Introduction
Luteinizing hormone-releasing hormone (LHRH) is a
hypothalamic decapeptide (pGlu-His-Trp-Ser-Tyr-Gly-Leu-
Arg-Pro-Gly-NH2) with a regulatory function in the repro-
ductive system. The secretion of this hormone from the
hypothalamus stimulates its cognate receptor in the pituitary
gland to produce gonadotropins including luteinizing hor-
mone (LH) and follicle-stimulating hormone (FSH). Subse-
quently, the release of gonadotropins regulates the secretion
of sex steroids in both males and females ( 1). A substantial
number of LHRH derivatives have been developed and are
administered parenterally for the treatment of various
hormone-dependent diseases such as breast cancer, prostate
cancer, endometriosis, infertility, and precocious puberty ( 2,
3). There is no oral analog of LHRH in the clinic due to its
poor pharmacokinetic pro files and low oral bioavailability.
The rapid clearance of peptides from the human body is one
of the main issues in the development of therapeutic
compounds. They have very low stability in digestive enzymes
in the physiological environments. Therefore, in order to
develop an orally active LHRH derivative, the stability of the
peptide should be improved. Several strategies have been
explored to reduce the enzymatic cleavage of peptide in
physiological media. Conjugation of peptides with carbohy-
drate moieties has been shown to be a useful approach in
improving stability and permeability of the modi fied analogs
through biological membranes ( 4–6). Furthermore, a number
of studies demonstrated that the ef ficacy of the sugar-
modified peptides is preserved in different animal models
(7–9).
To develop a potent drug, it is necessary to fully
characterize the designed compounds for biological and
physicochemical properties at the early stage of the discovery
process. The promising drug candidate selected from prelim-
inary characterization should possess desirable characteristics
such as high potency, long half-life, and an appropriate
physicochemical pro file. Understanding the metabolic path-
way of the target peptide is an important factor in evaluating
the therapeutic potential of the peptide drug candidates ( 10).
The blood, liver, and kidney are the main compartments of
Electronic supplementary material The online version of this article
(doi:10.1208/s12248-015-9769-x) contains supplementary material,
which is available to authorized users.
1 School of Chemistry and Molecular Biosciences, The University of
Queensland, St. Lucia, Queensland 4072, Australia.
2 School of Pharmacy, The University of Queensland, St. Lucia,
Woolloongabba, Queensland 4102, Australia.
3 To whom correspondence should be addressed. (e-mail:
[email protected])
The AAPS Journal, V ol. 17, No. 5, September 2015 ( # 2015)
DOI: 10.1208/s12248-015-9769-x
1135 1550-7416/15/0500-1135/0 # 2015 American Association of Pharmaceutical Scientists
enzymatic digestion of peptides resulting in a reduction in the
peptide’ s half-life ( 11). It has been reported that LHRH is
metabolized by proteolytic enzymes within a short period
of time post administration ( 12). The main cleavage sites
of this peptide are Trp 3-Ser4 and Tyr 5-Gly6 amide bonds
(12, 13). Typically, substitution of Gly at position 6 with a
D-amino acid in LHRH increases its metabolic stability
and the binding af finity to LHRH receptor ( 14, 15).
Triptorelin is one of the LHRH super agonists bearing D-Trp6
and it is more stable to enzymatic degradation. Triptorelin is
administered parenterally for the treatment of prostate cancer
and hormone- dependent diseases (16).
It has been shown that LHRH analogs do not only
suppress the pituitary-gonadal axis but also exert a direct
growth inhibitory effect on the tumor growth ( 17). LHRH
receptors are overexpressed in malignant tumors such as
prostate, breast, and ovarian cancers, and they can
mediate the antitumor activity of LHRH derivatives ( 18,
19). V arious studies showed that LHRH analogs induce a
significant decrease in the growth rate of the cancer cells,
e.g., prostate cancer cell lines such as LNCaP and DU145
(20–22). LNCaP cells are androgen-dependent and are
derived from a lymph node metastasis of prostatic
carcinoma with a high level of LHRH receptor expression
(20). PC3 and DU145 cells are androgen-independent and
are derived from bone and brain metastasis of prostate
cancer, respectively ( 20, 22). Medium-to-high af finity
binding sites were also reported for LHRH agonists in
LHRH receptor-positive prostate cancer cells ( 23). The
agonists exhibited their antiproliferative effect in a dose-
and time-dependent manner ( 24). LHRH agonists and
antagonists were shown to reduce the enzymatic activity
of the plasminogen activator system in prostate cancer
cells leading to a decrease in the migration and invasive-
ness of cancer cells ( 25). The mechanism of their growth
inhibitory effects is through a different signaling transduc-
tion pathway from that in the pituitary cells ( 25, 26).
Treatment of cultured pituitary cells with LHRH ago-
nists has been shown to alter the secretion level of LH and
FSH from gonadotrophs. This occurs when the agonist
binds to the receptor and the hormone-receptor complex
is internalized (27 , 28). The long-time exposure of LHRH
receptors to the high concentrations of LHRH agonists
resulted in receptor desensitization and the lower doses of
the agonists increased the number of LHRH receptors
followed by stimulation of LH release ( 29, 30).
In the present study, we designed LHRH derivatives by
replacement of Gly residue with
D-Trp and attachment of a
glycosyl unit to either N-terminus or middle sequence of the
peptide. The enzymatic stability of the designed compounds
(1–6) was then evaluated in human plasma and rat tissue
homogenates. The metabolites produced by the digestive
activity of kidney membrane enzymes were characterized,
followed by the examination of the degradation profi le of
the analogs. The direct antiproliferative potency of
glycosylated LHRH analogs was examined in prostate
cancer cells including LNCaP , DU 145, and PC3. We also
investigated the stimulatory activity of the selected glyco-
sylated LHRH derivatives (compounds 1, 2, 5, and 6) at
low concentrations to release LH and FSH in the cultured
pituitary cells.
Materials and methods
General
High-performance liquid chromatography (HPLC) grade
acetonitrile (MeCN) was purchased from Labscan (Bangkok,
Thailand) and tri fluoroacetic acid (TFA) was obtained from
Merck Biosciences (Kilsyth, VIC, Australia). Reversed-
phase HPLC (RP-HPLC) was performed using Shimadzu
Instrumentation (Kyoto, Japan) (LabSolutions software,
SIL-20AC HT auto-sampler, LC-20AB pump, SPD-M10A
detector, DGU-20A5 degasser). The analysis was achieved
u s i n gal i n e a r0 –100 or 20 –60% gradient of solvent B
(solvent A, 0.1% TFA in H
2O; solvent B, 90%
ACN:H2O:0.1% TFA) for 30 min with a 1-mL/min flow
rate and detection at 214 nm. The crude peptides were
then puri fied by preparative HPLC with a linear 20 –45%
gradient of solvent B to ≥95% purity. Analytical separa-
t i o n sw e r ep e r f o r m e du s i n gaC 8c o l u m n( V y d a c
208TP5205; 5: m, 2.1×50 mm
2, Columbia, MD, USA) or
a C18 column (V ydac 218TP5405; 5: m, 4.6×50 mm 2,
Columbia, MD, USA). Electrospray ionization mass
spectrometry was performed on a Perkin-Elmer Sciex
API 3000 operating in positive ion mode. A V arian Cary
50 Bio UV –vis spectrophotometer was used for absor-
bance measurement.
LNCaP (androgen-sensitive prostate adenocarcinoma)
and DU145 (androgen-independent human carcinoma) hu-
man cell lines were used and were kindly provided by
Professor Judith Clements at the Translational Research
Institute, Queensland University of Technology. PC3 (steroid
hormone-independent prostate adenocarcinoma) cells were
kindly donated by Professor Rodney Minchin, School of
Biomedical Sciences, The University of Queensland;
Dulbecco’ sm o d i fied Eagle’ sm e d i u m( D M E M ) ;
penicillin/streptomycin; fetal bovine serum (FBS); and
phosphate-buffered saline (PBS) were obtained from Life
Technologies Australia (Mulgrave, VIC, Australia). Tris
(hydroxymethyl) aminomethane hydrochloride (Tris –HCl)
was purchased from ICN Biomedical Inc. (OH, USA).
MgCl
2·6H2O was obtained from Sigma-Aldrich (Castle
H i l l ,N S W ,A u s t r a l i a ) .
Peptide Synthesis
All LHRH analogs were synthesized using Fmoc solid
phase peptide synthesis (SPPS) based on the previously
published methods (Fig. 1)( 31).
In Vitro Metabolic Stability Assay
Human Plasma Stability Assay
The test was performed on fresh human plasma of
consenting and healthy volunteers (ethics approval number:
2006000950). Plasma was separated from red blood cells by a
15-min centrifugation at 1500× g and diluted to 80% by adding
1× PBS. The compound’ s solution was prepared in PBS at
600 μM. Plasma (300 μL) was spiked with the peptide
solutions at 1:1 ratio (incubated at 37°C). During the time
course of the experiment (4 h), samples were collected and
1136 Moradi et al.
mixed with acetonitrile for quenching the reaction. Finally,
the protein mixture was centrifuged at 7400× g for 10 min and
the supernatant was separated from the mixture and analyzed
by RP-HPLC. A calibration curve of each compound was
plotted (peak area of serial dilutions versus the concentra-
tions) to calculate the concentration of the peptide in the
sample’ s solutions.
Rat Tissue Preparation
Male Sprague–Dawley rats (180±20 g were obtained from
the Animal Resource Centre (ARC). All experimental proce-
dures were approved by The University of Queensland Animal
Ethics Committee (AEC#SCMB/005/11/ARC) and performed
according to NHMRC animal handling guidelines. Animals
were euthanized and their kidneys and livers were removed to
prepare tissue homogenates. The rat liver homogenate, S9
(containing both cytosolic and microsomal enzymes) was
prepared according to the previously published methods ( 32,
33). Briefly, the fresh rat liver was weighed and washed with ice-
cold 0.9% sodium chloride solution. The tissue was cut into
small pieces followed by mixing with 3 mL of 20 mM Tris –HCl
buffer (pH 7.4), containing 0.25 M sucrose per 1 g of tissue. The
samples were then homogenized with the ice-cold buffer in a
Teflon homogenizer using 4 –6 pestle strokes. The homogenate
was centrifuged at 3000×g for 15 min at 4°C and the supernatant
was decanted. The total protein count was determined using
Bradford assay and the protein concentration was adjusted to
2.5 mg/mL. The kidney membrane homogenate was prepared
according to the procedure described by Vergote et al. with
minor modifications (10). In brief, rat kidneys were washed with
ice-cold 0.9% sodium chloride and transferred into the Tris–HCl
buffer (2 mM containing 10 mM mannitol, pH 7.3). After cutting
into pieces, the tissue was homogenized by a Te flon homoge-
nizer followed by centrifugation of the homogenate suspended
in ice-cold 10 mM MgCl
2·6H2O and 2 mM Tris –HCl buffer
(1500×g, 15 min at 5°C). The supernatant was removed and the
pellet was re-suspended in the ice-cold buffer and centrifuged at
15,000×g for 15 min at 5°C. The supernatant was discarded again
and the pellet was re-suspended in the buffer and centrifuged at
2200×g for 15 min at 5°C. After discarding the supernatant, the
suspended pellet was again centrifuged at 15,000×g for 15 min at
5°C. The supernatant was decanted and the final pellet was re-
suspended in the same Tris –HCl buffer mix. The total protein
content of the suspended pellet was measured by Bradford assay
and adjusted to 2.5 mg/mL.
Fig. 1. Chemical structure of the glycosylated LHRH analogs
1137Biological Properties of Glycosylated LHRH Analogs
Incubation of the Peptide Analogs with Homogenates
The homogenates were added (100 μL) into each well of
the 96-well plates. Prior to the start of the experiment, the
homogenates were pre-warmed for 15 min at 37°C. LHRH
compounds were dissolved in PBS and added to the
homogenates to give a final concentration of 100 μM. The
reaction was initiated by incubating the plates at 37°C and
shaking at 50 rpm (Thermo Scienti fic MaxQ 4000 Benchtop
shaker, USA). Samples of 50 μL were collected from each
well at pre-determined time intervals (0, 5, 10, 15, 20, 30, 40,
60, 90, 120, 180, and 240 min) and added to the 50 μL of 80%
acetonitrile containing 0.1% formic acid to stop the enzymatic
activity. Samples were finally centrifuged at 3000× g for
15 min; the supernatants were collected and analyzed using
HPLC on a C8 column.
Identification of Metabolites
The metabolites formed by the degradation of the
compounds in the kidney membrane homogenate and human
plasma were characterized using HPLC and ESI-mass
spectrometry. The peaks from the HPLC were collected and
the corresponding mass was identifi ed using mass spectrom-
etry (PerkinElmer-Sciex API3000).
In Vitro Cell Proliferation Assay
LNCaP and DU145 cell lines were grown in 75 cm
2
culture flasks containing RPMI-1640 medium supplemented
with 10% fetal bovine serum (FBS) and 1% non-essential
amino acids in a humidi fied atmosphere of 5% CO 2.
Dulbecco’ s modi fied Eagle ’ s medium (DMEM) was used to
grow the PC3 cell line. The cell media were changed every
2 days.
The cell proliferation was evaluated by assessing the
mitochondrial reduction of MTT using the established
procedure ( 34). Tumor cells including LNCaP , DU145, and
PC3 were seeded at the density of 2.0×10
4 cells/well and
allowed to attach for 4 h. LHRH compounds were added to
the plates at different concentrations (10, 50, 100, and
200 μM) in triplicate. Cells were incubated for 48, 72, and
96 h at 37°C. Fresh compound solution was added to the cells
every other day. After the end of the treatment, 10 μL MTT
(5 mg/mL) was added to each well. Plates were incubated for
a further 4 h. The medium was aspirated and 200 μL acidified
isopropanol (0.1 N HCl) was added to the wells to dissolve
formazan crystals. The absorption of each well was measured
using a Spectramax 250 microplate reader at the wavelength
of 570 nm. The percentage of cell viability for each compound
was calculated by comparing the absorbance of PBS added
samples (as a negative control). Sodium dodecyl sulfate
(SDS) was used as a positive control. Each experiment was
repeated twice.
Isolation of Peripheral Blood Mononuclear Cells (PBMCs)
Assay was performed with the approval from the
University of Queensland Ethics Committee (ethical approval
number: 2009000661). A blood sample (4 mL) was collected
from a healthy adult volunteer and diluted with an equal
volume of RPMI. Diluted cell suspension was layered over
4 mL Ficoll and centrifuged at 400× g for 30 min. The white
cell interface including mononuclear cells was aspirated and
washed three times with RPMI 1640. Cells were re-suspended
in 10% FBS:RPMI and seeded in a 96-well flat bottom plate
(TPP) at the density of 1×10
6 cells/mL. Cells were then
activated by adding 10 μg/mL of phytohemagglutinin and
incubated at 37°C in a 5% CO 2 atmosphere. After 1-h
incubation, 10 μL of LHRH derivative was added to each
well at 50 and 200 μM. An MTT assay was performed after
48-h incubation using the same method as described for the
cell proliferation assay.
LH and FSH Release Assays
Rat Pituitary Cell Preparation
Pituitary cell dispersion was performed as described
elsewhere with some modi fications ( 35). Brie fly, anterior
pituitaries were removed immediately after euthanizing rats by
CO
2 inhalation and rinsed with Hanks ’ balanced salt solution
(HBSS) containing 25 mM N-2-hydroxyethylpiperazine-N-2-
ethane sulfonic acid (HEPES) buffer (pH 7.2). Tissues were
minced with a razor blade into small pieces. The buffer was
removed and replaced by a collagenase enzyme solution (1 mg/
mL dissolved in 1% bovine serum albumin (BSA)/HBSS). The
pituitary fragments were incubated with the enzyme for 1 h at
37°C to become dissociated. After a gentle trituration, cells were
passed through a cell strainer (Costar) to remove clumps and
centrifuged at 400×g for 10 min. The supernatant was decanted
and the cells were suspended in DMEM media supplemented
with 10% FBS (growth media). Afterwards, cells were plated in
96-well plates at the density of 30,000 cells/well and incubated
for 72 h at 37°C.
LH and FSH Measurement
Plated pituitary cells were spun down at 1200× g for
10 min. Before the addition of LHRH compounds, pituitary
cells were washed and replaced by challenging media
containing DMEM with 0.1% BSA. Plates were then
incubated with 10 μL test solutions at 37°C for 2 h.
Compounds were used at 1, 10, and 50 nM for the LH
release assay and at 0.5, 5, and 10 nM (concentrations
were chosen based on some preliminary experiments) for
the FSH release experiment. The level of LH and FSH
was quanti fied with the commercial ELISA kit (USCN
Life Science Inc., Wuhan, China) according to the
manufacturer ’ s instructions.
Results
showed that compounds 1 (bearing Lac at N-terminus
and
D-Trp6) and 6 (bearing GS 4 and D-Trp6) were stable
during the time course of the experiment. A signi ficant
increase was also observed in the plasma half-lives of the
compounds 2 –5 compared to the native peptide (from
t1/2=6 min to more than 120 min).
The enzymatic stability of the glycosylated conjugates of
LHRH was also studied in rat liver and kidney membrane
homogenates at pH 7.3 (Table I). The half-lives of com-
pounds 1 and 2 in liver homogenate were 117 and 42 min,
respectively, which were enhanced signi ficantly compared to
the parent peptide (t 1/2=5 min). The metabolic stability of
compounds 1 and 2 was also improved between 7- and 22-fold
in kidney membrane homogenate. Compound 6 was stable in
liver homogenate for 4 h and showed the highest half-life in
kidney membrane homogenate (t
1/2=103 min) compared to
the other derivatives. The shortest half-life in both homoge-
nates was obtained for those compounds that had glucose and
galactose units in the N-terminal of their structures (com-
pounds 3 –5). It was demonstrated that the glycosylated
LHRH derivatives were more rapidly hydrolyzed in the
kidney membrane homogenates than the liver homogenates.
Among the tested LHRH derivatives, compound 1 and
compound 6 were the most stable analogs, whereas com-
pound 3 had the least metabolic stability in all three matrices.
Characterization of the Metabolites
The metabolites generated by the enzymatic digestion of
LHRH analogs were identi fied in kidney membrane and
human plasma stability experiments. No degraded products
were found in the samples incubated with plasma; however,
several metabolites were identifi ed upon the incubation of the
analogs in the kidney membrane homogenate. All fragments
were eluted from HPLC earlier than the native peptide in the
chromatographic separation using a gradient solvent system.
The analysis of the fragments illustrated indicated that the
peptide bonds Trp
3-Ser4 and Ser 4-Tyr5 were the most
susceptible positions in compounds 1 –5, which were cleaved
after 10- and 15-min incubation with the homogenate,
respectively. Moreover, the cleavage of the Tyr
5-Gly6 bond
was detected in compounds 1 –5. The lactose unit was cleaved
from the LHRH peptide in compound 1 after 40 min, while
the cleavage between the glucose residue and the peptide in
compounds 4 and 5 was observed after 20 min.
Compound 6 was stable in the kidney homogenate, and
no metabolites were detected in the samples until 180 min.
After 180 min, a metabolite was detected by the cleavage of
the glucose from the peptide. Another degradation site was
found for compound 6 after 240 min at Ser
4-Tyr5.
In Vitro Antiproliferative Study
The growth inhibitory effect of glycosylated conjugates
of LHRH was investigated in three LHRH receptor-positive
prostate cancer cell lines (LNCaP , DU145, and PC3). Cells
were treated with the different doses of LHRH compounds
and their effects on cell growth were assessed during four
consecutive days. The cell growth in LNCaP cells decreased
between 35 and 53% after 48-h treatment with compounds 1 –
6 (at 100 and 200 μM concentrations). Similar inhibitory
effects on cell growth were observed after the treatment of
LNCaP cells for 72 and 96 h (30 to 55% growth reduction)
(Fig. 2a, S1-A). It was shown that LHRH compounds induced
the same or even higher levels of growth inhibition in LNCaP
cells compared to triptorelin at 200 μM concentration. This
effect was in a concentration-dependent manner.
The growth rate of DU145 cells was not changed
significantly when cells were treated with glycosylated LHRH
derivatives for 48 h. However, the cell growth was inhibited
evidently (40% reduction) after 72 h treatment of the cells
with the compounds at 50, 100, and 200 μM concentrations
(Fig. S1-B). Compounds 1, 2, 4, and 6 reduced the viability of
DU145 cells to less than 50% after a 4-day treatment
(Fig. 2b). Similar to the LNCaP cell line, the cell growth
inhibitory effect of the sugar-modi fied compounds was
concentration-dependent in DU145 cells.
No significant change was observed in the growth of PC3
cells after 48 and 72 h of treatments (Fig. S 1-C). However, the
Table I. Half-Lives of Glycosylated LHRH Derivatives in Human Plasma and Tissue Homogenates
Compound number Peptide derivatives
Half-life (min)
Rat liver homogenate Rat kidney membranes Human plasma
– [pGlu1]LHRH (native) 5 3 6
1 Lac-[Q1][w6] LHRH 117 68 Stablea
2 Lac-[Q1]LHRH 42 22 187
3 Gal-[Q1]LHRH 17 8 124
4 GS-[E1]LHRH 17 8 138
5 GS-[Q1]LHRH 22 8 146
6G S4-[w6]LHRH Stablea 103 Stablea
All metabolic stability assays were performed in triplicate in two independent repetitions. The half-life values are reported as the mean of
repeated experiments
LHRH luteinizing hormone-releasing hormone, Lac lactose, Gal galactose, GS glucose
a Compounds were stable during the time course of the experiment (4 h)
1139Biological Properties of Glycosylated LHRH Analogs
incubation of PC3 cells with LHRH derivatives elicited up to
37% growth inhibition after a 4-day incubation at 100 and
200 μM concentrations (Fig. 2c). All tested compounds
showed a superior inhibitory effect on the growth of LNCaP
and DU145 cell lines than PC3 cells. LNCaP cells were kept
for an additional 5 days without any treatment with com-
pounds. The cells resumed growth after 5 days and their
viability reached the level of the negative control wells.
Cell Toxicity Against Non-cancerous Peripheral Blood
Mononuclear Cells (PBMCs)
The toxicity of compounds 1 –6 was evaluated in PBMCs
isolated from the whole blood. None of the compounds
showed any toxic effect on these cells at 50 and 200 μM
concentrations (Fig. 2d).
In vitro LH and FSH Release
The level of released LH and FSH was measured after 2-h
incubation of compounds 1, 2, 5, and 6 (lead compounds
selected based on our preliminary results) with the cultured
pituitary cells. Compound 1 at 10 nM concentration stimulated
the release of LH signi ficantly from 47 ng/mL in the negative
control samples to 117 ng/mL (Fig. 3). The concentration of
1 nM caused a 2-fold increase in LH release, although it was not
statistically significant. However, a higher concentration of the
compound 1 (50 nM) did not affect the LH level. Compound 6
inhibited the LH release signi ficantly at 50 nM. Compounds 2
and 5 did not show signi ficant effects in altering the release of
LH at any concentration (Fig. 3). Compound 5 had a significant
effect in increasing the secretion of FSH at 5 nM. The FSH level
was not signi ficantly altered when the cells were treated by
compounds 1 and 2 at any concentration.
Discussion
The therapeutic bene fits of LHRH derivatives have been
proven in the treatment of hormone-dependent diseases ( 36,
37). However, all agonists and antagonists of LHRH are
characterized by poor pharmacokinetic properties when they
are orally administered. The development of orally active
Fig 2. Antiproliferative effects of glycosylated LHRH analogs in cancer cell lines. a LNCaP ,b DU145, and c PC3. Cancer cells were treated
with LHRH compounds for 48, 72, and 96 h at 10, 50, 100, and 200 μM. In this figure, the growth inhibitory effect of compounds is shown after
96-h treatment at 100 and 200 μM. All other relevant graphs are presented in supplementary information. d In normal PBMCs, the growth
inhibitory effects of LHRH derivatives at 50 and 200 μM was determined following 48-h incubation with cells. Each column represents the
mean±SD of the data obtained from experiments performed in triplicate. Statistical analysis was performed using a one-way ANOV A followed
by the Dunnett ’s post hoc test and compared to PBS group (* p<0.05, ** p<0.01, *** p<0.01)
1140 Moradi et al.
peptide drugs has been one of the major goals in the
pharmaceutical industry. Enzymatic digestion is one of the
main limiting factors in the oral delivery of peptides leading
to poor absorption from the gastrointestinal tract into the
systemic circulation. Several approaches have been employed
to overcome these challenges. We applied the glycosylation
approach and amino acid substitution with
D-isoform to
overcome the poor oral bioavailability of native LHRH
peptide. We previously reported the enhanced stability of
the LHRH glycosylated deriv atives in the Caco-2 cell
homogenates ( 31). Caco-2 cells are derived from human
colon adenocarcinoma, and they express the typical enzymes
of intestinal cells such as peptidases in high levels. Therefore,
they are applied as a useful model for drug metabolism
studies ( 38). In addition to intestinal enzymes, the liver and
kidney are the two main organs responsible for metabolizing
hydrophilic peptides using different types of proteases. In this
study, the metabolic stability of the designed LHRH analogs
was evaluated in rat liver and kidney membrane homoge-
nates. The results indicated that the metabolic stability of all
glycosylated analogs improved signi ficantly in the liver
homogenate compared to the native peptide and the com-
pounds bearing glucose and lactose with
D-Trp6 amino acid in
the sequence (compounds 1 and 6) were the most resistant
analogs against enzymatic digestion. The glycosylated LHRH
compounds were shown to be less stable against metabolizing
enzymes in the kidney compared to that of the liver. This was
in line with the previous studies showing that the kidney plays
an important role in the metabolism of LHRH derivatives
(39, 40). The native LHRH is degraded rapidly in blood and
has a short half-life of 3 –4m i n( 36). We showed that
compounds 1 and 6 remained intact in the human plasma
during the 4-h incubation. The half-lives of compounds 2 –5
increased 20- to 30-fold compared to the LHRH peptide.
Overall, it was found that the introduction of a
D-amino acid
and a lactose unit to the structure of LHRH peptide had a
significant impact in improving the metabolic stability of the
modified analogs. Furthermore, the attachment of a glucose
unit at position 4 in compound 6 was shown to be the most
effective approach in the current study to protect the peptide
against enzymatic degradation.
The production of major metabolites of the compounds 1–6
was examined upon incubation in the kidney membrane
homogenate. Compound 6 with the glucose unit attached to the
middle of the sequence showed higher metabolic stability than
other derivatives. No hydrolyzed metabolites were formed until
180-min incubation with the homogenate. After 180 min, a
glucose-free fragment and after 240 min, a hexapeptide (Tyr
5-D-
Trp6-Leu7-Arg8-Pro9-Gly10-NH2) was detected. It was found
that the kidney endopeptidases cleaved the peptide bond at
positions 3 and 4 in compounds 1 –5. This caused the formation
of a hexapetide (Tyr 5-Gly6 [or D-Trp6]-Leu7-Arg8-Pro9-Gly10-
NH2) and heptapeptide (Ser4-Tyr5-Gly6 [or D-Trp6]-Leu7-Arg8-
Pro9-Gly10-NH2) in the homogenate. The Tyr 5-Gly6 bond was
also degraded in compounds b earing Gly at position 6
(compounds 2 –5). This digestion pattern was reported for
LHRH, and its analogs in other studies in which the stability
of the peptide ’ s derivatives was examined in different tissue
homogenates and organs ( 41–43). It has been shown that
metalloendopeptidase EP24.15, EP24.11, and the angiotensin-
converting enzyme (ACE) are mainly responsible for digestion
of the LHRH peptide. The endopeptidase E24.15 cleaves the
peptide bonds at Tyr 5-Gly6 and His 2-Trp3 whereas ACE
degrades the bond at Try 3-Ser4 (44–46). The cleavage of the
sugar entities was found to be processed in the later stage of the
proteolytic reaction. It was also observed that pyroglutamyl
residue (pGlu) was cleaved after the removal of the sugar
entities from the N-terminus of the peptides ’ sequence. The
cleavage of pGlu from the amino terminus of the peptides is
instigated by the enzymatic activity of pyroglutamyl peptidase
distributed in different mammalian tissues (47).
In addition to the suppression of gonadal steroids, a
number of studies reported the direct antiproliferative activity
of LHRH analogs in different tumor cell lines ( 17, 48, 49).
However, the mechanism of the action of LHRH analogs on
tumor cells is mediated through a different signal transduc-
tion pathway from that in the anterior pituitary ( 20, 50). We
tested the growth inhibitory effect of the LHRH derivatives
in three prostate cancer cell lines including LNCaP , DU145,
and PC3. We found that all tested peptide analogs markedly
inhibited the growth of LNCaP and DU145 cells after 48- and
72-h treatment, respectively. There was no signi ficant differ-
ence between the antiproliferative effects of compound 6
bearing a sugar unit at position 6 and the other glycosylated
analogs in which the sugar entities were attached to the N-
terminus of the peptide. There are reports in the literature on
Fig. 3. Effect of glycosylated LHRH derivatives on the release of a LH and b FSH in rat pituitary cells. Statistical analysis was performed using
a one-way ANOV A followed by the Dunnett ’ s post hoc test. ##p<0.05, decrease in the LH level when compared to the PBS group (* p<0.05,
**p<0.01, increase in the LH level when compared to the PBS group)
1141Biological Properties of Glycosylated LHRH Analogs
the direct inhibitory activity of other LHRH analogs in these
two cancer cell lines ( 22). The tested peptide analogs in this
study showed no signi ficant effect on the growth of PC3 cells
during 72-h treatment. However, there was a 22 –38%
decrease in the growth of these cells after 96-h incubation
with the glycosylated LHRH analogs. In comparison with
LNCaP and DU145 cells, the growth of PC3 cells was less
affected by the LHRH compounds. It has been reported that
LNCaP cells overexpress LHRH receptors with moderately
high- and low-af finity binding sites for the ligand, whereas
PC3 cells have only low-af finity binding sites for the ligands
(20). We also showed that the glycosylated LHRH derivatives
had no toxic effect on normal peripheral blood cells
suggesting the selective antitumor activity of the compounds.
The stimulatory effect of glycosylated LHRH derivatives
on LH and FSH release from dispersed pituitary cells was
also examined in this study. The level of LH released in
cultured rat pituitary cells was measured after the treatment
of the cells with compounds 1, 2, 5, and 6 at different
concentrations. The best stimulatory effect was observed for
compound 1 at 5 and 10 nM whereas compounds 2 and 5 did
not exert any signi ficant impact on the secretion of LH.
Compound 6 reduced the secretion of LH signi ficantly at high
concentration (50 nM) compared to the negative control.
There are evidences showing that LHRH analogs could have
different effects on the LH release. The higher concentrations
of LHRH receptor ligands can desensitize the pituitary cells
in a time- and dose-dependent manner ( 29, 51, 52). It was
found that compounds 1 and 6 have the potential to change
the LH release from the anterior pituitary cells. Among all
LHRH-glycosylated conjugates, it was demonstrated that
only compound 5 induced the release of FSH effectively,
although it did not stimulate the release of LH in the pituitary
cells. In previous studies, it has been explained that LHRH
ligands and androgens have a differential effect on the release
of LH and FSH. This has been shown to be due to the
independent control over LH and FSH secretion both in vitro
and in vivo (53, 54).
References
1. Conn PD, Michael P , Crowley Jr M, William F. Gonadotropin-
releasing hormone and its analogs. Annu Rev Med.
1994;45(1):391–405.
2. Engel JB, Schally A V . Drug insight: clinical use of agonists and
antagonists of luteinizing-hormone-releasing hormone. Nat Clin
Pract Endocrinol Metab. 2007;3(2):157 –67.
3. Limonta P , Moretti RM, Marelli MM, Motta M. The biology of
gonadotropin hormone-releasing hormone: role in the control of
tumor growth and progression in humans. Front
Neuroendocrinol. 2003;24(4):279–95.
4. Powell MF, Stewart T, Otvos L, Urge L, Gaeta FCA, Sette A,
et al . Peptide stability in drug development. II. Effect of single
amino acid substitution and glycosylation on peptide reactivity in
human serum. Pharm Res. 1993;10(9):1268 –73.
5. Christie MP , Simerská P , Jen FE-C, Hussein WM, Rawi MF,
Hartley-Tassell LE, et al . A drug delivery strategy: binding
enkephalin to asialoglycoprotein receptor by enzymatic
galactosylation. PLoS ONE. 2014;9(4):e95024.
6. Moradi SV , V aramini P , Toth I. The transport and ef flux of
glycosylated luteinising hormone ‐releasing hormone analogs in
Caco‐2 cell model: contributions of glucose transporters and
efflux systems. J Pharm Sci. 2014;103(10):3217 –24.
7. Egleton R, Mitchell S, Huber J, Palian M, Polt R, Davis T.
Improved blood –brain barrier penetration and enhanced anal-
gesia of an opioid peptide by glycosylation. J Pharmacol Exp
Ther. 2001;299(3):967–72.
8. V aramini P , Mansfeld FM, Blanch field JT, Wyse BD, Smith MT,
Toth I. Synthesis and biological evaluation of an orally active
glycosylated endomorphin-1. J Med Chem. 2012;55(12):5859 –67.
9. Yamamoto T, Nair P , Jacobsen NE, V agner J, Kulkarni V , Davis
P, et al . Improving metabolic stability by glycosylation: bifunc-
tional peptide derivatives that are opioid receptor agonists and
neurokinin 1 receptor antagonists. J Med Chem.
2009;52(16):5164–75.
10. V ergote V , V an Dorpe S, Peremans K, Burvenich C, De
Spiegeleer B. In vitro metabolic stability of obestatin: kinetics
and identi fi cation of cleavage products. Peptides.
2008;29(10):1740–8.
11. Werle M, Bernkop-Schnürch A. Strategies to improve plasma
half life time of peptide and protein drugs. Amino Acids.
2006;30(4):351–67.
12. Cleverly K, Wu TJ. Is the metalloendopeptidase EC 3.4. 24.15
(EP24. 15), the enzyme that cleaves luteinizing hormone-
releasing hormone (LHRH), an activating enzyme? Reproduc-
tion. 2010;139(2):319 –30.
13. Péter A, Devadder S, Laus G, Tourwé D. Liquid chroma-
tography studies on the enzymatic degradation of luteinizing
hormone-releasing hormone analogs with off-line identi fica-
tion by mass spectrometry. J Chromatogr A. 1996;729(1):137 –
42.
14. Brudel M, Kertscher U, Berger H, Mehlis B. Liquid
chromatographic-mass spectrometric studies on the enzymatic
degradation of gonadotropin-releasing hormone. J Chromatogr
A. 1994;661(1):55 –60.
15. Sealfon SC, Weinstein H, Millar RP . Molecular mechanisms of
ligand interaction with the gonadotropin-releasing hormone
receptor. Endocr Rev. 1997;18(2):180 –205.
16. Bachhav YG, Kalia YN. Stability of triptorelin in the presence of
dermis and epidermis. Int J Pharm. 2009;378(1):149 –51.
17. Kraus S, Naor Z, Seger R. Gonadotropin-releasing hormone in
apoptosis of prostate cancer cells. Cancer Lett. 2006;234(2):109 –
23.
18. Schally A V , Nagy A. New approaches to treatment of various
cancers based on cytotoxic analogs of LHRH, somatostatin and
bombesin.
Life Sci. 2003;72(21):2305 –20.
19. Mezo G, Manea M, Szabo I, Vincze B, Kovacs M. New
derivatives of GnRH as potential anticancer therapeutic agents.
Curr Med Chem. 2008;15(23):2366 –79.
20. Ravenna L, Salvatori L, Morrone S, Lubrano C, Cardillo M,
Sciarra F, et al . Effects of triptorelin, a gonadotropin ‐releasing
hormone agonist, on the human prostatic cell lines PC3 and
LNCaP . J Androl. 2000;21(4):549–57.
1142 Moradi et al.
21. Morgan K, Stewart AJ, Miller N, Mullen P , Muir M, Dodds M,
et al . Gonadotropin-releasing hormone receptor levels and cell
context affect tumor cell responses to agonist in vitro and in vivo.
Cancer Res. 2008;68(15):6331 –40.
22. Dondi D, Limonta P , Moretti RM, Marelli MM, Garattini E,
Motta M. Antiproliferative effects of luteinizing hormone-
releasing hormone (LHRH) ago nists on human androgen-
independent prostate cancer cell line DU 145: evidence for an
autocrine-inhibitory LHRH loop. Cancer Res. 1994;54(15):4091 –
5.
23. Halmos G, Arencibia JM, Schally A V , Davis R, Bostwick DG.
High incidence of receptors for luteinizing hormone-releasing
hormone (LHRH) and LHRH receptor gene expression in
human prostate cancers. J Urol. 2000;163(2):623 –9.
24. Pappa EV , Zompra AA, Spyranti Z, Diamantopoulou Z, Pairas
G, Lamari FN, et al . Enzymatic stability, solution structure, and
antiproliferative effect on prostate cancer cells of leuprolide and
new gonadotropin ‐releasing hormone peptide analogs. Pept Sci.
2011;96(3):260–72.
25. Dondi D, Festuccia C, Piccolella M, Bologna M, Motta M.
GnRH agonists and antagonists decrease the metastatic progres-
sion of human prostate cancer cell lines by inhibiting the
plasminogen activator system. Oncol Rep. 2006;15(2):393 –400.
26. Millar RP, Pawson AJ, Morgan K, Rissman EF, Lu Z-L.
Diversity of actions of GnRHs mediated by ligand-induced
selective signaling. Front Neuroendocrinol. 2008;29(1):17 –35.
27. Naor Z, Clayton RN, Catt KJ. Characterization of gonadotropin-
releasing hormone receptors in cultured rat pituitary cells.
Endocrinology. 1980;107(4):1144–52.
28. Naor Z, Atlas D, Clayton R, Forman D, Amsterdam A, Catt K.
Interaction of fluorescent gonadotropin-releasing hormone with
receptors in cultured pituitary cells. J Biol Chem.
1981;256(6):3049–52.
29. Smith MA, Perrin MH, V ale WW. Desensitization of cultured
pituitary cells to gonadotropin-releasing hormone: evidence for a
post-receptor mechanism. Mol Cell Endocrinol. 1983;30(1):85 –
96.
30. Kéri G, Nikolics K, Teplán I, Molnár J. Desensitization of
luteinizing hormone release i n cultured pituitary cells by
gonadotropin-releasing hor mone. Mol Cell Endocrinol.
1983;30(1):109–20.
31. Moradi SV , Mansfeld FM, Toth I. Synthesis and in vitro
evaluation of glycosyl derivatives of luteinizing hormone-
releasing hormone (LHRH). Bioorg Med Chem.
2013;21(14):4259–65.
32. Gao LB, Wang JZ, Yao TW, Zeng S. Study on the metabolic
mechanism of chiral inversion of S ‐Mandelic acid in vitro.
Chirality. 2012;24(1):86.
33. Yao J-F, Zhou N, Lv Y -J, Zhang R, Liu K-L, Xue M. Metabolic
stability of long-acting luteinizing hormone-releasing hormone
antagonists. Amino Acids. 2012;43(4):1557 –66.
34. Tomar P , Jain N, Agarwal G, Dixit V . Goserelin loaded
nanoparticles inhibit growth and induce apoptosis in human
prostate cancer cell lines. Drug Deliv Transl Res. 2012;2(4):265 –
71.
35. Pelletier JC, Chengalvala M, Cottom J, Feingold I, Garrick L,
Green D, et al . 2-Phenyl-4-piperazinylbenzimidazoles: orally
active inhibitors of the gona dotropin releasing hormone
(GnRH) receptor. Bioorg Med Chem. 2008;16(13):6617 –40.
36. Moreau J-P , Delavault P , Blumberg J. Luteinizing hormone-
releasing hormone agonists in the treatment of prostate cancer: a
review of their discovery, development, and place in therapy.
Clin Ther. 2006;28(10):1485 –508.
37. Padula AM. GnRH analogs — agonists and antagonists. Anim
Reprod Sci. 2005;88(1 –2):115–26.
38. Ferruzza S, Rossi C, Scarino ML, Sambuy Y . A protocol for in
s
itu enzyme assays to assess the differentiation of human
intestinal Caco-2 cells. Toxicol In Vitro. 2012;26(8):1247 –51.
39. Katsila T, Balafas E, Liapakis G, Limonta P , Montagnani Marelli
M, Gkountelias K, et al . Evaluation of a stable gonadotropin-
releasing hormone analog in mice for the treatment of endocrine
disorders and prostate cancer. J Pharmacol Exp Ther.
2011;336(3):613–23.
40. Katsila T, Siskos AP , Tamvakopoulos C. Peptide and protein
drugs: the study of their metabolism and catabolism by mass
spectrometry. Mass Spectrom Rev. 2012;31(1):110 –33.
41. Koch Y , Elkabes S, Fridkin M. Degradation of luteinizing
hormone-releasing hormone (LHRH) by pituitary plasma mem-
brane and by pituitary cells in culture. Neuroendocrine Molec-
ular Biology: Springer; 1986. pp. 309 –23.
42. Gao C-Q, Fraeyman N, Eertmans F, Dhooge W, Kaufman J-M.
Further evaluation of the biological activity of the unique
gonadotropin-releasing hormone peptide in the guinea pig brain.
Neurosci Lett. 2011;487(2):246 –9.
43. Carone F, Stetler-Stevenson M, May V , LaBarbera A, Flouret G.
Differences between in vitro and in vivo degradation of LHRH
by rat brain and other organs. Am J Physiol Endocrinol Metab.
1987;253(3):E317–21.
44. Walters K, Wegorzewska IN, Chin YP , Parikh MG, Wu T.
Luteinizing hormone-releasing hormone I (LHRH-I) and its
metabolite in peripheral tissues. Exp Biol Med. 2008;233(2):123.
45. Molineaux CJ, Lasdun A, Michaud C, Orlowski M. Endopepti-
dase‐24.15 is the primary enzyme that degrades luteinizing
hormone releasing hormone both in vitro and in vivo. J
Neurochem. 1988;51(2):624–33.
46. Yang X, Rojanasakul Y , Wang L, Ma JY , Ma JK. Enzymatic
degradation of luteinizing hormone releasing hormone (LHRH)/
[D-Ala6]-LHRH in lung pne umocytes. Pharm Res.
1998;15(9):1480–4.
47. Cummins PM, O ’Connor B. Pyroglutamyl peptidase: an over-
view of the three known enzymatic forms. Biochim Biophys
Acta. 1998;1429(1):1 –17.
48. Bahk J, Hyun J, Lee B, Kim M, Cho G, Choi W . Expression of
gonadotropin-releasing hormone (GnRH) and GnRH receptor
mRNA in prostate cancer cells and effect of GnRH on the
proliferation of prostate cancer cells. Urol Res. 1998;26(4):259–64.
49. Limonta P , Marelli MM, Moretti RM. LHRH analogs as
anticancer agents: pituitary and extrapituitary sites of action.
Expert Opin Investig Drugs. 2001;10(4):709 –20.
50. Castellón E, Clementi M, Hitschfeld C, Sánchez C, Benítez D,
Sáenz L, et al . Effect of leuprolide and cetrorelix on cell growth,
apoptosis, and GnRH receptor expression in primary cell
cultures from human prostate carcinoma. Cancer Investig.
2006;24(3):261–8.
51. King JA, Davidson JS, Millar RP . Desensitization to
gonadotropin-releasing hormone in perifused chicken anterior
pituitary cells*. Endocrinology. 1986;119(4):1510 –8.
52. Iida T, Makino T, Seki T, Iizuka R. Mechanism of LH release in
cultured rat pituitary cells. Endocrinol Jpn. 1989;36(5):739 –46.
53. Levine JE, Duffy MT. Simultaneous measurement of luteinizing
hormone (LH)-releasing hormone, LH, and follicle-stimulating
hormone release in intact and short-term castrate rats*. Endo-
crinology. 1988;122(5):2211–21.
54. Drouin J, Fernand L. Selective effect of androgens on LH and
FSH release in anterior pituitary cells in culture. Endocrinology.
1976;98(6):1528–34.
1143Biological Properties of Glycosylated LHRH Analogs