Mendelsohn L G, Shih C, Chen V J, Habeck L L, Gates S B, Shackelford K A
Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, Indianapolis 46285, USA.
Semin Oncol. 1999 Apr;26(2 Suppl 6):42-7.
The pyrrolopyrimidine-based antifolate, N-¿4-[2-(2-amino-3,4-dihydro-4-oxo-7H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl ]benzoyl¿glutamic acid, LY231514 (MTA) has demonstrated antitumor activity in a broad array of human tumors, including breast cancer, colon cancer, non-small cell lung cancer, head and neck cancer, pancreatic cancer, and other solid tumors. The biochemical basis of this activity was explored by measuring activation of MTA by polyglutamation and the activity of MTA to inhibit several folate-dependent enzymes: thymidylate synthase, dihydrofolate reductase, and glycinamide ribonucleotide formyltransferase (GARFT). The enzyme folylpolyglutamate synthase (FPGS) activated MTA very efficiently. Using FPGS from two different species, Km values below 2 micromol/L and high relative first order rate constants, k' (Vmax/Km) of 6.4 and 13.7 compared with another substrate, lometrexol, were obtained. The formation of polyglutamates of several antifolates were compared in vitro at high and low substrate concentrations. At low MTA concentrations, tetraglutamated and pentaglutamated MTA were the predominant forms identified after a 24-hour incubation period. In contrast, only diglutamyl methotrexate and a mixture triglutamylated, tetraglutamylated, and pentaglutamylated forms of the GARFT inhibitor lometrexol were formed under the same conditions. At higher substrate concentrations (20 micromol/L, 24 hours), greater amounts of each product were formed. The major metabolites, however, were triglutamated MTA or triglutamated lometrexol, while only diglutamyl methotrexate was recovered. Thus, MTA was an excellent substrate for FPGS and it was efficiently metabolized to highly polyglutamated species by this enzyme. The activity of MTA and its polyglutamated metabolites to inhibit several folate-dependent enzymes was measured. In vitro, MTA and its polyglutamates were potent, tight-binding inhibitors of several folate-dependent enzymes, including thymidylate synthase, dihydrofolate reductase, and GARFT. Preliminary cell-based assays (CCRF-CEM) demonstrated inhibition of the purine de novo pathway by MTA, consistent with its multitargeted mechanism of action against tumor cells. The combined effects of activation of MTA to highly polyglutamated metabolites and the potency of these polyglutamates to inhibit multiple folate-dependent enzymes provide a mechanistic basis for understanding the broad antitumor activity of this compound against many human tumor types.
基于吡咯并嘧啶的抗叶酸剂N-{4-[2-(2-氨基-3,4-二氢-4-氧代-7H-吡咯并[2,3-d]嘧啶-5-基)乙基]苯甲酰}谷氨酸,LY231514(MTA)已在多种人类肿瘤中显示出抗肿瘤活性,包括乳腺癌、结肠癌、非小细胞肺癌、头颈癌、胰腺癌和其他实体瘤。通过测量多聚谷氨酸化对MTA的激活作用以及MTA抑制几种叶酸依赖性酶的活性来探索这种活性的生化基础:胸苷酸合成酶、二氢叶酸还原酶和甘氨酰胺核糖核苷酸甲酰基转移酶(GARFT)。叶酸聚谷氨酸合成酶(FPGS)能非常有效地激活MTA。使用来自两个不同物种的FPGS,获得了低于2微摩尔/升的Km值以及与另一种底物洛美曲唑相比相对较高的一级速率常数k'(Vmax/Km),分别为6.4和13.7。在高底物浓度和低底物浓度下体外比较了几种抗叶酸剂的多聚谷氨酸的形成。在低MTA浓度下,经过24小时孵育期后,四聚谷氨酸化和五聚谷氨酸化的MTA是鉴定出的主要形式。相比之下,在相同条件下仅形成了二谷氨酰甲氨蝶呤以及GARFT抑制剂洛美曲唑的三谷氨酰化、四谷氨酰化和五谷氨酰化形式的混合物。在较高底物浓度(20微摩尔/升,24小时)下,每种产物的生成量更多。然而,主要代谢产物是三谷氨酰化的MTA或三谷氨酰化的洛美曲唑,而仅回收了二谷氨酰甲氨蝶呤。因此,MTA是FPGS的优良底物,并且它被该酶有效地代谢为高度多聚谷氨酸化的物种。测量了MTA及其多聚谷氨酸化代谢产物抑制几种叶酸依赖性酶的活性。在体外,MTA及其多聚谷氨酸是几种叶酸依赖性酶的强效、紧密结合抑制剂,包括胸苷酸合成酶、二氢叶酸还原酶和GARFT。基于细胞的初步试验(CCRF-CEM)证明MTA抑制嘌呤从头合成途径,这与其对肿瘤细胞的多靶点作用机制一致。MTA激活为高度多聚谷氨酸化代谢产物以及这些多聚谷氨酸抑制多种叶酸依赖性酶的联合作用为理解该化合物对多种人类肿瘤类型的广泛抗肿瘤活性提供了机制基础。