Calmangafodipir [Ca4Mn(DPDP)5], mangafodipir (MnDPDP) and MnPLED with special reference to their SOD mimetic and therapeutic properties
Jan Olof G Karlsson1, Louis J Ignarro2, Ingemar Lundström3
1Division of Drug Research/Pharmacology, Linköping University, Linköping, Sweden.
Abstract:
Reactive oxygen species (ROS) and reactive nitrogen species (RNS) participate in pathological tissue damage. Mitochondrial manganese superoxide dismutase (MnSOD) normally keeps ROS and RNS in check. During development of mangafodipir (MnDPDP) as a magnetic resonance imaging (MRI) contrast agent, it was discovered that MnDPDP and its metabolite manganese pyridoxyl ethyldiamine (MnPLED) possessed SOD mimetic activity. MnDPDP has been tested as a chemotherapy adjunct in cancer patients and as an adjunct to percutaneous coronary intervention in patients with myocardial infarctions, with promising results. Whereas MRI contrast depends on release of Mn(2+), the SOD mimetic activity depends on Mn(2+) that remains bound to DPDP or PLED. Calmangafodipir [Ca4Mn(DPDP)5] is stabilized with respect to Mn(2+) and has superior therapeutic activity. Ca4Mn(DPDP)5 is presently being explored as a chemotherapy adjunct in a clinical multicenter Phase II study in patients with metastatic colorectal cancer.
Insights
Manganese compounds like mangafodipir (MnDPDP) and calmangafodipir [Ca4Mn(DPDP)5] show superoxide dismutase (SOD) mimetic activity, helping manage reactive oxygen species. These agents are being explored for cancer therapy and treating heart conditions.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Reactive oxygen species (ROS) and reactive nitrogen species (RNS) contribute to pathological tissue damage.
- Mitochondrial manganese superoxide dismutase (MnSOD) is crucial for controlling ROS and RNS levels.
- Mangafodipir (MnDPDP) and its metabolite manganese pyridoxyl ethyldiamine (MnPLED) exhibit SOD mimetic activity.
Purpose of the Study:
- To investigate the therapeutic potential of MnDPDP and its derivatives as SOD mimetics.
- To evaluate the efficacy of calmangafodipir [Ca4Mn(DPDP)5] as a chemotherapy adjunct.
- To explore the role of manganese complexes in managing oxidative stress in disease.
Main Methods:
- Development of MnDPDP as a magnetic resonance imaging (MRI) contrast agent.
- Assessment of SOD mimetic activity of MnDPDP and MnPLED.
- Clinical trials evaluating MnDPDP as an adjunct in cancer and myocardial infarction.
- Stabilization of manganese with DPDP in Ca4Mn(DPDP)5 for enhanced therapeutic activity.
Main Results:
- MnDPDP and MnPLED demonstrated significant SOD mimetic activity.
- MnDPDP showed promising results as an adjunct in cancer chemotherapy and myocardial infarction treatment.
- Ca4Mn(DPDP)5 exhibits superior therapeutic activity due to stabilization of Mn(2+).
Conclusions:
- Manganese complexes like MnDPDP and Ca4Mn(DPDP)5 possess therapeutic potential beyond their use as MRI contrast agents.
- Ca4Mn(DPDP)5 is a promising candidate for cancer therapy, currently under investigation in Phase II clinical trials for metastatic colorectal cancer.
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