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Anti-Cancer
Agents in Medicinal Chemistry
(Formerly 'Current Medicinal Chemistry - Anti-Cancer Agents')
ISSN: 1871-5206

Anti-Cancer Agents in Medicinal
Chemistry
Volume 8, Number 3, April 2008
Contents
Recent Advances in Cancer Chemotherapy- Part II
Guest Editor: Diwan S. Rawat

Editorial Pp. 240
Porphyrin-Carbohydrate Conjugates: Impact of Carbohydrate
Moieties in Photodynamic Therapy (PDT) Pp. 241-268
X. Zheng and R.K. Pandey
[Abstract]
Recent Advances in Two-Photon Photodynamic Therapy
Pp. 269-279
K. Ogawa and Y. Kobuke
[Abstract]
Photodynamic Therapy: The Development of New Photosensitisers
Pp. 280-291
M. Wainwright
[Abstract]
Diazo-Containing Molecular Constructs as Potential
Anticancer Agents: From Diazo[b]fluorene Natural Product to
Photoactivatable Diazo-Oxochlorins Pp. 292-304
T. Köpke and J.M. Zaleski
[Abstract]
General Articles
The Warburg Effect: Why and How Do Cancer Cells Activate Glycolysis
in the Presence of Oxygen? Pp. 305-312
M. López-Lázaro
[Abstract]
Cancer Chemoprevention by Garlic and Its OrganosulfurCompounds-Panacea
or Promise? Pp. 313-321
S. Nagini
[Abstract]
Caspase Activity Modulators as Anticancer
Agents Pp. 322-341
I. Okun, K.V. Balakin, S.E. Tkachenko and A.V. Ivachtchenko
[Abstract]
Inhibition of Protein Kinase c-Src as a Therapeutic
Approach for Cancer and Bone Metastases Pp. 342-349
N. Rucci, M. Šuša and A. Teti
[Abstract]
Abstracts

[Back to top]
Editorial:
Cancer has remained one of the biggest health threats to the
human life and many approaches are being explored for its
treatment. Photodynamic therapy (PDT) is one of such approach
and it has cured thousands of patients so far. The photodynamic
agents selectively enter to the cancerous cells, and exhibit
biological response only after exposure to the light. The
exact reasons by which photosensitizers are selectively retained
in the tumor cells and the mechanisms by which they show tumoricidal
effect are not very clear, but for its biological response,
PDT requires three components: oxygen, photosensitizer and
light. Photodynamic therapy differs from radiation therapy
as they interact differently with molecular oxygen. Ionizing
radiation produces highly reactive oxygen-derived radical,
whereas photodynamic agents are first excited by light and
excited sensitizer transfers energy to molecular oxygen which
produces singlet oxygen and that reacts with the cellular
targets. The ionizing radiations are considered to be very
toxic as they target DNA, while photodynamic agents are considered
to be relatively safer, as they target cytoplasm, nuclear,
mitochondrial and organelle membranes. Efforts are also underway
to increase the tumor-specificity by developing target-specific
photosensitizers. The present issue deals with the recent
advancement in the area of photodynamic therapy (PDT). First
three articles deal with the recent progress on the photodynamic
therapy. Prof. Pandey et al. summarizes the concept
of PDT, the selection criteria for designing the effective
photosensitizers and the utility of porphyrin-carbohydrate
conjugates in PDT. Kokube et al. describes the recent
advancement in the two-photon absorption (2PA) PDT, which
allows a more selective treatment of deeper-locating cancers.
Mark Wainbringt has made an elegant comparison in the first
and second-generation PDT agents. Prof. Zaleski describes
the role of diazo compounds in the development of phototherapeutic
agents for biomedical applications. Authors emphasized that
natural or synthetic diazo compounds are susceptible to redox
activated N2 loss, so transition
metal complexes containing redox-active excited states that
absorb in the tissue transparent therapeutic window have potential
to be used as new therapeutic agents. Interestingly, highly
π-conjugated
molecules such as porphyrins and chlorins, which serve as
the primary pigment for current PDT, have been able to support
conjugated diazoketone functionality at the macrocycle periphery.
These synthetic advances have made diazo constructs to serve
as in situ biological labels or as recognition elements
to probe biochemical mechanisms.
I sincerely thank to all authors and reviewers for their contribution
in the preparation of this especial issue. I sincerely thank
to Prof. Michelle Prudhomme, Editor-in-Chief, Anti-Cancer
Agents in Medicinal Chemistry, for giving me an opportunity
to act as a guest editor of this prestigious international
journal. It is my believe that readers will enjoy this special
issue and will stimulate interactive research with other specialist
areas.
Dr. Diwan S. Rawat
Department of Chemistry
University of Delhi, Delhi-110007
India
Tel: 91-11-27667465
Fax: 91-11-27667501
E-mail: dsrawat@chemistry.du.ac.in
[Back to top]
Porphyrin-Carbohydrate Conjugates: Impact of Carbohydrate
Moieties in Photodynamic Therapy (PDT)
X. Zheng and R.K. Pandey
In recent years, a number or review articles describing
the utility of porphyrin-based compounds in photodynamic therapy
have been published.1 Currently,
efforts are also underway in various laboratories to increase
the tumor-specificity by developing target-specific photosensitizers.
One of such attempts has been to synthesize a series of carbohydrate-porphyrin
conjugates and investigate their ability to target carbohydrate-
recognized proteins, which are known for their high expression
in certain tumors. The present article is focused on the synthesis
and biological significance of carbohydrate conjugated photosensitizers.
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Recent Advances in Two-Photon Photodynamic Therapy
K. Ogawa and Y. Kobuke
Photodynamic therapy (PDT) is a treatment for tumors
and accepted in several countries in the world. Introduction
of two-photon absortion (2PA) into PDT allows spatially selective
treatment of cancers. Possibilities and limitations of the
use of two-photon excitation in PDT are discussed, and many
literatures in this area are reviewed. The conclusions are
that 2PA-PDT has an advantage for higher selectivity than
one-photon absorption PDT, and femtosecond pulsed laser is
more suitable for 2PA-PDT than pico- and nanosecond pulses.
However, most of photosensitizers used in the past studies
had low 2PA cross section values less than 50 GM, and resulted
in a low PDT efficiency under two-photon irradiation conditions.
To realize 2PA-PDT, much larger 2PA cross sections must be
required.
[Back to top]
Photodynamic Therapy: The Development of New Photosensitisers
M. Wainwright
The first 20 years of anticancer photodynamic therapy
(PDT) were based on the utility of the oligomeric mixture
haematoporphyrin derivative (HpD) in various forms. More recently
new derivatives have become available, both porphyrin-derived
and employing new chromophores, for example from the phthalocyanine
and phenothiazinium families. In addition, a major research
effort has been rewarded with the clinical acceptance of the
porphyrin precursor 5-aminolaevulinic acid (ALA). New photosensitisers
intended for clinical use must exhibit advantageous drug performance
profiles compared to the first–generation porphyrin
derivatives. This can be seen, in vitro, in improved
photophysical properties such as the extension of the useful
light absorption spectrum into the near infrared – offering
greater tissue penetration - as well as in the synthesis of
pure compounds rather than mixtures. In this review, recent
developments in photosensitiser families are discussed with
respect to in vitro performance indicators and to
potential application in oncology.
[Back to top]
Diazo-Containing Molecular Constructs as Potential Anticancer
Agents: From Diazo[b]fluorene Natural Products to Photoactivatable
Diazo-Oxochlorins
T. Köpke and J.M. Zaleski
DNA is an established biological target for many organic
natural products that react by alkylation or H-atom abstraction
via key functional groups such as cyclopropane, aziridine,
enediyne, and terminal diazo functionalities. Remarkably,
although more than 20 natural product derivatives compose
the latter class, the precise mechanism of action and specific
biological target remain to be elucidated. Despite these biochemical
uncertainties, more than 100 years of diazo/diazoketone chemistry
exists. Much of this work involves photochemical N2
extrusion to generate an initial carbene intermediate capable
of insertion (singlet), H-atom abstraction (triplet), or ketene
formation and subsequent nucleophilic addition (Wolff rearrangement).
The trigger advantage of photochemical reactivity, coupled
with the entropic gain of deazetation, and the high reactivity
of the resulting intermediate, have led researchers to consider
diazo compounds as potential phototherapeutric agents for
medical applications. Such a strategy could serve as an alternative
to 1O2
generation in photodynamic therapy (PDT), particularly in
solid tumors or other hypoxic environments. Since diazoparaquinone
natural products, and diazo compounds in general, are susceptible
to redox activated N2 loss,
transition metal complexes containing redox-active excited
states that absorb in the tissue transparent therapeutic window
have potential as new therapeutic agents. Moreover, highly
π-conjugated
molecules such as porphyrins and chlorins, which serve as
the primary pigment for current PDT due to intense absorption
bands throughout the region of 600–850 nm, have only
recently been able to support a conjugated diazoketone functionality
at the macrocycle periphery. These synthetic advances have
now made diazo activation through visible region photolysis
possible, and have led to characterization of a range of remarkable
molecular photoproducts including azeteoporphyrinoids and
O–H/N–H insertion products. In addition to protein
or DNA alkylation, the latter reactivity leads to potential
for these constructs to serve as in situ biological
labels or as recognition elements to probe biochemical mechanisms.
[Back to top]
The Warburg Effect: Why and How Do Cancer Cells Activate Glycolysis
in the Presence of Oxygen?
M. López-Lázaro
Cells can obtain energy through the oxygen-dependent
pathway of oxidative phosphorylation (OXPHOS) and through
the oxygen-independent pathway of glycolysis. Since OXPHOS
is more efficient in generating ATP than glycolysis, it is
recognized that the presence of oxygen results in the activation
of OXPHOS and the inhibition of glycolysis (Pasteur effect).
However, it has been known for many years that cancer cells
and non-malignant proliferating cells can activate glycolysis
in the presence of adequate oxygen levels (aerobic glycolysis
or Warburg effect). Accumulating evidence suggests that the
persistent activation of aerobic glycolysis in tumor cells
plays a crucial role in cancer development; the inhibition
of the increased glycolytic capacity of malignant cells may
therefore represent a key anticancer strategy. Although some
important knowledge has been gained in the last few years
on this growing field of research, the basis of the Warburg
effect still remains poorly understood. This communication
analyzes why cancer cells switch from OXPHOS to glycolysis
in the presence of adequate oxygen levels, and how these cells
manage to avoid the inhibition of glycolysis induced by oxygen.
Several strategies and drugs that may interfere with the glycolytic
metabolism of cancer cells are also shown. This information
may help develop anticancer approaches that may have clinical
relevance.
[Back to top]
Cancer Chemoprevention by Garlic and Its Organosulfur Compounds-Panacea
or Promise?
S. Nagini
Of late medicinal plants and functional foods rich in
bioactive phytochemicals have received growing attention as
potential agents for cancer chemoprevention. Accumulating
evidence from epidemiological studies as well as laboratory
data supports the anticancer properties of garlic widely used
as a medicinal herb and spice. Garlic and its organosulfur
compounds (OSCs) appear to exert their anticarcinogenic effects
through multiple mechanisms that include modulation of carcinogen
metabolism, inhibition of DNA adduct formation, upregulation
of antioxidant defences and DNA repair systems, and suppression
of cell proliferation by blocking cell cycle progression and/or
inducing apoptosis. Since multiple signaling pathways are
dysfunctional in cancer and new oncogenic mutations accumulate
with carcinogenic progression, dietary agents such as garlic
with its rich array of bioactive OSCs that modulate cancer
cascades offer promise as potential chemopreventive and chemotherapeutic
agents.
[Back to top]
Caspase Activity Modulators as Anticancer Agents
I. Okun, K.V. Balakin, S.E. Tkachenko and A.V. Ivachtchenko
Proteolytic caspase enzymes play a central role in cell
apoptosis, or programmed cell death, often as integrating
elements of different stimuli leading to the cell death. Since
blockade of apoptotic pathways are fundamental for cell survival
and proliferation, particularly in cancer cells, the activation
of caspases is an attractive target for anticancer therapy.
This review describes some of the druggable therapeutic targets
thus far identified within the core apoptotic machinery, the
corresponding drugs that have been developed, their effects
on caspase-dependent apoptotic pathways and their potential
impact on the therapy of cancer. With several successful anticancer
drugs on the market and numerous compounds in preclinical
and clinical developments, modulators of caspase-dependent
apoptotic pathways belong to the most important category of
anticancer agents.
[Back to top]
Inhibition of Protein Kinase c-Src as a Therapeutic Approach
for Cancer and Bone Metastases
N. Rucci, M. Šuša and A. Teti
c-Src is a proto-oncogene involved in the genesis of
and invasion by many cancers. This non-receptor tyrosine kinase
also plays a crucial role in bone homeostasis, since inhibition
or deletion of c-Src impairs the function of osteoclasts,
the bone resorbing cells. It is thus conceivable that c-Src
could be a suitable target for the pharmacological treatment
of cancers, skeletal metastases and diseases of bone loss,
such as osteoporosis. The pyrrolo-pyrimidines CGP77675 and
CGP76030 proved to be effective in preventing bone loss in
animal models, while the effect of AZD0530, a dually active
inhibitor of c-Src and Bcr-ABL, on bone resorption, has been
tested in a Phase I clinical trials with promising results.
As far as the metastatic bone disease is concerned, c-Src
inhibitors could potentially have inhibitory effects both
on osteoclasts and on tumour cells, and could disrupt the
vicious circle established between these cell types in the
bone microenvironment. In accord with this idea, CGP76030
is able to reduce the incidence of osteolytic lesions and
of visceral metastases, and to suppress morbidity and lethality
in a bone metastasis mouse model without obvious adverse effects.
The purine-based c-Src inhibitor AP23451 and the dual c-Src/Abl
inhibitors AP22408 and AP23236 proved efficacious in reducing
bone metastases in preclinical studies. These results open
a new avenue for the development of innovative therapies for
the treatment of bone metastatic disease.
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