Antibody-directed enzyme prodrug therapy, ADEPT, is a recent approach to targeted cancer chemotherapy intended to diminish the nonspecific toxicity associated with many commonly used Antibody-directed enzyme prodrug therapy, ADEPT, has been developed to overcome the unwanted nonspecific toxicity associated with anticancer agents (1-5). There are two components to such therapy: an antibody-enzyme conjugate and an anticancer prodrug of low toxicity. The conjugate is administered first and accumulates predominantly at the tumor site through antibody binding to tumor-associated antigenic determinants. Once the conjugate has been cleared from the plasma, the prodrug is administered to the patient. Cleavage of the prodrug to generate the active cytotoxic agent by the enzyme component of the conjugate occurs selectively at the tumor site and so leads both to enhanced efficacy of the anticancer agent and to reduced peripheral cytotoxicity (Fig. 1).To diminish the extent of peripheral hydrolysis of the prodrug, the enzyme component selected has commonly been of bacterial origin in order to achieve the necessary degree of specificity of activation (3): a human enzyme would be less specific. Unfortunately, such a choice imposes a dose-limiting immunogenicity on the ADEPT conjugate which could reduce the clinical potential of this therapy (6).Antibodies generated against appropriate transition-state analogues (TSAs) can catalyze a variety of chemical transfor-The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact. mations (7,8). Furthermore, murine antibodies can be "humanized" by existing technologies to reduce their inherent in vivo mammalian immunogenicity (9). These concepts have been juxtaposed by Bagshawe (6), who has proposed that humanized catalytic antibodies ("abzymes") could replace the enzyme component of ADEPT in an improved targeted therapy. We here demonstrate the feasibility of that proposition, which we have named antibody-directed abzyme prodrug therapy, ADAPT. We have identified an antibody that can efficiently hydrolyze a carbamate prodrug and so effect cytotoxicity in vitro. This provides a major extension to the potential for application of catalytic antibodies to clinical therapy.Our TSA design takes account of three requirements. First, we needed antibodies that could operate on carbamates derived from L-glutamic acid (Fig. 2) to permit direct comparisons of antibody performance with those of the bacterial CPG2 exopeptidase enzyme previously reported to convert this prodrug and give antitumor activity (10). Second, the locus of the nitrogen mustard in prodrug 1 was selected to define the position of the linker arm in order to minimize prodrug alkylation of the abzymes. Third, we chose to promote the disfavored BAC2 mechanisms of carbamate hydrolysis rather than the spontaneous E1cB process to obtain the maximum catalytic rate enhancement f...