Design and synthesis of the tumor-activated prodrug of dihydropyrimidine dehydrogenase (DPD) inhibitor, RO0094889 for combination therapy with capecitabine

Bioorg Med Chem Lett. 2003 Mar 10;13(5):867-72. doi: 10.1016/s0960-894x(02)01082-x.

Abstract

A series of tumor-activated prodrugs of the inhibitors of dihydropyrimidine dehydrogenase (DPD), an enzyme catabolizing 5-fluorouracil (5-FU: 4g), has been designed and synthesized. RO0094889 (11c) is a prodrug of 5-vinyluracil (4c), a known DPD inhibitor, and was designed to generate 4c selectively in tumor tissues by sequential conversion of 11c by three enzymes: esterase, cytidine deaminase and thymidine phosphorylase, the latter two of which are known to be highly expressed in various tumor tissues. When capecitabine (1), a tumor-activated prodrug of 5-FU, was co-administered orally with 11c, 5-FU in tumor tissues was significantly increased with only a slight increase of 5-FU in plasma as compared with oral capecitabine alone.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Oral
  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Capecitabine
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / metabolism
  • Cytidine Deaminase / metabolism
  • Deoxycytidine / administration & dosage*
  • Deoxycytidine / analogs & derivatives*
  • Deoxycytidine / chemical synthesis*
  • Deoxycytidine / pharmacokinetics*
  • Dihydrouracil Dehydrogenase (NADP)
  • Drug Design
  • Drug Stability
  • Esterases / metabolism
  • Female
  • Fluorouracil / blood
  • Fluorouracil / pharmacokinetics
  • Humans
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / metabolism
  • Mice
  • Oxidoreductases / antagonists & inhibitors*
  • Prodrugs / administration & dosage
  • Prodrugs / chemical synthesis*
  • Prodrugs / pharmacokinetics*
  • Thymidine Phosphorylase / metabolism
  • Tissue Distribution
  • Uracil / analogs & derivatives*
  • Uracil / pharmacokinetics
  • Uterine Cervical Neoplasms / drug therapy
  • Uterine Cervical Neoplasms / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • 2',3'-O-diacetyl-5'-deoxy-5-vinylcytidine
  • Prodrugs
  • Deoxycytidine
  • 5-vinyluracil
  • Uracil
  • Capecitabine
  • Oxidoreductases
  • Dihydrouracil Dehydrogenase (NADP)
  • Thymidine Phosphorylase
  • Esterases
  • Cytidine Deaminase
  • Fluorouracil