William H. Prusoff (1920–2011): Father of Antiviral Chemotherapy

Total Page:16

File Type:pdf, Size:1020Kb

William H. Prusoff (1920–2011): Father of Antiviral Chemotherapy Obituary William H. Prusoff (1920–2011): Father of Antiviral Chemotherapy Yung-Chi Cheng* Yale School of Medicine, New Haven, Connecticut, United States of America Regarded as the father of antiviral by Dr. Jerome Horwitz had potent anti- chemotherapy, William H. Prusoff (Bill) HIV properties. The compound was passed away on April 3, 2011, in New originally named D4T, and Bristol-Myers Haven, Connecticut. Dr. Prusoff spent Squibb developed and marketed this drug most of his career studying analogs of under its more common name, Zerit. It thymidine, a nucleoside building block of became a key drug as part of the first DNA, with an eye toward developing combination therapy for treating AIDS. therapeutic agents. By exploring analogs Realizing that this treatment could pro- to thymidine for use as antiviral drugs, his vide great benefits to those struggling with research created a new scientific paradigm the growing HIV crisis in impoverished for antiviral drug development. Africa, Doctors Without Borders and Yale In the late 1950s, Bill synthesized one of students later lobbied Yale University and the first thymadine analogs, 5-iododeoxy- Bristol-Myers Squibb to make Zerit avail- uridine. At the time, it was thought to be able at a low cost for the African market. difficult to find antiviral drugs with a high Bill quickly joined the effort, even though therapeutic index, but Professor Herbert it meant a loss of personal income. ‘‘We E. Kaufman found that the compound are not doing this to make money, we are William H. Prusoff. Image credit: Laura Prusoff. could be used as an effective topical interested in developing a compound that doi:10.1371/journal.pbio.1001190.g001 treatment for herpes virus keratitis by would be a benefit to society,’’ he disrupting the virus’s ability to reproduce. explained. The effort to make Zerit more More significantly, though, this discovery affordable was a success: millions of people potential for using boronated-thymidine was a scientific game changer—it was the around the world benefited from Bill’s analogs as sensitizing cancer agents for first time that a clinical antiviral drug had research and humanitarian efforts. neutron therapy. been shown to have selective antiviral Bill was born on June 25, 1920, in New Bill’s remarkable contributions did not go activity if used properly. York City and attended the University of unnoticed in his lifetime. Among his many My association with Bill started in the Miami. After receiving his undergraduate accolades, he received the ASPET Award early 1970s during my postdoctoral work degree in chemistry, he obtained his PhD from the American Society of Pharmacology at Yale. Together with Professor David from Columbia University and later com- and Experimental Therapeutics and the Ward, we found that 59amino-5-iodode- pleted his postdoctoral training in the Peter Parker Medal, Yale School of Medi- oxyuridine had a high degree of selectivity laboratory of Professor Arnold Welch at cine’s highest award. He also received the against the herpes simplex virus in culture. Case Western Reserve University. After Inaugural Lifetime Achievement Award Around the same time, Dr. James Black Dr. Welch was recruited by Yale to head from the Yale Comprehensive Cancer and Dr. Gertrude Elion at Burroughs the Medical School’s pharmacology de- Center. His legacy was further solidified Wellcome found that acyclovir, another partment, Bill was invited to join the same when the School of Medicine established an nucleoside analog, also exhibited anti- department as an assistant professor and endowed chair in his name and the herpes virus behavior in culture. Scientif- was subsequently promoted to the rank of Department of Pharmacology named one ically, these were major breakthroughs professor. This relationship at Yale would of its conference rooms after him. In because these two discoveries were the first span over the next 58 years, with Bill addition, the International Society for Virus demonstrations of highly selective antiviral becoming one of Yale’s most well respect- Research established the William Prusoff drug behavior due to the unique proper- ed scientists and teachers. Young Investigator Lecture Award. ties of the herpes simplex virus. Subse- Though Bill officially retired at age 70, Despite his numerous awards and quently, it was found that the selectivity he never stopped working and continued prestigious accomplishments, Bill was an was due to the preferential activation of to be industrious. Until his death, his work extremely humble and down-to-earth man compounds by viral specified thymidine as professor emeritus concentrated on the who was quick to understate his achieve- kinase. Due to an unexpected toxicity found in young mice, 59amino-5-iodode- Citation: Cheng Y-C (2011) William H. Prusoff (1920–2011): Father of Antiviral Chemotherapy. PLoS Biol 9(11): oxyuridine was never further developed, e1001190. doi:10.1371/journal.pbio.1001190 but acyclovirin went on to become the first Published November 8, 2011 orally active anti-herpes virus drug. Copyright: ß 2011 Yung-Chi Cheng. This is an open-access article distributed under the terms of the In the 1980s, while the AIDS epidemic Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any was spreading and found to be caused by medium, provided the original author and source are credited. HIV, Bill and the late Dr. Tai-Shun Lin Competing Interests: The author has declared that no competing interests exist. discovered that a compound synthesized * E-mail: [email protected] PLoS Biology | www.plosbiology.org 1 November 2011 | Volume 9 | Issue 11 | e1001190 ments and even quicker to share the credit Foundation to support various programs, was. He even kept on sending us jokes with others. He lived modestly, unselfishly, including the United Way and the Yale through email when he couldn’t tell them and with the highest integrity. These traits Initiative for the Interdisciplinary Study of in person. made him an extremely popular and Anti-Semitism. He dedicated his life to the For those of us fortunate enough to highly respected individual everywhere. I service of others because he saw generosity have personally known him, we were do not remember a time that anyone and helping as a natural extension of the gifted with his peculiar sense of humor, would say anything bad about him. He human condition. He was a role model for warm welcoming company, and deep was always eager to assist others. As a scholars to follow. wisdom. Bill’s influence was much broad- fellow at Pierson College here at Yale, he Bill was always upbeat, smiling and er, though: training a new generation of would provide students with help but ready with a joke. His lifelong optimism in scientists who have gone on to become never boasted or took credit. Bill also the worst of times was always inspiring— successful in their own right, rippling with generously contributed to charities, en- he often said ‘‘the best is yet to come.’’ their own contributions that have affected dowing several lectureships in pharmacol- Even in the hospital under intense dis- others. For the millions of lives his work ogy, virology, and public health at Yale, comfort, he kept a lighthearted and has touched and saved, we have lost a supporting research in several laboratories, positive disposition, making light of his giant scientist in this age. and establishing the William H. Prusoff situation when we knew how serious it PLoS Biology | www.plosbiology.org 2 November 2011 | Volume 9 | Issue 11 | e1001190.
Recommended publications
  • Overview of Antiviral Medications Used in Ophthalmology
    ANTIVIRALS Overview of antiviral medications Jeremy Hoffman Clinical Research used in ophthalmology Fellow: International Centre for Eye Health, As eye health professionals, London School of Hygiene & Tropical we are fortunate to have Medicine, UK. a number of antiviral medications available in our armoury to treat a range of ophthalmic viral infections. This article provides an overview of what antiviral agents are available for these conditions, detailing their regimen SANDIP DAS SANYAM (SAGARMATHA CHOUDHARY EYE HOSPITAL, NEPAL) SANDIP DAS SANYAM(SAGARMATHA and evidence that Aciclovir – either as topical eye ointment or systemic tablets – is still the first-line antiviral in the treatment of many viral eye diseases around the supports their use. world, including here in Nepal. phthalmic viral infections, particularly herpes associated with toxicity, including superficial punctate simplex keratitis, have been at the forefront of keratopathy, chemical conjunctivitis, punctal occlusion Othe development of antiviral medications. and occasional serious hypersensitivity reactions. Idoxuridine was also unable to penetrate the corneal The discovery of the first targeted antiviral agent, epithelium to treat stromal or endothelial keratitis. in common with penicillin (the first antibiotic), owes much to serendipity. In 1959, William Prusoff With the advent of aciclovir in 1982, most herpetic developed idoxuridine (IDU) as a potential systemic ophthalmic infections became treatable, including anti-cancer agent. Idoxuridine those caused by herpes
    [Show full text]
  • Meeting Report: 26Th International Conference on Antiviral Research Q
    Antiviral Research 100 (2013) 276–285 Contents lists available at ScienceDirect Antiviral Research journal homepage: www.elsevier.com/locate/antiviral Review Meeting report: 26th International Conference on Antiviral Research q R. Anthony Vere Hodge Vere Hodge Antivirals Ltd, Old Denshott, Leigh, Reigate, Surrey, UK article info abstract Article history: The 26th International Conference on Antiviral Research (ICAR) was held in San Francisco, California from Received 2 August 2013 May 11 to 15, 2013. This article summarizes the principal invited lectures at the meeting. The opening Accepted 8 August 2013 symposium on the legacy of the late Antonín Holy´ included presentations on his pioneering work with Available online 21 August 2013 nucleotide analogs, which led to the development of several antiviral drugs including tenofovir. This drug has transformed the treatment of HIV infection and has recently become the first-line therapy for chronic Keywords: hepatitis B. The Gertrude Elion Award lecturer described the anti-HIV activities of the CCR5 inhibitor Human immunodeficiency virus cenicriviroc and the reverse transcriptase inhibitor festinavirÒ, and also reviewed the evaluation of bio- Hepatitis B degradable nanoparticles with adjuvant activity. The William Prusoff Award winner reported on the cre- Hepatitis C Herpesviruses ation of NAOMI, a computer model with 21 enzymes to predict the activity of nucleoside analogs against Antiviral therapy hepatitis C virus (HCV). Other invited lecturers discussed the development of countermeasures against severe dengue and the potential of RNA virus capping and repair enzymes as drug targets. Topics in the clinical symposium included the current status of the anti-HCV compounds sovaprevir, ACH-3102, miravirsen and ALS-2200; the evaluation of single-tablet regimens for HIV infection; and the investiga- tion of cytomegalovirus resistance to CMX001.
    [Show full text]
  • Applications of Traditional Chinese Medicine in Antiviral and Anticancer Drug Development
    YALE JOURNAL OF BIOLOGY AND MEDICINE 93 (2020), pp.381-384. Interview Applications of Traditional Chinese Medicine in Antiviral and Anticancer Drug Development An Interview with Dr. Yung-Chi (Tommy) Cheng, PhD Huaqi Li* MPH Candidate, Yale School of Public Health, Yale University, New Haven, CT You studied chemistry in Taiwan and then went During that period, there was a course offered at into a PhD in biochemical pharmacology at Brown University that invited several pharmacology Brown University. Can you tell us about how professors from other campuses to teach. Among those you first became interested in these fields? was Professor Prusoff who was an expert in antiviral and I was always interested in chemistry and the biologi- cancer research. He synthesized the first antiviral drug cal aspects of chemistry, so my undergraduate major was for the herpes simplex virus (HSV) and I was interested actually a double major in chemistry and biology. So, in that subject, so I decided to do my postdoc with him when I was deciding what to do after my undergraduate at Yale. I came over after receiving my PhD degree and training, I decided to go abroad and applied to universities that was the first time I was exposed to virology. Through in Canada. I was at the University of Guelph for one year. bioassays, we identified a nucleoside analog that was My wife was studying at Brown University, so I reapplied highly selective against HSV-1 and then the question was to Brown, but they didn’t really have a biochemistry de- how could this compound have such selectivity? Because partment, so I needed to decide what specific specialty of before that time, nobody believed that you could come biochemistry I was interested in.
    [Show full text]
  • Remarks by Jon Soderstrom*
    REMARKS BY JON SODERSTROM* Senator Birch Bayh has made the most significant impact on the U.S. and global economy of any individual who has ever come before and who lives today, full stop. That’s an amazing accomplishment. We have heard about all the legislative feats that he accomplished. We’ve heard about what an amazing legislator, attorney, and public servant he was. But, there are very few human beings who have had the impact on our economy that Senator Bayh had. It’s an amazing accomplishment and something that we should be in awe of. I’m going to give you a few statistics. I’m not going to overwhelm you; I’m going to bring it down to a personal level. I promised Kitty that I wouldn’t cry. Because when I was thinking about this the other day, it’s hard. If you knew Senator Bayh, he wore his emotions on his sleeve, and we have cried together. Here are just a couple statistics that should blow you away. The Bayh- Dole Act1 unleashed the technologies that were being developed in universities in a way that no one probably could have imagined. It was immediate and it was dramatic. The year was 1980. Prior to 1980—and I know because my entire career arc has followed the senator’s accomplishments—I was at graduate school studying the economy and what patents were doing, et cetera. At that time, the federal government, by law, was the owner of all intellectual property created with federal dollars and, as a result, it had created 28,000 patents.2 Less than 5 percent of those patents had ever been licensed or commercialized, compared with 25 percent to 30 percent of the small number of federal patents for which the government had allowed companies to retain title to the invention.3 That is “because the government would only grant nonexclusive licenses to patents it owned,” so * Managing Director, Office of Cooperative Research at Yale University.
    [Show full text]
  • ISAR News Vol
    August 2013 ISAR News Vol. 23 No. 1 Report on the 26th ICAR 11–15 May 2013, San Francisco, CA, USA President’s message (Phillip Furman) and Scientific Meeting Report. They have been inte- gral in maintaining a productive working relationship The 26th ICAR is now behind us and I am pleased to with Elsevier, publisher of Antiviral Research and report that the conference was a great success. The So- International Medical Press, publisher of Antiviral ciety has invested a significant amount of work over Therapy. The Society wishes to thank International the past years in revitalizing the annual meeting. Medical Press for publishing ISAR News for several These efforts have been recognized and affirmed by years and for publishing issue 22.2 in the last issue the results of our post-conference surveys, which pro- of AVCC (February 2013) which has now ceased pub- vided considerable positive feedback along with con- lication. Because of this, the Society had no publisher structive suggestions and comments. Thanks to all of for ISAR News. Thanks to the efforts of Mike Bray, you who have responded to these important surveys. Hugh Field, and Anthony Vere Hodge, Elsevier will The success of this year’s ICAR is due to a talented now publish ISAR News and the Scientific Meeting team of dedicated individuals with whom I had the Report in Antiviral Research. The smooth transition privilege of working to plan the conference. First, was greatly assisted by Alina Helsloot (Elsevier) who thanks go to the ISAR officers Joe Colacino, Past Pre- came to ICAR.
    [Show full text]
  • Rational Design and Synthesis of New Nucleoside Analogues Bearing a Cyclohexane Core
    Rational Design and Synthesis of New Nucleoside Analogues Bearing a Cyclohexane Core Beatriz Domínguez Pérez Ph.D. Thesis Ph.D. in Chemistry Supervisors: Dr. Ramon Alibés Arqués Dr. Félix Busqué Sánchez Dr. Jean-Didier Márechal Departament de Química Facultat de Ciències 2015 Memòria presentada per aspirar al Grau de Doctor per Beatriz Domínguez Pérez Beatriz Domínguez Pérez Vist i plau, Dr. Ramon Alibés Arqués Dr. Félix Busqué Sánchez Dr. Jean-Didier Maréchal Bellaterra, 13 de maig de 2015 “When you make the finding yourself-even if you’re the last person on Earth to see the light- you’ll never forget it” Carl Sagan A mis padres, a mi hermana A Jonatan Table of contents Abbreviations................................................................................................................................ 1 I. General introduction ............................................................................................. 5 1. Viruses ................................................................................................................................. 7 1.1. Virus replication ............................................................................................................. 8 1.2. Viral diseases in humans ................................................................................................ 9 2. Antiviral drugs ................................................................................................................... 10 2.1. Nucleoside analogues .................................................................................................
    [Show full text]
  • I @ Folateantagonistsalsoillustrated;Inadditiontobaker's
    [CANCER RESEARCH 39, 293-304, February 1979] 0008-5472/79/0039-0000$02.00 Toward Improved Selectivity in Cancer Chemotherapy: The Richard and Hinda Rosenthal Foundation Award Lecture1 Joseph R. Bertlno2 Yale University School of Medicine, New Haven, Connecticut 06510 dylate synthetase per se or as facilitators of 5-fluorodeox yuridine 5'-monophosphate binding to this enzyme are also discussed. The potential for selectivity using nonclassical @ I folateantagonistsisalsoillustrated;inadditiontoBaker's antifol (triazinate), a triazine folate antagonist, now in clinical trial, several 2,4-diaminoquinazolines were found to be potent exhibitors of DNA synthesis in human leukemic leukocytes. Drug resistance to antineoplastic agents continues to be an important clinical problem. By using resistanceto meth otrexate as an example, exploitation of drug-resistant mu tants by design of specific inhibitors is possible. A strategy h for the prevention of drug resistance is advanced, based on F dataderivedfromexperimentalsystems.Itisconcluded —@-@ that large doses of drugs used in intermittent fashion and @1 sequentially in combination may be the best strategy to avoid this problem. An example of this strategy is Adriamy cin-cyclophosphamide-Oncovin-methotrexate-1 -f3-D-arabi nofuranosylcytosine, a five-drug sequential combination used to treat diffuse histiocytic lymphoma. Dr. Miller, Mr. and Mrs. Rosenthal, members and guests of the American Association for Cancer Research, I am deeply honored to receive the Rosenthal Award. I have been extremely fortunate over the years I have been at Yale to have many outstanding colleagues, fellows, I and graduate students, and they havereally been responsi ble for whatever success we have had. I had prepared a list of their names to show you but decided not to; it might embarrass those who wish not to admit an association, and it was embarrassing to me to realize I have accomplished so little with so much talent.
    [Show full text]
  • Since January 2020 Elsevier Has Created a COVID-19 Resource Centre with Free Information in English and Mandarin on the Novel Coronavirus COVID- 19
    Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Antiviral Research 169 (2019) 104550 Contents lists available at ScienceDirect Antiviral Research journal homepage: www.elsevier.com/locate/antiviral Meeting report: 32nd International Conference on Antiviral Research T Enzo Tramontanoa, Bart Tarbetb, Jessica R. Spenglerc, Katherine Seley-Radtked, Chris Meiere, Robert Jordanf, Zlatko Janebag, Brian Gowenb, Brian Gentryh, José A. Estéi, Mike Brayj, Graciela Andreik, Luis M. Schangl,*, on behalf of the International Society for Antiviral Research a Department of Life and Environmental Sciences, University of Cagliari, Monserrato, Italy b Department of Animal, Dairy and Veterinary Sciences, Institute for Antiviral Research Utah State University, Logan, UT, USA c Viral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA d Department of Chemistry & Biochemistry, University of Maryland, Baltimore County, Baltimore, MD, USA e Department of Chemistry, Organic Chemistry, Faculty of Sciences, Universität Hamburg, Martin-Luther-King-Platz 6, 20146, Hamburg, Germany f Vir Biotechnology, Inc, San Francisco, CA, USA g Institute of Organic Chemistry and Biochemistry of the Czech Academy of Sciences, Flemingovo Nam.
    [Show full text]
  • Therapy of Cutaneous Herpes Simplex Virus Type 1 Infection in Guinea Pigs Susan Wong Yale University
    Yale University EliScholar – A Digital Platform for Scholarly Publishing at Yale Yale Medicine Thesis Digital Library School of Medicine 1978 5-iodo-5'-amino-2',5'-dideoxyuridine (AIU) therapy of cutaneous herpes simplex virus type 1 infection in guinea pigs Susan Wong Yale University Follow this and additional works at: http://elischolar.library.yale.edu/ymtdl Recommended Citation Wong, Susan, "5-iodo-5'-amino-2',5'-dideoxyuridine (AIU) therapy of cutaneous herpes simplex virus type 1 infection in guinea pigs" (1978). Yale Medicine Thesis Digital Library. 3322. http://elischolar.library.yale.edu/ymtdl/3322 This Open Access Thesis is brought to you for free and open access by the School of Medicine at EliScholar – A Digital Platform for Scholarly Publishing at Yale. It has been accepted for inclusion in Yale Medicine Thesis Digital Library by an authorized administrator of EliScholar – A Digital Platform for Scholarly Publishing at Yale. For more information, please contact [email protected]. YALE medical library Digitized by the Internet Archive in 2017 with funding from The National Endowment for the Humanities and the Arcadia Fund https://archive.org/details/5iodo5amino25did00wong 5-IODO-5*-AMINO-2*,5'-DIDEOXYURIDINE (AIU) THERAPY OF CUTANEOUS HERPES SIMPLEX VIRUS TYPE 1 INFECTION IN GUINEA PIGS Susan Wong B.A. University of California, Los Angeles 1971 M.A* Yale University 1973 A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Medicine Yale University School of Medicine New Haven, Connecticut 1978 Me4 Lib T\ >3 YiZ ZVZV ACKNOWLEDGEMENT I vould like to express my appreciation and gratitude to all those who contributed to this project.
    [Show full text]
  • Conference Report
    Antiviral Research 111 (2014) 143–153 Contents lists available at ScienceDirect Antiviral Research journal homepage: www.elsevier.com/locate/antiviral Meeting Report Meeting report: 27th International conference on antiviral research, in Raleigh, NC, USA ⇑ R. Anthony Vere Hodge ,1 Vere Hodge Antivirals Ltd, Old Denshott, Leigh, Reigate, Surrey, UK article info abstract Article history: The 27th International Conference on Antiviral Research (ICAR) was held in Raleigh, North Carolina, USA Received 15 August 2014 from May 12 to 16, 2014. This article summarizes the principal invited lectures. John Drach (Elion Award) Accepted 18 August 2014 described the early days of antiviral drugs and their novel modes of action. Piet Herdewijn (Holy´ Award) Available online 16 September 2014 used evolutionary pressure to select DNA polymerases that accept nucleoside analogs. Replacing thymine by 5-chlorouracil led to the generation of a new form of Escherichia coli. Adrian Ray (Prusoff Award) dem- Keywords: onstrated how prodrugs can markedly improve both the efficacy and safety of potential drugs. The key- Human immunodeficiency virus note addresses, by David Margolis and Myron Cohen, tackled two emerging areas of HIV research, to find Hepatitis B virus an HIV ‘‘cure’’ and to prevent HIV transmission, respectively. These topics were discussed further in other Hepatitis C virus Ebola virus presentations – a cure seems to be a distant prospect but there are exciting developments for reducing Antiviral therapy HIV transmission. TDF-containing vaginal rings and GSK-744, as a long-lasting injection, offer great hope. There were three mini-symposia. Although therapy with TDF/FTC gives excellent control of HBV replica- tion, there are only a few patients who achieve a functional cure.
    [Show full text]
  • Medicine@Yale
    Medicine@Yale Advancing Biomedical Science, Education and Health Care Volume 2, Issue 4 July/August 2006 A faster pipeline speeds new treatments from lab to patient fi ce of Cooperative Research (ocr), catalyzing the creation of brand-new to obtain Food and Drug Administra- Small biotechs which takes the lead in licensing the companies tailored to the needs of tion (fda) approval to test one of with big ambitions fruits of faculty labors to biotechnol- particular therapies. Crews’s cancer drugs in people. ogy and pharmaceutical companies, The result has been a signifi cant Likewise, Achillion Pharmaceu- hasten drug testing currently lists a dozen additional contraction of the time it takes to ticals, a start-up company whose potential therapies under license and move new treatments from licensing fi rst compound was discovered by The fl ow of discoveries from the medi- poised to start early stage clinical trials to fi rst trials in humans. For example, Yung-Chi “Tommy” Cheng, ph.d., cal school’s labs to patients in need (see graphic, p. 6). Proteolix, founded in 2003 to com- the Henry Bronson Professor of is proceeding at a blistering pace—in This unprecedented success in mercialize compounds discovered by Pharmacology, began a Phase I trial the last four years, no fewer than fi ve pushing investigators’ fi nds out of Craig M. Crews, ph.d., associate pro- of the drug to treat hiv⁄aids only new therapies invented by School of the lab comes from ocr’s strategy fessor of molecular, cellular and devel- a year and half after the company’s Medicine researchers have advanced of partnering with up-and-coming opmental biology and pharmacology, inception.
    [Show full text]
  • I @ Folateantagonistsalsoillustrated
    [CANCER RESEARCH 39, 293-304, February 1979] 0008-5472/79/0039-0000$02.00 Toward Improved Selectivity in Cancer Chemotherapy: The Richard and Hinda Rosenthal Foundation Award Lecture1 Joseph R. Bertlno2 Yale University School of Medicine, New Haven, Connecticut 06510 dylate synthetase per se or as facilitators of 5-fluorodeox yuridine 5'-monophosphate binding to this enzyme are also discussed. The potential for selectivity using nonclassical @ I folateantagonistsisalsoillustrated;inadditiontoBaker's antifol (triazinate), a triazine folate antagonist, now in clinical trial, several 2,4-diaminoquinazolines were found to be potent exhibitors of DNA synthesis in human leukemic leukocytes. Drug resistance to antineoplastic agents continues to be an important clinical problem. By using resistanceto meth otrexate as an example, exploitation of drug-resistant mu tants by design of specific inhibitors is possible. A strategy h for the prevention of drug resistance is advanced, based on F dataderivedfromexperimentalsystems.Itisconcluded —@-@ that large doses of drugs used in intermittent fashion and @1 sequentially in combination may be the best strategy to avoid this problem. An example of this strategy is Adriamy cin-cyclophosphamide-Oncovin-methotrexate-1 -f3-D-arabi nofuranosylcytosine, a five-drug sequential combination used to treat diffuse histiocytic lymphoma. Dr. Miller, Mr. and Mrs. Rosenthal, members and guests of the American Association for Cancer Research, I am deeply honored to receive the Rosenthal Award. I have been extremely fortunate over the years I have been at Yale to have many outstanding colleagues, fellows, I and graduate students, and they havereally been responsi ble for whatever success we have had. I had prepared a list of their names to show you but decided not to; it might embarrass those who wish not to admit an association, and it was embarrassing to me to realize I have accomplished so little with so much talent.
    [Show full text]