2007
DOI: 10.2174/156800907781386579
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Cyclopentenyl Cytosine (CPEC): An Overview of its in vitro and in vivo Activity

Abstract: The experimental cytotoxic drug cyclopentenyl cytosine (CPEC) is an analogue of cytidine. Besides its antiviral effect, its potential use in the treatment of cancer has become an important area of research. CPEC is activated by intracellular phosphorylation ultimately forming its metabolite CPEC-TP. CPEC-TP is a non competitive inhibitor of cytidine-5'-triphosphate synthetase (CTP-synthetase), an important enzyme in the formation of CTP. Studies have shown that cancer cells have a high CTP synthetase activity,… Show more

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Cited by 26 publications
(7 citation statements)
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“…21 However, there is a "salvage pathway" that utilizing cytidine as substrate when the neo-synthesis pathway is deficient. 22, 23 Cytidine is utilized by several salvage pathway enzymes, including UdK1/2, CMPK, and nucleoside diphosphate kinase A and B (NME1 and NME2). 24, 25 As shown in Figure 6A, CPEC significantly induced mRNA expression of all the salvage pathway enzymes in the presence of cytidine in ECs, but not SMCs, suggesting that ECs, but not SMCs, are able to use the salvage pathway when CTPS pathway is blocked.…”
Section: Resultsmentioning
confidence: 99%
“…21 However, there is a "salvage pathway" that utilizing cytidine as substrate when the neo-synthesis pathway is deficient. 22, 23 Cytidine is utilized by several salvage pathway enzymes, including UdK1/2, CMPK, and nucleoside diphosphate kinase A and B (NME1 and NME2). 24, 25 As shown in Figure 6A, CPEC significantly induced mRNA expression of all the salvage pathway enzymes in the presence of cytidine in ECs, but not SMCs, suggesting that ECs, but not SMCs, are able to use the salvage pathway when CTPS pathway is blocked.…”
Section: Resultsmentioning
confidence: 99%
“…Similarly, modulating the pyrimidine ribonucleotide levels has been a widely studied approach in treating cancer. As of today, it has been examined most extensively in leukemic cell lines, but also in the context of colorectal carcinoma, brain tumor, and neuroblastoma [ 81 ]. Although dosis-related hypotension events occurred in patients with colon carcinoma treated with CPEC in Phase I trials [ 82 ], the cardiotoxicity could not be reproduced in established rat models [ 83 ].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, agents that affect cytoophidia formation on dividing cells may influence the distribution of this CTP synthetase enzymatic activity between daughter cells and, in this manner, affect the proliferation potential of at least one of the daughter cells. Agents that directly affect CTP synthetases include cyclopentenyl cytosine (CPEC), but whether this is a safe anticancer strategy needs to be established as cardiotoxicity has been reported in a phase I trial [ 132 ]. In addition, accumulation of UTP might lead to nucleotide imbalance as well as to high dUTP levels.…”
Section: Ctps I and Ii Inhibitorsmentioning
confidence: 99%