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Pharmacologically Directed Design of Leukemia Therapy

  • Conference paper
Acute Leukemias II

Part of the book series: Haematology and Blood Transfusion / Hämatologie und Bluttransfusion ((HAEMATOLOGY,volume 33))

Abstract

Most nucleoside analogues require intracellular metabolism, usually to the 5’-triphosphate, to produce cytotoxicity. This reflects one mechanism of action of these drugs: inhibition of DNA synthesis through effects on enzymes whose natural substrates are nucleotides. Strong correlations have been demonstrated between cytotoxity in experimental systems and the cellular pharmacology and pharmacodynamics of nucleotides of nucleoside antimetabolites [1, 2]. Recently, analytical procedures used in experimental studies, principally high-pressure liquid chromatography, have been adapted for investigations of nucleoside analogue metabolites in human leukemia cells during therapy [3].

These studies were supported by grant CA32839 from the National Cancer Institute, Department of Health and Human Services.

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References

  1. Shewach D, Plunkett W (1982) Correlation of cytotoxicity with total intracellular exposure to 9-ß-D-arabinofuranosyladenine 5’-triphos- phate. Cancer Res 46: 1581 - 1585

    Google Scholar 

  2. Kufe D, Spriggs D, Egan EM, Monroe D (1984) Relationships among ara-CTP pools, formation of (ara-C)DNA, and cytotoxicity of human leukemic cells. Blood 64: 54 - 60

    PubMed  CAS  Google Scholar 

  3. Plunkett W, Iacoboni S, Estey E, Danhauser L, Liliemark JO, Keating MJ (1985) Pharma-cologically directed ara-C therapy for refractory leukemia. Semin Oncol 12 [Suppl 3]: 20 - 30

    PubMed  CAS  Google Scholar 

  4. Liliemark JO, Plunkett W, Dixon DO (1985) Relationship of L-ß-D-arabinofuranosylcytosine in plasma to L-ß-D-arabinofuranosylcytosine ß-triphosphate levels in leukemic cells during treatment with high-dose 1-ß-D-arabinofuranosylcytosine. Cancer Res 45: 5952 - 5957

    PubMed  CAS  Google Scholar 

  5. Kantarjian H, Estey E, Plunkett W, Keating MJ, Walters RS, Iacoboni S, McCredie KB, Freireich EJ (1986) Phase I-II clinical and pharmacologic studies of high-dose cytosine arabinoside in refractory leukemia. Am J Med 81: 387 - 394

    Article  PubMed  CAS  Google Scholar 

  6. Estey E, Plunkett W, Dixon DO, Keating MJ, McCredie KB, Freireich EJ (1987) Variables predicting response to high-dose cytosine ara-binoside therapy in patients with refractory acute leukemia. Leukemia 1: 580 - 583

    PubMed  CAS  Google Scholar 

  7. Iacoboni S, Plunkett W, Kantarjian HM, Estey E, Keating MJ, McCredie KB, Freireich EJ (1986) High-dose cytosine arabinoside: treatment and cellular pharmacology of chronic myelogenous leukemia blast crisis. J Clin Oncol 4: 1709 - 1788

    Google Scholar 

  8. Heinemann V, Murray D, Walters R, Meyn RE, Plunkett W (1988) Mitoxantrone-induced DNA damage in leukemia cells is enhanced by treatment with high-dose arabinosylcytosine. Cancer Chemother Pharmacol 22: 205 - 210

    Article  PubMed  CAS  Google Scholar 

  9. Plunkett W, Liliemark JO, Adams TM, Nowak B, Estey E, Kantarjian H, Keating MJ (1987) Saturation of 1-ß-D-arabinofura-nosylcytosine 5’-triphosphate accumulation in leukemia cells during high-dose l-ß-D-arabinofuranosylcytosine therapy. Cancer Res 47: 3005 - 3011

    PubMed  CAS  Google Scholar 

  10. Plunkett W, Liliemark JO, Estey E, Keating MJ (1987) Saturation of ara-CTP accumulation during high-dose ara-C therapy: pharmacologic rationale for intermediate-dose ara-C. Semin Oncol 14 [Suppl 1] 14: 159 - 166

    CAS  Google Scholar 

  11. Chou T-C, Arlin Z, Clarkson BD, Philips FS (1977) Metabolism of l-ß-D-arabinofuranosylcytosine in human leukemia cells. Cancer Res 37: 3561 - 3570

    PubMed  CAS  Google Scholar 

  12. Estey E, Plunkett W, Keating MJ, McCredie KB, Freireich EJ (1988) Cytosine arabinoside in intermediate doses as therapy for patients with acute myelogenous leukemia. Proc Am Assoc Cancer Res 29: 209

    Google Scholar 

  13. Heinemann V, Estey E, Keating MJ, Plunkett W (1989) Patient-specific dose rate for continuous infusion high-dose arabinosylcytosine in relapsed acute myelogenous leukemia. J Clin Oncol 7: 622 - 628

    PubMed  CAS  Google Scholar 

  14. Plunkett W, Iacoboni S, Keating MJ (1986) Cellular pharmacology and optimal therapeutic concentrations of L-ß-D-arabinofuranosylcytosine 5’-triphosphate in leukemic blasts during treatment of refractory leukemia with high-dose L-ß-D-arabinofuranosylcytosine. Scand J Haematol 36 [Suppl 44]: 51 - 59

    Article  Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Plunkett, W., Heinemann, V., Estey, E., Keating, M. (1990). Pharmacologically Directed Design of Leukemia Therapy. In: Büchner, T., Schellong, G., Hiddemann, W., Ritter, J. (eds) Acute Leukemias II. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 33. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74643-7_111

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  • DOI: https://doi.org/10.1007/978-3-642-74643-7_111

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50984-4

  • Online ISBN: 978-3-642-74643-7

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