This paper reports a general in situ method to grow a polymer conjugate solely from the C terminus of a recombinant protein. GFP was fused at its C terminus with an intein; cleavage of the intein provided a unique thioester moiety at the C terminus of GFP that was used to install an atom transfer radical polymerization (ATRP) initiator. Subsequent in situ ATRP of oligo(ethylene glycol) methyl ether methacrylate (OEGMA) yielded a site-specific (C-terminal) and stoichiometric conjugate with high yield and good retention of protein activity. A GFP-C-poly(OEGMA) conjugate (hydrodynamic radius (R h ): 21 nm) showed a 15-fold increase in its blood exposure compared to the protein (R h : 3.0 nm) after intravenous administration to mice. This conjugate also showed a 50-fold increase in tumor accumulation, 24 h after intravenous administration to tumor-bearing mice, compared to the unmodified protein. This approach for in situ C-terminal polymer modification of a recombinant protein is applicable to a large subset of recombinant protein and peptide drugs and provides a general methodology for improvement of their pharmacological profiles.drug delivery | polymer bioconjugate | protein engineering P olymer modification of therapeutically relevant proteins is important because it can improve their stability, increase their solubility, enhance their systemic circulation, and also potentially reduce their immunogenicity and antigenicity (1-4). Traditionally, synthetic polymers have been conjugated to proteins by reaction of the polymer with the reactive side chains of protein residues such as lysine or cysteine (5-10). Attachment of PEG to proteins, termed PEGylation, is the most widely used polymer conjugation methodology to improve the pharmacological profiles of proteins (11)(12)(13)(14). Recently, in situ polymerization directly from the surface of a protein, in which a polymerization initiator is conjugated to the protein, followed by in situ growth of the polymer has emerged as a promising alternative to postpolymerization conjugation to synthesize protein-polymer conjugates with high yield (15)(16)(17)(18)(19)(20). However the chemically reactive residues in most proteins are typically promiscuously distributed on their surface, which can result in the growth of polymers from many sites from the protein, resulting in heterogeneous protein-polymer conjugates with poorly controlled stoichiometry and decreased biological activity compared to the protein, thereby limiting the utility of these methods. Hence, the major challenge in protein-polymer conjugation is to create: (i) site-specific, (ii) stoichiometric protein-polymer conjugates, with (iii) high yield, (iv) good retention of protein activity, and (v) significantly improved pharmacological properties over the native protein.Recently, we demonstrated a general strategy for the in situ growth of a stoichiometric, PEG-like polymer from the N terminus of a protein by a N-terminal transamination reaction followed by a chemoselective aldehyde-hydroxylamine reaction to ins...