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Volume 271, Number 36, Issue of September 6, 1996 pp. 21969-21977
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.

Long-acting Growth Hormones Produced by Conjugation with Polyethylene Glycol

(Received for publication, April 5, 1996, and in revised form, June 6, 1996)

Ross Clark Dagger , Kenneth Olson § , Germaine Fuh , Melinda Marian par , Deborah Mortensen Dagger , Glen Teshima § , Suh Chang § , Herman Chu '' , Venkat Mukku '' , Eleanor Canova-Davis § , Todd Somers ''' , Michael Cronin Dagger , Marjorie Winkler § and James A. Wells

From the Departments of Dagger  Endocrine Research, § Recovery Sciences,  Protein Engineering, par  Pharmacokinetics, '' Quality Control, and ''' Bioorganic Chemistry, Genentech, Inc., South San Francisco, California 94080

Derivatives of human growth hormone (hGH) of increasing size were produced by reaction with the N-hydroxysuccinimide ester of polyethylene glycol-5000 (PEG5000), a 5-kDa reagent that selectively conjugates to primary amines. By adjusting the reaction conditions and purification procedure, it was possible to isolate hGH derivatives containing up to seven PEG moieties that altered the Stokes radius and thereby the effective molecular masses of the unmodified hormone from 22 to 300 kDa. Fortunately, the most reactive amines were ones that did not lie in either of the two sites important for receptor binding. Nonetheless, increasing the level of PEG modification linearly reduced the affinity of hGH for its receptor and increased the EC50 in a cell-based assay up to 1500-fold. Most of the reduction in affinity was the result of slowing the association rate for the receptor. The clearance rate of hGH in rats was inversely proportional to effective molecular weight and closely fit a filtration model. We have tested the potency of these analogs by injecting them daily or every 6 days into hypophysectomized rats and determining the effects on body and organ growth. The efficacy of these analogs was optimal for hGH conjugated with 5 eq of PEG5000, and the potency was increased by about 10-fold compared with unmodified hGH. Such PEG-hGH derivatives show promise as long-acting alternatives to daily injections of hGH. More generally these studies show that improving hormone clearance properties, even at the expense of reducing receptor binding affinity, can lead to dramatic increases in hormone efficacy.


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