Institute for Advanced Chemistry of Catalonia (IQAC), Spanish National Research Council (CSIC), Barcelona, Spain.
Networking Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), E-08034 Barcelona, Spain.
Curr Med Chem. 2023;30(11):1304-1319. doi: 10.2174/0929867328666211129124039.
Nucleoside and nucleobase antimetabolites are an important class of chemotherapeutic agents for the treatment of cancer as well as other diseases.
In order to avoid undesirable side effects, several prodrug strategies have been developed. In the present review, we describe a relatively unknown strategy that consists of using oligonucleotides modified with nucleoside antimetabolites as prodrugs.
The active nucleotides are generated by enzymatic degradation once incorporated into cells. This strategy has attracted large interest and is widely utilized at present due to the continuous developments made in therapeutic oligonucleotides and the recent advances in nanomaterials and nanomedicine.
A large research effort was made mainly in the improvement of the antiproliferative properties of nucleoside homopolymers, but recently, chemically modified aptamers, antisense oligonucleotides and/or siRNA carrying antiproliferative nucleotides have demonstrated a great potential due to the synergetic effect of both therapeutic entities. In addition, DNA nanostructures with interesting properties have been built to combine antimetabolites and enhancers of cellular uptake in the same scaffold. Finally, protein nanoparticles functionalized with receptor-binders and antiproliferative oligomers represent a new avenue for a more effective treatment in cancer therapy.
It is expected that oligonucleotides carrying nucleoside antimetabolites will be considered as potential drugs in the near future for biomedical applications.
核苷和碱基类抗代谢物是治疗癌症和其他疾病的一类重要化疗药物。
为了避免不良反应,已经开发了几种前药策略。在本综述中,我们描述了一种相对未知的策略,即使用修饰有核苷类抗代谢物的寡核苷酸作为前药。
一旦被细胞摄取,这些活性核苷酸就会通过酶降解产生。由于治疗性寡核苷酸的不断发展以及纳米材料和纳米医学的最新进展,这种策略引起了广泛的兴趣,并得到了广泛的应用。
人们主要致力于提高核苷均聚物的抗增殖特性,但是最近,具有抗增殖核苷酸的化学修饰适体、反义寡核苷酸和/或 siRNA 已经显示出巨大的潜力,这是由于两种治疗实体的协同作用。此外,构建了具有有趣性质的 DNA 纳米结构,将代谢物抑制剂和细胞摄取增强剂结合在同一个支架上。最后,用受体结合物和抗增殖寡聚物功能化的蛋白质纳米颗粒为癌症治疗的更有效治疗提供了新途径。
预计在不久的将来,携带核苷类抗代谢物的寡核苷酸将被视为生物医学应用中的潜在药物。