Pyrrolo[2,3-D]Pyrimidine Classical
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35 Disorders of Purine and Pyrimidine Metabolism
35 Disorders of Purine and Pyrimidine Metabolism Georges van den Berghe, M.- Françoise Vincent, Sandrine Marie 35.1 Inborn Errors of Purine Metabolism – 435 35.1.1 Phosphoribosyl Pyrophosphate Synthetase Superactivity – 435 35.1.2 Adenylosuccinase Deficiency – 436 35.1.3 AICA-Ribosiduria – 437 35.1.4 Muscle AMP Deaminase Deficiency – 437 35.1.5 Adenosine Deaminase Deficiency – 438 35.1.6 Adenosine Deaminase Superactivity – 439 35.1.7 Purine Nucleoside Phosphorylase Deficiency – 440 35.1.8 Xanthine Oxidase Deficiency – 440 35.1.9 Hypoxanthine-Guanine Phosphoribosyltransferase Deficiency – 441 35.1.10 Adenine Phosphoribosyltransferase Deficiency – 442 35.1.11 Deoxyguanosine Kinase Deficiency – 442 35.2 Inborn Errors of Pyrimidine Metabolism – 445 35.2.1 UMP Synthase Deficiency (Hereditary Orotic Aciduria) – 445 35.2.2 Dihydropyrimidine Dehydrogenase Deficiency – 445 35.2.3 Dihydropyrimidinase Deficiency – 446 35.2.4 Ureidopropionase Deficiency – 446 35.2.5 Pyrimidine 5’-Nucleotidase Deficiency – 446 35.2.6 Cytosolic 5’-Nucleotidase Superactivity – 447 35.2.7 Thymidine Phosphorylase Deficiency – 447 35.2.8 Thymidine Kinase Deficiency – 447 References – 447 434 Chapter 35 · Disorders of Purine and Pyrimidine Metabolism Purine Metabolism Purine nucleotides are essential cellular constituents 4 The catabolic pathway starts from GMP, IMP and which intervene in energy transfer, metabolic regula- AMP, and produces uric acid, a poorly soluble tion, and synthesis of DNA and RNA. Purine metabo- compound, which tends to crystallize once its lism can be divided into three pathways: plasma concentration surpasses 6.5–7 mg/dl (0.38– 4 The biosynthetic pathway, often termed de novo, 0.47 mmol/l). starts with the formation of phosphoribosyl pyro- 4 The salvage pathway utilizes the purine bases, gua- phosphate (PRPP) and leads to the synthesis of nine, hypoxanthine and adenine, which are pro- inosine monophosphate (IMP). -
Modifications of Nucleic Acid Precursors That Inhibit Plant Virus Multiplication
Molecular Plant Pathology Modifications of Nucleic Acid Precursors That Inhibit Plant Virus Multiplication William 0. Dawson and Carol Boyd Department of Plant Pathology, University of California, Riverside 92521. This work was supported in part by U.S. Department of Agriculture Grant 84-CTC-1-1402. Accepted for publication 4 April 1986. ABSTRACT Dawson, W. 0., and Boyd, C. 1987. Modifications of nucleic acid precursors that inhibit plant virus multiplication. Phytopathology 77:477-480. The relationship between chemical modifications of normal nucleic acid highest proportion of antiviral activity were modification of the sugar base or nucleoside precursors and ability to inhibit multiplication of moiety (five of 13 chemicals were inhibitory) and addition of abnormal side tobacco mosaic virus or cowpea chlorotic mottle virus in disks from groups (three of seven chemicals were inhibitory). Eight new inhibitors of mechanically inoculated leaves was tested with 131 analogues. Chemicals virus multiplication were identified: 6-aminocytosine; 6-ethyl- tested were selected from 10 general classes of modifications to determine mercaptopurine; isopentenyladenosine; 2-thiopyrimidine; 2,4-dithio- the types of modifications of normal nucleic acid precursors that have pyrimidine; melamine; 5'-iodo-5'-deoxyadenosine; and 5'- greater probabilities of inhibiting virus multiplication. No inhibitory methyl-5'-deoxythioadenosine. chemicals were found in several classes. Classes of modifications with the Additionalkey words: antivirals, chemotherapy, control, virus diseases. The ability to control virus diseases of plants with chemicals different taxonomic groups, tobacco mosaic virus (TMV) in would be a valuable addition to existing control strategies. This tobacco and cowpea chlorotic mottle virus (CCMV) in cowpea. could be particularly useful in in vitro culture procedures to Chemicals were chosen to be tested based on two different criteria. -
Cancer Drug Pharmacology Table
CANCER DRUG PHARMACOLOGY TABLE Cytotoxic Chemotherapy Drugs are classified according to the BC Cancer Drug Manual Monographs, unless otherwise specified (see asterisks). Subclassifications are in brackets where applicable. Alkylating Agents have reactive groups (usually alkyl) that attach to Antimetabolites are structural analogues of naturally occurring molecules DNA or RNA, leading to interruption in synthesis of DNA, RNA, or required for DNA and RNA synthesis. When substituted for the natural body proteins. substances, they disrupt DNA and RNA synthesis. bendamustine (nitrogen mustard) azacitidine (pyrimidine analogue) busulfan (alkyl sulfonate) capecitabine (pyrimidine analogue) carboplatin (platinum) cladribine (adenosine analogue) carmustine (nitrosurea) cytarabine (pyrimidine analogue) chlorambucil (nitrogen mustard) fludarabine (purine analogue) cisplatin (platinum) fluorouracil (pyrimidine analogue) cyclophosphamide (nitrogen mustard) gemcitabine (pyrimidine analogue) dacarbazine (triazine) mercaptopurine (purine analogue) estramustine (nitrogen mustard with 17-beta-estradiol) methotrexate (folate analogue) hydroxyurea pralatrexate (folate analogue) ifosfamide (nitrogen mustard) pemetrexed (folate analogue) lomustine (nitrosurea) pentostatin (purine analogue) mechlorethamine (nitrogen mustard) raltitrexed (folate analogue) melphalan (nitrogen mustard) thioguanine (purine analogue) oxaliplatin (platinum) trifluridine-tipiracil (pyrimidine analogue/thymidine phosphorylase procarbazine (triazine) inhibitor) -
Structural Basis for the Inhibition of Human 5,10-Methenyltetrahydrofolate Synthetase by N10-Substituted Folate Analogues
Published OnlineFirst September 8, 2009; DOI: 10.1158/0008-5472.CAN-09-1927 Experimental Therapeutics, Molecular Targets, and Chemical Biology Structural Basis for the Inhibition of Human 5,10-Methenyltetrahydrofolate Synthetase by N10-Substituted Folate Analogues Dong Wu,1 Yang Li,1 Gaojie Song,1 Chongyun Cheng,1 Rongguang Zhang,2 Andrzej Joachimiak,2 NeilShaw, 1 and Zhi-Jie Liu1 1National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China and 2Structural Biology Center, Argonne National Laboratory, Argonne, Illinois Abstract of the one-carbon metabolic network, dihydrofolate reductase, 5,10-Methenyltetrahydrofolate synthetase (MTHFS) regulates which catalyzes the conversion of dihydrofolate to tetrahydrofolate. the flow of carbon through the one-carbon metabolic network, Similarly, colorectal and pancreatic cancers are routinely treated by which supplies essential components for the growth and administration of the pyrimidine analogue 5-fluorouracil (5-FU), proliferation of cells. Inhibition of MTHFS in human MCF-7 which inhibits thymidylate synthase (TS; ref. 6). TS converts breast cancer cells has been shown to arrest the growth of deoxyuridylate to deoxythymidylate using a carbon donated by cells. Absence of the three-dimensional structure of human 5,10-methylenetetrahydrofolate (Fig. 1). This conversion is essential MTHFS (hMTHFS) has hampered the rational design and for DNA synthesis (7). To increase the clinical efficiency of the optimization of drug candidates. Here, we report the treatment, 5-formyltetrahydrofolate is often coadministered along structures of native hMTHFS, a binary complex of hMTHFS with 5-FU. The beneficial effect of administering 5-formyltetrahy- with ADP, hMTHFS bound with the N5-iminium phosphate drofolate during the therapy with 5-FU is a consequence of the reaction intermediate, and an enzyme-product complex of 5,10-methenyltetrahydrofolate synthetase (MTHFS)–catalyzed hMTHFS. -
Bendamustine and Cytosine Arabinoside: a Highly Synergistic Combination Visco C*, Carli G and Rodeghiero F Further DNA Synthesis [24]
Open Access Austin Journal of Cancer and Clinical Research Editorial Bendamustine and Cytosine Arabinoside: A Highly Synergistic Combination Visco C*, Carli G and Rodeghiero F further DNA synthesis [24]. The synergistic effect of bendamustine Department of Cell Therapy and Hematology, San Bortolo and cytarabine could be related to the individual mechanism of Hospital, Italy action of the two drugs, whose serial administration would avoid *Corresponding author: Carlo Visco, Department of the saturation of the common pathways. Cells escaping the cell cycle Cell Therapy and Hematology, San Bortolo Hospital, Via arrest induced by bendamustine and trying to repair their damage Rodolfi 37, 36100 Vicenza, Italy, Tel: +39 0444 753626; would be prone to incorporate the metabolite ara-CTP into DNA, Fax: +39 0444 920708; Email: [email protected] as reported by Staib [19] in acute myeloid leukemia cells. Indeed, the Received: January 07, 2015; Accepted: March 16, sequential treatment with bendamustine followed by cytarabine was 2015; Published: April 03, 2015 proven to be more effective than simultaneous addition of the two drugs (Figure 2) [21-23]. The S phase of the cell cycle is a crucial step Editorial of replication in mantle cell lymphoma (MCL) cells, where cyclin D1 Bendamustine is a bifunctional compound that has shown clinical overexpression deregulates the cell cycle at the G1/S phase transition, activity against various human cancers including non-Hodgkin’s and and is likely the engine continuously pushing cells towards S-phase Hodgkin’s lymphoma [1,2], chronic lymphocytic leukemia (CLL) [3], (Figure 3). Indeed, both drugs are known to be particularly active in multiple myeloma [4,5], breast cancer [6], and small-cell lung cancer patients with MCL. -
Forms of Hypoxanthine Or, Through Interconversions, Guanine Or Adenine
826 GENETICS: GOTS AND GOLLUB PROC. N. A. S. Summary.-The ribonucleic acids of isolated thymus nuclei can be separated into two distinct fractions, one of which probably represents ribonucleic acid of the nu- cleolus. Studies of the incorporation of orotic acid-6-C"4 and adenosine-8-C'4 into these RNA fractions in vitro show great differences in their metabolic activity and different susceptibilities to an inhibitor of RNA synthesis, the "nucleolar" RNA being by far the more active. It is a pleasure to acknowledge our indebtedness to Mr. Rudolf Meudt for his careful and expert technical assistance. * This research was supported in part by a grant (RG-4919 M&G) from the United States Public Health Service. I V. G. Allfrey, A. E. Mirsky, and S. Osawa, Nature, 176, 1042, 1955. 2 V. G. Allfrey, A. E. Mirsky, and S. Osawa, J. Gen. Physiol., 40, 451, 1957. 3 R. Logan and J. N. Davidson, Biochim. et Biophys. Acta, 24, 196, 1957. 4 S. Osawa, K. Takata, and Y. Hotta (in press). 6 J. M. Webb, J. Biol. Chem., 221, 635, 1956. 6 M. Bessis, in Traite de cytologie sanguine (Paris: Masson & Cie, 1954), p. 83. J. N. Davidson and R. M. S. Smellie. Biochem. J.. 52, 594, 1952. SEQUENTIAL BLOCKADE IN ADENINE BIOSYNTHESIS BY GENETIC LOSS OF AN APPARENT BIFUNCTIONAL DEACYLASE* By JOSEPH S. GOTS AND EDITH G. GOLLUB DEPARTMENT OF MICROBIOLOGY, SCHOOL OF MEDICINE, UNIVERSITY OF PENNSYLVANIA, PHILADELPHIA, PENNSYLVANIA Communicated by D. Wright Wilson, July 3, 1957 Along the biosynthetic pathway to the purines of nucleic acids, inosinic acid occurs as a pivotal point in a bifurcation which leads to adenylic acid along one branch and to guanylic acid along the other: (B) r- Adenylic acid (AMP) (A) Inosinic acid (IMP) (C) L|_ * Guanylic acid (GMP) Bacterial mutations may result in genetic impairments at three locations with respect to the pivotal inosinic acid, thus yielding auxotrophs with three broad classes of nutritional response. -
PD-1 / PD-L1 Combination Therapies
PD-1 / PD-L1 Combination Therapies Jacob Plieth & Edwin Elmhirst – November 2015 Foreword Biopharma owes much of the past few years’ bull run to advances in cancer – specifically to immuno-oncology approaches that harness the natural power of the immune system to combat disease. The charge has been led by antibodies against CTLA4 and PD-1, which have seen the launches of Yervoy, Opdivo and Keytruda, initially for melanoma but with additional indications now getting under way. What does the industry do for an encore? There are several late-stage antibodies that work in identical or similar ways – tremelimumab, atezolizumab and durvalumab – and slightly further away stands an amazing array of novel immuno-oncology approaches, which target novel antigens or novel immune system checkpoints. But most experts are now looking to combinations to build on the success of the first few immuno-oncology drugs to hit the market. This is a vital theme because, in investment terms, biopharma looks like it might at last have overheated, and as such it is desperate for another lift. The coming 18 months could provide several. The key lies in the first clinical evidence from early trials of anti-PD-1 and anti-PD-L1 antibodies combined with novel immune system agents, as well as in combination with a barrage of old and new small-molecule and antibody drugs, chemotherapies, cancer vaccines and gene therapies. Combining numerous new and old approaches with anti-PD-1/PD-L1 agents is logical given that the latter already look like they are becoming standard treatment in certain populations within certain tumour types. -
Drug Therapy of Cancer Curt Peterson
Drug therapy of cancer Curt Peterson To cite this version: Curt Peterson. Drug therapy of cancer. European Journal of Clinical Pharmacology, Springer Verlag, 2011, 67 (5), pp.437-447. 10.1007/s00228-011-1011-x. hal-00671936 HAL Id: hal-00671936 https://hal.archives-ouvertes.fr/hal-00671936 Submitted on 20 Feb 2012 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. 1 110130 Drug therapy of cancer Curt Peterson Professor, MD, PhD Departments of Clinical Pharmacology and Oncology University hospital SE-581 85 Linköping Sweden [email protected], tel: +46101031090, fax: +4613104195 2 Abstract Cancer chemotherapy was introduced at the same time as antibacterial chemotherapy but has not at all been such a success. However, there is a growing optimism in oncology today due to the introduction of several more or less target specific drugs as complement to the conventional cytotoxic drugs introduced half a century ago. The success in the treatment of chronic myelogenous leukemia by imatinib, inhibiting the bcr-abl activated tyrosine kinase thereby interrupting the signal transduction pathways that lead to leukemic transformation. with impressive survival benefit has paved the way for this new optimism. -
VOL. XXVII, No. 3-4, 2011 20112011 Heart Diseases in Essential Thrombocythemia Review
VOL. XXVII, No. 3-4, 2011 20112011 Heart diseases in essential Thrombocythemia review Mihaela Rugină1 , L. Predescu 1, V.Molfea 1, I. M. Coman 1,2,Ş . Bubenek- Turconi 1,2 1. “C.C.Iliescu" Emergency Institute for Cardiovascular Diseases 2. “Carol Davila” University of Medicine and Pharmacy, Bucharestepartment of the Emergency Universitary Hospital –Bucharest Contact address: Dr. Mihaela Rugină,Ş , “C.C.Iliescu" Emergency Institute for Cardiovascular Diseases os. Fundeni 258, Sector 2, 022328, Bucharest • E-mail: [email protected] Abstract Essential thrombocythemia (ET) is a myeloproliferative disorder that raises questions about the characteristics of the disease treatment. ET evolution is grafted to a predisposition to bleeding and thrombotic events and microvascular events. Thrombotic events often affects medium-sized and large arteries including cerebral arteries, coronary and peripheral, but can also affect the veins causing recurrent venous thrombosis of the legs with thromboembolic complications. The most common cardiac complications occurred in the ET are the acute coronary syndromes or coronary thrombosis, and in some cases has been incriminated and coronary spasm. Possible cardiac valvular damage that can occur in ET (thickening, calcification, valvular regurgitation) and the possibility of associating with pulmonary arterial hypertension who aren't associated to a pulmonary embolism are reported in the literature but with an extremely rare incidence. Key words: essential thrombocythemia, acute coronary syndroms, thrombosis -
Highly Halaven-Resistant KBV20C Cancer Cells Can Be Sensitized by Co-Treatment with Fluphenazine JI HYUN CHEON, BYUNG MU LEE, HYUNG SIK KIM and SUNGPIL YOON
ANTICANCER RESEARCH 36 : 5867-5874 (2016) doi:10.21873/anticanres.11172 Highly Halaven-resistant KBV20C Cancer Cells Can Be Sensitized by Co-treatment with Fluphenazine JI HYUN CHEON, BYUNG MU LEE, HYUNG SIK KIM and SUNGPIL YOON School of Pharmacy, Sungkyunkwan University, Suwon, Republic of Korea Abstract. Aim: To identify conditions that induce an increase developed and used in the clinic to treat resistant or metastatic in the sensitivity of highly Halaven (HAL)-resistant cancer cells cancer. HAL has been developed to overcome the resistance compared to sensitive cells. Materials and Methods: We of cancer cells to routinely used antimitotic drugs. HAL observed that drug-resistant KBV20C cells are highly resistant targets the depolymerization of microtubules (5, 6). HAL is to HAL compared to other antimitotic drugs. The concentration considered a promising drug for triple-negative breast cancer required to treat KBV20C cells was almost 500-fold higher than or certain resistant cancers (7, 8). Since patients are expected that used to treat sensitive parent KB cells. In order to increase to develop resistance to HAL, identifying the mechanism(s) sensitization, HAL-treated KBV20C cells were co-treated with that underlie cell sensitization to HAL would be an important the repositioned drug, fluphenazine (FLU). Results: HAL and step in the development of more effective treatments by FLU co-treatment inhibited the growth and increased apoptosis designing approaches to increase HAL-associated apoptosis. via G 2 arrest in HAL-treated KBV20C cancer cells. In the present study, we determined that P-glycoprotein Sensitization by HAL-FLU affected retinoblastoma protein (P-gp)-overexpressing KBV20C cells are highly resistant to (pRB), pHistone H3 and pH2AX protein levels. -
Dihydropyrimidine Dehydrogenase in the Metabolism of the Anticancer Drugs
Cancer Chemotherapy and Pharmacology (2019) 84:1157–1166 https://doi.org/10.1007/s00280-019-03936-w REVIEW ARTICLE Dihydropyrimidine dehydrogenase in the metabolism of the anticancer drugs Vinay Sharma1 · Sonu Kumar Gupta1 · Malkhey Verma1 Received: 3 May 2019 / Accepted: 21 August 2019 / Published online: 4 September 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019 Abstract Cancer caused by fundamental defects in cell cycle regulation leads to uncontrolled growth of cells. In spite of the treatment with chemotherapeutic agents of varying nature, multiple resistance mechanisms are identifed in cancer cells. Similarly, numerous variations, which decrease the metabolism of chemotherapeutics agents and thereby increasing the toxicity of anticancer drugs have been identifed. 5-Fluorouracil (5-FU) is an anticancer drug widely used to treat many cancers in the human body. Its broad targeting range is based upon its capacity to act as a uracil analogue, thereby disrupting RNA and DNA synthesis. Dihydropyrimidine dehydrogenase (DPD) is an enzyme majorly involved in the metabolism of pyrimidines in the human body and has the same metabolising efect on 5-FU, a pyrimidine analogue. Multiple mutations in the DPD gene have been linked to 5-FU toxicity and inadequate dosages. DPD inhibitors have also been used to inhibit excessive degradation of 5-FU for meeting appropriate dosage requirements. This article focusses on the role of dihydropyrimidine dehydrogenase in the metabolism of the anticancer drug 5-FU and other associated drugs. Keywords Cancer · Anticancer drugs · Dihydropyrimidine dehydrogenase (DPD) · 5-Fluorouracil (5-FU) · Drug resistance · Drug metabolism Introduction by Dihydropyrimidine dehydrogenase (DPD) through the pyrimidine degradation pathway. -
Peri-Operative Medicine John Cohn
Perioperative Medicine Steven L. Cohn (Editor) Perioperative Medicine Editor Steven L. Cohn Director – Medical Consultation Service Kings County Hospital Center Clinical Professor of Medicine SUNY Downstate Brooklyn, NY ISBN 978-0-85729-497-5 e-ISBN 978-0-85729-498-2 DOI 10.1007/978-0-85729-498-2 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2011931531 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permit- ted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Preface Preoperative risk assessment and perioperative management are important aspects of clinical practice in internal medicine.