2023
DOI: 10.3389/fcell.2023.1173432
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Advanced prodrug strategies in nucleoside analogues targeting the treatment of gastrointestinal malignancies

Abstract: Gastrointestinal malignancies are common digestive system tumor worldwide. Nucleoside analogues have been widely used as anticancer drugs for the treatment of a variety of conditions, including gastrointestinal malignancies. However, low permeability, enzymatic deamination, inefficiently phosphorylation, the emergence of chemoresistance and some other issues have limited its efficacy. The prodrug strategies have been widely applied in drug design to improve pharmacokinetic properties and address safety and dru… Show more

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Cited by 4 publications
(3 citation statements)
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“…In principle, the oral delivery of 5-FU would eliminate the need for long infusion, however, the direct oral administration of 5-FU is not feasible due to its phosphorylation via OPRT, which promotes ribonucleotide-mediated GI toxicity. To overcome this limitation, 5-FU prodrugs that were orally available were developed [27], of which capecitabine is the most widely used clinically (Table 1). Capecitabine.…”
Section: Oral 5-fu Prodrugsmentioning
confidence: 99%
“…In principle, the oral delivery of 5-FU would eliminate the need for long infusion, however, the direct oral administration of 5-FU is not feasible due to its phosphorylation via OPRT, which promotes ribonucleotide-mediated GI toxicity. To overcome this limitation, 5-FU prodrugs that were orally available were developed [27], of which capecitabine is the most widely used clinically (Table 1). Capecitabine.…”
Section: Oral 5-fu Prodrugsmentioning
confidence: 99%
“…Prodrugs with an amide linkage to valproic acid, instead of ester linkages LY2334737 was designed by blocking the deamination site at the N4 position of gemcitabine Pancreatic specific cancer treatment [5] CP-4126 CP-4126 is a 5'-elaidic acid ester prodrug of gemcitabine CP-4126 is a transporter-independent analog of gemcitabine, entering cells primarily without hENT1…”
Section: Ly2334737mentioning
confidence: 99%
“…Gemcitabine-resistant pancreatic adenocarcinoma [5] NUC-1031 Anti-inflammatory and Anti-VEGF agent [11] Sulfasalazine Azo linkage which is reduced in colon by azo reductases enzyme secreted by colonic microflora. Colon specific prodrug of 5-ASA and Sulfapyridine.…”
Section: Ly2334737mentioning
confidence: 99%