2022
DOI: 10.3390/genes13030466
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Recent Development of Prodrugs of Gemcitabine

Abstract: Gemcitabine is a nucleoside analog that has been used widely as an anticancer drug for the treatment of a variety of conditions, including ovarian, bladder, non-small-cell lung, pancreatic, and breast cancer. However, enzymatic deamination, fast systemic clearance, and the emergence of chemoresistance have limited its efficacy. Different prodrug strategies have been explored in recent years, seeking to obtain better pharmacokinetic properties, efficacy, and safety. Different drug delivery strategies have also … Show more

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Cited by 42 publications
(32 citation statements)
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“…Additionally, two nucleoside analogs, namely gemcitabine and 6-thioguanine, have a weak HDP-inducing activity as well. Both compounds work mainly by incorporating into DNA and RNA as fraudulent bases to cause termination of cellular synthesis of DNA/RNA and have been approved for treatment of cancers and inflammatory bowel diseases [ 44 , 45 ].…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, two nucleoside analogs, namely gemcitabine and 6-thioguanine, have a weak HDP-inducing activity as well. Both compounds work mainly by incorporating into DNA and RNA as fraudulent bases to cause termination of cellular synthesis of DNA/RNA and have been approved for treatment of cancers and inflammatory bowel diseases [ 44 , 45 ].…”
Section: Discussionmentioning
confidence: 99%
“…The stepwise phosphorylation of dFdCMP leads to the formation of triphosphate of gemcitabine (dFdCTP), which exhibited the anti-tumor activity (Figure ). Enzymatic deamination by cytidine deaminase (CDA) can lead to the inactivation of gemcitabine via the formation of 2′-deoxy-2′,2′-difluorouridine (dFdU) (Figure ). Although gemcitabine is successfully used, the rapid metabolic inactivation, poor oral bioavailability, and innate or acquired drug resistance limit its widely clinical application. …”
Section: Introductionmentioning
confidence: 99%
“…administration of GEM, the enzyme deoxycytidine deaminase, which is present in the liver and plasma, metabolizes the drug into inactive 2 , 2 -difluorodeoxyuridine (dFdU). This process presents a short plasma half-life (t 1 2 ) of 15-20 min [5,6]. Therefore, to order to achieve the required therapeutic concentration, a higher dose of GEM is administered with continuous i.v.…”
Section: Introductionmentioning
confidence: 99%
“…Gemcitabine (GEM) is a chemotherapeutic drug approved by clinicians and used for treating a broad range of cancers, including ovarian, bladder, breast, liver, pancreatic, and nonsmall-cell lung cancers [ 1 ]. The anticancer effects of GEM result from the fact that it acts as a deoxycytidine nucleoside analog [ 1 ].…”
Section: Introductionmentioning
confidence: 99%
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