2007
DOI: 10.2174/156720107782151278
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Painting the Target Around the Arrow: Two-Step Prodrug Therapies from a Carbohydrate Chemists Perspective

Abstract: Selective accumulation of an exogenous enzyme or activating agent at a target cell allows use of prodrugs that will be unmasked only at this site. This can reduce the side effects of chemotherapy and allow more potent drugs to be used in various treatments. Examples of this two-step prodrug therapy include antibody- (ADEPT, ADAPT), genetic- (GDEPT, VDEPT) and macromolecule-based approaches (PDEPT, LEAPT). Carbohydrate chemistry and glycobiology feature in each of these areas and is the focus of this review.

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Cited by 9 publications
(5 citation statements)
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“…Conventional chemotherapy represents an important treatment option for advanced cancers, but the limited therapeutic index of most antineoplastic drugs can cause normal tissue toxicity and severe side effects. Antibody-directed enzyme prodrug therapy (ADEPT) seeks to increase tumor selectivity and reduce undesirable side effects of chemotherapy by targeting an antibody−enzyme conjugate (immunoenzyme) to cancer cells for preferential activation of nontoxic anticancer prodrugs in the tumor microenvironment. We previously reported that immunoenzymes formed by chemical linkage of anticancer antibodies and E. coli β-glucuronidase could selectively activate glucuronide prodrugs at antigen-positive cancer cells, enhance antitumor immune responses, and produce long-term tumor regression in syngenic and xenograft cancer models. However, a major impediment to clinical translation of immunoenzymes containing microbial enzymes is their high immunogenicity in patients, which dramatically hinders tumor targeting and prevents effective therapy. …”
Section: Introductionmentioning
confidence: 99%
“…Conventional chemotherapy represents an important treatment option for advanced cancers, but the limited therapeutic index of most antineoplastic drugs can cause normal tissue toxicity and severe side effects. Antibody-directed enzyme prodrug therapy (ADEPT) seeks to increase tumor selectivity and reduce undesirable side effects of chemotherapy by targeting an antibody−enzyme conjugate (immunoenzyme) to cancer cells for preferential activation of nontoxic anticancer prodrugs in the tumor microenvironment. We previously reported that immunoenzymes formed by chemical linkage of anticancer antibodies and E. coli β-glucuronidase could selectively activate glucuronide prodrugs at antigen-positive cancer cells, enhance antitumor immune responses, and produce long-term tumor regression in syngenic and xenograft cancer models. However, a major impediment to clinical translation of immunoenzymes containing microbial enzymes is their high immunogenicity in patients, which dramatically hinders tumor targeting and prevents effective therapy. …”
Section: Introductionmentioning
confidence: 99%
“…Drug targeted strategy are being validated to address important requirements for targeted therapy, drug delivery system and improved diagnosis. Tumor targeted drug delivery could be classified into carrier and non-carrier based therapy [40]. Carrier based drug therapies comprise, polymeric based drug carriers (polymeric nanoparticles [41], polymeric micelles [42], polymer-drug bioconjugates [43], dendrimers [44]), lipid based drug carriers (liposomes [45]), viral nanocarriers [46], inorganic nanocarriers (quantum dots [47], silica nanoparticles [48], carbon nanotubes [49]) and these nanomaterials with drug collectively called nanomedicine delivered the drug molecules, recombinant DNA and proteins to the targeted tumor cells/tissues/organs.…”
Section: Endocytosis Of Nanomedicinesmentioning
confidence: 99%
“…Later studies using antitumor agents (e.g., methyldithio-maytasinoid) that were 100 -1000-fold more potent than the previous drug received some improvement, as a measurable tumor regression was observed in the tested animals [55] . A general review of prodrug strategies in cancer therapy appeared elsewhere [56] , including two-step prodrug strategies involving carbohydrate moiety [57] .…”
Section: Expert Opinionmentioning
confidence: 99%