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Precision Deuteration in Search of Anticancer Agents: Approaches to Cancer Drug Discovery
Aman Mourya1, Navnit Prajapati1
1Faculty of Pharmacy, The Maharaja Sayajirao University of Baroda, Vadodara, India.
Abstract:
Cancer chemotherapy has been shifted from conventional cytotoxic drug therapy to selective and target-specific therapy after the findings about DNA changes and proteins that are responsible for cancer. A large number of newer drugs were discovered as targeted therapy for particular types of neoplastic disease. The initial discovery includes the development of the first in the category, imatinib, a Bcr-Abl tyrosine kinase inhibitor (TKI) for the treatment of chronic myelocytic leukemia in 2001. But the joy did not last for long as the drug developed a point mutation within the ABL1 kinase domain of BCR-ABL1, which subsequently led to the discovery of many other TKIs. Resistance was observed for newer TKIs a few years after their launching, but the use of TKIs in life-threatening cancer therapy is considered as far better compared with the risks of disease because of its target specificity and hence less toxicity. In search of a better anticancer agent, the physiochemical properties of the lead molecule have been modified for its efficacy toward disease and delay in the development of resistance. Deuteration in the drug molecule is one of such modifications that alter the pharmacokinetic properties, generally its metabolism, as compared with its pharmacodynamic effects. Precision deuteration in many anticancer drugs has been carried out to search for better drugs for cancer. In this review, the majority of anticancer drugs and molecules for which deuteration was applied to get better anticancer molecules were discussed. This review will provide a complete guide about the benefits of deuteration in cancer chemotherapy.
Insights
Deuteration modifies anticancer drugs to improve efficacy and delay resistance. This review explores deuteration
Area of Science:
- Oncology
- Pharmacology
- Medicinal Chemistry
Background:
- Cancer chemotherapy has evolved from cytotoxic drugs to targeted therapies, driven by understanding cancer's molecular basis.
- Targeted therapies, like tyrosine kinase inhibitors (TKIs), offer improved specificity and reduced toxicity compared to conventional chemotherapy.
- Drug resistance, particularly point mutations in targets like BCR-ABL1, remains a significant challenge in targeted cancer therapy.
Purpose of the Study:
- To review the application of deuteration as a strategy to enhance anticancer drug properties.
- To explore how deuteration impacts drug efficacy, pharmacokinetics, and resistance development.
- To provide a comprehensive guide on the benefits of deuteration in cancer chemotherapy.
Main Methods:
- Literature review of anticancer drugs and molecules modified by deuteration.
- Analysis of studies investigating the effects of deuteration on drug metabolism and pharmacokinetics.
- Evaluation of research on deuterated drugs concerning their efficacy and resistance profiles.
Main Results:
- Deuteration can alter drug metabolism, potentially improving pharmacokinetic profiles.
- Precision deuteration has been applied to various anticancer agents to enhance their therapeutic potential.
- Modified physiochemical properties through deuteration aim to increase efficacy and overcome drug resistance.
Conclusions:
- Deuteration represents a promising approach for developing next-generation anticancer agents with improved properties.
- Targeted modification of drug molecules, such as through deuteration, is crucial for overcoming resistance and enhancing treatment outcomes.
- Further research into deuteration strategies holds significant potential for advancing cancer chemotherapy.
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