2006
DOI: 10.1038/nrc1977
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Topoisomerase I inhibitors: camptothecins and beyond

Abstract: Nuclear DNA topoisomerase I (TOP1) is an essential human enzyme. It is the only known target of the alkaloid camptothecin, from which the potent anticancer agents irinotecan and topotecan are derived. As camptothecins bind at the interface of the TOP1-DNA complex, they represent a paradigm for interfacial inhibitors that reversibly trap macromolecular complexes. Several camptothecin and non-camptothecin derivatives are being developed to further increase anti-tumour activity and reduce side effects. The mechan… Show more

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Cited by 1,938 publications
(2,045 citation statements)
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References 123 publications
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“…Conversely, C max was not associated with OS. This is consistent with the hypothesis that dividing cells are sensitive to chemotherapy; thus, prolonged duration of chemotherapy drug exposures allow a greater number of tumor cells to be affected 21. The observed association between C avg and t uSN38>thr with efficacy indicates a strong association between plasma and tumor concentrations.…”
Section: Discussionsupporting
confidence: 87%
“…Conversely, C max was not associated with OS. This is consistent with the hypothesis that dividing cells are sensitive to chemotherapy; thus, prolonged duration of chemotherapy drug exposures allow a greater number of tumor cells to be affected 21. The observed association between C avg and t uSN38>thr with efficacy indicates a strong association between plasma and tumor concentrations.…”
Section: Discussionsupporting
confidence: 87%
“…The strikingly high level of TOP1 we observed in Purkinje neurons compared to other cerebellar neurons indicates that these cells have an elevated requirement for this enzyme, perhaps due to a high demand for ribosomal RNA synthesis. TOP1 can become covalently attached to the DNA, forming TOP1 cleavage complexes (TOP1ccs) [36], and many types of endogenous DNA modifications can cause TOP1ccs [37]. The observation that spinocerebellar ataxia with axonal neuropathy (SCAN1) results from mutations in the TDP1 gene [22], which encodes a protein involved in the repair of TOP1ccs [38,39] indicates the importance of repair of such complexes in preventing ataxia.…”
Section: The Mrn-complex and Topoisomerase I Are Also Concentrated Inmentioning
confidence: 99%
“…In the presence of CPT, the cleavable complex is stabilized, causing inhibition of both DNA and RNA synthesis; prolonged exposure to CPT leads to DNA-strand breaks and cell cycle arrest (Ryan et al, 1991;Staker et al, 2002). CPT selectively kills S-phase cells, possibly due to the association of Top1 with DNA replication complexes (Pommier, 2006). The antitumor activity of CPT and its derivatives have been well documented, although the molecular mechanism of their activity has not been fully understood.…”
Section: Introductionmentioning
confidence: 99%