Polymer conjugation
is a clinically proven approach to generate long acting protein drugs
with decreased immune responses. Although poly(ethylene glycol) (PEG)
is one of the most commonly used conjugation partners due to its unstructured
conformation, its therapeutic application is limited by its poor biodegradability,
propensity to induce an anti-PEG immune response, and the resultant
accelerated blood clearance (ABC) effect. Moreover, the prevailing
preference of unstructured polymers for protein conjugation still
lacks strong animal data support with appropriate control reagents.
By using two biodegradable synthetic polypeptides with similar structural
compositions (
l
-P(EG
3
Glu) and
dl
-P(EG
3
Glu)) for site-specific protein modification, in the current
study, we systematically investigate the effect of the polymer conformation
on the in vivo pharmacological performances of the resulting conjugates.
Our results reveal that the conjugate
l
20K
-IFN,
interferon (IFN) modified with the helical polypeptide
l
-P(EG
3
Glu) shows improved binding affinity, in vitro antiproliferative
activity, and in vivo efficacy compared to those modified with the
unstructured polypeptide analogue
dl
-P(EG
3
Glu)
or PEG. Moreover,
l
20K
-IFN triggered significantly
less antidrug and antipolymer antibodies than the other two. Importantly,
the unusual findings observed in the IFN series are reproduced in
a human growth hormone (GH) conjugate series. Subcutaneously infused
l
20K
-GH, GH modified with
l
-P(EG
3
Glu), evokes considerably less anti-GH and antipolymer antibodies
compared to those modified with
dl
-P(EG
3
Glu) or
PEG (
dl
20K
-GH or PEG
20K
–GH).
As a result, repeated injections of
dl
20K
-GH or
PEG
20K
-GH, but not
l
20K
-GH, result
in a clear ABC effect and significantly diminished drug availability
in the blood. Meanwhile, immature mouse bone marrow cells incubated
with the helical
l
20K
-GH exhibit decreased drug
uptake and secretion of proinflammatory cytokines compared to those
treated with one of the other two GH conjugates bearing unstructured
polymers. Taken together, the current study highlights an urgent necessity
to systematically reassess the pros and cons of choosing unstructured
polymers for protein conjugation. Furthermore, our results also lay
the foundation for the development of next-generation biohybrid drugs
based on helical synthetic polypeptides.