This work continues our efforts to improve the diagnostic and radiotherapeutic effectiveness of nanomedicine platforms by developing approaches to reduce the non-target accumulation of these agents. Herein, we developed multi-block
HPMA copolymers with backbones that are susceptible to cleavage by
cathepsin S, a
protease that is abundantly expressed in tissues of the mononuclear phagocyte system (MPS). Specifically, a bis-
thiol terminated
HPMA telechelic copolymer containing
1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (
DOTA) was synthesized by reversible addition-fragmentation chain transfer (RAFT) polymerization. Three
maleimide modified linkers with different sequences, including
cathepsin S degradable
oligopeptide, scramble
oligopeptide and oligo
ethylene glycol, were subsequently synthesized and used for the extension of the
HPMA copolymers by
thiol-maleimide click chemistry. All multi-block
HPMA copolymers could be labeled by (177)Lu with high labeling efficiency and exhibited high serum stability. In vitro cleavage studies demonstrated highly selective and efficient
cathepsin S mediated cleavage of the
cathepsin S-susceptible multi-block
HPMA copolymer. A modified multi-block
HPMA copolymer series capable of Förster Resonance Energy Transfer (FRET) was utilized to investigate the rate of cleavage of the multi-block
HPMA copolymers in monocyte-derived macrophages. Confocal imaging and flow cytometry studies revealed substantially higher rates of cleavage for the multi-block
HPMA copolymers containing the
cathepsin S-susceptible linker. The efficacy of the
cathepsin S-cleavable multi-block
HPMA copolymer was further examined using an in vivo model of pancreatic ductal
adenocarcinoma. Based on the biodistribution and SPECT/CT studies, the copolymer extended with the
cathepsin S susceptible linker exhibited significantly faster clearance and lower non-target retention without compromising
tumor targeting. Overall, these results indicate that exploitation of the
cathepsin S activity in MPS tissues can be utilized to substantially lower non-target accumulation, suggesting this is a promising approach for the development of diagnostic and radiotherapeutic nanomedicine platforms.