Tuesday, February 26, 2019
Alkylation agents as Chemotherapeutic agents
Chemotherapy simply means the go for of chemicals to treat disease by destroying microorganism or cancerous or neoplasm cadres. Generally, chemotherapy acts by destroying chop-chop dividing cubicles although the mechanism that leads to this differs. Several divisions of chemotherapy agents exist much(prenominal) as the anti-metabolites, plant alkaloids the topoisomerase inhibitors, anthracyclines and alkylation agents which argon discussed in this paper. Generally, alkylation agents work by addition of alkyl sorts to the guanine of desoxyribonucleic acid molecule at number 7 atom of imidazole group (Siddik, 2002).Alkylation agents significance The name originates from their ability to alkylate several nuclophilic useful categories in certain cellular conditions . Examples of alkylation agents be carboplatin, oxaliplatin and cisplatin that work by covalent bond physical composition with specific carboxyl, sulphurhydril and phosphate groups in molecules of biological enormous ness (Siddik, 2002). These atomic number 18 regarded as platinum-based alkylation agents. These platinum based alkylation agent argon divided up into first, second and third generations made up of cisplatin,caboplatin and oxaliplatin respectively.They found important use in treatment of mesothelioma . They work at all distributor point of cell cycle and impair cellular DNA synthesis as intimately as transcption (Siddik, 2002). Cisplatin is utilize to treat lung and testicular cancers. Other alkylation agents take on chlorambucil, mechlorethamine, ifosfamide and cyclophosphamide as well as procarbazine and bulsulphan. Alkylation agents are effective at all stage of cell cycle making them useful in treating wide wave of cancer especially the slow growing champions like solid tumor and leukemia (Pizzo & Pop overlook, 2006)All share biochemical mechanism although they may differ in their clinical effects. The significance of alkylation agents is not only seen in treatment of le ukemia, lymphomas and solid tumors. They are also found significant in the treatment of non neoplastic conditions such as cyclophosphamide use in treatment of autoimmune disease . trice dose cyclophosphamide is used in lupus nephritis and other conditions like Wegeners granulomatosis, multiple sclerosis and rheumatoid arthritis (Siddik, 2002).They are not however fall by the wayside of side effects especially after prolonged use and these include amenorrhea (cessation of menses), oligospermia (reduction in sperm count) as well as collateral cancers such as acute myelogenous leukemia (Pizzo & Poplack, 2006). General classification of alkylating chemotherapeutic agents ? Non-specifically per inventing agents They crosslink guanine nucleobases present in bifurcate helix of DNA and by so doing stop tumor proliferation. ? Agents that need activation This includes cyclophosphamide which needs in-vovo spiritual rebirth to active product? Biakylating and Monoakylating agents The biaky lating agents are capable of reacting with two 7-N guanine residues. When these residues are in different DNA strands, there is resulting crosslinkage of DNA strands and this makes DNA double helix to fail to uncoil (Siddik, 2002). However, when the two guanine moieties are in same base strands, what occurs is known as limpet association of DNA to the do drugs molecule. Example of biakylating agent is Bulsuphan . On the contrary, monoakylating agents are only capable of reacting with one 7-N of guanine molecule.? Classical alkylation agents These are termed alkyl groups and they include three subgroups which are (a) the nitrogen mustards which include mephalan, ifosfamide, uramustine, chlorambucil, mechlorethamine and cyclophosphamide b) The nitrosoureas which are carmustine, streptozocin and lomustine c) the alkyl sulphonates such as bulsuphan. ? Alkylation-like agents They lack alkyl group but destroy DNA. They are regarded as alkylation-like as they coordinate to DNA so as to int errupt DNA reconstruct permanently.They are the platinum based drugs such as cisplatin,oxaliplatin and carboplatin. They also stick with at N7 position of guanine (Siddik, 2002) ? The Non-classical Certain categories are termed non-classical such as altremine and procarbazine. Furthermore, sometimes the platinum based drugs are also regarded as non-classical. north Mustards The nitrogen mustards are a group of DNA alkylation agents which are not specific . They are cytotoxic and pay similar qualities to mustard gas, thereof utilized as medicinal and chemical warfare agents.Nitrogen mustards stockpiled by some(prenominal) countries in WW II serve as potent and useful lash agents. Nitrogen mustards suppress bone marrow production of red job cells. The first nitrogen mustard developed was mustine with anti-neoplastic chemotherapeutic value. Other examples of alkylation agents in nitrogen mustard family are mephalan, cholambucil, cyclophosphamide, uramustine and ifosfomide (Sidd ik, 2002). The likes of Bis (2-chloroethyl) ethylamine and Tris (2-choloroethlamine) are few nitrogen mustards used in chemical warfare.Nitrogen mustards mode of action involves formation of aziridinium or cyclic aminium ion when the amine nitrogen displaces chloride at intermolecular level. This is and then followed by alkylation of DNA centers by the azidirium group (Siddik, 2002). Malfunctioning of alkylation DNA is mutual during replication (Pizzo & Poplack, 2006). They prevent cell division and by so doing drive abnormal base pairing. Also it is possible that more than a angiotensin-converting enzyme alkylation groups may exist in each molecule .In order words, these therapeutically useful alkylation agents are either bialkylating or polyalkylating agents (Siddik, 2002). The damaging effect is like to that which is seen with exposure of genetic material to radiation making it radiometric. Earlier, nitrogen mustards have been shown to form interstrand crosslinks (ICLs) and this formation takes place between N-7 of guanine residue in a 5-d (GC) sequence, although it was later discovered that nitrogen mustards form a 1,3 Interstrand crosslinks in the 5-d (GNC) sequence (Siddik, 2002).For instance, cyclophosphamide (cytophosphane), a nitrogen mustard hoist from oxazophorine group and exhibits their chemotherapeutic effects by its nitrogen mustard metabolite,phosphoramide which form both interstrand and intrastrand crosslinkages at N-7 position of guanine molecule causing cell death. Cyclophosphamide metabolite is usually produced in cell with low amount of ALDH. References Pizzo, P. A & Poplack, D. G. (2006). Principles and work out of pediatric oncology. Lippincott Williams & Wilkins.pp. 310-320. Siddik, Z. H (2002)Mechanism of action of Cancer chemotherapeutic agents DNA-Interactive alkylation agents and Antitumor platinum based Drugs. Retrieved On August 15,2010 from http//webcache. googleusercontent. com/search? q=cachebrnWwlXCLnIJhasdl. kau. edu. sa/encyclopedia/2/h6%2520archive/17. pdf+Mechanisms+of+Action+of+Cancer+Chemotherapeutic+Agents+DNA-Interactive+Alkylating+Agents+and+Antitumour+Platinum-Based+Drugs+by+Zahid+H. +Siddik&cd=1&hl=en&ct=clnk
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