3 Cisplatin Cisplatin, cis-diamminedichloroplatinum(II), a square planar Pt 2þ complex (Figure 3.1), was the first metalbased agent to enter into worldwide clinical use for the treatment of cancer. Currently, cisplatin is used either by itself or in combination with other drugs for treating lung, ovarian, bladder, testicular, head and neck, esophageal, colon, gastric, breast, melanoma and prostate cancer. Although sales of cisplatin are presently on the decline, with second-and third-generation analogs being more widely prescribed, cisplatin remains the 'gold standard' to which aspiring platinum and nonplatinum metal-based anticancer drugs are compared.While it is not possible to cover the more than 40 years of research on cisplatin in one chapter, the important physical and chemical properties of the drug, aspects of its clinical applications and pharmacokinetics, as well as its biological mechanism of action will be presented and discussed here. More information on cisplatin regarding these and other topics can be found in the excellent books, review articles and publications of Rosenberg [1,2], Lippard [3-5], Reedijk [6,7], Farrell [8], Kelland and Farrell [9], Lippert [10], Hambley [11,12], Sadler [13], Schellens [14,15] and Boulikas and Vougiouka [16], and their coworkers.
Box 3.1 Discovery of cisplatinThe idea of investigating the antitumor properties of cisplatin was based on an accidental discovery made by Barnett Rosenberg, a professor of biophysics at Michigan State University, and his coworkers in the early 1960s [2,11,17,18]. Professor Rosenberg was studying the effects of electric fields on the growth of cells and he and his group constructed a special cell culture apparatus containing platinum mesh electrodes that allowed cells to grow and be harvested on a continuous basis. The goal of the study was to apply alternating currents of different frequencies to the electrodes and determine whether and to what extent electric current affected the ability of the cells to divide. While the investigators were really interested in mammalian cells, they tested the new apparatus using E. coli bacteria and found to their surprise that certain frequencies of current greatly reduced the number of cells growing in the culture apparatus. A check on the appearance of the bacteria that had been subjected to electric current revealed that bacterial cells were present but instead of having their normal 'sausage' shape, they were long spaghetti-like filaments, which indicated that the cells were growing but not dividing. Sensing that they were observing something new and very unusual, the investigators carried out a number of control experiments which showed that, while the electric current itself had no direct effect on cell division, the current was causing a chemical reaction to take place in the cell culture medium, which required oxygen, ammonium ion (NH 4 þ ) and chloride ion (Cl À ). After learning this, and after realizing that the current was causing a small amount of platinum metal on the surface of the electr...