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Tubulin colchicine binding site inhibitors as vascular disrupting agents in clinical developments
Ya-Ting Ji, Yan-Na Liu, Zhao-Peng Liu1
1Institute of Medicinal Chemistry, Key Laboratory of Chemical Biology (Ministry of Education), School of Pharmaceutical Sciences, Shandong University, Jinan 250012, P. R. China. liuzhaop@sdu.edu.cn.
Abstract:
Tumor vasculature is an important target in cancer treatment. Two distinct vasculartargeting therapeutic strategies are applied to attack cancer cells indirectly. The antiangiogenic approach intervenes in the neovascularization processes and blocks the formation of new blood vessels, while th e antivascular approach targets the established tumor blood vessels, making vascular shutdown and resulting in rapid haemorrhagic necrosis and tumor cell death. A number of compounds with diverse structural scaffolds have been designed to target tumor vasculature and they are called vascular disrupting agents (VDAs). The biological or ligand-directed VDAs utilize antibodies, peptides or growth factors to deliver toxins or pro-coagulants or proapoptotic affectors to tumor-related blood vessels, while the small-molecule VDAs selectively target tumor blood vessels and have little effects on the normal endothelium. Among the small-molecule VDAs, the tubulin colchicine binding site inhibitors have been extensively studied and many of them have entered the clinical trials, including CA-4P, CA-1P, AVE8062, OXi4503, CKD-516, BNC105P, ABT-751, CYT- 997, ZD6126, NPI-2358, MN-029 and EPC2407. This review makes a summary of the small-molecule VDAs in clinical developments and highlights some potential VDA leads or candidates for the treatment of tumors.
Insights
Vascular disrupting agents (VDAs) offer novel cancer therapies by targeting tumor blood vessels. This review summarizes small-molecule VDAs in clinical development, highlighting promising candidates for tumor treatment.
Area of Science:
- Oncology
- Vascular Biology
- Medicinal Chemistry
Background:
- Tumor vasculature is a critical target for cancer therapy, with antiangiogenic and antivascular strategies.
- Vascular disrupting agents (VDAs) selectively target established tumor blood vessels, leading to tumor cell death.
- Small-molecule VDAs, particularly tubulin colchicine binding site inhibitors, show significant clinical potential.
Purpose of the Study:
- To review the clinical development of small-molecule vascular disrupting agents (VDAs).
- To highlight potential VDA leads and candidates for cancer treatment.
Main Methods:
- Literature review of small-molecule VDAs targeting tumor vasculature.
- Summary of compounds in clinical trials, including tubulin colchicine binding site inhibitors.
- Identification of potential VDA candidates based on efficacy and selectivity.
Main Results:
- Numerous small-molecule VDAs have been developed, with many entering clinical trials.
- Tubulin colchicine binding site inhibitors represent a well-studied class of VDAs.
- Several compounds like CA-4P, AVE8062, and OXi4503 are among those in clinical development.
Conclusions:
- Small-molecule VDAs are a promising therapeutic strategy for cancer.
- Continued research and development of VDAs could lead to new effective cancer treatments.
- Targeting tumor vasculature remains a key area for novel oncology drug discovery.
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