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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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
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