Cozzi P
Pharmacia, Department of Chemistry, Discovery Research Oncology, Nerviano, Milan, Italy.
Farmaco. 2001 Jan-Feb;56(1-2):57-65. doi: 10.1016/s0014-827x(01)01009-6.
DNA minor groove binders represent a class of cytotoxic antitumor agents whose DNA sequence specificity may lead to a high selectivity of action. Tallimustine, benzoyl nitrogen mustard derivative of distamycin A, showed excellent antitumor activity in preclinical tests but also a severe myelotoxicity. Novel nitrogen mustard derivatives of distamycin showing improved activity profile were recently identified. In particular, cinnamic nitrogen mustard and cinnamic ethyl half-mustard analogs of tallimustine showed increased potency and more favorable cytotoxicity/myelotoxicity ratio. However a series of alpha-halogenoacrylamido derivatives of distamycin-like frames showed an activity profile substantially improved in comparison to tallimustine. In particular PNU-166196, alpha-bromo-acrylamido derivative of four pyrrole distamycin-like frame ending with a guanidino moiety, showed high cytotoxic potency even on tumor cell lines resistant to alkylating agents and camptothecin, broad antitumor activity and myelotoxicity dramatically reduced in comparison to tallimustine. This compound was found to bind to minor groove TA-rich sequences but appeared unreactive in classical in vitro DNA alkylation assays. With respect to the apparent lack of DNA alkylation we speculated that an intracellular reactive nucleophilic species, e.g. glutathione (GSH), could activate the reactivity of the compound leading to alkylation of DNA in vivo. Recent evidence of both covalent interaction of PNU-166196 with plasmidic DNA in the presence of GSH and of enhanced cytotoxicity in tumor cells characterized by high levels of GSH were obtained. PNU-166196, in view of its excellent activity profile and its outstanding favorable cytotoxicity/myelotoxicity ratio, was selected for clinical development and is undergoing phase I studies.
DNA小沟结合剂是一类细胞毒性抗肿瘤药物,其DNA序列特异性可能导致高选择性作用。他利莫司汀是偏端霉素A的苯甲酰氮芥衍生物,在临床前试验中显示出优异的抗肿瘤活性,但也有严重的骨髓毒性。最近发现了具有改善活性谱的新型偏端霉素氮芥衍生物。特别是,他利莫司汀的肉桂氮芥和肉桂乙基半氮芥类似物显示出更强的效力和更有利的细胞毒性/骨髓毒性比。然而,一系列类偏端霉素的α-卤代丙烯酰胺衍生物与他利莫司汀相比,活性谱有了显著改善。特别是PNU-166196,一种以胍基部分结尾的四吡咯类偏端霉素框架的α-溴丙烯酰胺衍生物,即使对烷基化剂和喜树碱耐药的肿瘤细胞系也显示出高细胞毒性效力,具有广泛的抗肿瘤活性,并且与他利莫司汀相比骨髓毒性显著降低。发现该化合物与富含TA的小沟序列结合,但在经典的体外DNA烷基化试验中似乎没有反应活性。鉴于明显缺乏DNA烷基化,我们推测细胞内的活性亲核物质,如谷胱甘肽(GSH),可以激活该化合物的反应活性,导致其在体内对DNA进行烷基化。最近获得了在GSH存在下PNU-166196与质粒DNA共价相互作用以及在以高水平GSH为特征的肿瘤细胞中细胞毒性增强的证据。鉴于PNU-166196优异的活性谱及其出色的有利细胞毒性/骨髓毒性比,它被选入临床开发阶段,正在进行I期研究。