The anticancer prodrug CPT-11 is a potent inhibitor of acetylcholinesterase but is rapidly catalyzed to SN-38 by butyrylcholinesterase

Patients treated with high doses of CPT-11 rapidly develop a cholinergic syndrome that can be alleviated by atropine. Although CPT-11 was not a substrate for acetylcholinesterase (AcChE), in vitro assays confirmed that CPT-11 inhibited both human and electric eel AcChE with apparent K(i)s of 415 and...

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 1999-04, Vol.59 (7), p.1458-1463
Hauptverfasser: MORTON, C. L, WADKINS, R. M, DANKS, M. K, POTTER, P. M
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container_title Cancer research (Chicago, Ill.)
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creator MORTON, C. L
WADKINS, R. M
DANKS, M. K
POTTER, P. M
description Patients treated with high doses of CPT-11 rapidly develop a cholinergic syndrome that can be alleviated by atropine. Although CPT-11 was not a substrate for acetylcholinesterase (AcChE), in vitro assays confirmed that CPT-11 inhibited both human and electric eel AcChE with apparent K(i)s of 415 and 194 nM, respectively. In contrast, human or equine butyryl-cholinesterase (BuChE) converted CPT-11 to SN-38 with K(m)s of 42.4 and 44.2 microM for the human and horse BuChE, respectively. Modeling of CPT-11 within the predicted active site of AcChE and BuChE corroborated experimental results indicating that, although the drug was oriented correctly for activation, the constraints dictated by the active site gorge were such that CPT-11 would be unlikely to be activated by AcChE.
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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The anticancer prodrug CPT-11 is a potent inhibitor of acetylcholinesterase but is rapidly catalyzed to SN-38 by butyrylcholinesterase</atitle><jtitle>Cancer research (Chicago, Ill.)</jtitle><addtitle>Cancer Res</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>59</volume><issue>7</issue><spage>1458</spage><epage>1463</epage><pages>1458-1463</pages><issn>0008-5472</issn><eissn>1538-7445</eissn><coden>CNREA8</coden><abstract>Patients treated with high doses of CPT-11 rapidly develop a cholinergic syndrome that can be alleviated by atropine. Although CPT-11 was not a substrate for acetylcholinesterase (AcChE), in vitro assays confirmed that CPT-11 inhibited both human and electric eel AcChE with apparent K(i)s of 415 and 194 nM, respectively. In contrast, human or equine butyryl-cholinesterase (BuChE) converted CPT-11 to SN-38 with K(m)s of 42.4 and 44.2 microM for the human and horse BuChE, respectively. Modeling of CPT-11 within the predicted active site of AcChE and BuChE corroborated experimental results indicating that, although the drug was oriented correctly for activation, the constraints dictated by the active site gorge were such that CPT-11 would be unlikely to be activated by AcChE.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>10197614</pmid><tpages>6</tpages></addata></record>
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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals
subjects Animals
Antineoplastic agents
Antineoplastic Agents, Phytogenic - pharmacology
Binding Sites
Biological and medical sciences
Butyrylcholinesterase - metabolism
Camptothecin - analogs & derivatives
Camptothecin - metabolism
Camptothecin - pharmacology
Chemotherapy
Cholinesterase Inhibitors - pharmacology
COS Cells
Eels
Humans
Medical sciences
Mice
Models, Molecular
Pharmacology. Drug treatments
Prodrugs - pharmacology
title The anticancer prodrug CPT-11 is a potent inhibitor of acetylcholinesterase but is rapidly catalyzed to SN-38 by butyrylcholinesterase
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