Le cisplatine est l'agent chimiothérapeutique le plus largement utilisé pour le traitement de la majorité des tumeurs solides, et la résistance des cellules néoplasiques à ce composé cytotoxique pose un problème majeur en oncologie clinique. Ici, nous avons exploré les vulnérabilités métaboliques potentielles de lignées cellulaires du cancer du poumon non à petites cellules résistantes au cisplatine. Il s’est avéré que les clones résistants au cisplatine (Cis-R) étaient plus sensibles à la mort induite par la privation nutritionnelle in vitro et in vivo en comparaison à leurs contrôles parentaux sensibles au cisplatine (Cis-S). La susceptibilité des cellules Cis-R à la privation nutritionnelle pourrait s'expliquer par une dépendance particulièrement forte vis-à-vis de la glutamine. La déplétion en glutamine était suffisante pour restaurer la sensibilité au cisplatine des clones initialement résistants, et la supplémentation en glutamine a permis le sauvetage des clones Cis-R de la mort induite par la privation nutritionnelle. Les analyses du métabolome par spectrométrie de masse et les interventions spécifiques sur le métabolisme de la glutamine ont révélé que, dans les cellules Cis-R, la glutamine est surtout nécessaire pour la biosynthèse des nucléotides plutôt que pour les réactions anaplérotiques, bioénergétiques ou redox. En conséquence, les cancers Cis-R sont devenus extrêmement sensibles au traitement par des antimétabolites ciblant le métabolisme des nucléosides. / Cisplatin is the most widely used chemotherapeutic agent, and resistance of neoplastic cells against this cytoxicant pose a major problem in clinical oncology. Here, we explored potential metabolic vulnerabilities of cisplatin-resistant non-small cell lung cancer and ovarian cancer cell lines. Cisplatin resistant clones were more sensitive to killing by nutrient deprivation in vitro and in vivo than their parental cisplatin-sensitive controls. The susceptibility of cisplatin-resistant cells to starvation could be explained by a particularly strong dependence on glutamine. Glutamine depletion was sufficient to restore cisplatin responses of initially cisplatin-resistant clones, and glutamine supplementation rescued cisplatin resistant clones from starvation-induced death. Mass spectrometric metabolomics and specific interventions on glutamine metabolism revealed that, in cisplatin-resistant cells, glutamine is mostly required for nucleotide biosynthesis rather than for anaplerotic, bioenergetic or redox reactions. As a result, cisplatin-resistant cancers became exquisitely sensitive to treatment with antimetabolites that target nucleoside metabolism.

Methylene tetrahydrofolate reductase has been purified 1000-fold from porcine kidney and 400-fold from mouse L1210-induced tumor tissue by classical methods. The enzyme preparations have been demonstrated to be essentially free of contaminating methionine synthetase and serine transhydroxymethylase activity. Studies of the kinetic properties of the kidney and tumor enzymes, with respect to the reverse reaction using N5-methyl tetrahydrofolate as the variable substrate, have indicated Km values of 2.0 and 2.4 x 10-4 M, respectively. Inhibition of this key branch point enzyme in folate metabolism by a number of antimetabolites indicates that several of these antifolate compounds exhibit enzyme inhibition superior to that of methotrexate, a druq extensively utilized in the maintenance of remission in cancer chemotherapy.

O pró-fármaco antimetabólito 5-Fluorocitosina (5-FC) foi investigado no campo da Engenharia de Cristais (EC) segundo a abordagem de cocristais farmacêuticos, a fim de modular sua baixa estabilidade física em ambientes úmidos, o que leva à incorporação irreversível de uma molécula de água a nível estrutural em condições de armazenamento variáveis. A forma anidra da 5-FC é um análogo fluorado da citosina muito bem conhecido por sua atividade antifúngica e com isto tornou-se um dos insumos farmacêuticos ativos (IFAs) mais utilizados para o tratamento anticâncer direcionado por meio de terapia gênica. Neste estudo, novos cocristais de 5-FC foram obtidos a partir da reação supramolecular deste IFA com o IFA tuberculostático Isoniazida (INH), bem como com outros três coformadores listados como não tóxicos: cafeína (CAF), ácido p-aminobenzóico (PABA) e ácido caprílico (CA). As amostras foram caracterizadas por difração de raios X em monocristal e policristal (DRXM e DRXP), espectroscopia na região do infravermelho (IV) e espalhamento Raman (Raman); assim como pelas técnicas de análise termogravimétrica (TG), calorimetria exploratória diferencial (CED) e microscopia termo-óptica (MTO). A estabilidade física da 5-FC e seus respectivos cocristais foi avaliada em ambiente com aproximadamente 100% de umidade relativa e a solubilidade no equilíbrio medida em meio tamponado a pH 1,2 – mimetizando valores próximos ao do suco gástrico. Os estudos estruturais mostraram que a 5-FC é capaz de formar diferentes homo e heterossíntons que levam à formação de formas multicomponentes estáveis. Dados de IV e Raman forneceram evidências espectroscópicas sobre o envolvimento dos grupos funcionais na manutenção dos principais síntons e, por tanto, do empacotamento cristalino, confirmando assim a natureza neutra necessária para a obtenção de um cocristal. Pelas análises térmicas foi possível observar que todas as amostras apresentaram uma maior preferência pela degradação do que pela mudança da fase sólida para a líquida com o fornecimento de calor, corroborando que as ligações intermoleculares de hidrogênio que mantém estas formas sólidas são fortes. Adicionalmente, constatou-se que os perfis de solubilidade dos quatro cocristais são similares ao IFA de partida, um fármaco classificado como de classe I pelo Sistema Biofarmacêutico, exibindo, assim, alta solubilidade. A instabilidade frente à hidratação bem como sua irreversibilidade foram estudadas por DRXP à temperatura ambiente (25 °C) e por DRXP em função da temperatura (até 150 °C), respectivamente. Nos cocristais, por sua vez, nenhuma transição de fase pode ser assinalada. Deste modo, todos os cocristais de 5-FC aqui reportados mantiveram uma solubilidade aceitável e não hidrataram ou sofreram transição de fase sob condições extremas de armazenamento (estudo de estabilidade acelerada em atmosfera úmida) e muito menos ao final de 12 meses de estoque (estudo de estabilidade a longo prazo), sendo mais estáveis que o IFA 5-FC forma comercializada. Além disso, o cocristal fármaco-fármaco intitulado 5FC-INH é um potencial candidato para o tratamento concomitante de infecções fúngicas, tuberculose e câncer; principalmente de pulmão. / The prodrug antimetabolite 5-Fluorocytosine (5-FC) was investigated in the field of Crystal Engineering (CE) according to the Pharmaceutical Cocrystals approach, in order to modulate its poor physical stability in humid environments, which leads to the irreversible incorporation of a water molecule at structural level under variable storage conditions. 5-FC anhydrous form is a well-known fluorinated analog of cytosine with antifungal activity and it has become one of the most used active pharmaceutical ingredients (IFAs) for anticancer treatment directed through gene therapy. In this study, novel 5-FC cocrystals were obtained from the reaction of 5-FC with the tuberculostatic IFA Isoniazid (INH) as well as with other three coformers listed as nontoxic: caffeine (CAF), p-aminobenzoic acid (PABA) and caprylic acid (CA). The samples were characterized by single-crystal and powder X-ray diffraction (SCXRD and PXRD), spectroscopic (IR and Raman) and thermogravimetric analysis (TGA), differential scanning calorimetry (DSC) and Hot-Stage microscopy (HSM) techniques. The physical stability of 5-FC and its cocrystals were evaluated in environment with high relative humidity (approximately 100 %) and the equilibrium solubility was measured in pH 1.2 buffer media – mimicking values close to that of gastric juice. The structural studies show that the prodrug 5-FC is able to form different homo and heterosynthons that lead to the formation of stable multicomponent forms. IR and Raman data provided spectroscopic evidence on the involvement of functional groups in the maintenance of major synthons and crystal packing assembly, thereby confirming the neutral nature required to obtain a cocrystal. From the thermal analyses it was possible to observe that all the samples presented a preference for degradation instead of phase transition form solid to liquid with the heat supply, corroborating the strength of intermolecular hydrogen bonds that maintain these solid forms. Additionally, the solubility profiles were found to be similar to those of the 5-FC API raw material, a Biopharmaceutical System classified as Class I drug, exhibiting high solubility profile. The instability against hydration and its irreversibility was studied by PXRD at room temperature (25 °C) and by PXRD as a function of temperature (up to 150 °C), respectively. In the cocrystals, in turn, no phase transition was found. Thus, all 5-FC cocrystals reported maintained acceptable solubility and did not hydrate or undergo phase transition under extreme storage conditions (accelerated stability study in moist atmosphere) even at the end of 12 months of storage (long-term stability study), being more stable than the commercially available IFA 5-FC. Furthermore, the drug-drug cocrystal (5FC-INH) is a potential candidate for the treatment of concomitantly fungal infections, tuberculosis and cancer, mainly lung cancer.

En 1940, le biochimiste anglais Donald Woods propose une explication du mode d'action des nouveaux sulfamides antibactériens : l'inhibition compétitive. Son collègue Paul Fildes fonde sur cette base une nouvelle approche de la chimiothérapie, revendiquée comme rationnelle, un programme pour la recherche de nouveaux médicaments. Cette thèse explore l'impact de la théorie des antimétabolites, comme elle sera appelée, dans la recherche biochimique et pharmaceutique. La première partie retrace son élaboration dans le contexte de l'école de biochimie anglaise, puis sa reprise aux États-Unis à la suite de travaux menés en parallèle sur les vitamines. La seconde partie est consacrée au développement de deux programmes de recherche distincts dédiés aux antimétabolites, illustrant les modalités et fortunes divergentes d'appropriation de cette approche rationnelle. Le premier est une collaboration modeste entre le biochimiste Henry McIlwain et la firme pharmaceutique Glaxo pendant la guerre au Royaume-Uni. Le second consiste en la mise en place du programme de George Hitchings et Gertrude Elion chez Burroughs Wellcome aux États-Unis, souvent considéré comme l'origine du rational drug design actuel. La théorie des antimétabolites correspond aussi bien à l'ambition d'obtenir des chimiothérapies spécifiques qu'à un ensemble de pratiques dans le quotidien du laboratoire / In 1940, the British biochemist Donald Woods put forward an explanation of the mode of action of the new antibacterial sulfa drugs, competitive inhibition. His colleague, Paul Fildes, developed this work into a new approach to chemotherapy, which he qualified as a rational programme for drug discovery. This dissertation explores the impact of the theory of antimetabolites, as it came to be known, in biochemical and pharmaceutical research. The first part traces its development in the context of the British school of biochemistry and its further expansion in the United States following parallel research on vitamins. The second part deals with the construction of two distinct research programmes dedicated to antimetabolites, each one illustrating a different way of following this rational approach and their varying consequences. The first one is a modest collaboration between the biochemist Henry McIlwain and the Glaxo pharmaceutical company during the war in the United Kingdom. The second one corresponds to the establishment of George Hitchings' and Gertrude Elion's programme at Burroughs Wellcome in the United States, often considered as the origin of today's rational drug design. The theory of antimetabolites simultaneously embodied both the ambition of attaining specific chemotherapies, and a set of practices in day-to-day laboratory work

Diss. (sammanfattning) Umeå : Umeå universitet, 2008. / Härtill 3 uppsatser.

Diss. (sammanfattning) Umeå : Univ., 2008. / Härtill 4 uppsatser.