Glutathione S-conjugates as prodrugs to target drug-resistant tumors

Emma E Ramsay1, Pierre J Dilda1

  • 1Tumour Metabolism Group, Adult Cancer Program, Lowy Cancer Research Centre and Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales Sydney, NSW, Australia.

Insights

Glutathione S-transferases (GST) and gamma-glutamyl transferases (γGT) are key enzymes in detoxifying foreign compounds. Targeting cancer cells using drugs activated by these enzymes shows promise for effective anticancer therapies.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Oncology

Background:

  • Organisms are exposed to xenobiotics, necessitating detoxification pathways.
  • Glutathione S-transferases (GST) catalyze xenobiotic conjugation with glutathione (GSH).
  • Mercapturic acid pathway end products can be cytotoxic, involving GST and gamma-glutamyl transferases (γGT).

Purpose of the Study:

  • To explore the role of GST and γGT in cancer cell resistance and aggressiveness.
  • To investigate the potential of targeting tumors using drugs activated by GST or γGT.
  • To confirm the efficacy of glutathione S-conjugates as anticancer agents.

Main Methods:

  • Review of studies on GST and γGT expression in cancer.
  • Analysis of strategies employing GST- or γGT-activated prodrugs.
  • Examination of clinical success of specific anticancer drugs like TLK286, GSAO, and Darinaparsin.

Main Results:

  • Elevated GST and γGT expression correlates with aggressive and resistant cancer phenotypes.
  • Selective tumor targeting using enzyme-activated prodrugs is a viable strategy.
  • Recent successes with GST-activated (TLK286) and γGT-activated (GSAO, Darinaparsin) drugs validate this approach.

Conclusions:

  • GST and γGT are crucial in cancer cell resistance and can be exploited for targeted therapy.
  • GST- and γGT-activated prodrugs represent a promising class of anticancer drugs.
  • The mercapturic acid pathway enzymes offer significant therapeutic targets in oncology.

Related Concept Videos

Phase II Reactions: Glutathione Conjugation and Mercapturic Acid Formation01:22

Phase II Reactions: Glutathione Conjugation and Mercapturic Acid Formation

Glutathione, a tripeptide made up of glutamate, cysteine, and glycine, is a critical player in the detoxification of drugs and xenobiotics via a process known as glutathione conjugation or mercapturic acid formation. This phase II biotransformation reaction involves the covalent binding of glutathione to a drug or its metabolite, enhancing the compound's water solubility and enabling its excretion.
Several distinctive characteristics distinguish glutathione conjugation from other phase II...
1.3K
Drug Metabolism: Phase II Reactions01:14

Drug Metabolism: Phase II Reactions

Phase II reactions are essential for the detoxification and elimination of drugs from the body. These reactions involve the conjugation of parent drugs or their phase I metabolites with endogenous molecules, resulting in more hydrophilic drug conjugates. The primary conjugation reactions in this phase are sulfation and glucuronidation. Both sulfation and glucuronidation typically produce biologically inactive metabolites. However, in some cases involving prodrugs, active metabolites may be...
4.7K
Prodrugs01:30

Prodrugs

Prodrugs are a class of pharmaceutical compounds that undergo a biotransformation process within the body to be converted into a pharmacologically active drug. Prodrugs are designed to improve the therapeutic properties of the parent drug, such as enhancing bioavailability, increasing stability, or reducing toxicity. The concept of prodrugs revolves around modifying the chemical structure of the original drug to make it more effective or convenient for administration.
Prodrugs help overcome...
4.1K
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
80
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters01:16

Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters

The pharmacogenetics of drug transporters is increasingly recognized as a critical factor influencing interindividual variability in drug absorption, distribution, and elimination. These membrane-bound proteins regulate drugs' movement across cellular barriers by actively pumping them out (efflux) or facilitating their uptake (influx). Among the major transporter families, ATP-binding cassette (ABC) and solute carrier (SLC) transporters play particularly prominent roles. Genetic polymorphisms...
189
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase01:27

Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase

Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
93