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Recent developments in topoisomerase-targeted cancer chemotherapy
KirkE Hevener1, Tatsiana A Verstak1, Katie E Lutat1
1Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Abstract:
The DNA topoisomerase enzymes are essential to cell function and are found ubiquitously in all domains of life. The various topoisomerase enzymes perform a wide range of functions related to the maintenance of DNA topology during DNA replication, and transcription are the targets of a wide range of antimicrobial and cancer chemotherapeutic agents. Natural product-derived agents, such as the camptothecin, anthracycline, and podophyllotoxin drugs, have seen broad use in the treatment of many types of cancer. Selective targeting of the topoisomerase enzymes for cancer treatment continues to be a highly active area of basic and clinical research. The focus of this review will be to summarize the current state of the art with respect to clinically used topoisomerase inhibitors for targeted cancer treatment and to discuss the pharmacology and chemistry of promising new topoisomerase inhibitors in clinical and pre-clinical development.
Insights
DNA topoisomerase enzymes are crucial for cell function and are targeted by cancer drugs. This review covers current and developing topoisomerase inhibitors for cancer treatment.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- DNA topoisomerases are vital enzymes regulating DNA topology during replication and transcription.
- These enzymes are key targets for antimicrobial and anticancer chemotherapeutic agents.
- Natural products like camptothecin and anthracyclines are established cancer treatments.
Purpose of the Study:
- To review clinically used topoisomerase inhibitors for cancer therapy.
- To discuss the pharmacology and chemistry of novel topoisomerase inhibitors in development.
Main Methods:
- Literature review of existing and emerging topoisomerase inhibitors.
- Analysis of clinical and preclinical data on drug efficacy and mechanisms.
Main Results:
- Overview of established topoisomerase inhibitors in cancer treatment.
- Identification of promising new agents in clinical and preclinical stages.
Conclusions:
- Targeting DNA topoisomerases remains a critical strategy in cancer therapy.
- Ongoing research focuses on developing more selective and effective inhibitors.
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