Induces Thymineless Death with Topoisomerase I-DNA Complexes

Total Page:16

File Type:pdf, Size:1020Kb

Induces Thymineless Death with Topoisomerase I-DNA Complexes Research Article A Novel Polypyrimidine Antitumor Agent FdUMP[10] Induces Thymineless Death with Topoisomerase I-DNA Complexes Zhi-Yong Liao,1 Olivier Sordet,1 Hong-Liang Zhang,1 Glenda Kohlhagen,1 Smitha Antony,1 William H. Gmeiner,2 and Yves Pommier1 1Laboratory of Molecular Pharmacology, Center for Cancer Research, National Cancer Institute, NIH, Department of Health and Human Services, Bethesda, Maryland and 2Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, North Carolina Abstract with camptothecins. Because camptothecin and its derivatives FdUMP[10], a 10mer of 5-fluoro-2V-deoxyuridine 5V-monophos- selectively trap topoisomerase I (Top1; refs. 12, 13), in this report, phate (FdUMP), the thymidylate synthase inhibitory metabo- we studied the possible relationships between Top1 inhibition and lite of 5-fluorouracil (FU), is most closely correlated with the the cellular mechanisms of action of FdUMP[10]. DNA topoisomerase I (Top1) inhibitor camptothecin in the Mammalian Top1 is an essential enzyme, relaxing DNA super- National Cancer Institute COMPARE analysis, but not with FU. coiling ahead of replication and transcription (14, 15). To relax FdUMP[10] exhibits more potent antiproliferative activity DNA, Top1 reversibly creates transient single-strand breaks by V than FdUMP or 5-fluoro-2V-deoxyuridine (FdU) and is mark- forming covalent tyrosyl-phosphodiester bonds with the 3 ends of edly more active than FU. Camptothecin-resistant P388/CPT45 the broken DNA. Once the DNA is relaxed, Top1 readily relegates the breaks and regenerates intact duplex DNA. Under normal cells lacking Top1 are cross-resistant to FdUMP[10] as well as to FdUMP, FdU, and the thymidylate synthase inhibitor physiologic conditions, these intermediates, referred to as the raltitrexed (Tomudex). FdUMP[10] induces DNA single-strand ‘‘Top1 cleavage complexes’’ are very transient: the religation step of breaks and cellular Top1-DNA complexes. Such complexes are the DNA cleavage/religation equilibrium is favored and only a small also observed in response to FdUMP, FdU, raltitrexed, and FU. fraction of the DNA is cleaved at any given time (12, 13, 16). Top1 The FdUMP[10]-induced Top1-DNA complexes are not inhibitors, such as camptothecins, trap the cleavage complexes by inhibited by the caspase inhibitor z-VAD-fmk and form inhibiting the religation step (13, 16, 17). Top1 cleavage complexes independently of apoptotic DNA fragmentation, indicating can also be trapped by a wide range of DNA alterations, including that they do not correspond to apoptotic Top1-DNA com- uracil misincorporations, base mismatches, abasic sites, nicks, plexes. In biochemical assay, Top1 is directly trapped at uracil oxidized bases, UV photo-lesions, and carcinogenic adducts (18, 19). and FdU misincorporation sites. We propose that FdUMP[10] Top1-DNA complexes also occur during apoptosis in response to damages DNA by trapping Top1 at uracil and FdU misincor- oxygen radicals and mitochondrial dysfunction (20–22). poration sites resulting from thymidylate synthase inhibition In this report, we show high COMPARE correlation between FdUMP[10] and several camptothecin derivatives, cross-resistance of and thymine depletion. (Cancer Res 2005; 65(11): 4844-51) Top1-deficient cells to FdUMP[10], FdUMP, 5-fluoro-2V-deoxyuridine (FdU), and raltitrexed, and induction of Top1-DNA cleavage Introduction complexes in mouse and human cancer cells treated with 5-Fluorouracil (FU) was developed in the late 1950s (1) as an FdUMP[10], FdUMP, FdU, and raltitrexed. We also show induction antimetabolite inhibiting RNA and DNA biosynthesis. FU and other of Top1 cleavage complexes by FdU incorporation in DNA fluoropyrimidines have been widely used for the treatment of oligonucleotides. A model is presented to explain Top1 trapping human cancers, including colorectal, breast, and head and neck by FdUMP[10] treatment and thymidine depletion. cancers for more than 40 years (2). The mechanism of action of FU has been ascribed to the inhibition of thymidylate synthase by its Materials and Methods active metabolite 5-fluoro-2V-deoxyuridine 5V-monophosphate (FdUMP; ref. 3), induction of ‘‘thymineless death’’ (4, 5), and RNA Chemicals and enzymes. Camptothecin was provided by M.E. Wall synthesis inhibition (6). (Research Triangle Institute, Research Triangle Park, NC). FU, FdU, and FdUMP were from Sigma (St. Louis, MO) and raltitrexed was a gift from In the past decades, significant research effort has continued to Dr. Godefridus J. Peters (VU University, Amsterdam, the Netherlands). focus on developing strategies to enhance the antineoplastic FdUMP[10] was prepared in Dr. William H. Gmeiner’s laboratory. activity of FU through biochemical modulation and different [3H]Thymidine and [14C]thymidine were purchased from Perkin-Elmer Life methods of administration (2, 7). More recently, FdUMP[10], a Sciences (Boston, MA). [32P]Cordycepin 5V-triphosphate and terminal 10mer of FdUMP, was developed (8–11; Fig. 1). FdUMP[10] is 338- deoxynucleotidyl transferase were purchased from DuPont-New England fold more potent than FU at inhibiting cell proliferation in the Nuclear (NEN, Boston, MA) and Life Technologies (Gaithersburg, MD). National Cancer Institute (NCI) 60 cell line screen (11). Unexpect- Human recombinant Top1 was purified as described (23). edly, COMPARE analysis showed that the FdUMP[10] activity Cell lines and cultures. Mouse leukemia P388 and P388/CPT45 cells profile clearly differed from FU but was most closely correlated were cultured in RPMI 1640 (Invitrogen, Carlsbad, CA) containing 10% heat- inactivated FCS (Invitrogen) and 10 Amol/L h-mercaptoethanol (21, 22, 24, 25). Human leukemia CEM cells and colorectal carcinoma HCT116 cells were cultured in DMEM containing 10% FCS. The human colon cancer Requests for reprints: Yves Pommier, Building 37, Room 5066, Laboratory of HCT-C18 cell line was a kind gift from Dr. Edward Chu at Yale University Molecular Pharmacology, 37 Convent Drive, NIH, Bethesda, MD 20892-4255. Phone: 301-496-5944; Fax: 301-402-0752; E-mail: [email protected]. (New Haven, CT) and were maintained in RPMI 1640 containing 10% FCS I2005 American Association for Cancer Research. supplemented with 10 Amol/L thymidine (26). The HCT-C:His-TS(+) cell Cancer Res 2005; 65: (11). June 1, 2005 4844 www.aacrjournals.org Downloaded from cancerres.aacrjournals.org on September 28, 2021. © 2005 American Association for Cancer Research. FdUMP[10] Thymineless Death and Top1 Figure 1. Chemical structures of FdUMP[10] and other compounds most closely related to FdUMP[10] in COMPARE analysis (see Table 1). Numbers in bold, drug rank number in COMPARE analysis. line was established by stable transfection of HCT-C18 cells with human [3H]Thymidine incorporation (percent control) was calculated as the ratio of His-tagged thymidylate synthase cDNA (27). Murine FM3A/0 and FM3A/ [3H]:[14C] in the treated samples over that in the untreated samples. TKÀ mammary carcinoma cells were a gift from Dr. Godefridus J. Peters Effect of 5-fluoro-2V-deoxyuridine on topoisomerase I cleavage (28). FM3A/0 and FM3A/TKÀ cells were maintained in RPMI 1640 complexes. We designed model oligonucleotides containing one or two containing 10% fetal bovine serum. FdU incorporated immediately 3V from a preexisting Top1 cleavage site 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (33, 34) to study the effect of FdU incorporation on the Top1-DNA assays for drug cytotoxicity. Drug cytotoxicity was measured using cleavage complexes (see Fig. 7A). Oligonucleotides were purchased from standard 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide MWG Biotech Co. (High Point, NC). 3V Labeling of single-stranded (MTT) assay after 72 hours drug exposure. The absorbance was measured oligonucleotides and annealing were done as described (33, 34). Duplex at 560 nm using a Bio-Tek Microplate Reader (Molecular Devices, Palo DNA substrates were generated by annealing a 3V-labeled upper strand 32 Alto, CA). [5V-AAAAAGACTTGGAAAAATTTT*-3V, where * corresponds to the a- P- DNA single-strand break induction by FdUMP[10]. DNA single-strand labeled cordycepin] with three types of FdU (F) modified 22mer lower breaks were assayed by alkaline elution according to published protocols strands (FdU + 1, FdU + 2, and FdU + 1 + 2; see Fig. 7A). Top1 reactions (29, 30). were done as described (33, 34). Detection of covalent topoisomerase I-DNA complexes in cells. Top1-DNA complexes were isolated using the immunocomplex of enzyme Results (ICE) bioassay (25, 31, 32). Briefly, 106 cells were lysed with 1 mL of 1% sarkosyl. After Dounce homogenization, cell lysate was layered on cesium Relationship between topoisomerase I and antiproliferative chloride step gradients and centrifuged at 165,000 Â g for 20 hours at 20jC. activity of FdUMP[10]. In the 60 cell lines from the NCI Fractions (500 AL) were collected from the bottom, diluted with an equal Developmental Therapeutics Program (DTP), FdUMP[10] [National volume of 25 mmol/L sodium phosphate buffer (pH 6.6), and applied to Service Center (NSC) 697912] is 338-fold more effective than FU Immobilon-P membranes (Millipore, Bedford, MA) by using a slot-blot (NSC 19893; based on mean GI50 values; ref. 11). COMPARE analysis vacuum manifold. Top1-DNA adducts were detected by immunoblotting (http://dtp.nci.nih.gov; ref. 35) was used to reveal the potential using the C21 mouse monoclonal Top1 antibody obtained from Dr. Yung-Chi mechanism of action of FdUMP[10]. Table 1 shows the Pearson Cheng (Yale University). correlation coefficients for the compounds with the highest Incorporation of thymidine into DNA. HCT116 cells in exponential correlation, as well as FU, which ranked 237th among all the 14 growth phase were first labeled with 0.025 ACi/mL of [ C]thymidine for compounds/extracts deposited in the DTP database. The best j 48 hours at 37 C. After FdUMP[10] treatment for 48 hours, cells were pulse- correlated compounds, besides FdUMP[10], chosen as the seed, labeled with 1 ACi/mL of [3H]thymidine for 10 minutes at 37jC. After washing and therefore has a Pearson correlation coefficient of 1, include the cells twice with cold HBSS, cells were scraped in 4 mL of cold HBSS.
Recommended publications
  • A Phase II Study of the Novel Proteasome Inhibitor Bortezomib In
    Memorial Sloan-Kettering Cance r Center IRB Protocol IRB#: 05-103 A(14) A Phase II Study of the Novel Proteas ome Inhibitor Bortezomib in Combination with Rituximab, Cyclophosphamide and Prednisone in Patients with Relapsed/Refractory I Indolent B-cell Lymphoproliferative Disorders and Mantle Cell Lymphoma (MCL) MSKCC THERAPEUTIC/DIAGNOSTIC PROTOCOL Principal Investigator: John Gerecitano, M.D., Ph.D. Co-Principal Carol Portlock, M.D. Investigator(s): IFormerly: A Phase I/II Study of the Nove l Proteasome Inhibitor Bortezomib in Combinati on with Rituximab, Cyclophosphamide and Prednisone in Patients with Relapsed/Refractory Indolent B-cell Lymphoproliferative Disorders and Mantle Cell Lymphoma (MCL) Amended: 07/25/12 Memorial Sloan-Kettering Cance r Center IRB Protocol IRB#: 05-103 A(14) Investigator(s): Paul Hamlin, M.D. Commack, NY Steven B. Horwitz, M.D. Philip Schulman, M.D. Alison Moskowitz, M.D. Stuart Lichtman, M.D Craig H. Moskowitz, M.D. Stefan Berger, M.D. Ariela Noy, M.D. Julie Fasano, M.D. M. Lia Palomba, M.D., Ph.D. John Fiore, M.D. Jonathan Schatz, M.D. Steven Sugarman, M.D David Straus, M.D. Frank Y. Tsai, M.D. Andrew D. Zelenetz, M.D., Ph.D. Matthew Matasar, M.D Rockville Center, NY Mark L. Heaney, M.D., Ph.D. Pamela Drullinksy, M.D Nicole Lamanna, M.D. Arlyn Apollo, M.D. Zoe Goldberg, M.D. Radiology Kenneth Ng, M.D. Otilia Dumitrescu, M.D. Tiffany Troso-Sandoval, M.D. Andrei Holodny, M.D. Sleepy Hollow, NY Nuclear Medicine Philip Caron, M.D. Heiko Schoder, M.D. Michelle Boyar, M.D.
    [Show full text]
  • Clinical Efficacy of Irinotecan Plus Raltitrexed
    Clinical ecacy of irinotecan plus raltitrexed chemotherapy in refractory esophageal squamous cell cancer: a retrospective study Min Liu Clinical Medical College, Yangzhou University Qingqing Jia Clinical Medical College,Yangzhou University Xiaolin Wang Clinical Medical College, Yangzhou University Changjiang Sun Clinical Medical College, Yangzhou University Jianqi Yang Clinical Medical College, Yangzhou University Yanliang Chen Clinical Medical College, Yangzhou University Ying Li Clinical Medical College, Yangzhou University Lingfeng Min Clinical Medical College, Yangzhou University Xizhi Zhang Clinical Medical College, Yangzhou University Caiyun Zhu Clinical Medical College, Yangzhou University Johannes Artiaga Gubat Linkoping University Yong Chen ( [email protected] ) https://orcid.org/0000-0002-3876-0158 Research article Keywords: Esophageal cancer, Irinotecan, Raltitrexed, Chemotherapy Posted Date: September 5th, 2019 DOI: https://doi.org/10.21203/rs.2.13923/v1 Page 1/16 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 2/16 Abstract Background: The optimal chemotherapy regimen for refractory esophageal squamous cell cancer patients is uncertain. Our retrospective study assessed the ecacy and safety of irinotecan plus raltitrexed in esophageal squamous cell cancer patients who were previously treated with multiple systemic therapies. Methods: Between January 2016 and December 2018, records of 38 esophageal squamous cell cancer patients who underwent irinotecan plus raltitrexed chemotherapy after at least one line of chemotherapy were reviewed. Ecacy assessment was performed every two cycles according to the RECIST version 1.1. Results: A total of 95 cycles of chemotherapy were administered, and the median course was 3 (range 2– 6). There was no treatment-related death. Nine patients had partial response, 21 had stable disease and 8 had progressive disease.
    [Show full text]
  • Diarrhea Increased with Targeted Cancer Agents
    38 ONCOLOGY DECEMBER 2009 • INTERNAL MEDICINE NEWS Diarrhea Increased With Targeted Cancer Agents BY CAROLINE HELWICK With the epidermal growth factor receptor inhibitor Cholestyramine can be tried for diarrhea that is as- erlotinib (Tarceva), the incidence—but not the severity— sociated with sorafenib, sunitinib (Sutent), and C HICAGO — The incidence of the oldest side effect of diarrhea is dose related. Sorafenib (Nexavar), a mul- flavopiridol. of anticancer treatment—diarrhea—is rising in paral- titargeted vascular inhibitor, causes diarrhea in 30%-43% The usual management strategies also apply, added lel with the use of targeted agents, and clinicians need of patients. This is thought to be related to small-vessel Dr. Brell. Clinicians should monitor stool output close- to manage this proactively in order to keep patients on ischemia or ischemic colitis with mucosal changes, and ly; stop supportive medications for constipation; use treatment, said Dr. Joanna M. Brell of the Division of to direct damage to mucosal cells. With bortezomib (Vel- oral loperamide (Imodium) up to 16 mg/day, or diphe- Cancer Prevention at the National Cancer Institute. cade), an NF kappaB inhibitor, diarrhea can have a rela- noxylate plus atropine (Lomotil) 5 mg two to four times “Diarrhea occurs in about 80% of chemotherapy pa- tively quick onset (with associated postural hypotension, per day; give intravenous fluids; rule out C. difficile; pre- tients, and about 30% is grade syncope, or near-syncope) and can scribe empiric antibiotics; and give octreotide (Sando- 3/4 toxicity. It is common, it is as- There is little to be dose limiting. Flavopiridol, statin LAR Depot) 100 mcg three times daily, or at high- sociated with newer targeted no evidence to which inhibits multiple cyclin-de- er doses).
    [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2013/0211215 A1 Heglund Et Al
    US 2013 0211215A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2013/0211215 A1 Heglund et al. (43) Pub. Date: Aug. 15, 2013 (54) HYPEROSMOTIC PREPARATIONS Publication Classification COMPRISINGS-AMINOLEVULINIC ACID ORDERVATIVE AS PHOTOSENSTIZING (51) Int. Cl. AGENT A614L/00 (2006.01) A6IB5/00 (2006.01) (75) Inventors: Inger Ferner Heglund, Nesoya (NO); (52) U.S. Cl. Aslak Godal, Oslo (NO); Jo Klaveness, CPC ........... A61K41/0061 (2013.01); A61B5/0071 Oslo (NO) (2013.01); A61B5/0084 (2013.01) USPC ............................ 600/317; 514/561; 604/500 (73) Assignee: Photocure ASA, Osio (NO) (57) ABSTRACT (21) Appl. No.: 13/806,578 Provided herein are improved methods of photodynamic treatment and diagnosis of cancer and non-cancerous condi (22) PCT Filed: Jun. 23, 2011 tions in the gastrointestinal tract, e.g. in the colon, and in particular hyperosmotic enema preparations for use in Such (86). PCT No.: PCT/EP2011/060574 methods. The enema preparations comprise a photosensitizer S371 (c)(1), which is 5-aminolevulinic acid (5-ALA) or a precursor or (2), (4) Date: Apr. 17, 2013 derivative thereof, e.g. a 5-ALA ester, in combination with at least one hyperosmotic agent. The methods and preparations (30) Foreign Application Priority Data herein described are particularly suitable for use in photody namic methods of treating and/or diagnosing colorectal can Jun. 23, 2010 (EP) .................................. 10251.132.6 C. Patent Application Publication Aug. 15, 2013 Sheet 1 of 2 US 2013/0211215 A1 Skin fluorescence after 4 hrs. Colonic instillation 2500 2000 15OO Fluorescence (pixels) 1 OOO 5000 O 10 20 30 40 50 Concentration ALA hexylester (mM) Figure 1: Skin fluorescence after colonic instillation of ALA hexylester Patent Application Publication Aug.
    [Show full text]
  • Clinical Outcomes of Doxorubicin-Eluting Callispheres
    Bi et al. BMC Gastroenterol (2021) 21:231 https://doi.org/10.1186/s12876-021-01816-3 RESEARCH ARTICLE Open Access Clinical outcomes of doxorubicin-eluting CalliSpheres® beads-transarterial chemoembolization for unresectable or recurrent esophageal carcinoma Yonghua Bi1†, Xiaonan Shi2†, Jianzhuang Ren1, Mengfei Yi1, Xinwei Han1* and Min Song2 Abstract Background: The clinical outcomes of drug-eluting beads transarterial chemoembolization (DEB-TACE) with doxorubicin-loaded CalliSpheres® beads for patients with unresectable or recurrent esophageal carcinoma have not been reported. The aim of this study is to study the clinical outcomes of DEB-TACE for patients with unresectable or recurrent esophageal carcinoma. Methods: This retrospective study enrolled 21 patients (15 men; mean age 68.7 9.7; range 46–86 years) with unresectable or recurrent esophageal carcinoma received DEB-TACE between July± 2017 and September 2020. Patient characteristic data, imaging fndings, complications and DEB-TACE procedure were reviewed. The primary endpoints, disease control rate (DCR) and objective response rate (ORR), were calculated. The secondary endpoints were overall survival rate and progression-free survival (PFS). Results: Twenty-two sessions of DEB-TACE were performed in 21 patients. The technical success rate was 100%; with- out sever adverse events or procedure-related deaths. All patients received transarterial chemotherapy infusion with raltitrexed or oxaliplatin. The median follow-up period was 3.6 months (interquartile range, IQR 1.5–9.4 months). ORR and DCR were 42.9 and 85.7%, 28.6 and 71.4%, 20.0 and 40.0% respectively at 1-, 3-, and 6-months after DEB-TACE. The median PFS was 6.0 months, and the 3-, 6- and 12-month PFS rates were 68.2%, 45.5 and 0.0%, respectively.
    [Show full text]
  • BC Cancer Benefit Drug List September 2021
    Page 1 of 65 BC Cancer Benefit Drug List September 2021 DEFINITIONS Class I Reimbursed for active cancer or approved treatment or approved indication only. Reimbursed for approved indications only. Completion of the BC Cancer Compassionate Access Program Application (formerly Undesignated Indication Form) is necessary to Restricted Funding (R) provide the appropriate clinical information for each patient. NOTES 1. BC Cancer will reimburse, to the Communities Oncology Network hospital pharmacy, the actual acquisition cost of a Benefit Drug, up to the maximum price as determined by BC Cancer, based on the current brand and contract price. Please contact the OSCAR Hotline at 1-888-355-0355 if more information is required. 2. Not Otherwise Specified (NOS) code only applicable to Class I drugs where indicated. 3. Intrahepatic use of chemotherapy drugs is not reimbursable unless specified. 4. For queries regarding other indications not specified, please contact the BC Cancer Compassionate Access Program Office at 604.877.6000 x 6277 or [email protected] DOSAGE TUMOUR PROTOCOL DRUG APPROVED INDICATIONS CLASS NOTES FORM SITE CODES Therapy for Metastatic Castration-Sensitive Prostate Cancer using abiraterone tablet Genitourinary UGUMCSPABI* R Abiraterone and Prednisone Palliative Therapy for Metastatic Castration Resistant Prostate Cancer abiraterone tablet Genitourinary UGUPABI R Using Abiraterone and prednisone acitretin capsule Lymphoma reversal of early dysplastic and neoplastic stem changes LYNOS I first-line treatment of epidermal
    [Show full text]
  • Comparison of E Cacy and Safety of Second-Line
    Comparison of ecacy and safety of second-line palliative chemotherapy with paclitaxel plus raltitrexed and paclitaxel alone in patients with metastatic gastric adenocarcinoma: a randomized phase 2 clinical trial XIAOYING ZHAO Fudan University Shanghai Cancer Center Zhiyu CHEN Fudan University Shanghai Cancer Center Xiaowei ZHANG Fudan University Shanghai Cancer Center Xiaodong ZHU Fudan University Shanghai Cancer Center Wen ZHANG Fudan University Shanghai Cancer Center Lixin QIU Fudan University Shanghai Cancer Center Chenchen WANG Fudan University Shanghai Cancer Center Mingzhu HUANG Fudan University Shanghai Cancer Center Zhe ZHANG Fudan University Shanghai Cancer Center Wenhua LI Fudan University Shanghai Cancer Center Lei YANG Nantong Tumor Hospital Jin LI Fudan University Shanghai Cancer Center Weijian GUO ( [email protected] ) Fudan University Shanghai Cancer Center Research Page 1/15 Keywords: gastric adenocarcinoma, raltitrexed, paclitaxel, second-line palliative chemotherapy Posted Date: September 1st, 2020 DOI: https://doi.org/10.21203/rs.3.rs-61550/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 2/15 Abstract Background Paclitaxel is a microtubule stabilizing agent, used as standard second line chemotherapy in the treatment of advanced gastric cancer. This study was designed to compare the clinical outcome of paclitaxel plus raltitrexed regimen as second line treatment in MGC patients. Methods An open, randomized, multi centers phase II clinical trial. 148 patients were randomly assigned and treated with either RP (raltitrexed 3 mg/m2 day1 and paclitaxel 135 mg/m2 day1, 3week) or P (paclitaxel 135 mg/m2 day1, 3week) as second-line palliative chemotherapy. The primary endpoint is PFS; secondary endpoint is ORR, OS and safety.
    [Show full text]
  • The Value of Pemetrexed for the Treatment of Malignant Pleural Mesothelioma: a Comprehensive Review CHRISTEL C.L.M
    ANTICANCER RESEARCH 33 : 3553-3562 (2013) Review The Value of Pemetrexed for the Treatment of Malignant Pleural Mesothelioma: A Comprehensive Review CHRISTEL C.L.M. BOONS 1, MAURITS W. VAN TULDER 2,3,4 , JACOBUS A. BURGERS 5, JAN JACOB BECKERINGH 6, CORDULA WAGNER 7,8 and JACQUELINE G. HUGTENBURG 1,4 Departments of 1Clinical Pharmacology and Pharmacy, and 3Epidemiology and Biostatistics, and 4The EMGO Institute for Health and Care Research, and 7Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands; 2Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, the Netherlands; 5Division of Thoracic Oncology, the Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands; 6Westwijk Pharmaceutics BV, Amstelveen, the Netherlands; 8NIVEL, Utrecht, the Netherlands Abstract. This review aims to provide insight into treatment of Malignant pleural mesothelioma (MPM) is a rare and malignant pleural mesothelioma (MPM) considering effects on aggressive malignancy of the mesothelium particularly survival, quality of life (QoL) and costs, in order to determine affecting older men exposed to asbestos in the workplace, 20 the value of pemetrexed in MPM treatment. Cisplatin in to more than 50 years ago (1, 2). Except for the USA, combination with pemetrexed or raltitrexed increased survival incidence rates of MPM are increasing worldwide with an in MPM, whereas vinorelbine and gemcitabine have le d to expected peak within the next 10 years (1, 2). By the time good response rates. None of these appear to have any that patients experience symptoms such as shortness of detrimental effect with respect to symptoms and global QoL.
    [Show full text]
  • Pharmaceuticals As Environmental Contaminants
    PharmaceuticalsPharmaceuticals asas EnvironmentalEnvironmental Contaminants:Contaminants: anan OverviewOverview ofof thethe ScienceScience Christian G. Daughton, Ph.D. Chief, Environmental Chemistry Branch Environmental Sciences Division National Exposure Research Laboratory Office of Research and Development Environmental Protection Agency Las Vegas, Nevada 89119 [email protected] Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada Why and how do drugs contaminate the environment? What might it all mean? How do we prevent it? Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada This talk presents only a cursory overview of some of the many science issues surrounding the topic of pharmaceuticals as environmental contaminants Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada A Clarification We sometimes loosely (but incorrectly) refer to drugs, medicines, medications, or pharmaceuticals as being the substances that contaminant the environment. The actual environmental contaminants, however, are the active pharmaceutical ingredients – APIs. These terms are all often used interchangeably Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada Office of Research and Development Available: http://www.epa.gov/nerlesd1/chemistry/pharma/image/drawing.pdfNational
    [Show full text]
  • Wear the Battle Gear That Protects Against 52 Chemotherapy Drugs!
    YOU’RE FIGHTING CANCER. Wear the Battle Gear That Protects Against 52 Chemotherapy Drugs! PURPLE NITRILE-XTRA* Gloves and HALYARD* Procedure Gowns for Chemotherapy Use have been tested It’s 52 vs. You. for resistance to 52 chemotherapy drugs.† Arsenic Trioxide (1 mg/ml) Cyclophosphamide (20 mg/ml) Fludarabine (25 mg/ml) Mitomycin (0.5 mg/ml) Temsirolimus (25 mg/ml) Azacitidine (Vidaza) (25 mg/ml) Cytarabine HCl (100 mg/ml) Fluorouracil (50 mg/ml) Mitoxantrone (2 mg/ml) Trastuzumab (21 mg/ml) Bendamustine (5 mg/ml) Cytovene (10 mg/ml) Fulvestrant (50 mg/ml) Oxaliplatin (2 mg/ml) ThioTEPA (10 mg/ml) Bleomycin Sulfate (15 mg/ml) Dacarbazine (10 mg/ml) Gemcitabine (38 mg/ml) Paclitaxel (6 mg/ml) Topotecan HCl (1 mg/ml) Bortezomib (Velcade) (1 mg/ml) Daunorubicin HCl (5 mg/ml) Idarubicin (1 mg/ml) Paraplatin (10 mg/ml) Triclosan (1 mg/ml) Busulfan (6 mg/ml) Decitabine (5 mg/ml) Ifosfamide (50 mg/ml) Pemetrexed (25 mg/ml) Trisenox (0.1 mg/ml) Carboplatin (10 mg/ml) Docetaxel (10 mg/ml) Irinotecan (20 mg/ml) Pertuzumab (30 mg/ml) Vincrinstine Sulfate (1 mg/ml) Carfilzomib (2 mg/ml) Doxorubicin HCl (2 mg/ml) Mechlorethamine HCl (1 mg/ml) Raltitrexed (0.5 mg/ml) Vinblastine (1 mg/ml) Carmustine (3.3 mg/ml)† Ellence (2 mg/ml) Melphalan (5 mg/ml) Retrovir (10 mg/ml) Vinorelbine (10 mg/ml) Cetuximab (Erbitux) (2 mg/ml) Eribulin Mesylate (0.5 mg/ml) Methotrexate (25 mg/ml) Rituximab (10 mg/ml) Zoledronic Acid (0.8 mg/ml) Cisplatin (1 mg/ml) Etoposide (20 mg/ml) † Testing measured no breakthrough at the Standard Breakthrough Rate of 0.1ug/cm2/minute, up to 240 minutes for gloves and 480 minutes for gowns, except for carmustine.
    [Show full text]
  • DRUG NAME: Raltitrexed
    Raltitrexed DRUG NAME: Raltitrexed SYNONYM(S): Raltitrexed disodium, ZD-1694 COMMON TRADE NAME(S): TOMUDEX® (notice of compliance,1 September 1996; patent expires2 July 2008) CLASSIFICATION: Antimetabolite Special pediatric considerations are noted when applicable, otherwise adult provisions apply. MECHANISM OF ACTION: Raltitrexed is a quinazoline folate analogue that selectively inhibits thymidylate synthase (TS).3 Thymidylate synthase is a key enzyme in the de novo synthesis of thymidine triphosphate (TTP), a nucleotide required exclusively for deoxyribonucleic acid (DNA) synthesis. Inhibition of TS leads to DNA fragmentation and cell death.3 Intracellular retention of polyglutamated forms of raltitrexed leads to prolonged inhibitory effects.4 This permits a convenient dosing schedule of a single IV injection once every 3 weeks.5 Raltitrexed is a radiation-sensitizing agent.6 It is cell cycle phase-specific (S-phase).7 PHARMACOKINETICS: Interpatient variability considerable interpatient variability4 Distribution actively transported into cells4; long half life probably due to a slow return of raltitrexed to the plasma from a deep tissue compartment or binding site cross blood brain barrier? no information found volume of distribution 548 L plasma protein binding 93% Metabolism transported into cells via a reduced folate carrier and then extensively metabolized to polyglutamate forms3 without metabolic degradation4 active metabolite(s) polyglutamate forms inactive metabolite(s) none Excretion active tubular secretion may contribute to the renal excretion urine 50% excreted unchanged feces 15% excreted over 10 days terminal half life 198 h clearance 52 mL/min; 1 mL/min/kg; mild to moderate hepatic impairment leads to < 25% reduction in clearance3; mild to moderate renal impairment leads to 50% reduction in clearance3,8 Gender no clinically significant difference Elderly no clinically significant difference Children no information found Race no information found Adapted from reference3 unless specified otherwise.
    [Show full text]
  • Valproate–Doxorubicin: Promising Therapy for Progressing Mesothelioma
    Eur Respir J 2011; 37: 129–135 DOI: 10.1183/09031936.00037310 CopyrightßERS 2011 Valproate–doxorubicin: promising therapy for progressing mesothelioma. A phase II study A. Scherpereel*,#,++, T. Berghmans",++, J.J. Lafitte*,#, B. Colinet+, M. Richez1, Y. Bonduellee, A.P. Meert", X. Dhalluin*, N. Leclercq", M. Paesmans**, L. Willems## and J.P. Sculier" for the European Lung Cancer Working Party (ELCWP) ABSTRACT: No treatment is recommended for patients with malignant mesothelioma (MM) failing AFFILIATIONS after first-line cisplatin-based chemotherapy. In vitro data suggested that valproic acid, a histone *Dept of Pulmonary and Thoracic Oncology, CHRU de Lille and deacetylase inhibitor (HDACi), had a proapoptotic effect and synergised with doxorubicin to University of Lille II, and induce apoptosis in MM cells. Our primary end-point was to determine response rate of combined #INSERM U1019, Centre d’Infection valproic acid and doxorubicin in patients with unresectable MM failing after platinum-based et d’Immunite de Lille, Institut chemotherapy. Pasteur de Lille, Lille, France. "Dept of Intensive Care Unit and ? -2 Treatment consisted of doxorubicin (60 mg m ) plus valproic acid. An interim analysis for Thoracic Oncology, Institut Jules response rate was planned after the first 16 registered patients. All the cases were centrally Bordet, Centre des Tumeurs de reviewed. l’Universite´ Libre de Bruxelles (ULB), From July 2006 to March 2009, 45 eligible patients with pleural MM were registered. The **Data Centre, Institut Jules Bordet, Centre des Tumeurs de l’Universite´ majority of the patients were male (73%), had a performance status (PS) o80 (76%) and an Libre de Bruxelles ELCWP, Brussels, epithelioid subtype (80%).
    [Show full text]