2003
DOI: 10.2174/0929867033368213
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The Nitric Oxide Producing Reactions of Hydroxyurea

Abstract: Hydroxyurea is used to treat a variety of cancers and sickle cell disease. Despite this widespread use, a complete mechanistic understanding of the beneficial actions of this compound remains to be understood. Hydroxyurea inhibits ribonucleotide reductase and increases the levels of fetal hemoglobin, which explains a portion of the effects of this drug. Administration of hydroxyurea to patients results in a significant increase in levels of iron nitrosyl hemoglobin, nitrite and nitrate suggesting the in vivo m… Show more

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Cited by 87 publications
(84 citation statements)
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“…For instance, HNO is the active metabolite of the alcohol sensitizing drug cyanamide (NH 2 CN) [16], which is used for pharmacotherapy of alcohol abuse. Additionally, hydroxyurea, which is a chemotherapeutic used to reduce the complications of sickle cell disease, was found to be oxidatively degraded to HNO [17,18]. Although endogenous production of HNO has yet to be demonstrated in vivo, numerous in vitro assays have indicated the existence of several potential biosynthetic mechanisms.…”
Section: Introductionmentioning
confidence: 99%
“…For instance, HNO is the active metabolite of the alcohol sensitizing drug cyanamide (NH 2 CN) [16], which is used for pharmacotherapy of alcohol abuse. Additionally, hydroxyurea, which is a chemotherapeutic used to reduce the complications of sickle cell disease, was found to be oxidatively degraded to HNO [17,18]. Although endogenous production of HNO has yet to be demonstrated in vivo, numerous in vitro assays have indicated the existence of several potential biosynthetic mechanisms.…”
Section: Introductionmentioning
confidence: 99%
“…8 Hydroxyurea is completely absorbed and elimination is through both renal and nonrenal mechanisms. 9 The metabolism of hydroxyurea to NO most likely occurs in the liver. 3 Chemical oxidation of hydroxyurea with a variety of oxidants, including copper(II) ions, produces NO.…”
Section: Introductionmentioning
confidence: 99%
“…3 Chemical oxidation of hydroxyurea with a variety of oxidants, including copper(II) ions, produces NO. 9,10 Hydroxyurea-treated vascular endothelial cells showed significant morphologic changes such as an increase in apparent cell size, accompanied by an increase in cell Na and K contents. 11 During hydroxyurea treatment, cells accumulate in the late G1 to early S phase of the cell cycle.…”
Section: Introductionmentioning
confidence: 99%
“…5) HU causes an immediate inhibition of DNA synthesis by acting on the R 2 subunit of the ribonucleotide reductase. [6][7][8] Therapeutic application of HU has several disadvantages such as short half-life (1.9-3.9 h) in patients due to its small molecular size (MWϭ76.06) and extremely polar nature (Clog P o/w ϭ Ϫ1.80), the necessity of using a high dosage (80 mg/kg every third day or 20-30 mg/kg daily), and the rapid development of resistance. 1,[9][10][11] In this study, structure modification of HU based on increasing its hydrophobic nature and molecular size has been adopted to obtain a more potent compound.…”
mentioning
confidence: 99%