2016
DOI: 10.1021/acs.chemrev.6b00209
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Metabolism, Biochemical Actions, and Chemical Synthesis of Anticancer Nucleosides, Nucleotides, and Base Analogs

Abstract: Nucleoside, nucleotide, and base analogs have been in the clinic for decades to treat both viral pathogens and neoplasms. More than 20% of patients on anticancer chemotherapy have been treated with one or more of these analogs. This review focuses on the chemical synthesis and biology of anticancer nucleoside, nucleotide, and base analogs that are FDA-approved and in clinical development since 2000. We highlight the cellular biology and clinical biology of analogs, drug resistance mechanisms, and compound spec… Show more

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Cited by 317 publications
(287 citation statements)
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“…15,16 The triphosphates are inhibitors of DNA or RNA polymerases, preferably with specificity for the targeted organism. Nucleoside analogues missing the ribosyl 3′-hydroxyl group are chain terminators of nucleic acid synthesis.…”
mentioning
confidence: 99%
“…15,16 The triphosphates are inhibitors of DNA or RNA polymerases, preferably with specificity for the targeted organism. Nucleoside analogues missing the ribosyl 3′-hydroxyl group are chain terminators of nucleic acid synthesis.…”
mentioning
confidence: 99%
“…First the fully-protected sugar (26) is brominated to form the 1-α-glycosyl bromide (27), formation of which leads preferentially to the formation of β-nucleoside (28) as reported in the synthesis of the antineoplastic agent clofarabine (6) ( Figure 9) [19]. Schinazi et al [22].…”
Section: N-glycosylation Of Fluorine-containing Starting Materialsmentioning
confidence: 95%
“…Their incorporation into DNA chain causes demethylation and hypomethylation of fragments. Moreover, some nucleoside drugs can show activation of apoptosis routes on cytoplasm and mitochondrial side …”
Section: Introductionmentioning
confidence: 99%
“…Anticancer nucleosides present numerous pharmacokinetic problems, such as low selectivity in attacking cancer cells, and an extracellular inactivation and degradation due to their high chemical and biological lability. They also show very pharmacodynamics disadvantages, some of these are as follows: low cellular uptake, intracellular inactivation and biological degradation by means of ecto‐nucleotidase and nucleoside deaminase enzymes . Due to the great disadvantages revealed, the nucleoside drugs have a very short plasma half‐life and very low oral bioavailability; therefore, these drugs type should be administered in higher doses and intravenously to be effective.…”
Section: Introductionmentioning
confidence: 99%