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Review

Ribonucleotide reductase: target therapy for human disease

Pages 659-673 | Published online: 14 Jun 2005

Bibliography

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  • • Reviewed the importance of the enzyme to catalyse the rate-limiting step in converting ribonucleotide diphosphates to deoxynudeotide diphosphates.
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  • • Identified the three main groups ( classes) of the enzyme.
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  • • Confirmed that the stability of the radical relies within the protein rather than being associated with the aromatic ring of the tyrosine residue.
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  • • Showed that inhibtion of the RR enzyme inhibits cell proliferation.
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  • • Showed compounds like hydroxyurea inhibit the action of the RR enzyme.
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  • • Showed compounds like hydroxyurea inhibit the action of the RR enzyme.
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  • • Use of hydroxyurea for the treatment of chronic myelogeneous leukaemia.
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  • • Use of hydroxyurea for the treatment of chronic myelogeneous leukaemia.
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  • • Use of hydroxyurea for the treatment of polycythemia vera.
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  • • Inhibitors of the RR enzyme present in red wine, such as resveratrol, prevent heart disease.
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  • • Showed that the carbonyl group within the hydroxamate moiety was the responsible unit to inhibit the RR enzyme.
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  • • Showed generation of hydroxyl-substituted benzohydroxamic acids were more effective inhibitors of the RR enzyme when compared to hydroxyurea.
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  • • Demonstrated vicinyl polyhydroxyphenyl compounds possessed anticancer activity.
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  • • Showed replenishing cells in vitro with fresh media restored cells to resume normal cell proliferation.
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  • • Showed vicinyl polyhydroxyphenyl compounds inhibit RR enzyme activity.
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  • • Demonstrated the radiosensitisation effect of the vicinyl polyhydroxyphenyl compound didox, in p53 deficient/Bd-2 mediated resistant tumours of the prostate.
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  • • Demonstrated that hydroxyurea reduced endogeneous dNTP levels within cells.
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  • • Showed interest in the clinical use of hydroxyurea for the treatment of HIV-infection.
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  • • Demonstrated that hydroxyurea depleted dNTP pools, espcially levels of dATP.
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  • PALMER S, SHAFER RW, MERIGAN TC: Hydroxyurea enhances the activities of didanosine, 9-42-(phosphonylmethoxy)ethyll adenine, and 9- [2-(phosphonylmethoxy)propyl] adenine against drug-susceptible and drug-resistant human immunodeficiency virus isolates. Antimicrob. Agents Chemother. (1999) 43:2046–2050.
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  • • Comparison of effects observed clinically with hydroxyurea and didanosine.
  • RUTSCHMANN OT, OPRAVIL M, ITEN A et al.: Long-term hydroxyurea in combination with didanosine and stuvadine for the treatment of HIV-1 infection. Swiss Cohort Study. AIDS (2000) 14:2145–2151.
  • • Comparison of effects observed clinically with hydroxyurea/didanosine/stavudine.
  • LORI F: Hydroxyurea and HIV: 5 years later - from antiviral to immune-modulating effects. AIDS (1999) 13:1433–1442.
  • • Comparison of effects observed clinically with hydroxyurea/didanosine/indinavir.
  • MASERATI R: Hydroxyurea in the treatment of HIV-1 infection. J. Biol. Regul. Homest. Agents (1999) 13:181–185.
  • • Indicated that use of hydroxyurea for HD/ infection may be limited by its ability to induce myleosuppression.
  • VILLANI P, MASERATI R, REGAZZI MB et al.: Pharmacokinetics of hydroxyurea in patients infected with human immunodeficiency virus Type I. J. Clin. PharmacoL (1996) 36:117–121.
  • LORI F, KELLY LM, FOLI A et ell.: Safety of hydroxyurea in the treatment of HIV infection. Expert Opin. Drug Saf (2004) 3:279–288.
  • • Review of the clinical experience on the efficacy of hydroxyurea in the treatment of HIV infection.
  • LORI F, POLLARD R, SHALIT P et al.: A low hydroxyurea (600 mg daily) is found optimal in a randomized, controlled trial (RIGHT 702) AIDS research and human retroviruses. in press.
  • MURPHY R, KATLAMA C, AUTRAN B et al.: The effects of hydroxyurea or placebo combined with efavirenz, didanosine and stavudine in treatment naive and experienced patients: preliminary 24-week results from the 3D study. XIII International AIDS Conference, Durban, South Africa, WeOrB603 (2000).
  • USSERY MA, KUNDER SC, GOLDERG G et al.: In vitro antiretroviral activity of ribonucleotide reductase inhibitors hydroxyurea, didox and trimidox in the HIV-infected HuPBMC SCID model and the Rauscher murine leukemia virus (RmuLV) model: mono-and combination therapy. In: Program. Abstract of the International Conference on AntimitocrobialAgents Chemotherapy. (1996) Abstract no. 112.
  • • Demonstrated hydroxyl-susbstituted benzohydroxamic inhibitors are just as effective compared to hydroxyurea in the SCID-Hu and Rauscher viral leulmemic animal models, either as monotherapy or in combination therapy.
  • MAYHEW CN, PHILLIPS JD, GREENBERG RN et al.: Effective use of ribonucleotide reductase inhibitors (didox and trimidox) alone or in combination with didanosine (ddI) to suppress disease progression and increase survival in murine acquired immunodeficiency syndrome (MAIDS). Cell. Mol Biol. (1999) 43:1019–1029.
  • MAYHEW CN, MAMPURU LJ, CHENDIL D et al.: Suppression of retrovirus-induced immunodeficiency disease (murine AIDS) by trimidox and didox; novel ribonucleotide reductase inhibitors with less bone marrow toxicity than hydroxyurea. Anti vir. Res. (2002) 56:167–181.
  • MAYHEW CN, PHILLIPS JD, GREENBERG RN et al.: In vivo and in vitro comparison of the short-term hematopoietic toxicity - hydroxyurea and trimidox or didox, novel ribonucleotide reductase inhibitors with potential HIV-1 activity. Stem Cells (1999) 17:1019–1029.
  • SUMPTER LR, INAYAT MS, YOST EE et al.: In vivo examination of hydroxyurea and the novel ribonucleotide reductase inhibitors abacavir: suppression of retrovirus-induced immunodeficiency disease. Anti vir. Res. (2004) 62:111–120.
  • MAYHEW CN, SUMPTER LN, INAYAT MS et al.: Combination of inhibitors of lymphocyte activation (hydroxyurea, trimidox, and didox) and reverse transcriptase (didanosine) suppresses development of murine retrovirus-induced lymphoproliferative disease. Anti vir. Res. (2005) 65:13–22.
  • MAYHEW CN, PHILLIPS JD, CIBULL ML et al.: Short-term treatment with novel ribonucleotide reductase inhibitors Trimidox and Didox reverse late-stage murine retrovirus-induced lymphoproliferative disease with less bone marrow toxicity than hydroxyurea. Antivir. Chem. Chemother. (2002) 13:305–314.
  • • Demonstrated hydroxyl-substituted benzohydroxamic acid inhibitors could reverse viral-induced altered pathologies when administered as late as 9 weeks post-viral infection in the MAIDS model of immunodeficiency disease.

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