SlideShare una empresa de Scribd logo
1 de 28
DRUGS FROM MARINE
SOURCES
PRINCE
1111038
Principles of drug
design
Why marine sources?
2
Competition for survival and
environmental pressure
Biodiversity
Defence
Attack
Signalling
Chemical Diversity
Potential new drugs
4
Marine natural Products
 Many natural products from these
organisms act as chemical weapons and
are highly potent inhibitors of
physiological processes in prey,
predator or competitor
 Several show pharmacological activities
and are effective against cancer, AIDS,
arthritis
 Highly potent
6
• α- and αA-conotoxins -competitively inhibited
Nicotinic acetylcholine receptors (nAChR)
•ψ-conotoxins noncompetitive
inhibition of this family of receptors.
•σ-conotoxins - antagonize the
related
5-HT3 serotonin receptor
•ω-conotoxins - calcium-channe
blockers
Harfner et al,2003
•κ-conotoxins - potassium-chan
blockers•μ-, as well as μO-conotoxins
sodium channel blockers
And many other conotoxins…
Conus magus (Cone snail)
8
Ziconotide
Prialt™, Azur Pharma
 Synthetic equivalent of naturally
occurring ω-conotoxin MVIIA
 It is considered medically necessary for
the management of severe chronic pain
in those individuals for whom intrathecal
(IT) therapy is warranted, and who are
intolerant of or refractory to other
treatment, such as systemic analgesics,
adjunctive therapies or IT morphine.
 It is administered by intrathecal infusion
10
Intrathecal infusion
11
Biology and chemistry of
Ziconotide
•Amino acid sequence of -MVIIA, illustrating the
characteristic disulphide linkage pattern between
the six cysteine residues. The three disulphide
bridges serve to stabilize the native conformation
of the toxin and cause the peptide to display 4
loops, some of which contain important structural
determinants of N-type calcium channel blocking
activity, eg, tyrosine-13
12
Three-dimensional structure of
the synthetic ω-conotoxin MVIIA polypeptide. The
cylinder
represents the amide backbone of ω-conotoxin VIIA
overlayed against an electrostatic potential surface.
13
Pharmacology
• 25-amino acid peptide
• Six cysteine residues linked by 3 disulfide
bonds
Pharmacodynamics :
N-type voltage-sensitive calcium
channels (NVSCCs) were subsequently
identified as
its target site. It potently inhibits the
conduction of nerve signals by specifically
blocking the NVSCC. In the complex with
NVSCC, it forms a compact folded structure
with a binding loop between Cys8 and Cys1514
15
16
 Direct blockade of N-type channel inhibits the
activity of a subset of neurons, including pain-
sensing primary nociceptors which are controlled
by the former
 50 times more effective than morphine
 N-Ca Channel
(Miljanich 2004)
17
Pharmacokinetics
 Bioavailability = 50%
 Rat model : ED50 = 49pM (Morphine ED50 =
2.1nM)
 Half life = 1.3 hour
 Excretion = <1% urine
 Tmax = 5.3 hour
 Oral,Mouse : LD50 = 300 mg/kg
 Oral, rabbit : LD50 = 3200 mg/kg
 Oral, rat : LD50 = 980 mg/kg
Yaksh et al,2012
18
Side effects
 Most frequent : Dizziness, nausea, confusional
state and nystagmus (>25%)
 Meningitis, when infused with an external
catheter
Cases of meningitis were not observed when an
internal catheter was surgically implanted.
 Side effects are to be weighed against high level
of pain management, its degree and length and
also lack of dependence and tolerance even after
long treatment when most other drugs do not
work.19
20 The Caribbean sea-squirt Ecteinascidia
ecteinascidins
Ecteinascidin-743 (ET-743 /
Trabectedine)
Yondelis™ by PharmaMar/Johnson &
Johnson/OrthoBiotech)
21
 A significant milestone in development of marine
derived drugs.
 First marine-derived anticancer drug to reach the
market – after 40 years of its discovery and 17
years after publication of its structure.
 Extracts of caribbean derived tunicate
Ecteinascidia turbinata• the yield for ET-743 from the tunicate is very low
(~10 parts per million)
Structure of Ecteinascidin
22 Rinehart and Wright et
al,1990
•Three fused
tetrahydro-
isoquinoline rings
•The connection of
the third
tetrahydroisoquinolin
e
ring to the base
structure by a
thioether bridge
completes a 10-
membered lactone -
a distinctive
structural
feature ofdetails
Cytotoxic Activity
23
 ecteinascidins were found to be cytotoxic
against L1210 leukaemia cells (IC50 value of
0.5 ng per ml)
 strong in vivo antitumour effects in various
mice models bearing P388 lymphoma, B16
melanoma, M5076 ovarian sarcoma, lewis
and lX-1 human lung carcinoma, and MX-1
human mammary carcinoma xenografts
Synthesis
24
 the first multistep synthesis of the
compound was completed in 1996
(0.75% yield) (Corey et al, JACS)
 Large scale semi synthesis developed
by PharmaMar that starts with
cynosafracin B which can be produced
by fermentation of Pseudomonas
fluorescens
Mechanism of Action :
25
A ring 
C ring 
Fig. Molecular-dynamics model
showing the alkylation of DNA by ET-
743 at N2 of guanine in the minor
groove. The A Ring and C Ring
represent the tetra hydroisoquinoline A
and C rings of ET-743
• Ascribed to covalent
modification of DNA by
guanine-specific alkylation at
the N2 position
• Selective for GC-rich
sequence and forms an
adduct with duplex DNA
which induces a bend in the
DNA helix directed towards
the major groove
Zewail-Foote et al,1999,2001,Takebayashi et al.2001
26
• Protrusion of ring C of ET-743 into minor
groove and interference with DNA
binding factors ET-743 also affects
transition-coupled nucleotide excision
repair and triggers cell death
 Actual mechanism is not yet known but
it is believed to involve the production
of superoxide near the DNA strand
resulting in DNA backbone cleavage
and cell apoptosis.
 There is also some speculation the
Success :
28
 Ewing’s sarcoma and soft-tissue sarcomas,
colorectal cancer, pretreated advanced breast
cancer, ovarian cancer, and other sarcomas
 ET-743 has remarkable antitumour activity
against solid tumours, in particular breast cancer
and renal carcinoma, and soft-tissue sarcomas
(particularly osteosarcomas, mesothelioma,
leiomyosarcoma and liposarcoma).
 Cells in the G1 phase of the cell cycle, and of
these softtissue
sarcoma cells in particular, are extremely
sensitive to ET743-induced cell killing
Mode of administration :
29
 Intravenous
 through a fine plastic tube that is inserted under
the skin and into a vein near the collarbone
(central line)
 into a fine tube that is inserted into a vein in the
crook of arm (PICC line).
 To help prevent some of the side effects of
trabectedin, you will be given an injection of a
steroid drug 30 minutes before the chemotherapy
Pharmacokinetic data
30
 Protien binding : 94 to 98%
 Metabolism : Hepatic (mostly CYP3A4-
mediated)
 Half-life : 180 hours (mean)
 Oral, Mouse : LD50 = 300 mg/kg;
 Oral, rabbit: LD50 = 3200 mg/kg
 Oral, rat:LD50 = 980 mg/kg
 Excretion : Mostly fecal
Possible side effects :
31
 Varies from person to person
 Risk of infection as it reduces white blood cell
count
 Bruising and bleeding – it reduces production of
platelates
 Anaemia
 Loss of appetite
 Tiredness…
Future of Drugs from marine
sources?
32
33
Thank You!

Más contenido relacionado

La actualidad más candente

various approaches in drug design and molecular docking.pptx
various approaches in drug design and molecular docking.pptxvarious approaches in drug design and molecular docking.pptx
various approaches in drug design and molecular docking.pptx
pranalpatilPranal
 

La actualidad más candente (20)

Marine natural products
Marine natural productsMarine natural products
Marine natural products
 
Marine by pooja
Marine by pooja Marine by pooja
Marine by pooja
 
Principles of toxicology
Principles of toxicologyPrinciples of toxicology
Principles of toxicology
 
various approaches in drug design and molecular docking.pptx
various approaches in drug design and molecular docking.pptxvarious approaches in drug design and molecular docking.pptx
various approaches in drug design and molecular docking.pptx
 
Rational drug design
Rational drug designRational drug design
Rational drug design
 
Bioprospecting and biopiracy hdt unit 4
Bioprospecting and biopiracy hdt unit 4Bioprospecting and biopiracy hdt unit 4
Bioprospecting and biopiracy hdt unit 4
 
Introduction to Pharmaceutical Biotechnology
Introduction to Pharmaceutical BiotechnologyIntroduction to Pharmaceutical Biotechnology
Introduction to Pharmaceutical Biotechnology
 
Tracer technique
Tracer techniqueTracer technique
Tracer technique
 
MARINE NATURAL PRODUCTS- Durgashree Diwakar
MARINE NATURAL PRODUCTS- Durgashree DiwakarMARINE NATURAL PRODUCTS- Durgashree Diwakar
MARINE NATURAL PRODUCTS- Durgashree Diwakar
 
CARCINOGENICITY
CARCINOGENICITYCARCINOGENICITY
CARCINOGENICITY
 
Ppt mutagenicity and carcinogenicity
Ppt mutagenicity and carcinogenicityPpt mutagenicity and carcinogenicity
Ppt mutagenicity and carcinogenicity
 
Enzyme Biotechnology
Enzyme BiotechnologyEnzyme Biotechnology
Enzyme Biotechnology
 
003 marine drugs anti cancer
003 marine drugs anti cancer003 marine drugs anti cancer
003 marine drugs anti cancer
 
Combinatorial chemistry
Combinatorial chemistryCombinatorial chemistry
Combinatorial chemistry
 
Microbiological Assay
Microbiological AssayMicrobiological Assay
Microbiological Assay
 
Recent advances in marine drugs
Recent advances in marine drugsRecent advances in marine drugs
Recent advances in marine drugs
 
Marine drugs
Marine drugsMarine drugs
Marine drugs
 
Marine Natural Products
Marine Natural ProductsMarine Natural Products
Marine Natural Products
 
Rutin
RutinRutin
Rutin
 
Synthesis, characterization and molecular docking of sulphacetamide
Synthesis, characterization and molecular docking of sulphacetamideSynthesis, characterization and molecular docking of sulphacetamide
Synthesis, characterization and molecular docking of sulphacetamide
 

Similar a Drugs from marine sources

Anticancer drug screening
Anticancer drug screeningAnticancer drug screening
Anticancer drug screening
shishirkawde
 

Similar a Drugs from marine sources (20)

marine anticancer drugs'.pptx
marine anticancer drugs'.pptxmarine anticancer drugs'.pptx
marine anticancer drugs'.pptx
 
Update in Breast Imaging Radiopharmaceuticals
Update in Breast Imaging RadiopharmaceuticalsUpdate in Breast Imaging Radiopharmaceuticals
Update in Breast Imaging Radiopharmaceuticals
 
Vascular graft infection do we need antimicrobial grafts
Vascular graft infection do we need antimicrobial graftsVascular graft infection do we need antimicrobial grafts
Vascular graft infection do we need antimicrobial grafts
 
Uro instruments- nanotechnology
Uro instruments- nanotechnologyUro instruments- nanotechnology
Uro instruments- nanotechnology
 
Preethi
PreethiPreethi
Preethi
 
Micronucleus Assay
Micronucleus AssayMicronucleus Assay
Micronucleus Assay
 
Mariano Barbacid-El cáncer como consecuencia del envejecimiento
Mariano Barbacid-El cáncer como consecuencia del envejecimientoMariano Barbacid-El cáncer como consecuencia del envejecimiento
Mariano Barbacid-El cáncer como consecuencia del envejecimiento
 
Nicb Research Overview
Nicb Research OverviewNicb Research Overview
Nicb Research Overview
 
Medical review of medolife’s escozine tm technology in pre clinical &amp; cli...
Medical review of medolife’s escozine tm technology in pre clinical &amp; cli...Medical review of medolife’s escozine tm technology in pre clinical &amp; cli...
Medical review of medolife’s escozine tm technology in pre clinical &amp; cli...
 
Scortotesticular radiation technique
Scortotesticular radiation techniqueScortotesticular radiation technique
Scortotesticular radiation technique
 
Brief review of renal failure with chemotherapeutic agents
Brief review of renal failure with chemotherapeutic agentsBrief review of renal failure with chemotherapeutic agents
Brief review of renal failure with chemotherapeutic agents
 
5cancer
5cancer5cancer
5cancer
 
Anticancer drug screening
Anticancer drug screeningAnticancer drug screening
Anticancer drug screening
 
Tetracycline and its modifications .pptx seminar 5
Tetracycline and its modifications .pptx seminar 5Tetracycline and its modifications .pptx seminar 5
Tetracycline and its modifications .pptx seminar 5
 
From syngenic to_humanised_models_mirjolet_oncodesign
From syngenic to_humanised_models_mirjolet_oncodesignFrom syngenic to_humanised_models_mirjolet_oncodesign
From syngenic to_humanised_models_mirjolet_oncodesign
 
TRIM 47 accelerates aerobic glycolysis and tumor progression through regulati...
TRIM 47 accelerates aerobic glycolysis and tumor progression through regulati...TRIM 47 accelerates aerobic glycolysis and tumor progression through regulati...
TRIM 47 accelerates aerobic glycolysis and tumor progression through regulati...
 
Antibiotics in endodontics
Antibiotics in endodonticsAntibiotics in endodontics
Antibiotics in endodontics
 
CETUXIMAB
CETUXIMABCETUXIMAB
CETUXIMAB
 
Canine Mast Cell Tumor
Canine Mast Cell TumorCanine Mast Cell Tumor
Canine Mast Cell Tumor
 
Nigella sativa bioactives against Non-Small Cell Lung Cancer & Breast Cancer
Nigella sativa bioactives against Non-Small Cell Lung Cancer & Breast CancerNigella sativa bioactives against Non-Small Cell Lung Cancer & Breast Cancer
Nigella sativa bioactives against Non-Small Cell Lung Cancer & Breast Cancer
 

Último

Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
ZurliaSoop
 

Último (20)

Sociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning ExhibitSociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning Exhibit
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
Interdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptxInterdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptx
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
 
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
 
Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
Google Gemini An AI Revolution in Education.pptx
Google Gemini An AI Revolution in Education.pptxGoogle Gemini An AI Revolution in Education.pptx
Google Gemini An AI Revolution in Education.pptx
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
 
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
 
Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - English
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan Fellows
 
Jamworks pilot and AI at Jisc (20/03/2024)
Jamworks pilot and AI at Jisc (20/03/2024)Jamworks pilot and AI at Jisc (20/03/2024)
Jamworks pilot and AI at Jisc (20/03/2024)
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
 
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
NO1 Top Black Magic Specialist In Lahore Black magic In Pakistan Kala Ilam Ex...
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.
 
Application orientated numerical on hev.ppt
Application orientated numerical on hev.pptApplication orientated numerical on hev.ppt
Application orientated numerical on hev.ppt
 

Drugs from marine sources

  • 3. Competition for survival and environmental pressure Biodiversity Defence Attack Signalling Chemical Diversity Potential new drugs 4
  • 4. Marine natural Products  Many natural products from these organisms act as chemical weapons and are highly potent inhibitors of physiological processes in prey, predator or competitor  Several show pharmacological activities and are effective against cancer, AIDS, arthritis  Highly potent 6
  • 5. • α- and αA-conotoxins -competitively inhibited Nicotinic acetylcholine receptors (nAChR) •ψ-conotoxins noncompetitive inhibition of this family of receptors. •σ-conotoxins - antagonize the related 5-HT3 serotonin receptor •ω-conotoxins - calcium-channe blockers Harfner et al,2003 •κ-conotoxins - potassium-chan blockers•μ-, as well as μO-conotoxins sodium channel blockers And many other conotoxins… Conus magus (Cone snail) 8
  • 6. Ziconotide Prialt™, Azur Pharma  Synthetic equivalent of naturally occurring ω-conotoxin MVIIA  It is considered medically necessary for the management of severe chronic pain in those individuals for whom intrathecal (IT) therapy is warranted, and who are intolerant of or refractory to other treatment, such as systemic analgesics, adjunctive therapies or IT morphine.  It is administered by intrathecal infusion 10
  • 8. Biology and chemistry of Ziconotide •Amino acid sequence of -MVIIA, illustrating the characteristic disulphide linkage pattern between the six cysteine residues. The three disulphide bridges serve to stabilize the native conformation of the toxin and cause the peptide to display 4 loops, some of which contain important structural determinants of N-type calcium channel blocking activity, eg, tyrosine-13 12
  • 9. Three-dimensional structure of the synthetic ω-conotoxin MVIIA polypeptide. The cylinder represents the amide backbone of ω-conotoxin VIIA overlayed against an electrostatic potential surface. 13
  • 10. Pharmacology • 25-amino acid peptide • Six cysteine residues linked by 3 disulfide bonds Pharmacodynamics : N-type voltage-sensitive calcium channels (NVSCCs) were subsequently identified as its target site. It potently inhibits the conduction of nerve signals by specifically blocking the NVSCC. In the complex with NVSCC, it forms a compact folded structure with a binding loop between Cys8 and Cys1514
  • 11. 15
  • 12. 16
  • 13.  Direct blockade of N-type channel inhibits the activity of a subset of neurons, including pain- sensing primary nociceptors which are controlled by the former  50 times more effective than morphine  N-Ca Channel (Miljanich 2004) 17
  • 14. Pharmacokinetics  Bioavailability = 50%  Rat model : ED50 = 49pM (Morphine ED50 = 2.1nM)  Half life = 1.3 hour  Excretion = <1% urine  Tmax = 5.3 hour  Oral,Mouse : LD50 = 300 mg/kg  Oral, rabbit : LD50 = 3200 mg/kg  Oral, rat : LD50 = 980 mg/kg Yaksh et al,2012 18
  • 15. Side effects  Most frequent : Dizziness, nausea, confusional state and nystagmus (>25%)  Meningitis, when infused with an external catheter Cases of meningitis were not observed when an internal catheter was surgically implanted.  Side effects are to be weighed against high level of pain management, its degree and length and also lack of dependence and tolerance even after long treatment when most other drugs do not work.19
  • 16. 20 The Caribbean sea-squirt Ecteinascidia ecteinascidins
  • 17. Ecteinascidin-743 (ET-743 / Trabectedine) Yondelis™ by PharmaMar/Johnson & Johnson/OrthoBiotech) 21  A significant milestone in development of marine derived drugs.  First marine-derived anticancer drug to reach the market – after 40 years of its discovery and 17 years after publication of its structure.  Extracts of caribbean derived tunicate Ecteinascidia turbinata• the yield for ET-743 from the tunicate is very low (~10 parts per million)
  • 18. Structure of Ecteinascidin 22 Rinehart and Wright et al,1990 •Three fused tetrahydro- isoquinoline rings •The connection of the third tetrahydroisoquinolin e ring to the base structure by a thioether bridge completes a 10- membered lactone - a distinctive structural feature ofdetails
  • 19. Cytotoxic Activity 23  ecteinascidins were found to be cytotoxic against L1210 leukaemia cells (IC50 value of 0.5 ng per ml)  strong in vivo antitumour effects in various mice models bearing P388 lymphoma, B16 melanoma, M5076 ovarian sarcoma, lewis and lX-1 human lung carcinoma, and MX-1 human mammary carcinoma xenografts
  • 20. Synthesis 24  the first multistep synthesis of the compound was completed in 1996 (0.75% yield) (Corey et al, JACS)  Large scale semi synthesis developed by PharmaMar that starts with cynosafracin B which can be produced by fermentation of Pseudomonas fluorescens
  • 21. Mechanism of Action : 25 A ring  C ring  Fig. Molecular-dynamics model showing the alkylation of DNA by ET- 743 at N2 of guanine in the minor groove. The A Ring and C Ring represent the tetra hydroisoquinoline A and C rings of ET-743 • Ascribed to covalent modification of DNA by guanine-specific alkylation at the N2 position • Selective for GC-rich sequence and forms an adduct with duplex DNA which induces a bend in the DNA helix directed towards the major groove Zewail-Foote et al,1999,2001,Takebayashi et al.2001
  • 22. 26 • Protrusion of ring C of ET-743 into minor groove and interference with DNA binding factors ET-743 also affects transition-coupled nucleotide excision repair and triggers cell death  Actual mechanism is not yet known but it is believed to involve the production of superoxide near the DNA strand resulting in DNA backbone cleavage and cell apoptosis.  There is also some speculation the
  • 23. Success : 28  Ewing’s sarcoma and soft-tissue sarcomas, colorectal cancer, pretreated advanced breast cancer, ovarian cancer, and other sarcomas  ET-743 has remarkable antitumour activity against solid tumours, in particular breast cancer and renal carcinoma, and soft-tissue sarcomas (particularly osteosarcomas, mesothelioma, leiomyosarcoma and liposarcoma).  Cells in the G1 phase of the cell cycle, and of these softtissue sarcoma cells in particular, are extremely sensitive to ET743-induced cell killing
  • 24. Mode of administration : 29  Intravenous  through a fine plastic tube that is inserted under the skin and into a vein near the collarbone (central line)  into a fine tube that is inserted into a vein in the crook of arm (PICC line).  To help prevent some of the side effects of trabectedin, you will be given an injection of a steroid drug 30 minutes before the chemotherapy
  • 25. Pharmacokinetic data 30  Protien binding : 94 to 98%  Metabolism : Hepatic (mostly CYP3A4- mediated)  Half-life : 180 hours (mean)  Oral, Mouse : LD50 = 300 mg/kg;  Oral, rabbit: LD50 = 3200 mg/kg  Oral, rat:LD50 = 980 mg/kg  Excretion : Mostly fecal
  • 26. Possible side effects : 31  Varies from person to person  Risk of infection as it reduces white blood cell count  Bruising and bleeding – it reduces production of platelates  Anaemia  Loss of appetite  Tiredness…
  • 27. Future of Drugs from marine sources? 32