Table 1.
Examples of α-PEG Ab and/or accelerated blood clearance responses to PEGylated systems.
Type of PEGylated system |
Animal model | Dose*,† | Dosing interval* |
Parameters of initial or control dose |
Parameters of subsequent dose(s) |
Fold change in parameters‡ |
α-PEG Ab response# |
Ref |
---|---|---|---|---|---|---|---|---|
PEGylated liposome | Balb/c mice | 0.01–1 μmol PL/kg | 5–7 d | N.D. | N.D. | - | IgM + (no to weak) IgG | 48 |
PEGylated liposome | Std:ddY mice | 25 μmol PL/kg | 10 d | t1/2,β
12.9 h Cl 0.07 mL/h AUC0-24h 486%dose h/mL |
t1/2,β
6.3 h Cl 0.2 mL/h AUC0-24h 221%dose h/mL |
0.5 (t1/2,β) 2.9 (Cl) 0.5 (AUC0-24h) |
N.D. | 33 |
PEGylated liposome | KM mice | 0.1 μmol PL/kg (initial); 5 μmol PL/kg (subsequent) | 6 d |
44%IDblood,4h 13%IDliver,4h 12%IDspleen,4h |
14%IDblood,4h 28%IDliver,4h 18%IDspleen,4h |
0.3 (%IDblood,4h) 2.2 (%IDliver,4h) 1.5 (%IDspleen,4h) 0.2 (t1/2), 0.2 (AUC)° |
IgM§ | 54 |
PEGylated liposome | Wistar rats | 0.001 μmol PL/kg | - | N.D | - | - | IgM + (weak) IgG | 39 |
PEGylated liposome | Wistar rats | 5 μmol PL/kg | 7 d | t1/2,α
2.4 h 52.5%IDblood,4h 8.1%IDliver,4h 2.2%IDspleen,4h |
t1/2,α
0.1 h 0.6%IDblood,4h 46.4%IDliver,4h 6.3%IDspleen,4h |
0.04 (t1/2,α) 0.01 (%IDblood,4h) 5.7 (%IDliver,4h) 2.9 (%IDspleen,4h) |
N.D. | 7 |
PEGylated liposome | Wistar rats | 0.001 μmol PL/kg (initial); 5 μmol PL/kg (subsequent) | 4–6 d | t1/2
14.8 h Clh <1 mL/min 8%IDliver,24h 8%IDspleen,24h |
t1/2
0.3–1.8 h Clh 25–55 mL/min 67–72%IDliver,24h 8–12%IDspleen,24h |
0.02–0.12 (t1/2) >25–55 (Clh) 8.4–9.0 (%IDliver,24h) 1.0–1.5 (%IDspleen,24h) |
IgM | 47 |
PEGylated liposome | Wistar rats | 0.001 μmol PL/kg (initial); 5 μmol PL/kg (subsequent) | 5 d |
51%IDblood,24h 6%IDliver,24h |
<2%IDblood,24h 68%IDliver,24h |
<0.02 (%IDblood,24h) 11 (%IDliver,24h) |
IgM + (weak) IgG | 37 |
PEGylated liposome | Wistar rats | 5 μmol PL/kg | 7 d |
76.4%IDblood,4h 15%IDliver,4h |
0.6%IDblood,4h 68%IDliver,4h |
0.01 (%IDblood,4h) 4.5 (%IDliver,4h) |
N.D. | 36 |
PEGylated liposome | Sprague-Dawley rats | 7 μmol PL/kg | 7 d | t1/2
16.7 h Cl 1.7 mL/h AUC 856 μg h/mL |
t1/2
0.2 h Cl 74.3 mL/h AUC 17 μg h/mL |
0.01 (t1/2) 43.7 (Cl) 0.02 (AUC) |
IgM§ | 44 |
PEGylated liposome | Dunkin-Hartley guinea pigs | 0.1 μmol PL/kg (initial); 5 μmol PL/kg (subsequent) | 6 d |
34%IDblood,4h 12%IDliver,4h <2%IDspleen,4h |
12%IDblood,4h 37%IDliver,4h <2%IDspleen,4h |
0.4 (%IDblood,4h) 3.1 (%IDliver,4h) ~1 (%IDspleen,4h) 0.6 (t1/2), 0.6 (AUC)° |
IgM§ | 54 |
PEGylated liposome | Rabbits | 9 mg PL/animal | 7 d | N.D. | N.D | - | IgG¶,Δ | 49 |
PEGylated liposome | Japanese white rabbits | 0.1 μmol PL/kg (initial); 5 μmol PL/kg (subsequent) | 6 d |
47%IDblood,4h 15%IDliver 4%IDspleen |
13%IDblood,4h 35%IDliver 6%IDspleen |
0.3 (%IDblood,4h) 2.3 (%IDliver,4h) 1.5 (%IDspleen,4h) 0.5 (t1/2), 0.4 (AUC)° |
IgM§ | 54 |
PEGylated liposome | Rhesus monkey | 5 μmol PL/kg | 7 d | t1/2
87.5 h 17.6%IDliver,4h |
t1/2
14.2 h 41.2%IDliver,4h |
0.2 (t1/2) 2.3 (%IDliver,4h) |
N.D. | 7 |
PEGylated pDNA liposome | ICR mice | 100 μg pDNA/animal | 7 d |
80%IDblood,1h 8%IDliver,1h 2%IDspleen,1h |
23%IDblood,1h 41%IDliver,1h 4%IDspleen,1h |
0.3 (%IDblood,1h) 5.1 (%IDliver,1h) 2.0 (%IDspleen,1h) |
IgG + IgMΔ | 41 |
PEGylated ODN vesicles | ICR mice | 50 mg PL/kg, 10 mg ODN/kg | 7 d | 70%IDblood,1h | 6%IDblood,1h | 0.1 (%IDblood,1h) | IgM§ | 57 |
PEGylated Gd liposome | C57BL/6 and Balb/c mice | 5 μmol PL/kg | 7 d |
11%IDblood,6h 9%IDliver,6h 10%IDspleen,6h |
<0.5%IDblood,6h 31%IDliver,6h 1%IDspleen,6h |
<0.05(%IDblood,6h) 3.4 (%IDliver,6h) 0.1 (%IDspleen,6h) |
IgMΔ | 45 |
PEGylated Hb vesicles | ddY mice | 0.1 mg Hb/kg | 7 d | t1/2
2.7 h Cl 3.7 mL/h AUC 27.1%dose h/mL |
t1/2
1.3 h Cl 22.3 mL/h AUC 4.5%dose h/mL |
0.5 (t1/2) 6.0 (Cl) 0.2 (AUC) |
IgM | 98 |
PEGylated EPI liposome | Wistar rats | 1 μmol PL/kg, 0.08 EPI/kg (initial); 5 μmol PL/kg, 0.4 mg EPI/kg (subsequent) | 7 d |
52%IDblood,4h 16%IDliver,4h 8%IDspleen,4h |
8%IDblood,4h 36%IDliver,4h 15%IDspleen,4h |
0.2 (%IDblood,4h) 2.3 (%IDliver,4h) 1.9 (%IDspleen,4h) |
IgM§ | 53 |
PEGylated DXR liposome | Beagle dogs | 0.67 μmol PL/kg and 2 mg DXR/m2 | 3 wk | t1/2
24.1 h Cl 1.5 mL/h/kg AUC0-∞ 76.0 μg h/mL |
t1/21.5 h Cl 127.8 mL/h/kg AUC0-∞ 0.6 μg h/mL |
0.06 (t1/2) 85.2 (Cl) 0.01 (AUC0-∞) |
IgM§ | 96 |
PEGylated TOPO liposome | Beagle dogs | 0.5 mg TOPO/kg | 7 d | Cmax
7.9 mg/L Cl 0.4 mL/min/kg AUC0-t 1.4 mg min/mL |
Cmax
1.7 mg/L Cl 6.7 mL/min/kg AUC0-t 0.1 mg min/mL |
0.2 (C max) 16.8 (Cl) 0.07 (AUC0-t) |
IgM§ | 42 |
PEGylated solid lipid nanoparticle | Wistar rats | 5 μmol PL/kg (initial s.c., subsequent i.v.) | 7 d | AUC0-4h
27.3 mg h/L 8 μg/g (liver, 4 h) 9 μg/g (spleen, 4 h) |
AUC0-4h
6.6 mg h/L 25 μg/g (liver, 4 h) 26 μg/g (spleen, 4 h) |
0.2 (AUC0-4h) 3.1 (liver, 4 h) 2.9 (spleen, 4 h) |
IgM§ | 64 |
PEGylated solid lipid nanoparticle | Kunming mice | 10 μmol PL/kg | 7 d |
71.3%IDblood,0.5h 5.4%IDliver,0.5h 4%IDspleen,0.5h |
42.6%IDblood,0.5h 23.3%IDliver,0.5h 9%IDspleen,0.5h |
0.6 (%IDblood,0.5h) 4.3 (%IDliver,0.5h) 2.3 (%IDspleen,0.5h) |
N.D. | 46 |
PEGylated solid lipid nanoparticle | Beagle dogs | 2 μmol PL/kg | 7 d | t1/2,β
3.4 h Cl 0.2 mL/min/kg AUC0-24h 90.6 mg h/L |
t1/2,β
1.6 h Cl 0.4 mL/min/kg AUC0-24h 34.0 mg h/L |
0.5 (t1/2,β) 2.0 (Cl) 0.4 (AUC0-24h) |
IgM§ | 46 |
PEGylated emulsion | Wistar rats | 5 μmol PL/kg | 7 d | AUC0-0.5h
30.8 mg h/L 50%IDblood,1h 11 μg/g (liver, 12 h) 14 μg/g (spleen, 12 h) |
AUC0-0.5h
10.8 mg h/L 7%IDblood,1h 22 μg/g (liver, 12 h) 23 μg/g (spleen, 12 h) |
0.4 (AUC0-0.5h) 0.1 (%IDblood,1h) 2.0 (liver, 12 h) 1.6 (spleen, 12 h) |
IgM§ | 68 |
PEGylated micelle | Sprague-Dawley rats | 7 μmol PL/kg | 7 d | t1/2
8.8 h Cl 3.3 mL/h AUC 442 μg h/mL |
t1/2
9.6 h Cl 3.5 mL/h AUC 408 μg h/mL |
1.1 (t1/2)⋄ 0.9 (Cl)⋄ 1.1 (AUC)⋄ |
IgM§ | 44 |
PEG-PBLA micelles | C57BL/6 and Balb/c mice | 3 mg/kg | 7 d | 65%IDblood,6h | 50%IDblood,6h | 0.8 (%IDblood,6h)⋄ | IgMΔ | 45 |
PEG-PLGA ETO nanoparticles | Wistar rats | 0.01–1 mg polymer/kg (initial); 20 mg polymer/kg, 8 mg/kg ETO (subsequent) | 7 d | t1/2
3.5 h Cl 0.6 mL/min AUC 3.7 mg min/mL |
t1/2
1.0–1.2 h Cl 3.2–3.3 mL/min AUC 0.6 mg min/mL |
0.3 (t1/2) 5.3–5.5 (Cl) 0.2 (AUC) |
IgM§ | 43 |
PEG-PLA PGE1 nanoparticles | Wistar rats | 133 μg PGE1/kg | 7 d | AUC 0-24h
6.4 μg min/mL 50%IDblood,3h |
AUC 1.1 μg min/mL 3% IDblood,3h |
0.2 (AUC0-24h) 0.06 (%IDblood,3h) |
IgM§,Δ | 55 |
Poloxamine-coated polystyrene nanoparticles | Wistar rats | 3.5 mg polystyrene/kg, 5–7 mg poloxamine/kg | 4 d |
66.3%IDblood,3h 9.4%IDliver,3h 1.1%IDspleen,3h |
11.5%IDblood,3h 50.1%IDliver,3h 6.1%IDspleen,3h |
0.2 (%IDblood,3h) 5.3 (%IDliver,3h) 5.5 (%IDspleen,3h) |
N.D. | 32 |
PEG-adenovirus | Wistar rats | 1011 particles/animal | - | N.D. | - | - | IgM§,Δ | 30 |
PEG-BSA | Wistar rats | 1 μg/animal | - | N.D. | - | - | IgM§,Δ | 30 |
PEG-uricase | Sprague-Dawley rats | 1 mg/kg | 7 d | 20–26 h (t1/2,β) | N.D. | - | IgMΔ | 99 |
PEG-uricase, PEG-IFNα, PEG-HSA | New Zealand white rabbits | N.D. | 7 d | N.D. | N.D. | - | Igϕ,Δ | 28 |
PEG-OVA, PEG-SOD, PEG-Rag | New Zealand white rabbits | 100 μg/animal (i.m.) with Freund’s adjuvant | 4 wk | N.D. | N.D. | - | Igϕ,£,Δ | 27 |
Treatment conditions that generated a maximal ABC and/or α-PEG Ab response;
i.v. administration, unless otherwise indicated;
fold change calculated as (subsequent dose)/(initial dose);
α-PEG Ab detection was performed using ELISA, unless otherwise indicated;
data not available for individual injections;
anti-PEG IgG was not evaluated;
anti-PEG IgG detection was performed using Western blotting and IgM was not evaluated;
antibody specificity to PEG confirmed through cross-reactivity and/or competition with other PEGylated agents or free PEG;
no ABC effect was observed;
α-PEG Abs were detected using passive hemagglutination and radial immunodiffusion;
antibody isotype was not evaluated or could not be determined.
N.D., not determined or not stated; PL, phospholipid; pDNA, plasmid DNA; ODN, oligonucleotide; Hb, hemoglobin; EPI, epirubicin; DXR, doxorubicin; TOPO, topotecan; ETO, etoposide, PGE1, prostaglandin E1; BSA, bovine serum albumin; IFN, interferon; HSA, human serum albumin; OVA, ovalbumin; SOD, superoxide dismutase; Rag, ragweed pollen extract.