ペントスタチン 化学特性,用途語,生産方法
効能
抗悪性腫瘍薬, 増強薬
商品名
コホリン (KMバイオロジクス)
説明
Pentostatin, an adenosine deaminase inhibitor, is an orphan drug introduced for the
treatment of hairy cell leukemia. The agent is considered a significant advance over
alpha-interferon, the only other drug available for this indication. The majority of
patients treated with pentostatin have been reported to remain in remission for at least
four years. It is also under investigation for the treatment of other kinds of leukemia
and in transplant rejection.
化学的特性
White Solid
使用
Pentostatin is a potent antitumour antibiotic isolated from a Streptomyces species. Pentostatin is a potent inhibitor of adenine deaminase and has been used therapeutically as an antitumour agent.
適応症
Pentostatin (Nipent, deoxycoformycin) is a purine isolated
from fermentation cultures of the microbe
Streptomyces antibioticus. Its mechanism of action involves
inhibition of the enzyme adenosine deaminase,
which plays an important role in purine salvage pathways
and DNA synthesis.The resulting accumulation of
deoxyadenosine triphosphate (dATP) is highly toxic to
lymphocytes.
Pentostatin is effective in the therapy of hairy cell
leukemia, producing remissions in 80 to 90% of patients
and complete remissions in more than 50%. The major
toxic effects of the drug include myelosuppression, nausea,
and skin rashes.
一般的な説明
The drug is available in 10-mg vials for IV use. The drug isused to treat leukemias such as hairy cell leukemia, chroniclymphocytic leukemia, and lymphoblastic leukemia. Themechanism of action involves inhibition of the enzymeadenosine deaminase yielding increased cellular levels ofdeoxyadenosine and deoxyadenosine triphosphate (dATP).The increased levels of dATP are cytotoxic to lymphocytes.Pentostatin is a fermentation product of Streptomyces antibioticus.Resistance appears to involve decreased cellulartransport or increased expression of catabolic enzymes.Acid instability prevents oral administration, and the drug isonly administered by IV. The drug is distributed in totalbody water but does not enter the CNS. The majority of thedosage is excreted unchanged in the urine. Fatal pulmonary toxicity has occurred when pentostatin and fludarabine areused in combination. Toxicities include myelosuppression,immunosuppression, nausea, vomiting, headache, lethargy,and fatigue.
生物活性
Irreversible inhibitor of adenosine deaminase (K i = 2.5 pM). Anticancer agent.
作用機序
Pentostatin is the most potent inhibitor of adenosine deaminase, an important and ubiquitous cellular enzyme. Inhibition of this enzyme leads to the accumulation of dATP, which inhibits ribonucleotide reductase and thus DNA synthesis.
臨床応用
Pentostatin is a ring-expanded purine ribonucleoside that inhibits adenosine deaminase and is
used in the treatment of hairy cell leukemia. The elevated levels of deoxyadenosine triphosphate that result
from inhibition of this degradative enzyme inhibit the action of ribonucleotide reductase (the enzyme that
converts ribose diphosphate to deoxyribose diphosphate), thus halting DNA synthesis within the tumor cell.
安全性プロファイル
Poison by intravenous route. An experimental teratogen. Human mutation data reported. When heated to decomposition it emits toxic fumes of NOx.
ペントスタチン 上流と下流の製品情報
原材料
準備製品