顺铂与非DNA靶点的相互作用及其对抗癌活性和药物毒性的影响:铂配合物的复杂世界。
Interactions of cisplatin with non-DNA targets and their influence on anticancer activity and drug toxicity: the complex world of the platinum complex.
作者信息
Mezencev Roman
机构信息
School of Biology, Georgia Institute of Technology, 310 Ferst Drive, Atlanta, GA 30332, USA.
出版信息
Curr Cancer Drug Targets. 2015;14(9):794-816. doi: 10.2174/1568009614666141128105146.
Since the discovery of its anticancer activity in 1970s, cisplatin and its analogs have become widely used in clinical practice, being administered to 40-80% of patients undergoing chemotherapy for solid tumors. The fascinating story of this drug continues to evolve presently, which includes advances in our understanding of complexity of molecular mechanisms involved in its anticancer activity and drug toxicity. While genomic DNA has been generally recognized as the most critical pharmacological target of cisplatin, the results reported across multiple disciplines suggest that other targets and molecular interactions are likely involved in the anticancer mode of action, drug toxicity and resistance of cancer cells to this remarkable anticancer drug. This article reviews interactions of cisplatin with non-DNA targets, including RNAs, proteins, phospholipids and carbohydrates in the context of its pharmacological activity and drug toxicity. Some of these non-DNA targets and associated mechanisms likely act in a highly concerted manner towards the biological outcome in cisplatin-treated tumors; therefore, the understanding of complexity of cisplatin interactome may open new avenues for modulation of its clinical efficacy or for designing more efficient platinum-based anticancer drugs to reproduce the success of cisplatin in the treatment of highly curable testicular germ cell tumors in its therapeutic applications to other cancers.
自20世纪70年代发现顺铂及其类似物的抗癌活性以来,它们已在临床实践中广泛应用,40%至80%接受实体瘤化疗的患者都会使用。目前,这种药物的精彩故事仍在不断发展,其中包括我们对其抗癌活性和药物毒性所涉及分子机制复杂性的理解取得了进展。虽然基因组DNA通常被认为是顺铂最关键的药理学靶点,但多个学科报告的结果表明,其他靶点和分子相互作用可能参与了其抗癌作用模式、药物毒性以及癌细胞对这种卓越抗癌药物的耐药性。本文在顺铂的药理活性和药物毒性背景下,综述了顺铂与非DNA靶点(包括RNA、蛋白质、磷脂和碳水化合物)的相互作用。其中一些非DNA靶点及相关机制可能以高度协同的方式作用于顺铂治疗的肿瘤的生物学结果;因此,了解顺铂相互作用组的复杂性可能为调节其临床疗效或设计更有效的铂类抗癌药物开辟新途径,以便在其他癌症的治疗应用中重现顺铂在治疗高度可治愈的睾丸生殖细胞肿瘤方面的成功。