Abstract
Biochemical modulation in cancer therapy focuses on the improvement of the therapeutic index of a known anticancer drug (called the effector agent) through the pharmacologic manipulation of appropriate intracellular metabolic pathways by either an anti-metabolite or a metabolite (called the modulating agent) to produce either the selective enhancement of the antitumor effect or the selective protection of the host from the effector agent. For example, certain antipyrimidine effector agents must be activated intracellularly by anabolism to the fraudulent pyr imidine nucleotide analogues in order to exert cytotoxicity. Since these antipyrimidines must successfully compete at each step in their metabolic conversion with the normal pyrimidine counterparts, a modulating agent that selectively lowers the pools of the competing normal intracellular pyrimidines in the tumor can facilitate the targeting of the fraudulent pyrimidines to their effector sites, and thereby enhance their antitumor activity.
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References
Martin DS, Stolfi RL, Spiegelman S: Striking augmentation of the in vivo anticancer activity of 5-fluorouracil (5-FU) by combination with pyrimidine nucleosides: An RNA effect. Proc. Am. Assoc. Cancer Res. 19: 221, 1978.
Spiegelman S, Sawyer R, Nayak R et al: Improving the antitumor activity of 5-fluorouracil by increasing its incorporation into RNA via metabolic modulation. Proc. Natl. Acad. Sci., USA 77: 4966–4970, 1980.
Glazer RI, Lloyd LS: Association of cell lethality with incorporation of 5-fluorouracil and 5-fluorouridine into nuclear RNA in human colon carcinoma cells in culture. Mol. Pharmacol. 21: 468–473, 1982.
Wilkinson DS, Pitot HC: Inhibition of ribosomal acid maturation in Novikoff hepatoma cells by 5-fluorouracil and 5-fluorouridine. J. Biol. Chem. 248: 63–68, 1973.
Dolnick BJ, Pink JJ: Effects of 5-fluorouracil on dihydrofolate reductase and dihyrofolate reductase in RNA from methotrexate-resistant KB cells. J. Biol. Chem. 260: 3006–3014, 1985.
Mandel HG, Klubes P, Fernandes DJ: Understanding the actions of carcinostatic drugs to improve chemotherapy: 5-fluorouracil. Adv. Enzyme Regul. 16: 65–77, 1978.
Heidelberger C, Danenberg PV, Moran RG: Fluorinated pyrimidines and their nucleosides. Adv. Enzymol. 4: 58–119, 1983.
Washtien WL: Comparison of 5-fluorouracil metabolism in two human gastrointestinal tumor cell lines. Cancer Res. 44: 909–914, 1984.
Myers CE: The pharmacology of the fluoropyrimidines. Pharmacol. Rev. 33: 1–15, 1981.
Sawyer RC, Stolfi RL, Nayak R, Martin DS: Mechanism of cytotoxicity in 5-fluorouracil chemotherapy of two murine solid tumors. In: Nucleosides and Cancer Treatment, Tattersall MHN, Fox RM (eds), New York, Academic Press, Inc., 1981, pp. 309–338.
Santi DV, McHenry CS, Sommer H: Mechanism of interaction of thymidylate synthetase with 5-fluorodeoxyuridine. Biochemistry 13: 471–481, 1974.
Danenberg PV, Heidelberger C, Mulkins MA, Peterson AR: The incorporation of 5-fluoro-2′-deoxyuridine into DNA of mammalian tumor cells. Biochem. Biophys. Res. Commun. 102: 654–658, 1981.
Cheng YC, Nakayama K: Effects of 5-fluoro-2′-deoxyuridine on DNA metabolism in Hela cells. Mol. Pharmacol. 23: 171–174, 1983.
Major PP, Egan E, Herrick D, Kufe DW: 5-fluorouracil incorporation into DNA of human breast carcinoma cells. Cancer Res. 42: 3005–3009, 1982.
Sawyer RC, Stolfi RL, Martin DS, Spiegelman S: Incorporation of 5-fluorouracil into murine bone marrow DNA in vivo. Cancer Res. 44: 1847–1851, 1984.
Kufe DW, Major PP, Egan EM, Loh E: 5-fluoro-2′-deoxyuridine incorporation of L1210 DNA. J. Biol. Chem. 256: 8885–8888, 1981.
Lonn V, Lonn S: Interaction between 5-fluorouracil and DNA of human colon adenocarcinoma. Cancer Res. 44: 3414–3418, 1984.
Evans RM, Laskin JD, Hakala MT: Assessment of growth limiting events caused by 5-fluorouracil. Cancer Res. 40: 4113–4122, 1980.
Laskin JD, Evans RM, Slocum HK et al: Basis for natural variation in sensitivity to 5-fluorouracil in mouse and human cells in culture. Cancer Res. 39: 383–390, 1979.
Ardalan B, Cooney DA, Jayaram HN et al: Mechanism of sensitivity and resistance of murine tumors to 5-fluorouracil. Cancer Res. 40: 1431–1437, 1980.
Maybaum J, Ullman B, Mandel HG et al: Regulation of RNA-and DNA-directed actions of 5-fluoropyrimidines in mouse T-lymphoma (S-49) cells. Cancer Res. 40: 4209–4215, 1980.
Collins KD, Stark GR: Aspartate transcarbamylase, interaction with the transition state analogue N-(phosphonacetyl)-L-aspartate. J. Biol. Chem. 246: 6599–6605, 1971.
Swyrd EA, Seaver SS, Stark GR: N-(phosphonacetyl)-L-aspartate a potent transition state analog inhibitor of aspartate transcarbamylase, blocks proliferation of mammalian cells in culture. J. Biol. Chem. 249: 6946–6950, 1974.
Ardalan B, Glazer R, Kensler T et al: Biochemical mechanism for the synergism of 5-fluorouracil (5-FU) and phosphonacetyl-L-aspartate (PALA) in human mammary carcinoma cells. Proc. Am. Assoc. Cancer Res. 21: 8, 1980.
Johnson RK, Clement JJ, Howard WS: Treatment of murine tumors with 5-fluorouracil in combination with de novo pyrimidine synthesis inhibitors PALA or pyrazofurin. Proc. Am. Assoc. Cancer Res. 21: 292, 1980.
Kufe DW, Egan EM: Enhancement of 5-fluorouracil incorporation into human lymphoblast ribonucleic acid. Biochem. Pharmacol. 30: 129–133, 1981.
Kufe DW, Major PP: 5-Fluorouracil incorporation into human breast carcinoma RNA correlates with cytoxicity. J. Biol. Chem. 256: 9803–9805, 1981.
Martin DS, Nayak R, Sawyer RC et al: Enhancement of 5-fluorouracil chemotherapy with emphasis on the use of excess thymidine. Cancer Bull. 30: 219–222, 1978.
Martin DS, Stolfi RL, Sawyer RC et al: Biochemical modulation of 5-fluorouracil and cytosine arabinoside with emphasis on thymidine, PALA, and 6-methylmercaptopurine riboside. In: Nucleosides and Cancer Treatment, Tattersal MHN, Fox RM (eds), Australia, Academic Press, 1981, pp. 339–382.
Martin DS, Stolfi RL, Sawyer RC et al: An overview of thymidine. Cancer 45: 1117–1128, 1980.
Bedikian AY, Strochlein JR, Karlin DA et al: Chemotherapy for colorectal cancer with a combination of PALA and 5-FU. Cancer Treat. Rep. 65: 747–753, 1981.
Erlichman C, Donhower RC, Speyer JL et al: Phase I-II trial of N-phosphonacetyl-L-aspartic acid given by intravenous infusion and 5-fluorouracil given by bolus injection. JNCI 68: 227–231, 1982.
Meshad MW, Ervin TJ, Kufe D et al: Phase I trial of combination chemotherapy with PALA and 5-FU. Cancer Treat. Rep. 65: 331–334, 1981.
O’Connell MJ, Powis G, Rubin J, Moertel CG: Pilot study of PALA and 5-FU in patients with advanced cancer. Cancer Treat. Rep. 66: 77–80, 1982.
Sartorelli AC, Creasey WA: Combination chemotherapy. In: Cancer Medicine, 2nd edition, Holland JF, Frei, E III (eds), Philadelphia, Lea & Febiger, 1982, pp. 720–730.
Martin DS, Stolfi RL, Sawyer RC: Commentary on clinical predictivity of transplantable tumor systems in the selection of new drugs for solid tumors: Rationale for a three-stage strategy. Cancer Treat. Rep. 68: 1317–1318, 1984.
Martin DS, Stolfi RL, Sawyer RC, Young CW: Application of biochemical modulation with a therapeutically inactive modulating agent in clinical trials of cancer chemotherapy. Cancer Treat. Rep. 69: 421–423, 1985.
Skipper HE, Schabel FM Jr: Quantitative and cytokinetic studies in experimental tumor systems. In: Cancer Medicine, 2nd edition, Holland JF, Frei E III (eds), Philadelphia, Lea & Febiger, 1982, pp. 663–685.
Martin DS, Stolfi RL, Sawyer RC et al: Therapeutic utility of utilizing low doses of N-(phosphonacetyl)-L-aspartic acid in combination with 5-fluorouracil: A murine study with clinical relevance. Cancer Res. 43: 2317–2321, 1983.
Liang CM, Donehower R, Chabner B: Biochemical interactions between N-(phosphonacetyl)-L-aspartate and 5-fluorouracil. Mol. Pharmacol. 21: 224–230, 1982.
Martin DS, Balis ME, Fisher B et al: The role of murine tumor models in cancer treatment research. Cancer Research 46: 2189–2192, 1986.
Casper ES, Vale K, Williams LJ et al: Phase I and clinical pharmacologic evaluation of biochemical modulation of 5-fluorouracil with N-(phosphonacetyl)-L-aspartic acid (PALA). Cancer Res. 43: 2324–2329, 1983.
Loo TL, Friedman J, Moore EC et al: Pharmacological disposition of N-(phosphonacetyl)-L-aspartate in humans. Cancer Res. 40: 86–90, 1980.
Moore EC, Friedman J, Valdivieso M et al: Aspartate carbamyltransferase activity, drug concentrations, and pyrimidine nucleotides in patients tissue after treatment with N-(phosphonacetyl)-L-aspartate (PALA). Biochem. Pharmacol. 31: 3317–3321, 1982.
Valdivieso M, Moore EC, Burgess AM et al: Phase I clinical study of N-(phosphonacetyl)-L-aspartic acid (PALA). Cancer Treat. Rep. 64: 285–292, 1980.
Kensler TW, Mutter G, Hankerson JG et al: Mechanism of resistance of variants of the Lewis lung carcinoma to N(phosphonacetyl)-L-aspartic acid. Cancer Res. 41: 894–904, 1981.
Kufe DW, Major PP, Egan EM, Beardsley GP: Correlation of cytotoxicity with incorporation of ara-C into DNA. J. Biol. Chem. 255: 8997–9000, 1980.
Momparler RL, Chu MY, Fischer GA: Studies on a new mechanism of resistance of L51784 murine leukemia cells to cytosine arabinoside. Biochem. Biophys. Acta. 161: 481–493, 1968.
Tattersall MHN, Ganeshagaru K, Heffbrand AV: Mechanisms of resistance of human acute leukemia cells to cytosine arabinoside. Br. J. Haematol. 27: 39–46, 1974.
Jayaram HN, Cooney DA, Ryan JA et al: L-(αS, 5S)-α-amino-3-chloro-4, 5-dihydro-5-isoxazoleacetic acid (NSC-163501): A new amino acid antibiotic with the properties of an antagonist of L-glutamine. Cancer Treat. Rep. 59: 481–491, 1975.
Aoki T, Sebolt J, Weber G: In vivo inactivation of carbamoylphosphate synthetase II in rat hepatoma by Acivicin. Biochem. Pharmacol. 31: 927–932, 1982.
Kensler TW, Jayaram HN, Cooney DA: Effects of Acivicin and PALA, singly and in combination, on de novo pyrimidine biosynthesis. Adv. Enzyme Regul. 20: 57–73, 1982.
Loh E, Kufe DW: Synergistic effects with inhibitors of de novo pyrimidine synthesis, Acivicin and N-(phosphonacetyl)L-aspartic acid. Cancer Res. 41: 3419–3423, 1981.
Stolfi RL, Sawyer RC, Martin DS: Combination chemotherapy with Acivicin, N-(phosphonacetyl)-L-aspartic acid (PALA) and ara-C against CD8F1 breast tumor. Proc. Am. Assoc. Cancer Res. 26: 241, 1985.
Momparler RL, Brent TP, Labitan A, Krygier V: Studies on the phosphorylation of cytosine arabinoside in mammalian cells. Mol. Pharmacol. 7: 413–419, 1971.
Jackson RC: The regulation of thymidylate biosynthesis in Novikoff hepatoma cells and the effects of amethopterin, 5-fluorodeoxyuridine, and 3-deazauridine. J. Biol. Chem. 253: 7440–7446, 1978.
Plagemann PG, Mary R, Wohlhueter RM: Transport and metabolism of deoxycytidine and 1-B-D-arabinofuranosylcytosine into cultured Novikoff rat hepatoma cells. Relationship to phosphorylation and regulation of triphosphate synthesis. Cancer Res. 38: 978–989, 1978.
Ives DH, Durham IP: Deoxycytidine kinase III. Kinetic and allosteric regulation of the calf thymus enzyme. J. Biol. Chem. 245: 2285–2294, 1970.
Harris AW, Reynolds EC, Finch LR: Effect of thymidine on the sensitivity of cultured mouse tumor cells to 1-B-D-arabinofuranosylcytosine. Cancer Res. 39: 538–541, 1979.
Kinahan JJ, Kowal EP, Grindey GB: Biochemical and anti-tumor effects of the combination of thymidine and 1-B-D-arabinosylcytosine against leukemia L1210. Cancer Res. 41: 445–451, 1981.
Cohen A, Ullman B: Analysis of the drug synergism between thymidine and arabinosyl cytosine using mouse S49 T lymphoma mutants. Cancer Chemother. Pharmacol. 14: 70–73, 1985.
Grant S, Lehman C, Cadman E: Enhancement of 1-B-D-arabinofuranosylcytosine accumulation within L1210 cells and increased cytotoxicity following thymidine exposure. Cancer Res. 40: 1525–1531, 1980.
Breitman JR, Keene BR: Synergistic cytotoxicity to melanoma and leukemias in vitro with thymidine (NSC-21548) and arabinofuranosylcytosine (NSC-63878). Proc. Am. Assoc. Cancer Res. 20: 89, 1979.
Danhauser LL, Rustum YM: Potential for selective enhancement of the in vivo metabolism of 1-B-D-arabinofuranosylcytosine in rats by thymidine pretreatment. Cancer Res. 45: 2002–2007, 1985.
Grant S, Rauscher F, Cadman E: Differential effect of N-(phosphonacetyl)-L-aspartate on 1-B-D-arabinofuranosylcytosine metabolism and cytotoxicity in human leukemia and normal bone marrow progenitors. Cancer Res. 42: 4007–4013, 1982.
Chabner B: Cytosine arabinoside. In: Pharmacology of Anticancer Agents, Chabner B (ed), Philadelphia, W.B. Saunders Co., 1982, pp. 387–396.
Houghton JA, Houghton PJ, Wooten RS: Mechanism of induction of gastrointestional toxicity, in the mouse by 5-fluor-ouracil, 5-fluorouridine, and 5-fluro-2′-deoxyuridinc. Cancer Res. 39: 2406–2413, 1979.
Martin DS, Stolfi RL, Sawyer RC et al: High-dose 5-fluor-ouracil with delayed uridine “rescue” in mice. Cancer Res. 42: 3964–3970, 1982.
Klubes P, Cerna I, Meldon M: Uridine rescue from the lethal toxicity of 5-fluorouracil in mice. Cancer Chemother. Pharmacol. 8: 17–21, 1982.
Klubes P, Cerna I: Use of uridine rescue to enhance the antitumor selectivity of 5-fluorouracil. Cancer Res. 43: 3182–3186, 1983.
Martin DS, Stolfi RL, Sawyer RC et al: Improved therapeutic index with sequential N-phosphonacetyl-L-aspartate plus high-dose methotrexate plus high-dose 5-fluorouracil and appropriate rescue. Cancer Res. 43: 4653–4661, 1983.
Sawyer RC, Stolfi RL, Spiegelman S, Martin DS: Effect of uridine on the metabolism of 5-fluorouracil in the CD8F1 murine mammary carcinoma system. Pharmaceutical Res. 2: 69–75, 1984.
Benz C, Cadman E: Modulation of 5-fluorouracil metabolism and cytotoxicity by antimetabolite pretreatment in human colorectal adenocarcinoma HCT-8. Cancer Res. 41: 994–999, 1981.
Cadman E, Benz C, Heimer R, O’Shaughnessy J: Effects of de novo purine synthesis inhibitors on 5-fluorouracil metabolism and cytotoxicity. Biochem. Pharmacol. 30: 2469–2472, 1981.
Glazer R, Lloyd L: Association of cell lethality with incorporation of 5-fluorouracil and 5-fluorouridine into nuclear RNA in human colon carcinoma cells in culture. Mol. Pharmacol. 21: 468–473, 1982.
Martin DS, Stolfi RL: Unpublished data.
Belousova AK, Gerasimona GK: Search for the biochemical parameters of tumor cell sensitivity and resistance to antimetabolites. Antibiot. Chemother. 28: 48–52, 1980.
Umeda M, Heidelberger C: Fluorinated pyrimidines. XXX. Comparative studies of fluorinated pyrimidines with various cell lines. Cancer Res. 28: 2529–2538, 1968.
Ahmed NK, Haggit RC, Welch AD: Enzymes of salvage and de novo pathways of synthesis of pyrimidine nucleotides in human colorectal adenocarcinomas. Biochem. Pharmacol. 31: 2485–2488, 1982.
Leyva A, van Groeningen CJ, Kraal I et al: Phase I and pharmacokinetic studies of high-dose uridine intended for rescue from 5-fluorouracil toxicity. Cancer Res. 44: 5928–5933, 1984.
van Groeningen CJ, Leyva A, Kraal I et al: Clinical and pharmacokinetic studies of prolonged administration of high-dose uridine intended for rescue from 5-fluorouracil toxicity. Cancer Treat. Rep., submitted for publication.
Karle JM, Anderson LW, Dietrick DD, Cysk RL: Effect of inhibitors of the de novo pyrimidine biosynthetic pathway on serum uridine levels in mice. Cancer Res. 41: 4952–4955, 1981.
Gasser T, Moyer JD, Handschumacher RE: Novel single pass exchange of circulating uridine in rat liver. Sci. 213: 777–778, 1981.
Moyer JD, Oliver JT, Handschumacher RE: Salvage of circulating pyrimidine nucleosides in the rat. Cancer Res. 41: 3010–3017, 1981.
Niedzwicki JG, Chu SH, el Kouni MH et al: 5-Benzylacyclouridine and 5-benzyloxybenzylacyclouridine, potent inhibitors of uridine phosphorylase. Biochem. Pharmacol. 31: 1857–1861, 1982.
Niedzwicki JG, el Kouni MH, Chu SH, Cha S: Pyrimidine acyclonucleosides, inhibitors of uridine phosphorylase. Biochem. Pharmacol. 30: 2097–2101, 1981.
Chu MYW, Naguib FNM, Iltzsch MH et al: Potentiation of 5-fluoro-2′-deoxyuridine antineoplastic activity by the uridine phosphorylase inhibitors benzylacyclouridine and benzyloxybenzylacyclouridine. Cancer Res. 44: 1852–1856, 1984.
Darnowski JW, Handschumacher RE: Pharmacokinetics of benzyluridine (BAU) and its utility as a potential rescuing agent from 5-fluorouracil (FUra) induced toxicity. Proc. Am. Assoc. Cancer Res. 25: 358, 1984.
Darnowski JW, Handschumacher RE: Tissue specific enhancement of uridine utilization and 5-fluorouracil therapy by benzylacyclouridine. Cancer Res. 45: 5364–5368, 1985.
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© 1986 Martinus Nijhoff Publishing, Boston
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Martin, D.S. (1986). Biochemical Modulation of Pyrimidine Pools for Enhancement of Antipyrimidine Cytotoxicity. In: Valeriote, F.A., Baker, L.H. (eds) Biochemical Modulation of Anticancer Agents: Experimental and Clinical Approaches. Developments in Oncology, vol 47. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2331-0_4
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