Design, Synthesis, and Evaluation of Doxifluridine Derivatives as Nitroreductase-Responsive Anticancer Prodrugs

Xinmeng Zhang1, Taimin Dong1, Xu Li1

  • 1National Key Laboratory of Macromolecular Drug Development and Manufacturing, School of Pharmaceutical Sciences and Food Engineering, Liaocheng University, 1 Hunan Street, Liaocheng 252059, China.

PubMed

Insights

Novel doxifluridine derivatives targeting tumor hypoxia show promise as effective anticancer prodrugs with reduced side effects. Compound 2c demonstrates potent antitumor activity and selectivity, offering a new therapeutic avenue.

Area of Science:

  • Medicinal Chemistry
  • Oncology
  • Drug Discovery

Background:

  • Antimetabolite chemotherapy drugs, like 5-fluorouracil (5-FU), are vital for cancer treatment but cause severe side effects due to their impact on normal rapidly dividing cells.
  • Doxifluridine (5'-deoxy-5-fluorouridine [5'-DFUR]) is a prodrug of 5-FU, activated by thymidine phosphorylase (TP), but its efficacy is limited by TP's presence in both tumor and normal tissues.
  • Tumor tissues often exhibit hypoxic microenvironments with high levels of nitroreductase (NTR), presenting a potential target for selective drug activation.

Purpose of the Study:

  • To design and synthesize novel 5'-DFUR derivatives that are selectively activated in hypoxic tumor environments.
  • To evaluate the stability, drug release kinetics, in vitro cytotoxicity, and in vivo antitumor activity of these new derivatives.
  • To identify a promising candidate with enhanced tumor-targeting and reduced systemic toxicity compared to existing therapies.

Main Methods:

  • Synthesis of novel 5'-DFUR derivatives incorporating nitro-containing moieties.
  • In vitro assessment of compound stability in various conditions (pH, plasma) and nitroreductase-mediated release.
  • Evaluation of in vitro cytotoxicity against cancer cell lines (MCF-7, HT29).
  • In vivo studies to assess antitumor efficacy and toxicity in relevant models.

Main Results:

  • Compound 2c, featuring nitrofuran fragments, demonstrated stability and rapid reduction in the presence of NTR.
  • In vitro studies showed compound 2c possesses excellent selectivity for cancer cell lines.
  • In vivo experiments revealed compound 2c achieved antitumor effects comparable to 5'-DFUR with significantly reduced toxic side effects.

Conclusions:

  • The designed 5'-DFUR derivatives, activated by both TP and NTR in tumor microenvironments, offer a strategy for targeted cancer therapy.
  • Compound 2c represents a promising antitumor prodrug candidate due to its tumor-selective activation, potent efficacy, and favorable safety profile.
  • This approach holds potential for developing more effective and safer chemotherapeutic agents for cancer treatment.

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