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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
131

Avaliação do efeito do propranolol como bloqueador simpático em cadelas com neoplasias mamárias /

Kirnew, Murillo Daparé. January 2019 (has links)
Orientador: Aparecido Antonio Camacho / Resumo: O uso de betabloqueadores tem mostrado implicações significativas na terapia de neoplasias através do bloqueio de adrenoreceptores em tecidos tumorais. O sistema nervoso autônomo simpático apresenta um perfil pró-inflamatório e por estímulo das catecolaminas ocorre à ativação de macrófagos teciduais com liberação de citocinas inflamatórias. Estudos recentes sugerem que estímulos inflamatórios crônicos podem acelerar a progressão do câncer, fato este relacionado à ativação do sistema beta adrenérgico. Assim, o objetivo do presente estudo foi avaliar a influência do emprego do propranolol sobre a evolução macroscópica dos nódulos mamários assim como a monitoração da função cardíaca. O estudo foi prospectivo, randomizado e longitudinal. Para tanto, 06 cadelas portadoras de tumores de mama (G1) receberam cloridrato de propranolol (0.2 mg/kg/BID, VO, 30 dias) e, outras 08 cadelas também com neoplasia mamária (G0) receberam apenas medicação placebo (BID, VO, 30 dias). Foram realizados exames ecocardiográfico, eletrocardiográficos convencional e Holter, paquimetria tumoral e exame histopatológico. A análise estatística foi baseada em um estudo experimental, cujos resultados foram submetidos à análise de variância (ANOVA) com medidas repetidas no tempo e em seguida Teste de Tukey. O uso do fármaco mostrou segurança sobre os parâmetros cardíacos avaliados e controle sobre o crescimento tumoral quando comparado com o grupo placebo. / Abstract: The use of beta-blockers has shown significant implications in the therapy of neoplasias through the blockade of adrenoreceptors in tumor tissues. The autonomic sympathetic nervous system presents a pro-inflammatory profile and by stimulating the catecholamines occurs to the activation of tissue macrophages with the release of inflammatory cytokines. Recent studies suggest that chronic inflammatory stimuli may accelerate the progression of cancer, a fact related to activation of the beta adrenergic system. Thus, the objective of the present study was to evaluate the influence of the use of propranolol on the macroscopic evolution of the mammary nodes as well as the monitoring of the cardiac function. The study was prospective, randomized, and longitudinal. For this, 06 bitches bearing breast tumors (G1) received propranolol hydrochloride (0.2 mg / kg / BID, VO, 30 days) and another 08 female mammary glanders (G0) received only placebo medication (BID, VO , 30 days). Echocardiographic, conventional electrocardiographic and Holter tests, tumor pachymetry and histopathological examination were performed. The statistical analysis was based on an experimental study, whose results were submitted to analysis of variance (ANOVA) with measures repeated in time and then Tukey's test. The use of the drug showed safety over the evaluated cardiac parameters and control over tumor growth when compared to the placebo group. / Mestre
132

La palytoxine chez les Zoantharia (Cnidaria) : biodiversité des organismes producteurs et activité anticancéreuse de la toxine / Palytoxin from Zoantharia (Cnidaria) : biodiversity of producer organisms and toxin anticancer activity

Sawelew, Ludovic 02 October 2017 (has links)
Cette thèse confidentielle public/privé porte sur l’étude des sources biologiques de la palytoxine (PlTX) dont l’identification est nécessaire afin de développer un protocole industriel standardisé permettant d’obtenir des quantités importantes de toxine pour réaliser diverses études. Premièrement, l’activité anticancéreuse in vitro de la PlTX a été évaluée sur des lignées cellulaires cancéreuses humaines et murines. La cytotoxicité de la PlTX est 106 fois plus importante sur les lignées cancéreuses par rapport aux lignées non cancéreuses témoins. La PlTX utilisée a été purifiée à partir d’une espèce encore non décrite de Palythoa, qui a été caractérisée phylogénétiquement et morphologiquement et qui fournit les quantités de PlTX pures les plus élevées à ce jour (2,8 ± 0,45 mg/g de matière fraîche). La localisation de la PlTX dans les tissus de cette espèce a été décrite par des techniques innovantes d’imagerie par spectrométrie de masse MALDI. Deuxièmement, une étude phylogénétique et une quantification de la PlTX par HPLC chez 29 échantillons de Zoantharia a été réalisée. La spectrométrie de masse ESI a permis de donner la structure chimique du type de PlTX purifiée à partir de ces échantillons. La dernière partie présente une étude préliminaire sur la culture ex hospite des endosymbiotes unicellulaires de Palythoa spp. appartenant au genre Symbiodinium afin de tester leur implication dans la synthèse de PlTX. En conclusion, il ressort que la PlTX présente un effet anticancéreux très prometteur. Le moyen le plus efficace actuellement pour obtenir de la PlTX en quantité importante est de l’extraire à partir d’une espèce de Palythoa caractérisée grâce à ce travail. / The work presented in this manuscript is the outcome of a confidential public/private collaboration. It concerns the study of biological sources of PlTX. Their identification is required to develop an industrial-standard protocol in order to obtain sufficient quantity of toxin to perform several studies. In the first part, the in vitro anti-cancer activity of PlTX was evaluated upon several human and murine cancerous cell lines. The cytotoxic activity of PlTX was 106-times more powerful against cancerous lines compared to non-cancerous control lines. The PlTX used in this work was purified from an undescribed species of Palythoa which was characterized based on phylogenetic and morphological analyses. This species produces the highest PlTX levels ever recorded (2.8 ± 0.45 mg/g fresh matter). PlTX localization in tissues of this Palythoa species was also described by innovative MALDI mass spectrometry imaging techniques. The second part presents a phylogenetic study of 29 samples of Zoantharia and quantification of PlTX by HPLC. The ESI-mass spectrometry allowed to characterize the chemical structure of the type of PlTX purified from these samples. The last part of this thesis constitutes a preliminary study on the ex hospite culture of unicellular endosymbionts belonging to the genus Symbiodinium. Ensosymbiont cells were isolated from Palythoa species containing high PlTX concentrations in order to test their implication in PlTX synthesis. In conclusion, PLTX has a very promising anticancer activity, and the best way to obtain large quantities of PlTX is the extraction from a Palythoa species characterized in this work.
133

Carbene-platinum conjugated : novel anticancer complexes / Carbène-platine conjugués : de nouveaux outils thérapeutiques dans la lutte antitumorale

Bouché, Mathilde 26 September 2017 (has links)
Bien que les agents anticancéreux à base de platine soient bien établis en clinique, plusieurs paramètres restent à optimiser, notamment leur toxicité et les phénomènes de résistances. La combinaison platine-carbènes N-hétérocycliques (NHCs) a montré des résultats prometteurs dans la lutte antitumorale. Ainsi, afin de développer des agents anticancéreux innovants, ce travail résume les modifications structurales étudiées dans le but d’augmenter la cytotoxicité tout en réduisant les effets secondaires des complexes. Une stratégie développée ici porte sur l’introduction de pnictogènes par échange de ligand pour observer un effet synergétique. Autrement, les efforts se sont concentrés sur les complexes de NHC-platine(IV) de leur synthèse à l’étude de leur stabilité, activité anticancéreuse et mécanisme d’action. Finalement, la combinaison des NHC-Pt à des nanotransporteurs a été étudiée afin d’améliorer leur biocompatibilité et sélectivité. / Although platinum-based anticancer drugs are well established, several shortcomings have raised concerns, namely their toxicity and resistance mechanisms. Therefore, improved anticancer drugs are strongly awaited to substitute drugs currently used in clinics. Remarkably, the combination of N-Heterocyclic Carbenes (NHCs) to platinum has recently demonstrated very promising results as anticancer agents. In the aim to access novel drugs, this work emphasizes several structural modifications to improve the cytotoxicity and lower side effects. One strategy developed herein focus on the introduction of pnictogens by ligand exchange to access a synergistic effect. Otherwise, efforts mainly focused on NHC-platinum(IV) complexes from their synthesis to stability investigation and anticancer activities and mechanism of action. Finally, the combination of NHC-Pt drugs to nanodelivery devices has been investigated in order to improve both their biocompatibility and selectivity toward cancer cells.
134

Obtenção de extrato padronizado de Solanum lycicarpum A. St.-Hil. contendo glicoalcalóides, desenvolvimento de método analítico por CLAE e de forma farmacêutica de uso tópico / Obtainment of standardized extract of Solanum lycocarpum A. St.-Hil, containing glycoalkaloids, development of analytical method by HPLC and topical pharmaceutical formulation

Renata Fabiane Jorge Tiossi 12 November 2010 (has links)
Solanum lycocarpum A. St.-Hil. (Solanaceae Solanum), popular lobeira, é espécie arbustiva nativa e característica do Cerrado brasileiro. Seus frutos são empregados na medicina caseira como diurética, calmante, anti-espasmódica, antiofídica e antiepilética. As espécies do gênero Solanum são produtoras de heterosídeos alcaloídicos, os quais possuem atividade antitumoral, incluindo-se anticâncer de pele. O câncer de pele tem preocupado as autoridades no mundo com os crescentes índices atuais e, por esse motivo, a busca por novos ativos anticâncer é primordial. Dos frutos da lobeira, pode-se produzir extrato alcaloídico, o qual se constitui de uma mistura de glicoalcalóides composta majoritariamente de solasonina e solamargina. Tais compostos têm sido estudados quanto ao potencial anticancerígeno, são relativamente seletivos para células tumorais e, em consequência, apresentam baixa toxicidade às células sadias. Por estes motivos, o potencial antitumoral desta espécie deve ser investigado. Para isso, os frutos foram coletados, secos e triturados. A droga vegetal resultante foi submetida à extração tipo ácido-base para obtenção do extrato alcaloídico. O método analítico empregado para quantificação dos heterosídeos alcaloídicos foi desenvolvida e validada em CLAE-UV. A partir do extrato alcaloídico padronizado, foram desenvolvidas formulações para uso tópico. Estas formulações foram avaliadas por meio de ensaios de permeação e retenção dérmica in vitro, cujo método analítico para quantificação de solasonina e solamargina foi validado. Para escolha da formulação mais promissora para ensaio anticâncer in vivo, as formulações de melhor desempenho in vitro foram avaliadas quanto à retenção dérmica in vivo em camundongos hairless. A formulação B, contendo 1% de extrato alcaloídico, 5% de monoleína (monoleato de glicerol), 5% de propilenoglicol em base de gel de Natrosol (pH 6,5), apresentou retenção dérmica total adequada para futuros ensaios anticâncer de pele in vivo. / Solanum lycocarpum A. St.-Hil. (Solanaceae - Solanum), popular wolf-fruit is a native shrub species and characteristic of the Brazilian Cerrado vegetation. Its fruits are used in folk medicine as diuretic, sedative, anti-spasmodic, antiepileptic and antiophidic. This species belongs to the genus Solanum, known to produce alkaloid heterosides, which possess antitumor activity, including skin anticancer. Skin cancer has concerned the authorities in the world because of its growing rates. Therefore, the search for new active anticancer is paramount. The wolf-fruit furnish an alkaloidic extract, which is rich in a mixture of heteroside alkaloids and composed mostly of solasonine and solamargine. Such compounds have been studied as potential anticancer, because they are relatively selective for tumor cells and, consequently, have low toxicity to health cell. For these reasons, the antitumor potential of this species should be investigated. For that, the fruits were collected, dried and crushed. The dried plant biomass was submitted to acid-base extraction to obtain the alkaloidic extract. The analytical method for the quantitation of the alkaloids in both crude alkaloid extract and plant biomass was developed and validated by HPLC-UV. From the alkaloidic extract, formulations were developed for topical use. These formulations were evaluated by in vitro tests of skin permeation and retention in Franz diffusion cell, for which an analytical method for quantifying solasonine and solamargine was developed, as well. The selection of the most promising formulation for anticancer assay in vivo was based in both, the permeation performance of the formulation in vitro and its skin retention in vivo in hairless health mice. The formulation B, containing crude alkaloid extract 1%, Monoolein 5%, propyleneglycol 5% in Natrosol gel (pH 6.5), showed total dermal retention, which is suitable for future trials of skin anticancer in animal models.
135

Determination of the molecular mechanism(s) involved in the pro-apoptotic activity of momordica balsamina acetone extract in lung A549 cancer cells

Mudalahothe, Maedza January 2019 (has links)
Thesis (M. Sc. (Biochemistry)) -- University of Limpopo, 2021 / Plant-derived products have been used for years in the treatment of various ailments with low or no side effects. Thus, screening of medicinal plants for potential anticancer activity, in vitro, could help identify plant extracts or compounds that can be developed for use as anticancer agents with less or no side effects. The aim of this study was to investigate the probable anticancer effects and induced mechanism of action of Momordica balsamina crude leaf acetone extract in lung A549 cancer cells. The effect of the extract on cell viability, proliferation and cell division cycle were determined using Muse count & viability, Ki67 proliferation and cell cycle assay kits, respectively. The presence of biochemical and morphological features associated with apoptosis were analysed by Muse annexin-V & dead cell assay kit and Acridine orange/Ethidium bromide dual staining. The effect of the extract on the mRNA expression levels of cell cycle regulatory genes was determined using RT PCR. Proteome profiler antibody array was used to determine the effect of the extract on the protein expression levels of apoptosis regulatory genes. The findings revealed that the crude leaf acetone extract of M. balsamina decreased the percentage viability of lung A549 cells with less effect on the percentage viability of normal cells (KMST-6). Furthermore, a significant anti-proliferative effect in extract treated A549 cells was observed. Characteristic nuclear and morphological features of apoptosis such as chromatin and nuclear condensation, externalisation of phosphatidylserine and loss of cell membrane function were observed in A549 cells treated with the extract. Although there was no relative upregulation of Bax and Bad protein expression, a downregulation of the Bcl-xl and Bcl-2 protein expression was observed in extract-treated cells. This led to the release of Cytochrome c and HTRA2/Omi leading to pro-caspase-3 cleavage. Furthermore, presence of HTRA2/Omi in the cytosol inhibited the functions of IAPs such as XIAP and cIAP1/2. Phosphorylation of p53 at different serine residues led to upregulated protein expression levels of p27/Kip1 protein which resulted in the cell division cycle arrest at G0/G1-phase. Reverse transcriptase polymerase chain reaction results showed that the extract modulated mRNA expression levels of p53, p21, cyclin B and cdc2 genes. In summary, M. balsamina extract induced cell division cycle arrest and apoptosis in A549 cells through intrinsic apoptosis pathway via p53-mediated mechanism. / South African Medical Research Council (SAMRC)
136

Synthèse, évaluation biologique et vectorisation de dérivés hétérocycliques de la combretastatine A-4 / Synthesis, biological evaluation and vectorisation of heterocyclic derivatives of combretastatin A-4

Nguyen, Thi Thanh Binh 12 December 2012 (has links)
La combretastatine A-4 (CA-4), produit naturel isolé d’un arbuste d’Afrique du sud (Combretum caffrum K.), a montré des propriétés antitumorales intéressantes. Grâce à sa capacité à empêcher la polymérisation de la tubuline, ce stilbénoïde possède des propriétés cytostatiques sélectives à l’égard de différentes lignées cellulaires cancéreuses. Certains dérivés hydrosolubles de la CA-4 comme la CA-4P (fosbretabuline) et le composé AVE8062 (ombrabuline) sont actuellement en essais cliniques pour le traitement de différents cancers. Trois séries de dérivés de la CA-4 ont été synthétisées : les Z-stilbènes, les 1,2- diaryl-1,2-éthanediones et les 5,6-diaryl-2,3-dihydropyrazines. Dans ces composés, le cycle B est remplacé par divers hétérocycliques (indole, benzofurane, benzothiophène, thiophène) attachés à la position C2. Ces dérivés ont été évalués pour leur capacité à inhiber l'assemblage de la tubuline. Le produit Z-stilbènes portant un noyau benzo[b]thiophène a montré une activité antitubuline comparable à celle de la colchicine et de la deoxypodophyllotoxine. L’effet sur l'organisation intracellulaire des microtubules et les propriétés antimitotiques de ce composé ont été ensuite testés sur les lignées cellulaires de kératinocytes SKv-a et HaCaT. Enfin, des essais préliminaires de vectorisation de ce composé dans des nanoparticules lipidiques solides (SLN) ont été réalisés / Combretastatin A-4 (CA-4), a natural product first isolated from the South African bush willow tree (Combretum caffrum K.), possesses interesting antitumor properties. Due to its capacity to inhibit tubulin polymerization, this stilbenoid shows selective cytostatic activities against various cancer cell lines. Some water-soluble CA-4 derivatives such as CA-4P (fosbretabuline) and AVE8062 (ombrabuline) are currently undergoing clinical trials for the treatment of various cancers. Three series of CA-4 analogues, Z-stilbenes, 1,2-diaryl-1,2-ethanediones and 5,6-diaryl-2,3-dihydropyrazines, were synthesized. In these compounds, the B ring is replaced by various heterocycles (indole, benzofurane, benzothiophene or thiophene) attached at the C2 position. These derivatives were evaluated for their ability to inhibit tubulin assembly. Compound Z- stilbenes bearing a benzo[b]thiophene ring showed an antitubulin activity comparable to that of colchicine and deoxypodophyllotoxine. Its effect on the intracellular organization of microtubules and antimitotic properties were then tested on two keratinocyte cell lines HaCaT and SKV-a. Finally, preliminary essays to the vectorization of this compound in solid lipid nanoparticles (SLN) were carried out
137

Novel Anticancer Agents That Upregulate p53 and A New Type of Neighbouring Group Assisted Click Reactions

Draganov, Alexander B 09 May 2016 (has links)
In the everlasting battle against cancer the development of drugs targeting new therapeutic pathways is of crucial importance. In the attempt to develop new anticancer agents we have synthesized a library of anthraquinone compounds that show selectivity against leukemia. Mechanistic evaluation of the lead compound reveal that this class of compounds achieve their effects through inhibition of MDM2-MDM4 heterodimer and upregulation of the tumor suppressor p53. Computer aided rational design resulted in the development of a number of compounds with activities in the nanomolar range against various cancer cells. Analysis of the physicochemical properties of selected compounds allowed for their evaluation as potential drug candidates. The successful development of non-toxic formulations permits for the further in vivo investigation of the compounds. Click reactions have found wide spread applications in sensing, materials chemistry, bioconjugation, and biolabeling. A number of very useful click reactions have been discovered, which allow for various applications. In bioconjugation applications, the ability to conduct a secondary conjugation will be very useful in, e.g., protein pull down and binding site identification. Along this line, we describe a neighboring group-assisted facile condensation between an aldehyde and a vicinal aminothiol moiety, leading to the formation of benzothiazoles. The conversion is completed within 5 minutes at low micromolar concentrations at ambient temperature. The facile reaction was attributed to the presence of a neighboring boronic acid, which functions as an intramolecular Lewis Acid in catalyzing the reaction. The boronic acid group is compatible with most functional groups in biomolecules and yet can also be used for further functionalization via a large number of well-known coupling reactions.
138

TRAIL resistance through transcriptional control of MCL-1

Son, Jae Kyoung 04 June 2010 (has links)
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a potentially useful anticancer agent with exquisite selectivity for cancer cells. Unfortunately, many cancers exhibit or acquire resistance to TRAIL. We report herein that TRAIL activates a TGF-ß-activated kinase 1→mitogen-activated protein kinase (MAPK) kinase 3 (MKK3)/MKK6→p38 pathway in prostate cancer cells that transcriptionally upregulates expression of the antiapoptotic BCL-2 family member MCL-1. TRAIL alone triggered robust formation of the "death-inducing signaling complex", activation of the initiator caspase-8, and truncation of the BH3-only protein BID (tBID). Nevertheless, simultaneous disruption of the p38 MAPK pathway was required to suppress MCL-1 expression, thereby allowing tBID to activate the proapoptotic BCL-2 family member BAK and stimulate mitochondrial outer membrane permeabilization (MOMP). Release of the inhibitor-of-apoptosis antagonist, Smac/DIABLO, from the intermembrane space was sufficient to promote TRAIL-induced apoptosis, whereas release of cytochrome c and apoptosome function were dispensable. Even following MOMP, however, mitochondrial-generated reactive oxygen species activated a secondary signaling pathway, involving c-Jun N-terminal kinases, that likewise upregulated MCL-1 expression and partially rescued cells from death. Thus, stress kinases activated at distinct steps in the extrinsic pathway mediate TRAIL resistance through maintenance of MCL-1 expression. / text
139

Design and synthesis of pyrimido[4,5-b]indoles and furo[2,3-d]pyrimidines as single agents with combination chemotherapy potential or as inhibitors of tubulin or thymidylate synthase

Devambatla, Ravi Kumar Vyas 18 May 2016 (has links)
This dissertation describes an introduction, background and research progress in the areas of multitargeted single agents and tubulin inhibitors in cancer chemotherapy and selective Toxoplasma gondii TS inhibitors for the treatment of toxoplasmosis.<br> Tubulin inhibitors are important antitumor agents that disrupt microtubule dynamics. Thymidylate synthase (TS) inhibitors prevent cell division by interfering with de novo thymidylate synthesis. Antiangiogenic agents target tumor angiogenesis crucial for tumor growth and metastasis. Under normal circumstances, angiogenesis is typically limited to tumor cells and is mediated by receptor tyrosine kinases (RTKs). Combination chemotherapies of RTK inhibitors with cytotoxic agents that target either TS or tubulin have shown significant promise and several preclinical and clinical studies with such combinations are in progress. Multitargeted single agents with dual antiangiogenic and cytotoxic mechanisms could avoid the major limitations associated with cancer chemotherapy: multidrug resistance and dose limiting toxicities. This dissertation focuses on the design and synthesis of pyrimido[4,5-b]indoles and furo[2,3-d]pyrimidines as potential single agents with dual antiangiogenic and cytotoxic activities. These efforts led to the identification of structural features that are necessary for inhibition of RTKs and/or tubulin polymerization. Novel synthetic strategies were developed for efficient synthesis of 2,4-diamino-5-thioaryl-pyrimido[4,5-b]indoles and 4-anilino-5-methyl-furo[2,3-d]pyrimidines.<br> Taxanes and vinca alkaloids are widely used tubulin inhibitors in cancer chemotherapy. However, their clinical use is compromised by two major mechanisms of drug resistance: the overexpression of Pgp and bIII-tubulin. This dissertation describes the design and synthesis of pyrimido[4,5-b]indoles as tubulin inhibitors that circumvent Pgp and bIII-tubulin mediated resistance. This work identified the structural features crucial for tubulin inhibition for the pyrimido[4,5-b]indole scaffold.<br> Infection by Toxoplasma gondii can lead to toxoplasmosis in immune compromised patients such as organ transplant, cancer and AIDS patients. Current therapy involving combination of sulfadiazine and pyrimethamine is limited by drug resistance and treatment failures. The thymidylate synthase‒dihydrofolate reductase enzyme is important for thymidylate synthesis in T. gondii, and hence can be targeted to treat T. gondii infection. TS is highly conserved across species and selectivity for tgTS over human TS is significantly more challenging. The present work provides an efficient synthesis of 2-diamino-4-oxo-5-thioaryl-pyrimido[4,5-b]indoles as selective tgTS inhibitors. / Mylan School of Pharmacy and the Graduate School of Pharmaceutical Sciences; / Medicinal Chemistry / PhD; / Dissertation;
140

Mechanisms of Accumulation and Biological Consequences of Polynuclear Platinum Compounds

Kabolizadeh, Peyman 01 January 2007 (has links)
The novel trinuclear complex, BBR3464 has undergone Phase II clinical trials and been shown to have greater cytotoxicity and cellular uptake than clinical anticancer platinum drugs such as cisplatin, oxaliplatin and carboplatin. The clinical efficacy of cisplatin, oxaliplatin and carboplatin is limited due to acquired resistance and dose limiting side effects. The three major pharmacological factors contributing to the intrinsic cytotoxicity of, and cellular resistance to, platinum drugs are (i) cellular uptake and efflux of platinum; (ii) the frequency and nature of Pt-DNA adducts; and (iii) deactivating metabolic reactions with sulfur-containing nucleophiles. Since decreased cellular uptake of platinum drugs is a common feature of resistant cells, investigating mechanisms of cellular uptake and efflux is of a great importance in the field of cancer biology. The mechanisms of uptake of Platinum drugs are diverse and complex. Similar to cisplatin, BBR3464 v as shown to use copper transporter hCTR1 and ATP7B for influx and efflux respectively. Organic cation transporters (OCT) did not play an important role in BBR3464 cellular uptake, however, desipramine, an OCT inhibitor had synergistic effects on platinun drugs-induced cytotoxicity. This effect is of high clinical relevance since desipramine, an antidepressant, is being used in prostate cancer patients for the treatment of neuropathic pain. The mechanism of this interaction was further addressed.Due to the high charge of BBR3464, studies have shown that its DNA binding has a non-covalent component. To examine the non covalent component, labile chloride leaving groups were replaced by non labile ammonia groups. Besides having higher cellular accumulation than BBR3464, the non covalent analogue, AH78, had a different mechanism of action in cells and showed promising results in vivo. These data confirm the validity of searching for new chemotypes outside the cisplatin structural class to aid in the treatment of recurrent, cisplatin-resistant cancers.

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