“双刃“核骨架：抗菌药物喹诺酮抗肿瘤能力

Title:A “Double-Edged” Scaffold: Antitumor Power within the Antibacterial Quinolone

Volume: 23 Issue: 6

Author(s): Gregory S. Bisacchi and Michael R. Hale

Affiliation:

关键词: 喹诺酮类药物，氟喹诺酮类药物，拓扑异构酶，DNA旋转酶，topo II， topo IV，抗肿瘤，抗癌，抗菌，细胞毒，选择性，保Paul Ehrlich

摘要: In the late 1980s, reports emerged describing experimental antibacterial quinolones having significant potency against eukaryotic Type II topoisomerases (topo II) and showing cytotoxic activity against tumor cell lines. As a result, several pharmaceutical companies initiated quinolone anticancer programs to explore the potential of this class in comparison to conventional human topo II inhibiting antitumor drugs such as doxorubicin and etoposide. In this review, we present a modern re-evaluation of the anticancer potential of the quinolone class in the context of today’s predominantly pathway-based (rather than cytotoxicity-based) oncology drug R&D environment. The quinolone eukaryotic SAR is comprehensively discussed, contrasted with the corresponding prokaryotic data, and merged with recent structural biology information which is now beginning to help explain the basis for that SAR. Quinolone topo II inhibitors appear to be much less susceptible to efflux-mediated resistance, a current limitation of therapy with conventional agents. Recent advances in the biological understanding of human topo II isoforms suggest that significant progress might now be made in overcoming two other treatment-limiting disadvantages of conventional topo II inhibitors, namely cardiotoxicity and drug-induced secondary leukemias. We propose that quinolone class topo II inhibitors could have a useful future therapeutic role due to the continued need for effective topo II drugs in many cancer treatment settings, and due to the recent biological and structural advances which can now provide, for the first time, specific guidance for the design of a new class of inhibitors potentially superior to existing agents.

Cite this article as:

Gregory S. Bisacchi and Michael R. Hale , A “Double-Edged” Scaffold: Antitumor Power within the Antibacterial Quinolone, Current Medicinal Chemistry 2016; 23 (6) . https://dx.doi.org/10.2174/0929867323666151223095839