Inorganic Chemistry I – Bioinorganic Chemistry, Ruhr-University Bochum, Universitaetsstrasse 150, 44801 Bochum, Germany. E-mail: nils.metzler-nolte@ruhr-uni-bochum.de
bLaboratory of Organic Chemistry, Wageningen University & Research, Stippeneng 4, Wageningen, 6708 WE, The Netherlands
First published on 26th June 2025
Metal chelators belonging to the di-pyridyl-thiosemicarbazone (DpTs) class have shown great promise as adjuvant therapeutics for treating cancer, with DpC and Dp44mT emerging as the lead candidates. Despite their efficacy, these molecules also induce various undesirable side effects due to insufficient cancer cell targeting, highlighting the need to improve their selectivity. Here, we present a first generation of DpT–antibody conjugates. To this end, we developed a facile synthesis to functionalize DpTs strategically with click-able azido linkers. Moreover, selective side-chain modification of the clinical antibody trastuzumab (Tras) with a complementary bis-alkyne moiety is described. Using this new chemistry, we conjugated four different azido DpTs to trastuzumab via a combination of oxidation-controlled quinone (SPOCQ) and strain-promoted alkyne–azide click (SPAAC) chemistry. We evaluated the antiproliferative activity of the resulting novel antibody–drug conjugates (ADCs) against MCF-7 and SK-BR-3 cell lines. Linker positioning on the DpT scaffold significantly influences the cytotoxicity of the conjugates. For instance, conjugating Tras at the ortho position on the Dp44mT scaffold is more efficacious than conjugating at the para position with IC50 values of 25.7 ± 5.5 nM and 103.5 ± 2.0 nM, respectively, against MCF-7 cells. Furthermore, we observe intriguing cell line-dependent activity of the ADCs with increased selectivity towards MCF-7 cells, providing novel insights into the cytotoxic activity of DpTs and their antibody conjugates.
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Fig. 1 Examples of thiosemicarbazones established as promising anticancer agents.13,17 |
A particularly effective approach to address selectivity limitations is the conjugation of drug molecules to cell-targeting antibodies. Over the years, several antibody–drug conjugates (ADCs) that combine the targeting ability of monoclonal antibodies (mAbs) with potent cytotoxic effects of drug payloads have been developed.18 Ideally, a mAb's targeting ability allows precise delivery of the conjugated drug to the tumor site, thereby reducing systemic side effects and broadening the therapeutic window of the drug.19,20 One of the first ADCs approved by the FDA (trastuzumab emtansine (T-DM1)) was based on trastuzumab (Tras), a mAb that targets and binds the HER2 receptors in cancer cells. The binding is known to inhibit signaling pathways promoted by the HER2 receptor, hampering cell proliferation and survival.21,22 While Tras itself has been immensely successful in treating HER2-positive breast cancer, the use of T-DM1 has helped to combat unwanted resistance development and reduce the serious side effects of unconjugated emtansine, such as cardiac toxicity.23 The advent of T-DM1 proved to be pivotal in the development of ADCs as it pioneered the subsequent approval of several ADCs for different cancers.19,24,25
Trastuzumab inhibits downstream pathways like mitogen-activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) and phosphatidylinositol-3 kinase (PI3K)/AKT, making cancer cells susceptible to cell death-inducing agents like the DpTs.26,27 A priori, we hypothesized that conjugating DpTs to Tras could display synergistic effects, considering that the DpTs upon iron chelation are also known to affect similar cellular pathways with respect to Tras.5,28–30 Here, we employed strain-promoted oxidation-controlled cyclooctyne–1,2-quinone (SPOCQ) cycloaddition technology and strain-promoted azide–alkyne click reaction (SPAAC) for the antibody modification and conjugation of DpTs to Tras.31,32 Further, we explored the effects of conjugating the mAb to different positions of the DpT structural motif on the antiproliferative activity of the synthesized ADCs.
Considering that the DpTs utilize Cu(II) and Fe(II) chelation as one of their primary modes of action,3 we envisioned that positioning of the linker is crucial to retain biological activity. Therefore, we decided to place the azido linker at two different positions to compare the effects of the linker positioning on the activities of the modified toxins and resulting ADCs. We developed a versatile synthetic route that allows us to procure both isomers via similar approaches, as illustrated for the ortho derivatives in Scheme 1 below. Synthesis of the representative DpT-O commenced with the formation of 2-pyridylethanol O1 by treating 2-bromo-6-methylpyridine with DMF, followed by reduction of the resulting aldehyde using NaBH4. After protecting the alcohol with TBS, O2 was reacted with 2-cyanopyridine to yield ketone O3. During the acidic work-up, the alcohol was conveniently deprotected via acid hydrolysis, and O3 was then subjected to functional group interconversion to give rise to the azide O5 over two steps. Finally, the latter was condensed with the respective thiosemicarbazide to obtain the DpT-Os (1 and 2) in good yields (cf. ESI†). The corresponding para-substituted derivatives DpT-Ps (3 and 4) were similarly acquired using 2-bromo-4-methylpyridine as the starting material in moderate yields (cf. ESI†).
The final compounds 1–4 were each isolated as an inseparable mixture of E/Z isomers in approximately 1:
1 ratio; 1H NMR spectra of all synthesized DpTs exhibited twice the number of expected signals (e.g., Fig. S25†). Of note, for compounds 1 and 2, the isomers could be distinguished and identified using NOESY and COSY experiments.
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Fig. 3 In vitro activity of the DpT azides as determined by the MTT assay displayed as IC50 (nM) values. SK-BR-3 and MCF-7 cell lines were incubated with the respective compound for 120 h using Dp44mT and DpC as positive controls and 0.5% DMSO as negative control. The values are presented as the mean of three independent experiments ± standard deviation given as error bars. The individual dose–response curves are in the ESI† (Fig. S67 and S68). |
For the MTT assay with the DpT azides, the previously reported incubation period of 72 h, established for the parent DpTs, was insufficient to achieve a 100% decrease in cell viability (Fig. S65 and S66†).40 Notably, approximately 50% of the SK-BR-3 cells remained viable even at the highest tested concentration, compared to 30% viability in MCF-7 cells. Consequently, we chose a prolonged incubation time of 120 h, which led to an adequate decrease in cell viability in both cell lines (Fig. S67 and S68†).
As illustrated in Fig. 3, both unmodified parent DpTs (i.e., Dp44mT and DpC) were found to be similarly active in the low nanomolar range against both cell lines, with slightly better activity observed against MCF-7 cells. However, the four azide-functionalized DpTs displayed notable differences in cytotoxicity: a 5-to-7-fold decrease in activity was observed in SK-BR-3 compared to MCF-7 for each compound. The cytotoxicity of the Dp44mT-derived compounds 1 and 3 appeared mostly retained against MCF-7 cells, with a slight decrease in activity against SK-BR-3 cells. In contrast, DpC azides 2 and 4 showed notably higher IC50 values in both cell lines, especially in SK-BR-3, where the decrease in potency was most pronounced. Interestingly, the position of the linker on the DpT scaffold had no discernible effect on the potency, as all the derivatives showed IC50 values comparable to their regioisomers. In general, despite functionalization, all azide-bearing compounds continued to suppress cellular viability in the nanomolar range upon functionalization, and the cytotoxicity was more prominent in MCF-7 cells than in SK-BR-3 cells.
We employed UV/vis spectroscopy to monitor the absorption changes upon titrating FeCl2 or CuSO4 to the respective DpTs. It has been demonstrated that DpTs form 2:
1 complexes with Fe(II), which is also consistent with our spectroscopic data, as we observed saturation of absorption after titrating 0.5 equiv. of Fe(II) (Fig. S53†).41,42 The DpT–Cu(II) complexes, on the other hand, have been isolated in both 1
:
1 and 2
:
1 binding modes using different reaction conditions.43 Richardson et al. have inferred from EPR data that the Cu(II) complex prefers the 1
:
1 binding mode in solution. In line with these observations, our titrations with Cu(II) showed a saturation of absorption after titrating 1.0 equiv. of Cu(II), indicating a 1
:
1 stoichiometry (Fig. S51†). However, the UV/vis spectra for 3 and 4 initially showed an absorption maximum at 447 nm (Fig. 4 and S51†) at 0.4 equiv. of metal, which shifted to 427 nm as the titration progressed. This shift may indicate that the 2
:
1 complex eventually dissociates into a 1
:
1 complex, suggesting that the binding constant for the latter is higher than that of the former.
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Fig. 4 UV/vis absorption profile acquired by titrating CuSO4 to 50 μM 4 in 75 mM Tris-HCl buffer at pH 7.4. Absorption maximum shifts from 447 nm at 0.4 equiv. to 427 nm at 1.0 equiv. |
Further, the absorption data at λmax centered between 400 and 450 nm of the respective charge transfer bands were plotted against the titrated metal concentrations, and the curves were fitted using 1:
1 and 2
:
1 binding models in Bindfit,39 allowing us to determine the respective association constants (Table 1). Interestingly, the log
β2 values for the DpC–Fe(II) complexes were nearly 3-fold lower than that of the Dp44mT–Fe(II), suggesting that steric hindrance from the cyclohexyl ring in DpCs might be negatively affecting the binding when forming a 2
:
1 complex. On the other hand, the log
Ka values for all the 1
:
1 Cu(II) complexes were similar.
Dp44mT | DpC | 1 | 2 | 3 | 4 | |
---|---|---|---|---|---|---|
Fe(II)L2 | 35.7 ± 0.5 | 10.9 ± 0.1 | 37.6 ± 0.1 | 11.2 ± 0.3 | 38.7 ± 0.2 | 11.7 ± 0.3 |
Cu(II)L | 5.8 ± 0.1 | 5.4 ± 0.2 | 6.4 ± 0.3 | 5.1 ± 0.4 | 5.8 ± 0.3 | 5.5 ± 0.7 |
Clearly, positioning of the linker did not influence metal binding as the derivatives exhibited binding comparable to their corresponding regioisomers. Furthermore, the azide-functionalized DpTs showed binding constants comparable to the unmodified DpTs, indicating that azide-functionalization and the presence of a diastereomeric mixture do not impair chelation.
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Scheme 2 Generation of ADCs 5–8 and TAMRA conjugate 9 from the off-the-shelf antibody trastuzumab. A) A typical enzyme-induced SPOCQ reaction between BCN and o-quinone was generated upon oxidation using mushroom tyrosinase (mTyr). B) Synthesis of bis-BCN (L2). C) Three-step preparation of ADCs: i) enzymatic deglycosylation of the mAb using PNGase F; ii) SPOCQ reaction on deglycosylated mAb; iii) SPAAC with azide-functionalized DpTs and TAMRA-PEG3-azide. See ESI† for full experimental details and characterizing data. |
The synthesis began with an OSu-activation of BCN-OH to form L1, after which it was exposed to PEG3-bisamine, resulting in the formation of the desired bis-BCN linker L2 (Scheme 2B) (see ESI† for detailed synthesis schemes). After deglycosylation of Asn297 of Tras using the enzyme peptide-N-glycosidase F (PNGase F) (Scheme 2C), an exposed proximal tyrosine residue in the Fc region becomes available for SPOCQ conjugation. Specifically, mushroom tyrosinase was applied to oxidize a tyrosine into a reactive o-quinone, which, in the presence of a strained alkyne, i.e., L2 at 4 °C for 16 h, led to an inverse electron-demand Diels–Alder cycloaddition. Using L2, each heavy chain was equipped with a free BCN handle. Having successfully attached the click handles, Tras-BCN2 was treated with one of the different azide-functionalized payloads (1–4) at 4 °C for 16 h, affording the various target ADCs (5–8) at a drug-to-antibody ratio (DAR) of 2. Similarly, TAMRA-PEG3-azide was used to conjugate TAMRA, a rhodamine-based fluorophore, to Tras, yielding 9. RP-HPLC-MS and SDS-PAGE confirmed the formation of the desired products (Scheme 2C, Fig. S54–S58†). Using the same method, a cetuximab (Cet) conjugate of Dp44mT-O 1 was synthesized for use as a negative control. (Fig. S59†).
SK-BR-3 and MCF-7 cells were incubated with the fluorophore conjugate 9 (2 μM) for 2 h and 24 h, respectively, and observed under a confocal microscope (Fig. 5). The two time points were selected to investigate changes in localization patterns in the respective cell lines over time. In SK-BR-3 cells, after 2 h, the conjugate predominantly localized to the cell membrane, likely through binding to the HER2 receptor, with a few intracellular specks also visible. However, after 24 h, the majority of the fluorescence appeared distributed as spots in the cytoplasm, indicating efficient cellular uptake. This behavior is in line with the mechanism of action of Tras and its ADCs, which exert their anticancer activity in a stepwise manner, initially by binding to the extracellular domain of the HER2 receptor, followed by internalization of the payload via endocytosis.26,46 On the other hand, with the MCF-7 cells, while the conjugate did not exhibit binding to the cell membrane after 2 h, minimal uptake was observed. After 24 h, the conjugate eventually showed an intracellular localization pattern similar to the SK-BR-3 cells, suggesting internalization. However, a quantitative comparison of the fluorescence intensities between the images acquired after 24 h revealed that the uptake was approximately 5-fold lower in MCF-7 cells than in SK-BR-3 cells. These results corroborate the low levels of HER2 expression previously observed in MCF-7 cells, thereby confirming the selectivity of Tras towards the SK-BR-3 cells. Furthermore, functionalizing Tras at the tyrosine residues using SPOCQ and SPAAC neither had an impact on the mAb's HER2 binding ability nor its ability to get internalized.
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Fig. 5 (A) Live-cell images acquired after incubating SK-BR-3 and MCF-7 cells with the Tras–(TAMRA)2 conjugate 9 after 2 h and 24 h respectively. Images with untreated control cells can be found in the ESI† (Fig. S73). (B) Fluorescence intensities (brightness) of the images taken after 24 h quantified using ImageJ. The values are presented as the mean of two independent experiments ± standard deviation given as error bars. See ESI† for further experimental details. |
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Fig. 6 (A) In vitro activity of the trastuzumab-based ADCs displayed as IC50 (nM) values. SK-BR-3 and MCF-7 cell lines were incubated with compounds 5–8 for 120 h using Tras, trimmed Tras, Dp44mT, and DpC as controls (only Tras included here; see ESI† for the IC50 values of remaining controls). The individual dose–response curves can be found in the ESI† (Fig. S69 and S70). (B) Dose–response curve obtained after incubating 5 with SK-BR-3 and MCF-7 cells for 2 hours, followed by swapping with fresh media and incubating for a further 118 h. Tras and Dp44mT (Fig. S71†) were used as controls. (C) Dose–response curves of Cet–Dp44mT-O conjugate 10 against SK-BR-3 and MCF-7 cells. Compounds were incubated for 120 h using cetuximab (Cet) and Dp44mT as controls. Each data point presents the mean of three independent experiments ± standard deviation. |
The ADCs correspondingly displayed trastuzumab-dependent baseline activity at low concentrations in SK-BR-3 cells, which was absent in MCF-7 cells (Fig. S69 and S70†). This supports the notion that the antibody remained conjugated to the payload for the incubation time. Interestingly, MCF-7 cells were generally more sensitive to the ADCs at higher concentrations, consistent with the trend observed for the unconjugated azides (Fig. 3). Specifically, we observed a 6-fold and 2-fold difference in cytotoxicity between the two cell lines for conjugates 5 and 7, respectively (Fig. 6A). While the DpC-based ADC 6 was largely non-cytotoxic to both cell lines, the linker positioning played a crucial role in MCF-7 cells, as 8 reduced cell viability by 8-fold. On the other hand, ortho positioning of the linker was more favorable for the Dp44mT-based ADCs as both cell lines were relatively less susceptible to conjugate 7 compared to 5. Overall, these findings suggest that the conjugated DpT payload exerts a greater influence on the in vitro activity, overriding the a priori expected selectivity offered by trastuzumab. Furthermore, while linker position did not affect the cytotoxicity of the azides, ADCs displayed significant potency differences depending on the linker position.
Intrigued by the findings, we picked ADC Tras-(Dp44mT-O)2 5, which displayed the highest potency in both cell lines, to perform further experiments. The uptake studies with 9 had indicated that Tras conjugates in SK-BR-3 cells typically bind to the cell membrane within 2 h and then become internalized. In view of this, we hypothesized that the sustained presence of the conjugates during the entire incubation period might be negatively affecting trastuzumab's selectivity for the cell line. To test this, we incubated compound 5 with both cell lines for 2 h, swapped for fresh media, and continued the incubation for an additional 118 hours (Fig. 6B). We presumed that since negligible uptake had been observed after 2 h of incubation of 9 in MCF-7 cells, the activity would be relatively lower. Interestingly, this adjustment did not alter the cytotoxicity profile, as 5 remained more toxic to MCF-7 and failed to minimize the viability of SK-BR-3 cells even at the highest concentrations, underscoring that the observed activity originates from the toxicity of the payload. In accordance with these results, the control Dp44mT's activity also showed a significant reduction in SK-BR-3 cells (Fig. S71†). Additionally, ADCC was observed for Tras at higher concentrations against SK-BR-3 cells, a pattern that was also evident for 5, implying that Tras-dependent activity persisted.
At this point, one might ask whether modification of the antibody has affected HER2 binding affinity or whether binding is still specific. So, to confirm whether the HER2 binding ability of Tras had been retained after conjugation to DpTs, we performed affinity studies of 5 with the HER2 protein using biolayer interferometry (Fig. 7).47,48 Tras and 9 were included as positive controls, and cetuximab (Cet), a mAb that binds the HER1 receptor, was included as the negative control.49
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Fig. 7 Biolayer interferometry confirms binding of the modified antibodies to the target antigen HER2. Further experimental details can be found in the ESI.† |
The binding of ADC 5 to HER2 protein was observed within the 0–300 s timeframe, closely resembling the binding profiles of the controls Tras and 9. Notably, subsequent washings with PBS did not lead to dissociation, indicating that the constructs retained their binding affinity to HER2. Meanwhile, Cet did not appear to have any affinity for the protein. These results suggest that conjugating DpTs did not alter the HER2 binding ability of the Tras, further supporting the notion that the cell line-specific cytotoxicity of Dp44mT overrides the targeting of Tras.
To further ascertain Dp44mT's prominent role in the activity of the ADCs, we conjugated 1 to Cet. As illustrated in Fig. 6C, the unconjugated control antibody Cet proved non-cytotoxic to both cell lines. Consistent with previous findings, cetuximab conjugate 10 demonstrated a greater cytotoxic effect against MCF-7 cells than SK-BR-3 cells, where it failed to achieve a 100% decrease in cell viability even at the highest concentrations. Notably, we did not observe the Tras-like ADCC against SK-BR-3 cells with Cet, further validating the selectivity of Tras towards this cell line.
Footnotes |
† Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d5md00154d |
‡ These authors contributed equally. |
This journal is © The Royal Society of Chemistry 2025 |