Hassan Moustapha, Sallam Hatem, Hassan Zuzana
Experimental Cancer Medicine (ECM), Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden;
Sultan Qaboos Univ Med J. 2011 May;11(2):165-78. Epub 2011 May 15.
Pharmacokinetics, pharmacodynamics and pharmacogenetics play an important role in drug discovery and contribute to treatment success. This is an essential issue in cancer treatment due to its high toxicity. During the last decade, cyclin-dependent kinase inhibitors were recognised as a new class of compounds that was introduced for the treatment of several diseases including cancer. Cyclin-dependent kinases (Cdks) play a key role in the regulation of cell cycle progression and ribonucleic acid transcription. Deregulation of Cdks has been associated with several malignancies, neurodegenerative disorders, viral and protozoa infections, glomerulonephritis and inflammatory diseases. (R)-roscovitine is a synthetic tri-substituted purine that inhibits selectively Cdk1, 2, 5, 7 and 9. Roscovitine has shown promising cytotoxicity in cell lines and tumor xenografts. In this paper, we present several aspects of pharmacokinetics (PK) and pharmacodynamics (PD) of roscovitine. We present also some of our investigations including bioanalysis, haematotoxicity, age dependent kinetics, PK and effects on Cdks in the brain. Unfavourable kinetic parameters in combination with poor distribution to the bone marrow compartment could explain the absence of myelosuppression in vivo despite the efficacy in vitro. Higher plasma and brain exposure and longer elimination half-life found in rat pups compared to adult rats may indicate that roscovitine can be a potential candidate for the treatment of brain tumours in children. Cdk5 inhibition and Erk1/2 activation that was detected in brain of rat pups may suggest the use of roscovitine in neurodegenerative diseases. Early pharmacokinetic/pharmacodynamic studies are important issues in drug discovery and may affect further development of promising drug candidates.
药代动力学、药效学和药物遗传学在药物研发中发挥着重要作用,并有助于治疗成功。由于癌症治疗毒性高,这是癌症治疗中的一个关键问题。在过去十年中,细胞周期蛋白依赖性激酶抑制剂被公认为一类新型化合物,被引入用于治疗包括癌症在内的多种疾病。细胞周期蛋白依赖性激酶(Cdks)在细胞周期进程和核糖核酸转录的调节中起关键作用。Cdks失调与多种恶性肿瘤、神经退行性疾病、病毒和原生动物感染、肾小球肾炎及炎症性疾病有关。(R)-罗可辛是一种合成的三取代嘌呤,可选择性抑制Cdk1、2、5、7和9。罗可辛在细胞系和肿瘤异种移植模型中已显示出有前景的细胞毒性。在本文中,我们介绍了罗可辛药代动力学(PK)和药效学(PD)的几个方面。我们还展示了一些我们的研究,包括生物分析、血液毒性、年龄依赖性动力学、PK以及对大脑中Cdks的影响。尽管罗可辛在体外有效,但体内缺乏骨髓抑制可能是由于其不利的动力学参数以及向骨髓腔室的分布不佳所致。与成年大鼠相比,在幼鼠中发现更高的血浆和脑暴露量以及更长的消除半衰期,这可能表明罗可辛可能是治疗儿童脑肿瘤的潜在候选药物。在幼鼠大脑中检测到的Cdk5抑制和Erk1/2激活可能提示罗可辛在神经退行性疾病中的应用。早期药代动力学/药效学研究是药物研发中的重要问题,可能会影响有前景的候选药物的进一步开发。