Bladder cancer photodynamic therapeutic agents with off-on magnetic resonance imaging enhancement
11491224 · 2022-11-08
Assignee
Inventors
Cpc classification
A61B5/055
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
A61K41/0076
HUMAN NECESSITIES
A61N5/062
HUMAN NECESSITIES
C07F17/02
CHEMISTRY; METALLURGY
C07F19/00
CHEMISTRY; METALLURGY
A61K41/0071
HUMAN NECESSITIES
G01R33/5601
PHYSICS
C07F5/00
CHEMISTRY; METALLURGY
International classification
A61K9/00
HUMAN NECESSITIES
G01R33/56
PHYSICS
C07F5/00
CHEMISTRY; METALLURGY
A61K41/00
HUMAN NECESSITIES
A61B5/055
HUMAN NECESSITIES
Abstract
Provided herein are porphyrinato-lanthanide complexes useful as theranostic agents and methods of preparation and use thereof. The porphyrinato-lanthanide complexes are useful in the treatment and imaging of cancer.
Claims
1. A metal complex comprising a compound of Formula I: ##STR00039## or a pharmaceutically acceptable salt thereof, wherein M has the structure: ##STR00040## X is absent, ##STR00041## Y is —(CH.sub.2).sub.n—; —(CH.sub.2CH.sub.2O).sub.nCH.sub.2—; —(CH.sub.2CH.sub.2O).sub.n—; —(OCH.sub.2CH.sub.2).sub.n—; and Z is —(C═O)NHR.sup.3; or M is 2H or Zn.sup.2+; X is absent; Y is —(OCH.sub.2CH.sub.2).sub.n— or ##STR00042## and; Z is ##STR00043## A is an optionally substituted phenyl; n is a whole number selected between 1-10; Ln for each instance is independently a paramagnetic metal ion; each R.sup.1 is independently optionally substituted aryl; each R.sup.2 is independently alkyl; R.sup.3 is SEQ ID NO:1, SEQ ID NO:2, or SEQ ID NO:3; each R.sup.4 is independently O.sup.−, N(R.sup.5).sub.2, or NHR.sup.3; and each R.sup.5 is independently H or alkyl, with the proviso that at least one of M or Z comprises Ln and if M is 2H or Zn.sup.2+; X is absent; and Y is —(OCH.sub.2CH.sub.2).sub.n—, then two instance of R.sup.4 are each N(R.sup.5).sub.2; and one instance of R.sup.4 is NHR.sup.3.
2. The metal complex of claim 1, wherein Ln is selected from Gd(III).
3. The metal complex of claim 1, wherein M has the structure: ##STR00044## X is ##STR00045## Y is —(CH.sub.2).sub.n—; —(CH.sub.2CH.sub.2O).sub.nCH.sub.2—; —(CH.sub.2CH.sub.2O).sub.n—; —(OCH.sub.2CH.sub.2).sub.n—; and Z is —(C═O)NHR.sup.3.
4. The metal complex of claim 3, wherein X is ##STR00046## Y is —(CH.sub.2CH.sub.2O).sub.nCH.sub.2—; and R.sup.2 C.sub.1-C.sub.4 alkyl.
5. The metal complex of claim 3, wherein X is ##STR00047## Y is —(CH.sub.2CH.sub.2O).sub.n—; and R.sup.2 C.sub.1-C.sub.4 alkyl.
6. The metal complex of claim 1, wherein the compound of Formula I is selected from the group consisting of: ##STR00048## wherein Ln is Gd(III).
7. The metal complex of claim 1, wherein M is 2H or Zn.sup.2+; X is absent; Y is —(OCH.sub.2CH.sub.2).sub.n—; or ##STR00049## and Z is ##STR00050##
8. The metal complex of claim 7, wherein Y is ##STR00051## and R.sup.4 is O— or NHR.sup.5.
9. The metal complex of claim 7, wherein Y is —(OCH.sub.2CH.sub.2).sub.n—; two instance of R.sup.4 are each N(R.sup.5).sub.2; and one instance of R.sup.4 is NHR.sup.3.
10. The metal complex of claim 1, wherein the compound of Formula I is selected from the group consisting of: ##STR00052## wherein Ln is Gd(III); and R.sup.4 is O.sup.− or NH(tBu).
11. A pharmaceutical composition comprising the metal complex of claim 1 and at least one pharmaceutically acceptable excipient.
12. A method of imaging a subject by magnetic resonance imaging (MRI), the method comprising: administering a therapeutically effective amount of a metal complex of claim 1 to the subject; and imaging at least a portion of the subject by MRI.
13. The method claim 12, wherein the metal complex is selected from the group consisting of: ##STR00053## ##STR00054## wherein Ln is Gd(III); and R.sup.4 is O.sup.− or NH(tBu).
14. The method of claim 12 further comprising the step of administering a therapeutically effective amount of a cancer therapeutic to the subject.
15. A method of treating cancer in a subject in need thereof, the method comprising administering a therapeutically effective amount of a metal complex of claim 1; and irradiating a target tissue comprising the cancer with electromagnetic radiation having a wavelength within the activation wavelength of the metal complex.
16. The method of claim 15, wherein the cancer is bladder cancer.
17. The method claim 15, wherein the metal complex is selected from the group consisting of: ##STR00055## ##STR00056## wherein Ln is Gd(III); and R.sup.4 is O.sup.− or NH(tBu).
18. A method of imaging a subject by magnetic resonance imaging (MRI) and treating cancer in the subject, the method comprising: administering a therapeutically effective amount of a metal complex of claim 1 to the subject; irradiating a target tissue comprising the cancer with electromagnetic radiation having a wavelength within the activation wavelength of the metal complex; and imaging at least a portion of the subject by MRI.
19. The method claim 18, wherein the metal complex is selected from the group consisting of: ##STR00057## ##STR00058## wherein Ln is Gd(III); and R.sup.4 is O.sup.31 or NH(tBu).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The above and other objects and features of the present invention will become apparent from the following description of the invention, when taken in conjunction with the accompanying drawings, in which:
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DETAILED DESCRIPTION
Definitions
(56) The definitions of terms used herein are meant to incorporate the present state-of-the-art definitions recognized for each term in the field of biotechnology. Where appropriate, exemplification is provided. The definitions apply to the terms as they are used throughout this specification, unless otherwise limited in specific instances, either individually or as part of a larger group.
(57) When trade names are used herein, applicants intend to independently include the trade name product formulation, the generic drug, and the active pharmaceutical ingredient(s) of the trade name product.
(58) The term “heteroatom” is art-recognized and refers to an atom of any element other than carbon or hydrogen. Illustrative heteroatoms include boron, nitrogen, oxygen, phosphorus, sulfur and selenium.
(59) The term “alkyl” is art-recognized, and includes saturated aliphatic groups, including straight-chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups. In certain embodiments, a straight chain or branched chain alkyl has about 30 or fewer carbon atoms in its backbone (e.g., C.sub.1-C.sub.30 for straight chain, C.sub.3-C.sub.30 for branched chain), and alternatively, about 20 or fewer. Likewise, cycloalkyls have from about 3 to about 10 carbon atoms in their ring structure, and alternatively about 5, 6 or 7 carbons in the ring structure.
(60) Unless the number of carbons is otherwise specified, “lower alkyl” refers to an alkyl group, as defined above, but having from one to about ten carbons, alternatively from one to about six carbon atoms in its backbone structure. Likewise, “lower alkenyl” and “lower alkynyl” have similar chain lengths.
(61) The term “aralkyl” is art-recognized and refers to an alkyl group substituted with an aryl group (e.g., an aromatic or heteroaromatic group).
(62) The terms “alkenyl” and “alkynyl” are art-recognized and refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond respectively.
(63) The term “aryl” is art-recognized and refers to 5-, 6- and 7-membered single-ring aromatic groups that may include from zero to four heteroatoms, for example, benzene, naphthalene, anthracene, pyrene, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, triazole, pyrazole, pyridine, pyrazine, pyridazine and pyrimidine, and the like. Those aryl groups having heteroatoms in the ring structure may also be referred to as “aryl heterocycles” or “heteroaromatics.” The aromatic ring may be substituted at one or more ring positions with such substituents as described above, for example, halogen, azide, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, alkoxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, sulfonamido, ketone, aldehyde, ester, heterocyclyl, aromatic or heteroaromatic moieties, —CF.sub.3, —CN, or the like. The term “aryl” also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings (the rings are “fused rings”) wherein at least one of the rings is aromatic, e.g., the other cyclic rings may be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or heterocyclyls.
(64) The terms ortho, meta and para are art-recognized and refer to 1,2-, 1,3- and 1,4-disubstituted benzenes, respectively. For example, the names 1,2-dimethylbenzene and ortho-dimethylbenzene are synonymous.
(65) The terms “heterocyclyl”, “heteroaryl”, or “heterocyclic group” are art-recognized and refer to 3- to about 10-membered ring structures, alternatively 3- to about 7-membered rings, whose ring structures include one to four heteroatoms. Heterocycles may also be polycycles. Heterocyclyl groups include, for example, thiophene, thianthrene, furan, pyran, isobenzofuran, chromene, xanthene, phenoxanthene, pyrrole, imidazole, pyrazole, isothiazole, isoxazole, pyridine, pyrazine, pyrimidine, pyridazine, indolizine, isoindole, indole, indazole, purine, quinolizine, isoquinoline, quinoline, phthalazine, naphthyridine, quinoxaline, quinazoline, cinnoline, pteridine, carbazole, carboline, phenanthridine, acridine, pyrimidine, phenanthroline, phenazine, phenarsazine, phenothiazine, furazan, phenoxazine, pyrrolidine, oxolane, thiolane, oxazole, piperidine, piperazine, morpholine, lactones, lactams such as azetidinones and pyrrolidinones, sultams, sultones, and the like. The heterocyclic ring may be substituted at one or more positions with such substituents as described above, as for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, ketone, aldehyde, ester, a heterocyclyl, an aromatic or heteroaromatic moiety, —CF.sub.3, —CN, or the like.
(66) The term “optionally substituted” refers to a chemical group, such as alkyl, cycloalkyl aryl, and the like, wherein one or more hydrogen may be replaced with a with a substituent as described herein, for example, halogen, azide, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, alkoxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, sulfonamido, ketone, aldehyde, ester, heterocyclyl, aromatic or heteroaromatic moieties, —CF.sub.3, —CN, or the like
(67) The terms “polycyclyl” or “polycyclic group” are art-recognized and refer to two or more rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or heterocyclyls) in which two or more carbons are common to two adjoining rings, e.g., the rings are “fused rings”. Rings that are joined through non-adjacent atoms are termed “bridged” rings. Each of the rings of the polycycle may be substituted with such substituents as described above, as for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, ketone, aldehyde, ester, a heterocyclyl, an aromatic or heteroaromatic moiety, —CF.sub.3, —CN, or the like.
(68) The term “carbocycle” is art-recognized and refers to an aromatic or non-aromatic ring in which each atom of the ring is carbon.
(69) The term “nitro” is art-recognized and refers to —NO.sub.2; the term “halogen” is art-recognized and refers to —F, —Cl, —Br or —I; the term “sulfhydryl” is art-recognized and refers to —SH; the term “hydroxyl” means —OH; and the term “sulfonyl” and “sulfone” is art-recognized and refers to —SO.sub.2—. “Halide” designates the corresponding anion of the halogens.
(70) The term “pharmaceutically acceptable salt” or “salt” refers to a salt of one or more compounds. Suitable pharmaceutically acceptable salts of compounds include acid addition salts which may, for example, be formed by mixing a solution of the compound with a solution of a pharmaceutically acceptable acid, such as hydrochloric acid, hydrobromic acid, sulfuric acid, fumaric acid, oxalic acid, maleic acid, succinic acid, benzoic acid, acetic acid, citric acid, tartaric acid, phosphoric acid, carbonic acid, or the like. Where the compounds carry one or more acidic moieties, pharmaceutically acceptable salts may be formed by treatment of a solution of the compound with a solution of a pharmaceutically acceptable base, such as lithium hydroxide, sodium hydroxide, potassium hydroxide, tetraalkylammonium hydroxide, lithium carbonate, sodium carbonate, potassium carbonate, ammonia, alkylamines, or the like.
(71) The term “subject” as used herein, refers to an animal, typically a mammal or a human, that will be or has been the object of treatment, observation, and/or experiment. When the term is used in conjunction with administration of a metal complex described herein and/or other therapeutic, then the subject has been the object of treatment, observation, and/or administration of the metal complex described herein or drug.
(72) The terms “co-administration” and “co-administering” refer to both concurrent administration (administration of two or more therapeutic agents at the same time) and time varied administration (administration of one or more therapeutic agents at a time different from that of the administration of an additional therapeutic agent or agents), as long as the therapeutic agents are present in the patient to some extent at the same time.
(73) The term “therapeutically effective amount” as used herein, means that amount of active compound or pharmaceutical agent that elicits a biological, medicinal, or imaging response in a cell culture, tissue system, subject, animal, or human that is being sought by a researcher, veterinarian, clinician, or physician, which includes alleviation of the symptoms of the disease, condition, or disorder being treated and/or achieving the desired degree of magnetic resonance imaging contrast enhancement.
(74) The term “composition” is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product that results, directly or indirectly, from combinations of the specified ingredients in the specified amounts.
(75) The term “pharmaceutically acceptable carrier” refers to a medium that is used to prepare a desired dosage form of a compound. A pharmaceutically acceptable carrier can include one or more solvents, diluents, or other liquid vehicles; dispersion or suspension aids; surface active agents; isotonic agents; thickening or emulsifying agents; preservatives; solid binders; lubricants; and the like. Remington's Pharmaceutical Sciences, Fifteenth Edition, E. W. Martin (Mack Publishing Co., Easton, Pa., 1975) and Handbook of Pharmaceutical Excipients, Third Edition, A. H. Kibbe ed. (American Pharmaceutical Assoc. 2000), disclose various carriers used in formulating pharmaceutical compositions and known techniques for the preparation thereof.
(76) Provided herein is a metal complex comprising a compound of the Formula I:
(77) ##STR00026##
(78) or a pharmaceutically acceptable thereof, wherein
(79) M is 2H or Zn.sup.2+; or M has the structure:
(80) ##STR00027##
(81) A is an optionally substituted phenyl;
(82) X is absent,
(83) ##STR00028##
(84) Y is —(CH.sub.2).sub.n—, —(CH.sub.2CH.sub.2O).sub.nCH.sub.2—, —(CH.sub.2CH.sub.2O).sub.nCH.sub.2CH.sub.2—, —(OCH.sub.2CH.sub.2O).sub.nCH.sub.2—, (CH.sub.2CH.sub.2O).sub.nCH.sub.2CH.sub.2—, —(CH.sub.2CH.sub.2O).sub.n—, —(OCH.sub.2CH.sub.2).sub.n—, or
(85) ##STR00029##
(86) Z is —(C═O)NHR.sup.3 or
(87) ##STR00030##
(88) n is a whole number selected between 1-10;
(89) Ln for each instance is independently a paramagnetic metal ion;
(90) each R.sup.1 is independently optionally substituted aryl;
(91) each R.sup.2 is independently alkyl;
(92) R.sup.3 is SEQ ID NO:1 (Ahx D-Cys Gln Asp Gly Arg Met Gly Phe D-Cys, wherein Ahx is aminocaproic acid and D-Cys is the D-isomer of cysteine), SEQ ID NO:2 (Ahx D-Cys Gly Arg Leu Lys Glu Lys Lys D-Cys), or SEQ ID NO:3 (Ahx Arg Arg D-Arg Lys Xaa D-Cys Gly Arg Leu Lys Glu Lys Lys D-Cys);
(93) each R.sup.4 is independently O.sup.−, N(R.sup.5).sub.2, or NHR.sup.3; and
(94) each R.sup.5 is independently H or alkyl, with the proviso that at least one of M or Z comprises Ln.
(95) In certain embodiments, the compound of Formula 1 can have an overall charge, e.g., of +1, +2, +3, or +4. In such cases, one or more counter anions can be present thereby yielding a charge neutral metal complex salt. Any substantially non-toxic anion can be used for the charge neutral metal complex salt. The selection of a suitable counter ion is well within the skill of a person of ordinary skill in the art. Exemplary anions include, but are not limited to, chloride, bromide, iodide, nitrate, sulfate, phosphate, carbonate, bicarbonate, tartrate, maleate, lactate, oxalate, formate, acetate, fumarate, maleate, mesylate, tosylate, adipate, caprate, caproate, caprylate, dodecylsulfate, glutarate, laurate, oleate, palmitate, citrate, hexaoate, glycolate, succinate, and the like. In certain embodiments, the metal complex is an oxalate salt.
(96) In certain embodiments, each instance of Ln is a paramagnetic metal ion independently selected from the group consisting of the lanthanide series, e.g., having an atomic number of 57-70, and a transition metal of an atomic number of 21-29, 42, or 44.
(97) In certain embodiments, each instance of Ln is independently selected from the group consisting of chromium(III), manganese(II), iron(III), iron(II), cobalt(II), nickel(II), copper(II), praseodymium(III), neodymium(III), samarium(III), ytterbium(III), gadolinium(III), terbium(III), dysprosium(III), holmium(III), erbium(III), lanthamium(III), gold(III), lead(II), bismuth(III), and europium(III). In certain embodiments, Ln is gadolinium(III).
(98) In certain embodiments, n is a whole number selected from 1-9, 1-8, 1-7, 1-6, 2-6, 3-6, or 3-5.
(99) A can be a divalent optionally substituted phenyl group which is covalently bound to porphyrin moiety and X in the 1 and 2 (ortho), 1 and 3 (meta), or 1 and 4 (para) positions of the phenyl group. In certain embodiments, A is a phenyl optionally substituted with 1, 2, 3, 4, or 5 substituents selected from the group consisting of fluoride, chloride, bromide, iodide, nitro, cyano, hydroxyl, alkyl, alkenyl, alkynyl, cycloalkyl, heterocyl, aryl, heteroaryl, —N(R).sub.2, —OR, —SR, —(S═O)R, —SO.sub.2R, SO.sub.2N(R).sub.2, —(C═O)R, —O(C═O)R, —(C═O)OR, —O(C═O)OR, —(C═O)N(R).sub.2, and —N(R)(C═O)(R), wherein R is hydrogen, alkyl, or aryl. In certain embodiments, A is selected from:
(100) ##STR00031##
(101) In instances in which X is absent, the metal complex of Formula I can be represented by the structure shown below:
(102) ##STR00032##
(103) In certain embodiments, each R.sup.1 is independently selected from optionally substituted phenyl, optionally substituted napthyl, optionally substituted furan, optionally substituted pyrrole, optionally substituted imidazole, optionally substituted thiazole, optionally substituted pyridine, optionally substituted pyrazine, and the like. In certain embodiments, R.sup.1 is a phenyl optionally substituted with 1, 2, 3, 4, or 5 substituents selected from the group consisting of fluoride, chloride, bromide, iodide, nitro, cyano, hydroxyl, alkyl, alkenyl, alkynyl, cycloalkyl, heterocyl, aryl, heteroaryl, —N(R).sub.2, —OR, —SR, —(S═O)R, —SO.sub.2R, —(C═O)R, —O(C═O)R, —(C═O)OR, —O(C═O)OR, —(C═O)N(R).sub.2, and —N(R)(C═O)(R), wherein R is hydrogen, alkyl, or aryl. In certain embodiments, R.sup.1 is phenyl optionally substituted with 1, 2, 3, 4, or 5 substituents selected from the group consisting fluoride and —OR, wherein R is C.sub.1-C.sub.6 alkyl or C.sub.1-C.sub.3 alkyl.
(104) In certain embodiments, R.sup.2 is independently C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.5 alkyl, C.sub.1-C.sub.4 alkyl, or C.sub.1-C.sub.3 alkyl.
(105) R.sup.3 can be a polypeptide sequence selected from the group consisting of SEQ ID NO:1, SEQ ID NO:2, and SEQ ID NO:3. The polypeptides are covalently bonded via the terminal amine.
(106) In certain embodiments, each R.sup.5 is independently hydrogen, C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.5 alkyl, C.sub.1-C.sub.4 alkyl, or C.sub.1-C.sub.3 alkyl.
(107) In certain embodiments, M has the structure:
(108) ##STR00033##
(109) A is optionally substituted para phenyl;
(110) R.sup.2 is C.sub.1-C.sub.3 alkyl;
(111) X is
(112) ##STR00034##
(113) Y is —(CH.sub.2).sub.n—; —(CH.sub.2CH.sub.2O).sub.nCH.sub.2—; —(CH.sub.2CH.sub.2O).sub.n—; —(OCH.sub.2CH.sub.2).sub.n—, wherein n is a whole number selected from 3-5; and
(114) Z is —(C═O)NHR.sup.3.
(115) In certain embodiments, M is 2H or Zn.sup.2+; A is optionally substituted para phenyl;
(116) X is absent or
(117) ##STR00035##
Y is —(OCH.sub.2CH.sub.2).sub.n—; or
(118) ##STR00036##
and Z is
(119) ##STR00037##
wherein R.sup.4 is O.sup.−, N(R.sup.5).sub.2, or NHR.sup.3; and each R.sup.5 is independently hydrogen or C.sub.1-C.sub.3 alkyl.
(120) In certain embodiments, the compound of Formula I is selected from the group consisting of:
(121) ##STR00038##
(122) The present disclosure also provides a pharmaceutical composition comprising a metal complex described herein and at least one pharmaceutically acceptable excipient.
(123) The metal complex described herein and their pharmaceutically acceptable salts can be administered to a mammalian subject either alone or in combination with pharmaceutically acceptable carriers or diluents in a pharmaceutical composition according to standard pharmaceutical practice. The metal complex can be administered orally or parenterally. Parenteral administration includes intravenous, intramuscular, intraperitoneal, subcutaneous and topical, the preferred method being intravenous administration.
(124) Accordingly, the present disclosure provides pharmaceutically acceptable compositions, which comprise a therapeutically-effective amount of one or more of the metal complexes described herein, formulated together with one or more pharmaceutically acceptable carriers (additives) and/or diluents. The pharmaceutical compositions of the present disclosure may be specially formulated for administration in solid or liquid form, including those adapted for the following: (1) parenteral administration, for example, by subcutaneous, intramuscular, intravenous or epidural injection as, for example, a sterile solution or suspension, or sustained-release formulation; and (2) oral administration, for example, drenches (aqueous or non-aqueous solutions or suspensions), tablets, e.g., those targeted for buccal, sublingual, and systemic absorption, boluses, powders, granules, pastes for application to the tongue. In certain embodiments, the method of administration of metal complexes of the present disclosure is parental administration (intravenous).
(125) As set out herein, certain embodiments of the metal complexes described herein may contain a cationic complex, and are, thus, capable of forming pharmaceutically-acceptable salts with pharmaceutically-acceptable anions. The term “pharmaceutically-acceptable salts” in this respect, refers to the relatively non-toxic, inorganic and organic salts of compounds of the present disclosure. These salts can be prepared in situ in the administration vehicle or the dosage form manufacturing process, or by separately. Representative salts include the bromide, chloride, sulfate, bisulfate, nitrate, acetate, valerate, oleate, palmitate, stearate, laurate, benzoate, lactate, phosphate, tosylate, citrate, oxalate, maleate, fumarate, succinate, tartrate, napthylate, mesylate, glucoheptonate, lactobionate, and laurylsulphonate salts and the like.
(126) The pharmaceutically acceptable salts of the metal complexes of the present disclosure include the conventional nontoxic salts or quaternary ammonium salts of the metal complexes, e.g., from nontoxic organic or inorganic acids. For example, such conventional nontoxic salts include those derived from inorganic acids such as hydrochloride, hydrobromic, sulfuric, sulfamic, phosphoric, nitric, and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, palmitic, maleic, hydroxymaleic; phenylacetic, glutamic, benzoic, salicyclic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isothionic, and the like.
(127) In other cases, the metal complexes described herein may contain one or more acidic functional groups and, thus, are capable of forming pharmaceutically-acceptable salts with pharmaceutically-acceptable bases. The term “pharmaceutically-acceptable salts” in these instances refers to the relatively non-toxic, inorganic and organic base addition salts of compounds of the present disclosure. These salts can likewise be prepared in situ in the administration vehicle or the dosage form manufacturing process, or by separately reacting the purified metal complexes in its free acid form with a suitable base, such as the hydroxide, carbonate or bicarbonate of a pharmaceutically-acceptable metal cation, with ammonia, or with a pharmaceutically-acceptable organic primary, secondary or tertiary amine. Representative alkali or alkaline earth salts include the lithium, sodium, potassium, calcium, magnesium, and aluminum salts and the like. Representative organic amines useful for the formation of base addition salts include ethylamine, diethylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine and the like.
(128) Wetting agents, emulsifiers and lubricants, such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives, solubilizing agents, buffers and antioxidants can also be present in the compositions.
(129) Methods of preparing these formulations or compositions include the step of bringing into association a metal complex described herein with the carrier and, optionally, one or more accessory ingredients. In general, the formulations are prepared by uniformly and intimately bringing into association a compound of the present disclosure with liquid carriers (liquid formulation), liquid carriers followed by lyophylization (powder formulation for reconstitution with sterile water or the like), or finely divided solid carriers, or both, and then, if necessary, shaping or packaging the product.
(130) Pharmaceutical compositions of the present disclosure suitable for parenteral administration comprise one or more metal complexes of the present disclosure in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which may be reconstituted into sterile injectable solutions or dispersions just prior to use, which may contain sugars, alcohols, antioxidants, buffers, bacteriostats, chelating agents, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents. In the examples, the active ingredients are brought together with the pharmaceutically acceptable carriers in solution and then lyophilized to yield a dry powder. The dry powder is packaged in unit dosage form and then reconstituted for parental administration by adding a sterile solution, such as water or normal saline, to the powder.
(131) Examples of suitable aqueous and nonaqueous carriers which may be employed in the pharmaceutical compositions of the invention include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
(132) These compositions may also contain adjuvants, such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms upon the compounds of the present disclosure may be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and the like. It may also be desirable to include isotonic agents, such as sugars, sodium chloride, and the like into the compositions. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents which delay absorption such as aluminum monostearate and gelatin.
(133) The phrases “parenteral administration” and “administered parenterally” as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticulare, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
(134) The phrases “systemic administration,” “administered systemically,” “peripheral administration” and “administered peripherally” as used herein mean the administration of a compound, drug or other material other than directly into the central nervous system, such that it enters the patient's system and, thus, is, subject to metabolism and other like processes, for example, subcutaneous administration.
(135) Also provided herein is a method of imaging a subject by magnetic resonance imaging (MRI), the method comprising: administering a therapeutically effective amount of a metal complex as described herein; and imaging at least a portion of the subject by MRI. In certain embodiments the at least a portion of the subject is suspected of having cancer. In certain embodiments, the at least a portion of the subject is the bladder of the subject.
(136) In certain embodiments, the subject a canine, feline, bovine, equine, non-human primate, or human. In certain embodiments, the subject is a human.
(137) Based on the MRI data collected, a clinician can diagnose whether the subject is suffering from cancer, e.g., bladder cancer. In the event that the subject is diagnosed with cancer based on the MRI data, the subject can be treated or the progression of the cancer can be monitored by the clinician. The cancer can be treated using any method known in the art, including, but not limited to radiotherapy, chemotherapy, surgery, and combinations thereof.
(138) Accordingly, in certain embodiments, the method of imaging a subject further comprises the step of administering a therapeutically effective amount of a cancer therapeutic. In certain embodiments, the cancer therapeutic is a cancer therapeutic useful in the treatment of bladder cancer. Exemplary cancer therapeutic useful in the treatment of bladder cancer includes, but is not limited to, mitomycin, thiotepa, cisplatin, carboplatin, doxorubicin, gemcitabine, valrubicin, methotrexate, vinblastine, doxorubicin, and combinations thereof.
(139) In certain embodiments, the method of imaging a subject further comprises the step of surgically removing the bladder cancer.
(140) The metal complexes provided herein can also be used in connection with PDT of cancer. Thus, also provided is a method of treating cancer in a subject in need thereof, the method comprising administering a therapeutically effective amount of a metal complex described herein; and irradiating a target tissue comprising the cancer with electromagnetic radiation having a wavelength within the activation wavelength of the metal complex.
(141) The target tissue in the subject can be irradiated from outside of the body at a site adjacent to the target tissue.
(142) The activation wavelength is the wavelength at which the metal complex absorbs electromagnetic radiation and is able to transfer at least some of the energy absorbed to oxygen in the vicinity of the metal complex and convert the oxygen to reactive singlet oxygen. In certain embodiments, the activation wavelength is between 800-1,000 nm.
(143) The metal complexes described herein can be administered according to therapeutic and/or imaging protocols well known in the art. It will be apparent to those skilled in the art that the administration of the compounds described herein can be varied depending on the disease being treated. Also, in accordance with the knowledge of the skilled clinician, the therapeutic protocols (e.g., dosage amounts and times of administration) can be varied in view of the observed effects of the administered metal complex on the subject, and in view of the observed responses of the disease to the administered therapeutic agents.
(144) Eleven exemplary gadolinium complexes were prepared and tested for bladder cancer targeting magnetic resonance imaging and PDT (
(145) TABLE-US-00001 TABLE 1 The photophysical properties and binding affinity evaluation of proposed complexes in FIG. 1 for bladder cancer PDT. Binding Emission affinity to Quantum Yield α.sub.vβ.sub.3 integrin/ (λ.sub.em = DOPC 600-750 nm, .sup.1O.sub.2 Quantum (5: strongest (λ.sub.em = Yield and 1: Gadolinium Complex 430 nm) (λ.sub.em = 430 nm) weakest) NLPor-Gd-L.sub.1R.sub.1 1.6% 39% 4 NLPor-Gd-L.sub.1R.sub.2 1.6% 40% 4 NLPor-Gd-L.sub.1R.sub.3 1.7% 40% 5 NLPor-Gd-L.sub.2R.sub.1 1.6% 39% 2 NLPor-Gd-L.sub.2R.sub.2 1.6% 39% 3 NLPor-Gd-L.sub.2R.sub.3 1.7% 40% 3 NLPorB.sub.1-Cyc-L.sub.1R.sub.1 12% 45% 3 NLPorB.sub.1-Cyc-L.sub.1R.sub.2 11% 46% 3 NLPorB.sub.1-Cyc-L.sub.1R.sub.3 11% 45% 3 Zn-NLPorB.sub.2-Cyc-Gd- 7% 41% 4 L.sub.2A.sub.1 Zn-NLPorB.sub.2-Cyc-Gd- 9% 40% 4 L.sub.2A.sub.2
(146) 0.4 μg/mL of purified recombinant human α.sub.vβ.sub.3 integrin (derived from CHO cells, R&D Systems) was adsorbed onto a 96-well ELISA plate. The candidate ITG binding compound, NLPor-Gd-L.sub.1R.sub.1 was added to displace 0.25 μg/mL biotinylated vitronectin (a known ITG α.sub.vβ.sub.3 ligand, Abcam, Cambridge, England) from the recombinant α.sub.vβ.sub.3 integrin. The effect of NLPor-Gd-L.sub.1R.sub.n and NLPor-Gd-L.sub.2R.sub.n (n=1-3) (
(147) Five of the exemplary gadolinium complexes were selected to test two criteria (1) water solubility; (2) strong cancer selectivity in term of binding with α.sub.vβ.sub.3 integrin (evaluated by western blot and integrin (ITG) binding activity assay for NLPor-Gd-L.sub.1R.sub.n and NLPor-Gd-L.sub.2R.sub.n) and anionic membrane (by responsive signal with DOPC—M-NLPorB.sub.x-Cyc-Gd-L.sub.y).
(148) The selected five exemplary gadolinium complexes were tested in vitro for bladder cancer cells selectivity by (1) confocal imaging, (2) selectivity for photodynamic index (bladder cancer cells vs normal cells) and t.sub.1 relaxivity responsive signal to the cancer cells receptors/markers, i.e. α.sub.vβ.sub.3 integrin or DOPC. Comprehensive studies on in vitro imaging were performed on three different cell lines (T24: human bladder carcinoma cell line; HeLa: cervical cancer cell line; MRC-5: normal lung cell line). According to
(149) Bladder cancer peptide R.sub.3 is more hydrophilic than R.sub.1 and R.sub.2. Therefore, the red emission of NLPor-Gd-L.sub.1R.sub.3 was of high emission intensity than NLPor-Gd-L.sub.1R.sub.2 and NLPor-Gd-L.sub.1R.sub.1, following the trends: NLPor-Gd-L.sub.1R.sub.3>NLPor-Gd-L.sub.1R.sub.2>NLPor-Gd-L.sub.1R.sub.1.
(150) After the investigation on the specific localization of NLPor-Gd-L.sub.1R.sub.n (n=1-3) in bladder cancer cells, the co-staining experiments were performed to further identify the intracellular localization of NLPor-Gd-L.sub.1R.sub.n (n=1-3) in bladder cancer cells. As shown in
(151) The cytotoxicity of NLPor-Gd-L.sub.1R.sub.n (n=1-3) complexes in T24, HeLa, and MRC-5 cells was evaluated with or without light irradiation, respectively (
(152) Given that NLPor-Gd-L.sub.1R.sub.3 possessed the most potent photo-cytotoxicity (IC.sub.50=8.2 μM), with the highest photodynamic therapy index (PTI, Light IC.sub.50/dark IC.sub.50) value (199), it could be considered as the most promising bladder cancer specific PDT agent among all tested samples.
(153) t.sub.1 relaxivity of the proposed MR-available PDT agent—NLPor-Gd-L.sub.1R.sub.n (n=1 to 3) was measured. The relaxivity of NLPor-Gd-L.sub.1R.sub.n (n=1 to 3) at 1.5 T in Water (3% DMSO) was 0.2847 mM.sup.−1s.sup.−1, which is lower than that of Gd-DOTA. Without wishing to be bound by theory, this difference in relaxivity could be due to the different coordinative numbers of them: for NLPor-Gd-L.sub.1R.sub.n, (n=1 to 3) the coordinative protection for the central Gd.sup.3+ ion is better than that of Gd-DOTA, so the Gd.sup.3+ ion in NLPor-Gd-L.sub.1R.sub.n (n=1 to 3) has less chance to exchange with water protons compared to Gd-DOTA. The responsive t.sub.1 of NLPor-Gd-L.sub.1R.sub.n (n=1-3) have been evaluated with the addition of different concentrations of α.sub.vβ.sub.3 integrin. Since the solubility of NLPor-Gd-L.sub.1R.sub.3 in aqueous solution is higher than NLPor-Gd-L.sub.1R.sub.2 and NLPor-Gd-L.sub.1R.sub.1, the responsive t.sub.1 relaxivity only can be observed from NLPor-Gd-L.sub.1R.sub.3 with α.sub.vβ.sub.3 integrin. (
(154) Comprehensive studies on in vitro imaging have been performed on three different cell lines (HK1: human nasopharyngeal carcinoma cell line; HeLa: cervical cancer cell line; MRC-5: normal lung cell line). According to
(155) The cytotoxicity of M-NLPor-Cyc-L.sub.2A.sub.n (n=1 or 2) complexes in HK1, HeLa, and MRC-5 cells was evaluated with or without light irradiation, respectively (
(156) t.sub.1 relaxivity of the proposed MR-available PDT agent—M-NLPor-Cyc-L.sub.2A.sub.n (n=1 or 2) was measured. The relaxivity of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.1 and Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 at 1.5 T in water (3% DMSO) was 15.267 and 19.278 mM.sup.−1s.sup.−1 respectively which is much higher than that of Gd-DOTA. This difference in relaxivity could be due to stacking of porphyrin rings in aqueous solution, which results in an increase in apparent molecular weight and slowing rotational motion of whole complex with enhancement of t.sub.1 relaxivity. (The q value of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.n (n=1 or 2) (
(157) The five selected exemplary gadolinium complexes were evaluated in vitro for bladder cancer cells selectivity by (1) confocal imaging, (2) selectivity for photodynamic index (bladder cancer cells vs normal cells) and t.sub.1 relaxivity responsive signal to the cancer cells receptors/markers, i.e. α.sub.vβ.sub.3 integrin or DOPC. One exemplary gadolinium complex was selected for MRI that was highly selectively for bladder cancer. Pharmacokinetics and biodistribution studies of NLPor-Gd-L.sub.1R.sub.n and Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.n have been worked out in 100 mice (20 for each gadolinium complexes).
(158) Mice with xenograft tumor were caudal vein injected with NLPor-Gd-L.sub.1R.sub.n and Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.n (2.0 mg/kg body weight) and allowed for full circulation for 6 hours. Then tumors were irradiated with 860 nm light similarly as above. The tumor on the opposite side served as the control (light untreated). The treatments were repeated for three times in the following days in a one-time-per-day manner. Consistently, it was found that NLPor-Gd-L.sub.1R.sub.3 plus light treated tumors were inhibited in bladder cancer cells compared to their opposite flank controls of tumor or NLPor-Gd-L.sub.1R.sub.n (n=1 or 2) and Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.n (n=1 or 2) groups. Pharmacokinetics analysis also showed that NLPor-Gd-L.sub.1R.sub.3 persisted in animals for a longer time with a larger MRT (mean resistance time) value, while NLPor-Gd-L.sub.1R.sub.n (n=1, 2) and Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.n (n=1 or 2) was fast cleared (with MRT of 3.49 hours) (
(159) After all these studies in previous session, NLPor-Gd-L.sub.1R.sub.3 is a potential dual bioprobe for bladder cancer specific MRI and PDT agent. Magnetic resonance imaging (MRI) is an advanced imaging technique which provides high-resolution pictures from deep tissue. In addition, MRI can offer 3D temporal-spatial resolution images. Gd-based materials are often used as contrast agents for MRI because of the paramagnetic property of Gadolinium. To study the working mechanism of NLPor-Gd-L.sub.1R.sub.3 in vivo, experiments were conducted BALB/c nude mice bearing T24 bladder cancer xenografts, and commonly used MRI contrast agent Gd-DOTA was chosen as the control. NLPor-Gd-L.sub.1R.sub.3 and Gd-DOTA were injected into the tail vein of the mice with T24 tumor respectively. MRI signal enhancement was assessed by performing in vivo MRI measurements in three BALB/c nude mice bearing T24 bladder cancer xenografts. Three tumor models were developed by subcutaneous injection of T24 bladder cancer cells. The injection doses of NLPor-Gd-L.sub.1R.sub.3, NLPor-Gd-L.sub.1 (no R.sub.3, only COOH group as control) and GdDOTA were 100 μmol/kg (2 μmol/mouse). MR images were acquired before and after tail vein injection of 200 μl of each sample at various time points. Strong MRI signal enhancement was observed at 0.5 hour and maintained for 1 hour after the injection NLPor-Gd-L.sub.1R.sub.3 while the signal decrease to the pre-injection level (
(160) The stability of gadolinium based MRI contrasting agents is always an important parameter as free Gd.sup.3+ ions are toxic as it has similar ionic radius as Ca.sup.2+. Thus, free Gd.sup.3+ ions may affect various voltage-gated calcium channels in the body. As the microenvironment of cancer cells is acidic, the kinetic stability of NLPor-Gd-L.sub.1R.sub.3 in both pH7 and pH5 buffered aqueous solution was analyzed by RP-HPLC. 200 μM NLPor-Gd-L.sub.1R.sub.3 was prepared and dissolved into pH7 and pH5 buffer aqueous solution respectively. RP-HPLC analysis of both samples were carried out in every 24 hours interval for 5 days. The integrated areas of the peak at t.sub.r=23 min in different time intervals were obtained to determine the stability of NLPor-Gd-L.sub.1R.sub.3. The results indicated that there is a slight drop in the peak area integration after 24 hours in both pH7 and pH5 buffer solution. (
(161) Eleven porphyrinate gadolinium complexes were synthesized and NLPor-Gd-L.sub.1R.sub.3 was shown to target α.sub.vβ.sub.3-integrin in cancer cells. NLPor-Gd-L.sub.1R.sub.3 can be applied in bladder cancer treatment and MR imaging. Three αvβ3-isoform targeting peptides were conjugated with porphyrinate lanthanide complexes, NLPor-Gd-L.sub.1 demonstrated strong singlet oxygen quantum yield, 43%. NLPor-Gd-L.sub.1R.sub.3 was found to be able to penetrate into integrin α.sub.vβ.sub.3 (+) expressive T24 cells but not α.sub.vβ.sub.3 (−) expressive HeLa and MRC-5 cells by confocal imaging. NLPor-Gd-L.sub.1R.sub.3 exhibited the extreme inhibitory towards the T24 cells (IC.sub.50=8.2 μM), with the highest PTI value (199) which is >20 folds higher than commercial available PDT agent ALA. NLPor-Gd-L.sub.1R.sub.3 was considered as the most promising bladder cancer specific PDT agent among all tested samples. It should be highlighted that NLPor-Gd-L.sub.1R.sub.3 is a novel highly bladder cancer cell specific therapeutic agent which kills tumor cells by the generation of .sup.1O.sub.2 from a porphyrin moiety and provides robust bimodal imaging (fluorescence and MRI contrast imaging). The imaging effect of NLPor-Gd-L.sub.1R.sub.3 was assessed by a range of in vitro and in vivo studies. This indicated that NLPor-Gd-L.sub.1R.sub.3 is a good candidate for MRI-guided bladder cancer PDT with high specificity.
(162) The absorption and emission spectra of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 and its precursor without Gd, Zn-NLPorB.sub.2-Cyc-L.sub.2A.sub.2 were measured in aqueous solution (
(163) The cytotoxicity assay of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 was performed on three different cell lines, HeLa (human cervical cancer cells), T24 (human bladder cancer cells) and MRC5 (human normal lung cells). Under the absence of light, the cytotoxicities of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 were very low in the three cell lines as shown in
(164) In order to understand the cellular localization and selectivity of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 in cancer cells and normal cells, confocal imaging and co-staining experiments were carried out in cancer cells (HeLa) and normal cells (MRC5). As shown in
(165) It represents faster and more intense cellular uptake of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 by cancer cells than normal cell lines. Co-staining experiments were performed to further evaluate the localization of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2. The merged yellow emission showed in HeLa cells incubated with both Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 and LysoTracker Green indicated the complex was located at the lysosome of HeLa cells. However, little or no red emission was found in MRC5 cells when only 2.5 and 1.25 μM Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 was added into the cells. Only green emission was found in MRC5 cells, which represent the emission of the LysoTracker. The concentration-dependent cellular uptake of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 indicated our complex can selectively penetrate into the cancer cells but not to normal cells under a low concentration. As a low concentration (<2.5 μM) is sufficient to localize into the cancer cells, this can bring much less harm to other normal cells and therefore safer to be administrated.
(166) After the in vitro studies of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 in cancer cells and normal cell, in vivo experiment of finding out tumor inhibition efficiency of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 was carried out. HeLa xenograft mice models were divided into six groups for the tumor inhibition study (
(167) In addition to tumour inhibition efficiency of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2, the MRI performance of Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 was also evaluated by performing in vivo MRI in S18 xenograft mice models. Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 (0.025 mmol/kg, ¼ dosage of Gd-DOTA) was injected into the S18 xenograft mice by caudal vein injection. T.sub.1 images showed Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 gave robust contrasting effect in vivo, the tumor site has been brightened up at the first hour after injection (
(168) In conclusion, a novel porphyrin-cyclen gadolinium based dual function bioprobe Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 is introduced. With the impressive T.sub.1 signal enhancement and higher T.sub.1 reflexivity (15.06 mM.sup.−1s.sup.−1, 1.4T) when comparing with clinical approved MRI contrasting agent Gd-DOTA (T.sub.1 relaxivity 2.92 mM.sup.−1s.sup.−1, 1.4T), it is believed that Zn-NLPorB.sub.2-Cyc-Gd-L.sub.2A.sub.2 can be a good substitute of Gd-DOTA in MRI contrasting agent. In addition, it selectivity towards cancer cells under a very low concentration make it a much safer agent to be used. Its high PDT index also enable it to be a good photosensitizer which can carry out photodynamic therapy. This newly developed dual function bioprobe is believed to help us step into the new era of cancer treatment.
(169) First, the integrin binding activity assay was conducted to evaluate the binding affinity of NLPor-Gd-L.sub.1R.sub.n (
(170) Next, studies on in vitro imaging with NLPor-Gd-L.sub.1R.sub.n were performed on human bladder carcinoma (T24), cervical cancer (HeLa), and normal lung (MRC-5) cell lines. According to
(171) The ability of NLPor-Gd-L.sub.1R.sub.n (n=2, 3) to enhance MR imaging was assessed by determining their T.sub.1 and T.sub.2 relaxivities at 1.5 T in water (3% DMSO) and these data were confirmed with that for Gd-DOTA (Dotarem®). T.sub.1 and T.sub.2 relaxivity of NLPor-Gd-L.sub.1R.sub.3 were found to be r.sub.1=0.182 mM.sup.−1s.sup.−1 (
(172) After light irradiation, the NLPor-Gd-L.sub.1R.sub.n complexes selectively kill bladder cancer cells, but also, and importantly, they do not affect normal cells as evidenced by cytotoxicity studies with T24, HeLa, and MRC-5 cells performed with and without light irradiation (λ.sub.ex=430 nm, dose=10 J/cm.sup.2). Results are shown in
(173) In vivo PDT studies have been carried out by laser irradiation at 808 nm (two-photon excitation) for 3 h after injecting the complex; the total light dosage was 50 J/cm.sup.2, the treatment was performed three times a week with 3 nude mice bearing T24 bladder cancer xenografts for each group. Results show that NLPor-Gd-L.sub.1R.sub.3 at the same concentration as for in vivo MRI (100 μmol/kg body weight) has significant inhibition effect on the light-treated T24 tumors compared with the opposite flank dark controls and T24 tumors with PBS injection as control (
(174) The above-described in-depth investigations indicate that NLPor-Gd-L.sub.1R.sub.3 can be regarded as a potential theranostic agent for PDT curing of bladder cancer. To study the potentiality of NLPor-Gd-L.sub.1R.sub.3 as an in vivo MRI contrast agent, experiments were conducted on BALB/c nude mice bearing T24 bladder cancer xenografts, while the commonly used MRI contrast agent Gd-DOTA was taken as control. The injection dose of NLPor-Gd-L.sub.1R.sub.3, Gd-PEG-COOH (carboxylic acid group instead of R.sup.3 as control) and Gd-DOTA was 0.1 mmol/kg gadolinium (around 2 μmol/mouse). MR images were acquired before and after 200 μL tail vein injection of each subject at various times. Strong MRI signal enhancement was observed at 0.5 h and maintained for 1 h after injection (
(175) A biodistribution study of NLPor-Gd-L.sub.1R.sub.n (n=1-3) was carried out in T24 bladder cancer-bearing BALB/c nude mice. The complexes (100 μmol/kg) were injected into the caudal vein when the tumor xenograft attained a size of approximately 0.1 cm.sup.3. Different tissues were collected 2 days after injection, and concentrations of NLPor-Gd-L.sub.1R.sub.n (n=1-3) were quantified by ICP-MS. Results show the greatest enrichment of NLPor-Gd-L.sub.1R.sub.n (n=1-3) in the tumors. It should be highlighted that both NLPor-Gd-L.sub.1R.sub.2 and NLPor-Gd-L.sub.1R.sub.3 are absent from the brains (
(176) In conclusion, among three synthesized porphyrinato-gadolinium complexes, extensive investigations revealed NLPor-Gd-L.sub.1R.sub.3 to be a potential α.sub.Vβ.sub.3-integrin-specific theranostic agent for curing bladder cancer. This compound is indeed effective for PDT bladder cancer treatment and as a moderately efficient off-on MRI contrast agent. The PDT capability of NLPor-Gd-L.sub.1R.sub.3 comes from (i) its large specificity due to the inclusion of a carefully chosen targeting peptide; in particular the new agent does not penetrate into the brain, a definite advantage; (ii) its water solubility (R.sup.3 substituent); (iii) it has high photo-cytotoxicity while remaining non-cytotoxic in dark (PTI=199) and in normal cells. The compound also exhibits ‘off-on’ responsive relaxivity with its low initial T.sub.1 relaxivity increasing by over 10 times upon α.sub.Vβ.sub.3 binding. The enhanced relaxivity is somewhat lower than values observed with commercially available MRI contrast agents but NLPor-Gd-L.sub.1R.sub.3 showed better bladder cancer imaging than Gd-DOTA under the same experimental conditions. In the near future, we envisage using this bespoken theranostic agent incorporated into various vectors to test its use in clinical practice.
EXPERIMENTAL DETAILS
I Synthesis of NLPor-Gd-L.SUB.1.R.SUB.3
(177) The synthetic route of NLPor-Gd-L1R3 is shown in
II Photophysical Properties of NLPor-Gd-L.SUB.1.R.SUB.3
(178) a) Electronic Absorption and Emission Spectra of NLPor-Gd-L.sub.1R.sub.n (n=1-3)
(179) The absorption and emission spectra of NLPor-Gd-L.sub.1R.sub.n (n=1-3) are shown in
(180) b) Singlet Oxygen Quantum Yields
(181) Singlet oxygen is one of the prime factors to evaluate the effectiveness of PDT agents. Considering many studies about the singlet oxygen quantum yields in the literature, there are two methods to determine the singlet oxygen quantum yields: comparing with the standard (1) emission of the generated singlet oxygen, (2) absorption of the photosensitizers. However, there are few examples to determine the singlet oxygen by combining two methods together, especially in aqueous solution. Herein, we measured the singlet oxygen quantum yields by two methods in CHCl.sub.3 and aqueous solution respectively.
(182) (1) The singlet oxygen quantum yield measurement by comparing the .sup.1O.sub.2 emission of NLPor-Gd-L.sub.xR.sub.n (n=1-3) and standard H.sub.2TPP in CHCl.sub.3.
(183) The singlet oxygen quantum yields (Φ.sub.Δ) of NLPor-Gd-L.sub.1R.sub.n (n=1-3) were measured in CHCl.sub.3 and calculated by comparing with a reference compound H.sub.2TPP (Φ.sub.Δ=0.55 in CHCl.sub.3).
(184) The singlet oxygen quantum yields of NLPor-Gd-L.sub.1R.sub.n (n=1-3) are 0.47, 0.47, 0.48, respectively (
(185) (2) The singlet oxygen quantum yield measurements by evaluating the absorption changes of ABDA when mixed with NLPor-Gd-L.sub.1R.sub.n (n=1-3) and standard Rose Bengal (RB) respectively in aqueous solution.
(186) 9,10-Anthracenediyl-bis(methylene)dimalonic acid (ABDA), a chemical-sensitive probe of reactive oxygen species, is commonly used to monitor the generation of singlet oxygen. After light irradiation, the absorbance of ABDA decreases because of the formation of its endoperoxide in the presence of .sup.1O.sub.2. The decreased amount of ABDA absorbance at 402 nm can be used to estimate the singlet oxygen quantum yield produced by the photosensitizers.
(187) In this work, the singlet oxygen quantum yields (Φ.sub.Δ) of NLPor-Gd-L.sub.1R.sub.n (n=1-3) in Phosphate Buffered Saline (PBS) buffer was obtained using ABDA and RB (Φ.sub.RB=0.75 in PBS buffer) as .sup.1O.sub.2 scavenger and reference respectively. NLPor-Gd-L.sub.1R.sub.n (n=1-3) were incubated with ABDA, the mixtures were photo-activated by an LED lamp with power density 6 mWcm.sup.−2. The generation of singlet oxygen was evaluated by recording the changes in ABDA absorbance at 402 nm. The singlet oxygen quantum yields of NLPor-Gd-L.sub.1R.sub.n (n=1-3) (Φ.sub.PS) were calculated by the following formula:
(188)
(189) Where K.sub.PS is the decomposition rate of ABDA when ABDA is mixed with NLPor-Gd-L.sub.1R.sub.n (n=1-3). The K.sub.RB is the decomposition rate of ABDA when ABDA is mixed with RB after light irradiation. A.sub.PS is calculated by the absorption integration of NLPor-Gd-L.sub.1R.sub.n (n=1-3) and A.sub.RB is determined by the absorption integration of RB in the range 400-700 nm.
(190) As shown in
III MR Relaxation Properties Measurements
(191) In vitro T.sub.1-weighted MR relaxivity measurements were conducted on a 3.0 Tesla MRI instrument (MAGNETOM Verio; Siemens Medical Solution, Erlangen, Germany) with a head coil. A T.sub.1 map sequence was utilized for measurement of T.sub.1 relaxation time with different Gd(III) concentrations (0, 0.05, 0.1, 0.2, 0.4, 0.8 mM). The T.sub.1 measurement parameters were as follows: T.sub.R=2250 ms, T.sub.E=13 ms, and T.sub.I=948.6 ms. The r.sub.1 relaxivity values were obtained through the curve fitting of relaxation rate 1/T.sub.1 (S−1) vs. The concentration of Gd.sup.3+ (mM) and the slope of the fitting line provides the r.sub.1 value. The result is summarized in
(192) In vitro T2-weighted MR relaxivity measurements were conducted at 37° C., 1.4T with the Mini Bruker Mq60 NMR Analyzer. Stock solution of NLPor-Gd-L.sub.1R.sub.3 was dissolved in water with 2% DMSO with concentration 1.23 mM and α.sub.vβ.sub.3 was dissolved in PBS buffer (pH 7.4) with concentration 100 μg/mL (
IV Flow Cytometry Measurements of Cellular Uptake
(193) T24 bladder cancer cells were seeded onto 35 mm Petri dishes. Then incubated 5 μM porphyrin complexes in cells for 3 and 24 hours respectively. Harvested the cells with trypsin and washed the cells with PBS buffer twice. Flow cytometry was used to evaluate the uptake of the complexes within T24 cells. 488 nm was chosen as the excitation wavelength of cells and the FL-3 channel was used for the emission (
V Characterization of NLPor-Gd-L.SUB.1.R.SUB.n .(n=1-3)
(194) a) HPLC Characterization of NLPor-Gd-L.sub.1R.sub.n (n=1-3).
(195) Elution conditions: column, Agilent ZORBAXSB-C18 (4.6×150 mm, particle size 5; flow rate, 1.0 mL/min; gradient elution; detection wavelength, 430 nm. Retention time: NLPor-Gd-L.sub.1R.sub.1 20.777 min, NLPor-Gd-L.sub.1R.sub.2 21.401 min, NLPor-Gd-L.sub.1R.sub.3 20.751 min) (
(196) b) LC-MS analysis of NLPor-Gd-LxRn (n=1-3)
(197) NLPor-Gd-L.sub.1R.sub.1: LC-MS: calcd. for C.sub.112H.sub.124CoF.sub.15N.sub.22O.sub.27P.sub.3S.sub.3Gd [M+H].sup.+ 2901.5212 found: 2901.5530. [M+3H].sup.3+ 967.1950, found: 967.5291, HPLC characterization: retention time=20.777 min. (
(198) NLPor-Gd-L.sub.1R.sub.2: LC-MS: calcd, for C.sub.116H.sub.143CoF.sub.15N.sub.23O.sub.27P.sub.3S.sub.2Gd [M+2H].sup.2+ 1474.3525 found: 1474.3752. [M+3H].sup.3+ 983.9225 found: 983.9171. HPLC characterization: retention time=21.401 min. (
(199) NLPor-Gd-L.sub.1R.sub.3: LC-MS: calcd., for C.sub.146H.sub.202CoF.sub.15N.sub.38O.sub.32P.sub.3S.sub.2Gd [M+2H].sup.2+ 1829.1728 found: 1829.1979. [M+3H].sup.3+ 1219.3333 found: 1219.4145. HPLC characterization: retention time=20.751 min. (
(200) c) Stability Test of NLPor-Gd-L.sub.1R.sub.3 in Different pH by HPLC
(201) The method of running the stability test is shown in
VI Photodynamic Therapy (PDT) Assay
(202) The three cell lines (HeLa, T24, and MRC-5) (1×10.sup.4 cells/mL) were seeded on 96-well plate overnight and different concentrations of NLPor-Gd-L.sub.1R.sub.n (n=1-3) was added into the cells on the next day. After 24 hours incubation, the cells were exposed to blue light (1, 5, 10 J/cm.sup.2) produced from an LED lamp with power density 6 mWcm.sup.−2. Then, MTT was added at 24 hours post-PDT and they were incubated at 37° C. for 3 hours. The formazan formed were dissolved in dimethyl sulfoxide (DMSO) and the absorbance of the solution was measured in a microplate reader at 540 nm wavelength (reference wavelength=690 nm) (