1. Introduction
In 1981, Katzenellenbogen et al. [
1] introduced the concept of a “self-immolative connector” to overcome some problems in prodrug design. Indeed, in some cases, a bipartate prodrug A-B containing a specifier (trigger) A and a drug (reporter) B cannot be used because of the instability of the bond linking A to B, or, on the contrary the prodrug A-B is too stable or hindered to allow hydrolysis of the A-B bond. Therefore, a tripartate prodrug in which the specifier A and drug B are linked by a connector (spacer) group was considered (
Scheme 1). After an appropriate stimulus, the bond between the trigger A and the spacer is broken and the remaining bond connecting the linker to the drug B must spontaneously hydrolyze to release the active drug (reporter) B. Studies on self-immolative connectors have grown significantly over the past few decades, and these degradable linkers, also named self-immolative spacers or self-immolative linkers in the literature, have found many applications in various fields, such as prodrugs, probes, imaging and materials science.
The nitro group (NO2) is a functional group composed of one nitrogen and two oxygens. Since the nitrogen atom bears a positive charge, the nitro group has typical reactivity due to its very strong electron-withdrawing nature. This particular reactivity has been widely used in the field of self-immolative compounds, and the nitro group can be found on the trigger, on the linker or on the reporter part. Thus, the aim of this review is to highlight the active and different roles of the nitro group in the self-immolative process depending on its position.
2. NO2 Group on the Trigger
In the first part of the review, the stimulus to initiate self-immolation directly involves a reaction with the nitro group.
2.1. Chemical Reduction of the Nitro Group
Chemical reduction of the nitro group can trigger the self-immolation cascade. For example, De Groot et al. [
2] proved the concept of “cascade-release dendrimers” to liberate multiple end groups using nitro reduction as chemical activation. Dendrimers are highly ordered, treelike branched molecules. Their use in drug delivery has received much attention because biologically active substances can be attached to the ends of dendritic structures and then released by biological or chemical methods. In this approach, mild reducing conditions (Zn, acetic acid) allowed the chemical reduction of the nitro group of dendrimer
1 to the corresponding amine, followed by a self-elimination cascade to liberate two leaving groups L (
Scheme 2).
This method was applied to dendron
2 to demonstrate the generality of the concept with the release of two molecules of the anticancer drug paclitaxel (
Scheme 3).
Nevertheless, dendrimers have some drawbacks: the limited space available in the outer shell of the dendrimer reduces the number of convenient drug molecules. To deal with this problem, Warnecke et al. [
3] described linear self-eliminating (LSE) systems that allowed the more effective release of reporter molecules after chemical activation. A linear system based on the well-known self-eliminating
p-aminobenzyloxycarbonyl linker was envisaged. Thus, a model compound
3 with a
p-nitrobenzyloxycarbonyl moeity and tryptamine as a reporter was synthesized. After treating
3 with zinc powder in the presence of acetic acid in acetonitrile, nitro reduction followed by 1,4- and 1,6-elimination reactions allowed the effective release of three tryptamine molecules (
Scheme 4).
Here, we have shown that the chemical reduction of a nitro moiety can trigger self-immolative processes to release biologically active molecules. To apply this strategy in a biological manner, the use of nitroreductase enzymes to reduce nitro-containing compounds and then achieve self-immolation could be of great interest.
2.2. Enzymatic Reduction of the Nitro Group
Nitroreductases, not present in humans but in bacteria or parasites, are enzymes capable of catalyzing the reduction of nitro groups. Two types of nitroreductases have been characterized: an essential mitochondrial type 1 nitroreductase catalyzing two-electron reductions and a cytosolic type 2 nitroreductase catalyzing monoelectronic reductions [
4] (
Scheme 5).
The toxicity of oncology drugs to non-cancer cells is the major drawback of cancer treatment. Indeed, many chemotherapy drugs lack tumor specificity and are often toxic to other tissues. Antibody-directed enzyme prodrug therapy (ADEPT) is a cancer treatment technique that consists in generating cytotoxic molecules specifically in tumors. It involves the use of a tumor-specific antibody that is linked to an enzyme and injected intravenously. Discrimination between tumor and normal tissue implies a high concentration of the antibody–enzyme conjugate in the tumor cells. Subsequently, a prodrug, administrated into the blood circulation, is converted into a cytotoxic molecule by the enzyme, selectively within the tumor.
Knox et al. [
5] synthesized prodrug candidates for the ADEPT strategy, which were all 4-nitrobenzyloxycarbonyl derivatives. After nitro reduction by a nitroreductase enzyme, the 4-(hydroxyamino)benzyloxycarbonyl group can generate the drug through self-immolation (
Scheme 6). The authors showed that at least a 100-fold higher dose of actinomycin D was required to produce cytotoxicity equivalent to that of prodrug
4. Moreover, prodrug
4 was 100× less toxic than actinomycin D in vivo.
Gene-directed enzyme prodrug therapy (GDEPT), using a nitroreductase, has also been the subject of considerable study to develop a more selective cancer treatment. Prodrugs activated by nitroreductase are mainly 2,4-dinitrobenzamides and 4-nitrobenzylcarbamates. Hay et al. studied the influence of substituents and leaving group effects on the fragmentation of 4-nitrobenzylcarbamates. They found that electron-donating substituents on the benzyl ring and/or α-methyl substitution in the benzylic position accelerated the fragmentation of the obtained 4-hydroxylamine derivative after enzymatic reduction [
6]. On the contrary, they only observed a small influence of the leaving group on 4-hydroxylamine fragmentation [
7].
Then, the same authors synthesized a series of nitrobenzyl carbamate prodrugs of doxorubicin [
8]. Two nitrobenzylcarbamates
5 and
6 linked to doxorubicin were selective for nitroreductase across the cell line panel (
Figure 1). Thus, they were selected for in vivo evaluation and were significantly less toxic than doxorubicin but were not active in vivo against nitroreductase-expressing cells in tumors, indicating that further optimization of the pharmacokinetic and pharmacodynamic parameters is required.
Very recently, to attenuate cardiac inflammation, Gou et al. [
9] developed a hypoxia-activated prodrug
7 consisting of a cyclooxygenase-2 inhibitor (COX-2) and a carbonic anhydrase (CA) inhibitor linked by a nitro aromatic moiety. Indeed, because cardiac inflammation is usually accompanied by hypoxia, and nitroreductase is overexpressed under hypoxia, the nitro group of prodrug
7 can be reduced by nitroreductase to an amino group. Then, intramolecular electron transfer promoted the release of two pharmacophores: indomethacin, a COX-2 inhibitor, and acetazolamide, a CA inhibitor (
Scheme 7).
In addition, prodrug 7 was stable under normoxia. Thus, it not only improved the bioavailability but also significantly reduced the side effects due to the specific release of the pharmacophores at the hypoxic site.
2.3. Light Activation
Previously described stimuli (chemical or biological) allowed only limited control over the time and location of delivery. To overcome this problem, the self-immolation cascade can be triggered by light activation. Indeed, the drug to deliver can be attached to a light-sensitive carrier. Then, light can be modulated (intensity, wavelength, irradiation duration) with high temporal and spatial precision in order to remotely deliver the payload.
Almutairi et al. [
10] developed a polymer
8 containing a
o-nitrobenzyl alcohol (ONB) photocleavable group. After UV irradiation at 350 nm, this polymer was completely degraded into small molecules (
Scheme 8).
The mechanism of the light-mediated reduction of
o-nitrobenzyl derivatives was described by Romano et al. [
11] (
Scheme 9).
To exploit this property, the Nile Red (NR) dye, used as a drug model, was encapsulated using the previously synthesized polymer 8. After UV irradiation at 350 nm, the polymeric nanoparticles released the NR payload after complete degradation.
Gillies et al. [
12] showed that polyglyoxylates can serve as a new class of triggerable self-immolative polymers. Indeed, polymerization of readily accessible ethyl glyoxylate, followed by end-capping with a photocleavable 6-nitroveratryl carbonate (NVOC), allowed the synthesis of a photo-responsive polymer
9. The NVOC group is well known to be cleanly cleaved under neutral UV light conditions (340 nm) and poly(ethylglyoxylate) depolymerization only provided benign products such as glyoxylic acid hydrate and ethanol (
Scheme 10). Thus, they could be used for a wide range of biomedical applications, such as biomedical sutures, tissue engineering scaffolds and toxic-free drug delivery vehicles.
Furthermore, these new polyglyoxylate polymers are very interesting because the monomers can be furnished not only from petroleum-based resources but also from renewable sources.
Melatonin (MT) is a hormone involved in many physiological functions, including the regulation of biological rhythms, and its secretion mainly occurs at night. However, studies on the activation of the MT1 and MT2 receptors with high spatiotemporal resolution are lacking. Very recently, Llebaria et al. [
13] developed the first family of photocleavable ligands for melatonin receptors. A family of light-activable caged compounds containing a ONB photocleavable group was synthesized. Compound
10 (
Scheme 11) showed the best uncaging efficiency and the most interesting properties, including chemical stability, high solubility in aqueous media and a more than 100-fold difference in affinity before and after photolysis. To trigger this photolytic process, the wavelengths generally range from 320 to 400 nm, but, here, the authors decided to use a laser with a 405 nm wavelength to avoid the toxicity and cell damage effects associated with UV light.
Zhou et al. [
14] designed a light-responsive, self-immolative linker for controlled drug release (
Scheme 12). A photocaged C4′-oxidized abasic site (PC4AP) was used as the light-responsive, self-immolative spacer. An advantage of this linker is the ability to load an amine- or hydroxyl-bearing drug onto the C3–OH via a carbamate or carbonate bond, and the C5–OH of the PC4AP linker can be used to attach a protein, carrier peptide or antibody. The authors applied this strategy with the anticancer drug doxorubicin. Irradiation at 365 nm removed the photolabile ortho-nitrobenzyl group. Then, the N-terminal amine on the carrier peptide or protein allowed an addition–elimination cascade to finally release the drug doxorubicin.
Hypoxia-activated prodrugs have shown promising results in cancer therapy but the heterogeneous distribution of hypoxic areas has weakened their therapeutic activity because oxygen concentrations can remain relatively high near blood vessels. The combination of hypoxia-responsive systems and photodynamic therapy could be a promising method compared to conventional therapy. Moreover, some problems remain: many methods work upon UV irradiation with low tissue penetration ability and, in most cases, drugs are encapsulated into nanoparticles, which may imply uncontrollable drug release before reaching the targeting site. To overcome these limitations, Ge et al. [
15] prepared a novel block copolymer polydrug
11 containing ortho-nitrobenzyl-linked camptothecin methacrylate to then encapsulate an indocyanine green photosensitizer with absorbance in the near-infrared range to provide deeper tissue penetration. After intravenous injection, the nanoparticles can accumulate into tumors. Upon exposure to near-infrared light, the indocyanine green inside the nanoparticles produced reactive oxygen species. Simultaneously, nitro groups were reduced to amine groups by nitroreductase assistance and self-immolative cleavage by 1,4-elimination released the therapeutic drug camptothecin (
Scheme 13).
The combination of photodynamic therapy and hypoxia-activable prodrugs overcomes the limitations of each therapy alone, with a remarkable improvement in the efficacy of tumor growth suppression.
Recently, Liu et al. [
16] designed a smart photosensitizing agent, Ion-BDP, which can generate reactive oxygen species upon illumination under normoxic conditions to eliminate external aerobic tumor cells. Moreover, under hypoxic conditions, the 4-nitrobenzyl group of the photosensitizer can be reduced by nitroreductase, and subsequent self-immolation allowed the formation of BDP, which is a highly effective photothermal agent (
Scheme 14).
The synergistic antitumoral effects of this photosensitizer may provide an alternative to overcome the therapeutic difficulty arising from heterogeneous oxygen distributions in solid tumors.
Ossipov et al. [
17] developed a light-activable prodrug
20 based on hyaluronan hydrogels with a photo-labile
ortho-nitrobenzyl linker. Immobilization of a model dopamine drug into hyaluronic acid biomaterials via the photo-cleavable nitrobenzyl spacer allowed the release of dopamine upon exposure to UV light (
Scheme 15).
2.4. Glutathione Activation
The mitochondrion is a crucial organelle present in most eukaryotic organisms and plays a fundamental role in ATP production. Mitochondria are also involved in many other tasks, such as reactive oxygen species-induced apoptosis. Thus, to protect cells from oxidative stress, mitochondrial glutathione (GSH) plays an essential role. Abnormal levels of GSH have been correlated with various diseases. Therefore, it is very interesting to develop a mitochondrial GSH probe to measure the level of mitochondrial GSH in cells.
Kim et al. [
18] developed a heptamethine-azo conjugate as a near-infrared fluorescent probe to detect mitochondrial GSH. The initial probe
12 was nonfluorescent and contained a labile nitroazo group that can be replaced by the 1,6-conjugate addition of GSH. Subsequent elimination of the nitroazo group produced strong fluorescence (
Scheme 16). Furthermore, the probe exhibited a selective fluorescence response toward GSH over the thiol-containing amino acids, cysteine and homocysteine.
Zhao et al. [
19] also described a fluorescent probe
13 for the selective detection of GSH. This probe bears a
para-dinitrophenoxybenzylpyridinium moiety in the meso position of a BODIPY dye. In the presence of GSH, the dinitrophenylether was cleaved to give a
para-hydroxybenzyl group that can self-immolate by an intramolecular 1,4-elimination reaction to give the fluorescent BODIPY dye (
Scheme 17).
Wu et al. [
20] reported a dual self-immolative system
14 capable of delivering a drug as well as a near-infrared (NIR) fluorophore. Indeed, anticancer drug camptothecin was linked with a dicyanomethylene-
4H-benzopyran NIR fluorophore by a nitro-containing cleavable spacer (
Scheme 18).
The presence of GSH triggered a cascade of elimination reactions that not only liberated the active anticancer drug camptothecin but also an NIR fluorophore to generate strong NIR fluorescence. This strategy has been successfully applied for the in vivo and in situ tracking of drug release and cancer treatment in a mouse model.
Very recently, Chen et al. [
21] developed the first GSH and hydrogen sulfide dual-responsive photosensitizer
15 (
Scheme 19). Tetra-substituted porphyrins were chosen to minimize the side effects of
15 by quenching its photoactive activity. Then, activation of designed photosensitizer
15 by GSH and hydrogen sulfide, overexpressed in cancer cells, allowed the deprotection of the 2,4-dinitrobenzenesulfonyl moieties to restore phototoxicity to the cancer cells. Thus, phototoxicity to normal cells was reduced by the quenching effect.
3. NO2 Group on the Linker
In this second part, the nitro group is directly borne by the self-immolative linker of the molecule.
The ADEPT strategy, described previously in this review, was based on nitro reduction by a nitroreductase. Here, the involved enzymes are not nitroreductases. Thus, the nitro group present on the prodrug linker was not reduced. Indeed, the ADEPT strategy can also be used with β-D-glucuronidase because tumors have a high extracellular concentration of this enzyme.
Monneret et al. [
22] synthesized a glucuronide-based prodrug of paclitaxel for use in the ADEPT strategy. This three-component prodrug
16 was composed of a
β-D-glucuronidase-cleavable moiety, a nitro-containing linker and the paclitaxel part (
Scheme 20). Remarkably, this prodrug
16 was approximately 2000-fold more soluble in water than paclitaxel. Regarding its stability, more than 95% of the prodrug was recovered after 24 h in phosphate buffer at 37 °C. Furthermore, prodrug
16 was around 700-fold less cytotoxic than free drug paclitaxel. In the presence of
β-D-glucuronidase, enzymatic cleavage of the glucuronyl residue occurred in the first step, followed by self-immolation of the nitro-containing spacer to release the active paclitaxel (
Scheme 20). The only limitation of this prodrug is the relatively inefficient enzyme activation, as a high concentration of enzyme was required for rapid release. This was attributed to the steric hindrance of the glycosidic linkage.
To overcome this limitation, the same group developed a prodrug
17 bearing a carbonate function that exhibits faster enzymatic cleavage than the previous carbamate moiety (
Figure 2) [
23].
Chern et al. [
24] also described a glucuronide-based prodrug
18 with 10-hydroxycamptothecin, a pentacylic alkaloid with promising antitumor activity, as the liberated active compound in place of the previous paclitaxel. This prodrug
18 showed reduced cytotoxicity and improved water solubility compared with 10-hydroxycamptothecin. The 3-nitrobenzylether linker, with its strong electron-withdrawing nitro group, facilitated the enzymatic cleavage of the glycosidic bond. Then, a 1,6-elimination reaction allowed the release of active 10-hydroxycamptothecin (
Scheme 21).
To optimize β-glucuronidase-based prodrug therapy, the use of PET imaging could be of great interest to localize and quantify the presence of β-glucuronidase.
Therefore, Antunes et al. [
25] synthesized a [
18F]-FEAnGA PET tracer for extracellular
β-glucuronidase recognition, based on a 2-[
18F]fluoroethylamine group linked to a glucuronic acid via a self-immolative nitrophenyl linker (
Scheme 22). This water-soluble prodrug was stable in aqueous buffer in the absence of
β-glucuronidase, and the [
18F]-FEAnGA solution remained colorless. However, upon
β-glucuronidase activation, the prodrug was rapidly hydrolyzed and, after self-immolation of the nitrophenyl spacer, 2-[
18F]fluoroethylamine was spontaneously released. Initial in vivo studies showed that [
18F]-FEAnGA is a promising PET tracer for extracellular
β-glucuronidase activity.
The ability to study the presence and localization of protein–protein complexes is of great importance for improving diagnostic capabilities. Indeed, protein–protein complexes are responsible for the diffusion of oncogenic signals, which leads to cancer development and progression.
Thus, Kelly et al. [
26] developed a fully automated assay to detect and visualize protein–protein complexes. To this end, they modified a nitropyrazole hapten with an alkaline phosphatase (AP)-sensitive self-immolative caging group (
Scheme 23). Primary antibodies
C and
D recognized proteins
A and
B, respectively, and then secondary antibody
E labeled with AP and secondary antibody
F labeled with a nitropyrazole-caged hapten were introduced. If there is a complex between proteins
A and
B, AP promotes the self-immolation of the caged hapten. Finally, the native hapten is revealed by a tertiary antibody using conventional immunohistochemistry.
Histone deacetylases (HDACs) are the enzymes required for the regulation of various biological processes, specifically catalyzing the removal of the acetyl moiety. Abnormal HDAC activities are associated with several diseases, including cancers. Very recently, Jiang et al. [
27] reported a reactivity-tunable self-immolative design for histone deacetylase imaging or in vivo drug delivery. The self-immolative molecule
19 was composed of three parts: an HDAC substrate, a nitro phenyl ester linker and a fluorophore for imaging applications or a drug as a leaving group (
Scheme 24).
After the deacetalyzation of compound 19 by HDAC activation, intramolecular addition of the resulting primary amine to the ester, followed by an elimination reaction, allowed the release of the drug or fluorophore. The introduction of the electron-withdrawing nitro group had two advantages: increasing the electrophilicity of the ester function and weakening the basicity of the phenolate to achieve a higher leaving ability.