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Published on: February 17, 2023
Anticancer prodrugs: an overview of major strategies and recent developments
Silvia Arpicco1, Franco Dosio, Barbara Stella
1Universita degli Studi di Torino, Facolta di Farmacia, Dipartimento di Scienza e Tecnologia del Farmaco, Via P. Giuria 9, 10125 Torino, Italy. silvia.arpicco@unito.it
Abstract:
Research in anticancer chemotherapy has produced outstanding results, and mean survival rates have significantly improved over the last ten years. Nevertheless, all approved drugs are still characterized by narrow therapeutic windows that result mainly from their high systemic toxicity combined with their marked lack of tumor selectivity. Medicinal chemistry responds to the resulting demands with new analogues of a lead drug, or by developing prodrugs. Prodrugs are inactive compounds, which are metabolized in the body, either chemically or enzymatically, in a controlled or predictable manner, to the active parent drug. This review describes the results of strategies in prodrug development, subdivided into the principal categories of anticancer agents. The chemical implementation of prodrug approaches is illustrated through selected drug candidates.
Insights
Prodrugs offer a promising strategy to improve anticancer chemotherapy by enhancing tumor selectivity and reducing systemic toxicity. This approach converts inactive compounds into active drugs within the body, improving treatment efficacy.
Area of Science:
- Medicinal Chemistry
- Pharmacology
- Oncology
Background:
- Anticancer chemotherapy has improved survival rates but faces challenges with narrow therapeutic windows due to systemic toxicity and lack of tumor selectivity.
- Current drug development often involves creating new analogues or prodrugs to overcome these limitations.
Purpose of the Study:
- To review prodrug development strategies for anticancer agents.
- To illustrate the chemical implementation of prodrug approaches with selected drug candidates.
Main Methods:
- Literature review of prodrug strategies in anticancer chemotherapy.
- Categorization of prodrug approaches based on principal anticancer agent types.
- Analysis of chemical implementation in selected prodrug candidates.
Main Results:
- Prodrugs are inactive compounds metabolized to active drugs, offering improved tumor selectivity and reduced toxicity.
- Various prodrug strategies have been developed across different categories of anticancer agents.
- Chemical implementation of prodrugs demonstrates feasibility and potential for clinical application.
Conclusions:
- Prodrug development is a key medicinal chemistry strategy to enhance the therapeutic index of anticancer drugs.
- Targeted delivery and controlled release via prodrugs can mitigate systemic toxicity and improve treatment outcomes.
- Further research and development in prodrug design hold significant promise for advancing cancer chemotherapy.
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