Les poisons des topo-isomérases I
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Résumé
Les enzymes topo-isomérases I interviennent pour résoudre des contraintes topologiques de l’ADN. Les topo-isomérases I coupent transitoirement un seul des deux brins d’ADN et transfèrent l’autre brin au travers de la coupure transitoire, avant de relier. Les poisons de topo-isomérase I en clinique sont les dérivés de la camptothécine: irinotécan ou 7-éthyl-10-[4-(I-pipéridino)-I-pipéridino]carbonyloxy-camptothécine (Campto®), topotécan ou 9-(diméthylamino)méthyl-10-hydroxycampto-thécine (Hycamtin®). Les principales propriétés pharmacologiques et cliniques des dérivés de camptothécine sont revues.
Mots clés
Topo-isomérases Irinotécan Topotécan PharmacologieTopo-isomerase I inhibitors
Abstract
Topo-isomerase I is involved in resolving topological constraints in DNA. It transiently cleaves one of the two strands of DNA, passes the other through the transient break, and then ligates the break. The topo-isomerase I inhibitors used in clinical practice are camptothecin derivatives: irinotecan (7-ethyl-10-[4-(I-piperidino)-I-piperidino]carbonyloxy-camptothecine [Campto®]) and topotecan (9-(dimethylamino)methyl-10-hydroxycamptothecine [Hycamtin®]). We review the main pharmacological and clinical properties of the camptothecin derivatives.
Keywords
Topo-isomerase Irinotecan Topotecan PharmacologyPreview
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