Abstract
Although iron is essential for the proper functioning of all living cells, it is toxic when present in excess. In the presence of molecular oxygen, “loosely bound” iron is able to redox cycle between the two most stable oxidation states, iron(II) and iron(III), thereby generating oxygen-derived free radicals, such as the hydroxyl radical [1]. Hydroxyl radicals are highly reactive and capable of interacting with most types of biological molecules, including sugars, lipids, proteins and nucleic acids, resulting in peroxidative tissue damage [2]. The uncontrolled production of such highly reactive species is undesirable, and thus, a number of protective strategies are adopted by cells to prevent their formation. One of the most important is the tight control of iron storage, transport and distribution. In fact, iron metabolism in man is highly conservative with the majority of iron being recycled within the body. Since man lacks a physiological mechanism for eliminating iron, iron homeostasis is largely achieved by the regulation of iron absorption. In addition, the levels of many of the proteins involved in iron transport, storage and catalysis are controlled by body iron levels.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Halliwell B, Gutteridge JMC. Free radicals in biology and medicine. 4th ed. Oxford: Clarendon; 2007.
Crichton RR. Inorganic biochemistry of iron metabolism from molecular mechanisms to clinical consequences. 2nd ed. New York: Wiley; 2001.
Hershko C, Konijn AM, Link G. Iron chelators for thalassaemia. Br J Haematol. 1998;101:399–406.
Martell AE, Smith RM. Critical stability constant, vol. 1–6. London: Plenum Press; 1974–1989.
Harris DC, Aisen P. Facilitation of Fe(II) autoxidation by Fe(III) complexing agents. Biochim Biophys Acta. 1973;329:156–8.
Hider RC, Kong X. Chemistry and biology of siderophores. Nat Prod Rep. 2010;27:637–57.
Borgias B, Hugi AD, Raymond KN. Isomerization and solution structures of desferrioxamine B complexes of Al3+ and Ga3+. Inorg Chem. 1989;28:3538–45.
Raymond KN, Muller G, Matzanke BF. Complexation of iron by siderophores: a review of their solution and structural chemistry and biological function. Top Curr Chem. 1984;58:49–102.
Liu ZD, Khodr HH, Liu DY, Lu SL, Hider RC. Synthesis, physicochemical characterisation and biological evaluation of 2-(1′-hydroxyalkyl)-3-hydroxypyridin-4-ones: novel iron chelators with enhanced pFe3+ values. J Med Chem. 1999;42:4814–23.
Hider RC, Mohd-Nor AR, Silver J, Morrison IEG, Rees LVC. Model compounds for microbial iron-transport compounds. Part 1. Solution chemistry and mössbauer study of iron(II) and iron(III). Complexes from phenolic and catecholic system. J Chem Soc Dalton Trans. 1981;2:609–22.
Gautier-Luneau I, Merle C, Phanon D, et al. New trends in the chemistry of iron(III) citrate complexes: correlations between X-ray structures and solution species probed by electrospray mass spectrometry and kinetics of iron uptake from citrate by iron chelators. Chemistry. 2005;11:2207–19.
Silva AMN, Kong X, Parkin MC, Cammack R, Hider RC. Iron(III) citrate speciation in aqueous solution. Dalton Trans. 2009;40:8616–25.
Carrano CJ, Drechsel H, Kaiser D, et al. Coordination chemistry of the carboxylate type siderophore rhizoferrin: the iron(III) complex and its metal analogs. Inorg Chem. 1996;35:6429–36.
Tilbrook GS, Hider RC. Iron chelators for clinical use. In: Sigel A, Sigel H, editors. Metal irons in biological systems, Iron transport and storage in microorganisms, plants and animals, vol. 35. New York: Marcel Dekker; 1998. p. 691–730.
Holander D, Ricketts D, Boyd CAR. Importance of probe molecular geometry in determining intestinal permeability. Can J Gastroenterol. 1988;2:35A–8.
Fagerholm U, Nilsson D, Knutson L, Lennernas H. Jejunal permeability in humans in vivo and rats in situ: investigation of molecular size selectivity and solvent drag. Acta Physiol Scand. 1999;165:315–24.
Kim M. Absorption of polyethylene glycol oligomers (330–1122 Da) is greater in the jejunum than in the ileum of rats. J Nutr. 1996;126:2172–8.
O’Halloran TV. Transition-metals in control of gene-expression. Science. 1993;261:715–25.
Lind MD, Hamor MJ, Hamor TA, Hoard JL. Stereochemistry of ethylene diaminetetroaceto complexes. Inorg Chem. 1964;3:34–43.
Hider RC. Potential protection from toxicity by oral iron chelators. Toxicol Lett. 1995;82–3:961–7.
Liu ZD, Kayyali R, Hider RC, Porter JB, Theobald AE. Design, synthesis, and evaluation of novel 2-substituted 3-hydroxypyridin-4-ones: structure-activity investigation of metalloenzyme inhibition by iron chelators. J Med Chem. 2002;45:631–9.
Habgood MD, Liu ZD, Dehkordi LS, Khodr HH, Abbott J, Hider RC. Investigation into the correlation between the structure of hydroxypyridinones and blood-brain barrier permeability. Biochem Pharmacol. 1999;57:1305–10.
Hershko C, Grady RW, Cerami A. Mechanism of iron chelation in the hypertransfused rat: definition of two alternative pathways of iron mobilisation. J Lab Clin Med. 1978;92:144–9.
Peter HH. Industrial aspects of iron chelators: pharmaceutical application. In: Spik G, Montreuil J, Crichton RR, Mazurier J, editors. Proteins of iron storage and transport. Amsterdam: Elsevier; 1985. p. 293–303.
Bergeron RJ, Wiegand J, McManis JS, Perumal PT. Synthesis and biological evaluation of hydroxamate-based iron chelators. J Med Chem. 1991;34:3182–7.
Martell AE, Motekaitis RJ, Clarke ET. Synthesis of N,N′-di(2-hydroxybenzyl)ethylenediamine-N,N′-diacetic (HBED) derivatives. Can J Chem. 1986;64:449–56.
Bergeron RJ, Wiegand J, Brittenham GM. HBED: a potential alternative to deferoxamine for iron-chelating therapy. Blood. 1998;91:1446–52.
Pitt CG, Bao Y, Thompson J, Wani MC, Rosenkrantz H, Metterville J. Esters and lactones of phenolic amino carboxylic acids: prodrugs for iron chelation. J Med Chem. 1986;29:1231–7.
Gasparini F, Leutert T, Farley DL. N,N′-bis(2-hydroxybenzyl)ethylene-diamine-N,N′-diacetic acid derivatives as chelating agents. International Patent WO 95/16663; 1995.
Lowther N, Tomlinson B, Fox R, Faller B, Sergejew T, Donnelly H. Caco-2 cell permeability of a new (hydroxybenzyl)ethylenediamine oral iron chelator: correlation with physicochemical properties and oral activity. J Pharm Sci. 1998;87:1041–5.
Guterman SK, Morris PM, Tannenberg WJK. Feasibility of enterochelin as an iron-chelating drug: studies with human serum and a mouse model system. Gen Pharm. 1978;9:123–7.
Streater M, Taylor PD, Hider RC, Porter JB. Novel 3-hydroxyl-2(1 H)-pyridinones. Synthesis, iron(III) chelating properties and biological activity. J Med Chem. 1990;33:1749–55.
Xu JD, Kullgren B, Durbin PW, Raymond KN. Specific sequestering agents for the actinides. 28: synthesis and initial evaluation of multidentate 4-carbamoyl-3-hydroxy-1-methyl-2(1 H)-pyridinone ligands for in vivo plutonium(IV) chelation. J Med Chem. 1995;38:2606–14.
Rai BL, Khodr H, Hider RC. Synthesis, physico-chemical and iron(III)-chelating properties of novel hexadentate 3-hydroxy-2(1H)pyridinone ligands. Tetrahedron. 1999;55:1129–42.
Piyamongkol S, Zhou T, Liu ZD, Khodr HH, Hider RC. Design and characterisation of novel hexadentate 3-hydroxypyridin-4-one ligands. Tetrahedron Lett. 2005;46:1333–6.
Hahn FN, McMurry TJ, Hugi A, Raymond KN. Coordination chemistry of microbial iron transport. 42: structural and spectroscopic characterisation of diastereometric Cr(III) and Co(III) complexes of desferrithiocin. J Am Chem Soc. 1990;112:1854–60.
Bergeron RJ, Wiegand J, McManis JS, Bharti N, Singh S. Desferrithiocin analogues and nephrotoxicity. J Med Chem. 2008;51:5993–6004.
Bergeron RJ, Wiegand J, Bharti N, Singh S, Rocca JR. Impact of the 3,6,9-trioxadecyloxy group on desazadesferrithiocin analogue iron clearance and organ distribution. J Med Chem. 2007;50:3302–13.
Lattmann R, Acklin P. Substituted 3,5-diphenyl-1,2,4-triazoles and their use as pharmaceutical metal chelators. International Patent WO 97/49395; 1997.
Nick HP, Acklin P, Faller B, et al. A new, potent, orally active iron chelator. In: Badman DG, Bergeron RJ, Brittenham GM, editors. Iron chelators: new development strategies. Florida: The Saratoga Group; 2000. p. 311–31.
Steinhauser S, Heinz U, Bartholoma M, Weyhermuller T, Nick H, Hegetschweiler K. Complex formation of ICL670 and related ligands with Fe(II) and Fe(III). Eur J Inorg Chem. 2004;21:4177–92.
Heinz U, Hegetschweiler K, Acklin P, Faller B, Lattmann R, Schnebli HP. 4-[3,5-Bis(2-hydroxyphenyl)-1,2,4-triazol-1-yl]benzoic acid: a novel efficient and selective iron(III) complexing agent. Angew Chem Int Ed. 1999;38:2568–70.
Porter JB. Monitoring and treatment of iron overload: state of the art and new approaches. Semin Hematol. 2005;42(2 Suppl. 1):S14–8.
Pennell DJ, Porter JB, Cappellini MD, et al. Efficacy of defersirox in reducing and preventing cardiac iron overload in β-thalassemia. Blood. 2010;115:2364–71.
Zanninelli G, Glickstein H, Breuer W, et al. Chelation and mobilization of cellular iron by different classes of chelators. Mol Pharmacol. 1997;51:842–52.
Liu ZD, Hider RC. Design of clinically useful iron(III)-selective chelators. Med Res Rev. 2002;22:26–64.
Balfour JAB, Foster RH. Deferiprone – a review of its clinical potential in iron overload in beta-thalassaemia major and other transfusion-dependent diseases. Drugs. 1999;58:553–78.
Singh S, Epemolu O, Dobbin PS, et al. Urinary metabolic profiles in man and rat of 1,2-dimethyl- and 1,2-diethyl substituted 3-hydroxypyridin-4-ones. Drug Metab Dispos. 1992;20:256–61.
Borgna-Pignatti C, Cappellini MD, De Stefano P, et al. Cardiac morbidity and mortality in deferoxamine- or deferiprone-treated patients with thalassemia major. Blood. 2006;107:3733–7.
Maggio A, D’Amico G, Morabito A, et al. Deferiprone versus deferoxamine in patients with thalassemia major: a randomized clinical trial. Blood Cells Mol Dis. 2002;28:196–208.
Neufeld EJ. Oral chelators deferasirox and deferiprone for transfusional iron overload in thalassemia major: new data, new questions. Blood. 2006;107:3436–41.
Boddaert N, Le Quan Sang KH, Rotig A, et al. Selective iron chelation in Friedreich ataxia: biologic and clinical implications. Blood. 2007;110:401–8.
Sohn YS, Breuer W, Munnich A, Cabantchik ZI. Redistribution of accumulated cell iron: a modality of chelation with therapeutic implications. Blood. 2008;111:1690–9.
Porter JB, Morgan J, Hoyes KP, Burke LC, Huehns ER, Hider RC. Relative oral efficacy and acute toxicity of hydroxypyridin-4-one iron chelators in mice. Blood. 1990;76:2389–96.
Porter JB, Abeysinghe RD, Hoyes KP, et al. Contrasting interspecies efficacy and toxicology of 1,2-diethyl-3-hydroxypyridin-4-one CP94, relates to differing metabolism of the iron chelating site. Br J Haematol. 1993;85:159–68.
Porter JB, Singh S, Katherine PH, Epemolu O, Abeysinghe RD, Hider RC. Lessons from preclinical and clinical studies with 1,2-diethyl-3-hydroxypyridin-4-one, CP94 and related compounds. Adv Exp Med Biol. 1994;356:361–70.
Piyamongkol S, Ma YM, Kong X, et al. Amido-3-hydroxypyridin-4-ones as iron(III) ligands. Chem-Eur J. 2010;16:6374–81.
Lowther N, Fox P, Faller B, et al. In vitro and in situ permeability of a ‘second generation’ hydroxypyridinone oral iron chelator: correlation with physico-chemical properties and oral activity. Pharm Res. 1999;16:434–40.
Gaeta A, Hider RC. The crucial role of metal ions in neurodegeneration: the basis for a promising therapeutic strategy. Br J Pharmacol. 2005;146:1041–59.
Molina-Holgado F, Gaeta A, Francis PT, Williams RJ, Hider RC. Neuroprotective actions of deferiprone in cultured cortical neurons and SHSY-5Y cells. J Neurochem. 2008;105:2466–76.
Clarke ET, Martell AE, Reibenspies J. Crystal structure of the tris 1,2-dimethyl-3-hydroxy-4-pyridinone (DMHP) complex with the Fe(III) ion. Inorg Chim Acta. 1992;196:177–83.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hider, R.C., Ma, Y.M. (2012). The Properties of Therapeutically Useful Iron Chelators. In: Anderson, G., McLaren, G. (eds) Iron Physiology and Pathophysiology in Humans. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-60327-485-2_27
Download citation
DOI: https://doi.org/10.1007/978-1-60327-485-2_27
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-60327-484-5
Online ISBN: 978-1-60327-485-2
eBook Packages: MedicineMedicine (R0)