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抗癌铂配合物临床前研究进展:新型设计策略与创新分析方法

Update of the Preclinical Situation of Anticancer Platinum Complexes: Novel Design Strategies and Innovative Analytical Approaches.

作者信息

Galanski Mathea Sophia, Jakupec Michael A, Keppler Bernhard K

机构信息

Institute of Inorganic Chemistry--Bioinorganic, Environmental and Radiochemistry, University of Vienna, Vienna, Austria.

出版信息

Curr Med Chem. 2005;12(18):2075-94. doi: 10.2174/0929867054637626.

Abstract

Research in the field of bioinorganic chemistry has been stimulated by the worldwide success of the anticancer drug cisplatin. 40 years after the first report about its biological activity, carboplatin and oxaliplatin are in routine clinical use today, whereas nedaplatin, lobaplatin, and heptaplatin (SKI2053R) are only approved in Japan, China, and South Korea, respectively. Up to now, about 35 platinum complexes entered clinical trials in order to circumvent the side-effects and the problem of tumor resistance to cisplatin. Additionally, improvement of tumor selectivity as well as the need for a broader spectrum of indications are the motivations for tremendous efforts in the development of novel anticancer platinum-based drugs. New synthetic strategies and innovative analytical approaches provide a basis for a deeper understanding of the pharmacological profile of cisplatin and analogues (biodistribution, clearance, detoxification, side-effects, tumor specificity, cellular uptake, acquired or intrinsic resistance, platinum-DNA adduct removal by the cellular machinery) and give rise to a rational design of promising anticancer platinum coordination compounds. This article reviews the recent development of preclinical platinum complexes with interesting in vitro and in vivo tumor inhibiting properties. It focuses also on innovative synthetic strategies leading to novel classes of platinum complexes. A small part of the review is dedicated to new analytical approaches which have been supplied to or emerged in this field of research.

摘要

生物无机化学领域的研究因抗癌药物顺铂在全球范围内的成功应用而受到推动。在首次报道其生物活性40年后,卡铂和奥沙利铂如今已在临床常规使用,而奈达铂、洛铂和乐铂(SKI2053R)分别仅在日本、中国和韩国获得批准。到目前为止,约有35种铂配合物进入临床试验,以规避顺铂的副作用和肿瘤耐药问题。此外,提高肿瘤选择性以及扩大适应症范围的需求,是人们大力研发新型抗癌铂类药物的动力。新的合成策略和创新的分析方法为更深入了解顺铂及其类似物的药理学特性(生物分布、清除、解毒、副作用、肿瘤特异性、细胞摄取、获得性或固有耐药性、细胞机制对铂 - DNA加合物的清除)提供了基础,并促使人们合理设计有前景的抗癌铂配位化合物。本文综述了具有有趣的体外和体内肿瘤抑制特性的临床前铂配合物的最新进展。它还聚焦于导致新型铂配合物的创新合成策略。综述的一小部分致力于该研究领域已应用或出现的新分析方法。

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