Maleimide-containing prodrugs can quickly and selectively
react
with circulating serum albumin following their injection in the bloodstream.
The drug–albumin complex then benefits from longer blood circulation
times and better tumor accumulation. Herein, we have applied this
strategy to a previously reported highly phototoxic Ru polypyridyl
complex-based photosensitizer to increase its accumulation at the
tumor, reduce off-target cytotoxicity, and therefore improve its pharmacological
profile. Specifically, two complexes were synthesized bearing a maleimide
group: one complex with the maleimide directly incorporated into the
bipyridyl ligand, and the other has a hydrophilic linker between the
ligand and the maleimide group. Their interaction with albumin was
studied in-depth, revealing their ability to efficiently bind both
covalently and noncovalently to the plasma protein. A crucial finding
is that the maleimide-functionalized complexes exhibited significantly
lower cytotoxicity in noncancerous cells under dark conditions compared
to the nonfunctionalized complex, which is a highly desirable property
for a photosensitizer. The binding to albumin also led to a decrease
in the phototoxicity of the Ru bioconjugates in comparison to the
nonfunctionalized complex, probably due to a decreased cellular uptake.
Unfortunately, this decrease in phototoxicity was not compensated
by a dramatic increase in tumor accumulation, as was demonstrated
in a tumor-bearing mouse model using inductively coupled plasma mass
spectrometry (ICP-MS) studies. Consequently, this study provides valuable
insight into the future design of in situ albumin-binding
complexes for photodynamic therapy in order to maximize their effectiveness
and realize their full potential.