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1.
Biochemistry ; 51(45): 9094-103, 2012 Nov 13.
Article in English | MEDLINE | ID: mdl-23050701

ABSTRACT

Pseudomonas aeruginosa possesses an unusual pathway for 5'-methylthioadenosine (MTA) metabolism involving deamination to 5'-methylthioinosine (MTI) followed by N-ribosyl phosphorolysis to hypoxanthine and 5-methylthio-α-d-ribose 1-phosphate. The specific MTI phosphorylase of P. aeruginosa has been reported [Guan, R., Ho, M. C., Almo, S. C., and Schramm, V. L. (2011) Biochemistry 50, 1247-1254], and here we characterize MTA deaminase from P. aeruginosa (PaMTADA). Genomic analysis indicated the PA3170 locus to be a candidate for MTA deaminase (MTADA). Protein encoded by PA3170 was expressed and shown to deaminate MTA with 40-fold greater catalytic efficiency for MTA than for adenosine. The k(cat)/K(m) value of 1.6 × 10(7) M(-1) s(-1) for MTA is the highest catalytic efficiency known for an MTA deaminase. 5'-Methylthiocoformycin (MTCF) is a 4.8 pM transition state analogue for PaMTADA but causes no significant inhibition of human adenosine deaminase or MTA phosphorylase. MTCF is permeable to P. aeruginosa and exhibits an IC(50) of 3 nM on cellular PaMTADA activity. PaMTADA is the only activity in P. aeruginosa extracts to act on MTA. MTA and 5-methylthio-α-d-ribose are involved in quorum sensing pathways; thus, PaMTADA is a potential target for quorum sensing. The crystal structure of PaMTADA in complex with MTCF shows the transition state mimic 8(R)-hydroxyl group in contact with a catalytic site Zn(2+), the 5'-methylthio group in a hydrophobic pocket, and the transition state mimic of the diazepine ring in contact with a catalytic site Glu.


Subject(s)
Deoxyadenosines/metabolism , Nucleoside Deaminases/metabolism , Pseudomonas aeruginosa/enzymology , Quorum Sensing , Thionucleosides/metabolism , Adenosine Deaminase/metabolism , Amino Acid Sequence , Coformycin/analogs & derivatives , Coformycin/pharmacology , Crystallography, X-Ray , Humans , Ligases , Methylthioinosine/metabolism , Models, Molecular , Molecular Sequence Data , Nucleoside Deaminases/antagonists & inhibitors , Sequence Alignment , Substrate Specificity
2.
Biochemistry ; 48(40): 9618-26, 2009 Oct 13.
Article in English | MEDLINE | ID: mdl-19728741

ABSTRACT

Plasmodium falciparum is a purine auxotroph requiring hypoxanthine as a key metabolic precursor. Erythrocyte adenine nucleotides are the source of the purine precursors, making adenosine deaminase (ADA) a key enzyme in the pathway of hypoxanthine formation. Methylthioadenosine (MTA) is a substrate for most malarial ADAs, but not for human ADA. The catalytic site specificity of malarial ADAs permits methylthiocoformycin (MT-coformycin) to act as a Plasmodium-specific transition state analogue with low affinity for human ADA [Tyler, P. C., Taylor, E. A., Frohlich, R. G. G., and Schramm, V. L. (2007) J. Am. Chem. Soc. 129, 6872-6879]. The structural basis for MTA and MT-coformycin specificity in malarial ADAs is the subject of speculation [Larson, E. T., et al. (2008) J. Mol. Biol. 381, 975-988]. Here, the crystal structure of ADA from Plasmodium vivax (PvADA) in a complex with MT-coformycin reveals an unprecedented binding geometry for 5'-methylthioribosyl groups in the malarial ADAs. Compared to malarial ADA complexes with adenosine or deoxycoformycin, 5'-methylthioribosyl groups are rotated 130 degrees . A hydrogen bonding network between Asp172 and the 3'-hydroxyl of MT-coformycin is essential for recognition of the 5'-methylthioribosyl group. Water occupies the 5'-hydroxyl binding site when MT-coformycin is bound. Mutagenesis of Asp172 destroys the substrate specificity for MTA and MT-coformycin. Kinetic, mutagenic, and structural analyses of PvADA and kinetic analysis of five other Plasmodium ADAs establish the unique structural basis for its specificity for MTA and MT-coformycin. Plasmodium gallinaceum ADA does not use MTA as a substrate, is not inhibited by MT-coformycin, and is missing Asp172. Treatment of P. falciparum cultures with coformycin or MT-coformycin in the presence of MTA is effective in inhibiting parasite growth.


Subject(s)
Adenosine Deaminase/metabolism , Coformycin/analogs & derivatives , Coformycin/chemistry , Coformycin/metabolism , Malaria, Falciparum/enzymology , Plasmodium falciparum/enzymology , Adenosine Deaminase/chemistry , Animals , Antimalarials/chemistry , Antimalarials/metabolism , Antimalarials/pharmacology , Coformycin/pharmacology , Humans , Malaria, Falciparum/metabolism , Malaria, Falciparum/prevention & control , Plasmodium falciparum/drug effects , Plasmodium falciparum/growth & development , Structure-Activity Relationship , Substrate Specificity
3.
J Am Chem Soc ; 129(21): 6872-9, 2007 May 30.
Article in English | MEDLINE | ID: mdl-17488013

ABSTRACT

Transition state theory suggests that enzymatic rate acceleration (kcat/knon) is related to the stabilization of the transition state for a given reaction. Chemically stable analogues of a transition state complex are predicted to convert catalytic energy into binding energy. Because transition state stabilization is a function of catalytic efficiency, differences in substrate specificity can be exploited in the design of tight-binding transition state analogue inhibitors. Coformycin and 2'-deoxycoformycin are natural product transition state analogue inhibitors of adenosine deaminases (ADAs). These compounds mimic the tetrahedral geometry of the ADA transition state and bind with picomolar dissociation constants to enzymes from bovine, human, and protozoan sources. The purine salvage pathway in malaria parasites is unique in that Plasmodium falciparum ADA (PfADA) catalyzes the deamination of both adenosine and 5'-methylthioadenosine. In contrast, neither human adenosine deaminase (HsADA) nor the bovine enzyme (BtADA) can deaminate 5'-methylthioadenosine. 5'-Methylthiocoformycin and 5'-methylthio-2'-deoxycoformycin were synthesized to be specific transition state mimics of the P. falciparum enzyme. These analogues inhibited PfADA with dissociation constants of 430 and 790 pM, respectively. Remarkably, they gave no detectable inhibition of the human and bovine enzymes. Adenosine deamination is involved in the essential pathway of purine salvage in P. falciparum, and prior studies have shown that inhibition of purine salvage results in parasite death. Inhibitors of HsADA are known to be toxic to humans, and the availability of parasite-specific ADA inhibitors may prevent this side-effect. The potent and P. falciparum-specific inhibitors described here have potential for development as antimalarials without inhibition of host ADA.


Subject(s)
Adenosine Deaminase Inhibitors , Coformycin/analogs & derivatives , Enzyme Inhibitors/chemical synthesis , Amino Acid Sequence , Animals , Cattle , Coformycin/chemical synthesis , Coformycin/pharmacology , Deoxyadenosines/metabolism , Humans , Molecular Sequence Data , Plasmodium falciparum/enzymology , Sequence Alignment , Substrate Specificity , Thionucleosides/metabolism
4.
J Med Chem ; 43(8): 1508-18, 2000 Apr 20.
Article in English | MEDLINE | ID: mdl-10780907

ABSTRACT

N3-Substituted coformycin aglycon analogues with improved AMP deaminase (AMPDA) inhibitory potency are described. Replacement of the 5-carboxypentyl substituent in the lead AMPDA inhibitor 3-(5-carboxypentyl)-3,6,7,8-tetrahydroimidazo[4,5-d][1, 3]diazepin-8-ol (2) described in the previous article with various carboxyarylalkyl groups resulted in compounds with 10-100-fold improved AMPDA inhibitory potencies. The optimal N3 substituent had m-carboxyphenyl with a two-carbon alkyl tether. For example, 3-[2-(3-carboxy-5-ethylphenyl)ethyl]-3,6,7,8-tetrahydroimidazo[4, 5-d][1,3]diazepin-8-ol (43g) inhibited human AMPDA with a K(i) = 0. 06 microM. The compounds within the series also exhibited >1000-fold specificity for AMPDA relative to adenosine deaminase.


Subject(s)
AMP Deaminase/antagonists & inhibitors , Azepines/chemical synthesis , Coformycin/analogs & derivatives , Coformycin/chemical synthesis , Enzyme Inhibitors/chemical synthesis , Imidazoles/chemical synthesis , AMP Deaminase/chemistry , Azepines/chemistry , Coformycin/chemistry , Enzyme Inhibitors/chemistry , Imidazoles/chemistry , Structure-Activity Relationship
5.
J Med Chem ; 43(8): 1495-507, 2000 Apr 20.
Article in English | MEDLINE | ID: mdl-10780906

ABSTRACT

A series of N3-substituted coformycin aglycon analogues are described that inhibit adenosine 5'-monophosphate deaminase (AMPDA) or adenosine deaminase (ADA). The key steps involved in the preparation of these compounds are (1) treating the sodium salt of 6, 7-dihydroimidazo[4,5-d][1,3]diazepin-8(3H)-one (4) with an alkyl bromide or an alkyl mesylate to generate the N3-alkylated compound 5 and (2) reducing 5 with NaBH(4). Selective inhibition of AMPDA was realized when the N3-substituent contained a carboxylic acid moiety. For example, compound 7b which has a hexanoic acid side chain inhibited AMPDA with a K(i) = 4.2 microM and ADA with a K(i) = 280 microM. Substitution of large lipophilic groups alpha to the carboxylate provided a moderate potency increase with maintained selectivity as exemplified by the alpha-benzyl analogue 7j (AMPDA K(i) = 0.41 microM and ADA K(i) > 1000 microM). These compounds, as well as others described in this series of papers, are the first compounds suitable for testing whether selective inhibition of AMPDA can protect tissue from ischemic damage by increasing local adenosine concentrations at the site of injury and/or by minimizing adenylate loss.


Subject(s)
AMP Deaminase/antagonists & inhibitors , Coformycin/analogs & derivatives , Coformycin/chemical synthesis , Enzyme Inhibitors/chemical synthesis , AMP Deaminase/chemistry , Animals , Cattle , Cell Membrane/metabolism , Cells, Cultured , Coformycin/chemistry , Coformycin/metabolism , Endothelium/cytology , Endothelium/metabolism , Enzyme Inhibitors/chemistry , Enzyme Inhibitors/metabolism , Erythrocytes/metabolism , Ischemia/prevention & control , Liver/cytology , Magnetic Resonance Spectroscopy , Rabbits , Rats , Structure-Activity Relationship
6.
J Med Chem ; 43(8): 1519-24, 2000 Apr 20.
Article in English | MEDLINE | ID: mdl-10780908

ABSTRACT

AMP deaminase (AMPDA) inhibitors increase the levels of extracellular adenosine and preserve intracellular adenylate pools in cellular models of ATP depletion and therefore represent a potential new class of antiischemic drugs. Recently we reported that replacement of the ribose 5'-monophosphate component of the very potent transition-state analogue AMPDA inhibitor coformycin monophosphate (1) with a simple alkylcarboxy group resulted in potent, selective, and cell-penetrating AMPDA inhibitors. Here we report that replacement of this alkylcarboxy group with an alpha-substituted alkylmalonic acid resulted in enhanced inhibitor potency. The lead compound, 3-(5, 5-dicarboxy-6-(3-(trifluoromethyl)phenyl)-n-hexyl)coformycin aglycon (21), exhibited an AMPDA K(i) of 0.029 microM which is (3 x 10(5))-fold lower than the K(M) for the natural substrate AMP. A comparison of inhibitory potencies shows that the diacid analogues with alpha-benzyl substituents are 2-10-fold more inhibitory than similar monoacid-monoester, monoester-monoamide, or diester derivatives. Finally, these diacid analogues are 2-40-fold more potent inhibitors than the corresponding monocarboxylates.


Subject(s)
AMP Deaminase/antagonists & inhibitors , Coformycin/analogs & derivatives , Coformycin/chemical synthesis , Enzyme Inhibitors/chemical synthesis , Malonates/chemical synthesis , Ribose/chemistry , AMP Deaminase/chemistry , Binding Sites , Coformycin/chemistry , Enzyme Inhibitors/chemistry , Malonates/chemistry , Molecular Mimicry , Organophosphates/chemistry , Structure-Activity Relationship
7.
Bioorg Med Chem Lett ; 9(14): 1985-90, 1999 Jul 19.
Article in English | MEDLINE | ID: mdl-10450967

ABSTRACT

Carbocylic coformycin (4) is a potent herbicide whose primary mode of action involves inhibition of adenosine 5'-monophosphate deaminase (AMPDA) following phosphorylation of the 5'-hydroxyl group in vivo. The search for more stable and accessible structures led to the synthesis of carbocyclic nebularine (8) and deaminoformycin (10). The latter compound is a good herbicide and its corresponding 5'-monophosphate 14 is a strong inhibitor of plant AMPDA (IC50 100 nM).


Subject(s)
AMP Deaminase/antagonists & inhibitors , Enzyme Inhibitors/chemistry , Enzyme Inhibitors/pharmacology , Formycins/chemistry , Formycins/pharmacology , Herbicides/chemistry , Adenosine/analogs & derivatives , Adenosine/chemistry , Adenosine Triphosphate/metabolism , Coformycin/analogs & derivatives , Coformycin/chemistry , Drug Design , Drug Evaluation, Preclinical , Enzyme Inhibitors/chemical synthesis , Herbicides/pharmacology , Inhibitory Concentration 50 , Phosphorylation , Purine Nucleosides/chemistry , Purine Nucleosides/metabolism , Ribonucleosides/chemistry , Ribonucleosides/metabolism , Structure-Activity Relationship
8.
Nucleosides Nucleotides ; 18(11-12): 2521-32, 1999.
Article in English | MEDLINE | ID: mdl-10639753

ABSTRACT

The L-stereoisomer analogues of D-coformycin selectively inhibited P. falciparum adenosine deaminase (ADA) in the picomolar range (L-isocoformycin, Ki 7 pM; L-coformycin, Ki 250 pM). While the L-nucleoside analogues, L-adenosine, 2,6-diamino-9-(L-ribofuranosyl)purine and 4-amino-1-(L-ribofuranosyl)pyrazolo[3,4-d]-pyrimidine were selectively deaminated by P. falciparum ADA, L-thioinosine and L-thioguanosine were not. This is the first example of 'non-physiological' L-nucleosides that serve as either substrates or inhibitors of malarial ADA and are not utilised by mammalian ADA.


Subject(s)
Adenosine Deaminase Inhibitors , Antimalarials/pharmacology , Antimetabolites/pharmacology , Coformycin/analogs & derivatives , Enzyme Inhibitors/pharmacology , Nucleosides/pharmacology , Plasmodium falciparum/enzymology , Protozoan Proteins/antagonists & inhibitors , Animals , Antimalarials/chemical synthesis , Antimalarials/chemistry , Antimetabolites/chemical synthesis , Antimetabolites/chemistry , Cattle , Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/chemistry , Erythrocytes/enzymology , Erythrocytes/parasitology , Humans , Molecular Structure , Nucleosides/chemical synthesis , Nucleosides/chemistry , Plasmodium falciparum/drug effects , Stereoisomerism , Substrate Specificity
9.
Adv Exp Med Biol ; 431: 849-52, 1998.
Article in English | MEDLINE | ID: mdl-9598183

ABSTRACT

Structure-activity studies have been performed to optimize the potency of this novel series of AMPDA inhibitors. Conformational rigidification of the N-3 sidechain resulted in substantial effect on the potency. Addition of the hydrophobic groups provided further benefit. The most potent compound identified, 4g (Ki = 3 nM), bears little structural resemblance to AMP and exhibits a remarkable improvement (10(3) and 10(5)) in binding affinity relative to the original lead and AMP, respectively. The application of prodrug strategy achieved a large improvement (benzyl ester 5d) in oral bioavailability, resulting in compounds that should be useful in evaluating the role of AMPDA in normo- and pathophysiological states.


Subject(s)
AMP Deaminase/antagonists & inhibitors , Adenine/analogs & derivatives , Adenine/chemistry , Coformycin/analogs & derivatives , Coformycin/chemistry , Enzyme Inhibitors/chemistry , Adenine/chemical synthesis , Adenine/pharmacokinetics , Adenosine Monophosphate/chemistry , Administration, Oral , Biological Availability , Coformycin/chemical synthesis , Coformycin/pharmacokinetics , Drug Design , Entropy , Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/pharmacokinetics , Humans , Models, Molecular , Molecular Conformation , Molecular Structure , Structure-Activity Relationship
10.
Adv Exp Med Biol ; 431: 853-7, 1998.
Article in English | MEDLINE | ID: mdl-9598184

ABSTRACT

A major milestone in purine metabolism research has been achieved with the discovery of these potent and selective AMPDA inhibitors. These inhibitors of AMPDA are based on carboxypentyl substitution on N-3 of the coformycin aglycon. They are simpler than coformycin ribose 5'-monophosphate, more stable, selective against other AMP binding enzymes as well as ADA and have good cell penetration and good oral bioavailability. These compounds and their more potent analogs are the first compounds with suitable characteristics to allow a definitive analysis of the role of AMPDA in cellular metabolism and AMPDA as a therapeutic target.


Subject(s)
AMP Deaminase/antagonists & inhibitors , Coformycin/analogs & derivatives , Coformycin/chemistry , Enzyme Inhibitors/chemistry , Administration, Oral , Biological Availability , Coformycin/chemical synthesis , Coformycin/pharmacokinetics , Drug Design , Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/pharmacokinetics , Humans , Models, Molecular , Molecular Structure , Structure-Activity Relationship
11.
Plant Physiol ; 114(1): 119-29, 1997 May.
Article in English | MEDLINE | ID: mdl-9159944

ABSTRACT

The isolation of carbocyclic coformycin as the herbicidally active component from a fermentation of Saccharothrix species was described previously (B.D. Bush, G.V. Fitchett, D.A. Gates, D. Langley [1993] Phytochemistry 32: 737-739). Here we report that the primary mode of action of carbocyclic coformycin has been identified as inhibition of the enzyme AMP deaminase (EC 3.5.4.6) following phosphorylation at the 5' hydroxyl on the carbocyclic ring in vivo. When pea (Pisum sativum L. var Onward) seedlings are treated with carbocyclic coformycin, there is a very rapid and dramatic increase in ATP levels, indicating a perturbation in purine metabolism. Investigation of the enzymes of purine metabolism showed a decrease in the extractable activity of AMP deaminase that correlates with a strong, noncovalent association of the phosphorylated natural product with the protein. The 5'-phosphate analog of the carbocyclic coformycin was synthesized and shown to be a potent, tight binding inhibitor of AMP deaminase isolated from pea seedlings. Through the use of a synthetic radiolabeled marker, rapid conversion of carbocyclic coformycin to the 5'-phosphate analog could be demonstrated in vivo. It is proposed that inhibition of AMP deaminase leads to the death of the plant through perturbation of the intracellular ATP pool.


Subject(s)
AMP Deaminase/metabolism , AMP Deaminase/antagonists & inhibitors , Adenosine Deaminase/metabolism , Adenosine Deaminase Inhibitors , Adenosine Triphosphate/metabolism , Animals , Cattle , Coformycin/analogs & derivatives , Coformycin/metabolism , Coformycin/pharmacology , Enzyme Inhibitors/metabolism , Enzyme Inhibitors/pharmacology , Herbicides/metabolism , Herbicides/pharmacology , In Vitro Techniques , Pisum sativum/drug effects , Pisum sativum/metabolism , Rabbits
12.
Biochemistry ; 29(36): 8358-64, 1990 Sep 11.
Article in English | MEDLINE | ID: mdl-2252896

ABSTRACT

(R)- and (S)-2'-deoxycoformycin, (R)-coformycin, and the corresponding 5'-monophosphates were compared as inhibitors of yeast AMP deaminase. The overall inhibition constants ranged from 4.2 mM for (S)-2'-deoxycoformycin to 10 pM for (R)-coformycin 5'-monophosphate, a difference of 3.8 x 10(8) in affinities. (R)-Coformycin, (R)-2'-deoxycoformycin 5'-monophosphate, and (R)-coformycin 5'-monophosphate exhibited both rapid and slow-onset inhibition. The S inhibitors and (R)-2'-deoxycoformycin exhibited classical competitive inhibition but no time-dependent onset of inhibition. The results indicate that the presence of the 2'-hydroxyl and 5'-phosphate and the R stereochemistry at the C-8 position of the diazepine ring are necessary for the optimum interaction of inhibitors with yeast AMP deaminase. This differs from the results for rabbit muscle AMP deaminase [Frieden C., Kurz, L. C., & Gilbert, H. R. (1980) Biochemistry 19, 5303-5309] and calf intestinal adenosine deaminase [Schramm, V. L., & Baker, D. C. (1985) Biochemistry 24, 641-646], in which a tetrahedral hydroxyl at C-8 in the R stereochemistry is sufficient for slow-onset inhibition with the coformycins. The results suggest that the transition state contains a tetrahedral carbon with the R configuration as a result of the direct attack of an oxygen nucleophile at C-6 of AMP. Slow-onset inhibition of yeast AMP deaminase is consistent with the mechanism [formula: see text] in which the combination of E and I is rapidly reversible. For these inhibitors, Ki varied by a factor of 3 x 10(3), and the overall inhibition constant (Ki*) varied by a factor of 2 x 10(5).(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
AMP Deaminase/antagonists & inhibitors , Coformycin/pharmacology , Fungal Proteins/antagonists & inhibitors , Pentostatin/pharmacology , Binding, Competitive , Coformycin/analogs & derivatives , Kinetics , Molecular Structure , Saccharomyces cerevisiae/enzymology , Structure-Activity Relationship
13.
Leukemia ; 3(10): 718-23, 1989 Oct.
Article in English | MEDLINE | ID: mdl-2506398

ABSTRACT

A soluble form of CD8 antigen (sCD8) has been shown to be released by activated CD8 + lymphocytes. Measurements of sCD8 may serve as an index of suppressor/cytotoxic cell activity. To assess the clinical significance of this observation in response to malignancy, we have investigated the sCD8 concentrations in 38 patients with hairy cell leukemia (HCL) not yet treated with any systemic therapy. The median plasma sCD8 level of the 20 nonsplenectomized patients was 1,025 U/ml and was significantly higher than that in the 18 patients who had previous splenectomy (median = 200 U/ml, p less than 0.0001), or in 14 normal controls (median = 350 U/ml, p less than 0.0001). Compared to controls, splenectomized patients had also significantly lower levels of sCD8 (p less than 0.01). The median concentration of soluble interleukin-2 receptor (sIL2R) in nonsplenectomized patients was 14,500 U/ml and was in the same range as in splenectomized patients (15,000 U/ml). There was no overlap in sIL2-R levels between controls (median = 300 U/ml) and patients. Investigation of serial plasma samples in 7 patients who received deoxycoformycin (DCF) and 11 patients treated with interferon alpha (IFN-alpha) showed a normalization of sCD8 levels and a decrease of sIL2R concentrations in those patients who showed hematological improvement. Normalization of sIL2R was, however, only observed in patients with complete remission. Our observation indicates that splenectomy might cause a reduction of the activation of suppressor/cytotoxic cells in patients with HCL. Treatment with either DCF or IFN-alpha also modulates the sCD8 levels to normal range. Measurements of sCD8 and sIL2-R might give more insight into the pathogenesis of HCL and serve as parameters for monitoring different phases of the disease and response to therapy.


Subject(s)
Antigens, Differentiation, T-Lymphocyte/analysis , Leukemia, Hairy Cell/immunology , Receptors, Interleukin-2/analysis , Splenectomy , Antigens/analysis , CD8 Antigens , Coformycin/analogs & derivatives , Coformycin/therapeutic use , Humans , Interferon Type I/therapeutic use , Leukemia, Hairy Cell/therapy , Pentostatin
14.
J Clin Oncol ; 7(10): 1533-8, 1989 Oct.
Article in English | MEDLINE | ID: mdl-2789273

ABSTRACT

Interferon-alpha (IFN-a) or 2'-deoxycoformycin (pentostatin; DCF) have each been shown to be highly active in hairy-cell leukemia (HCL). In this phase II study of the Leukemia Cooperative Group of the European Organization for Research and Treatment of Cancer (EORTC), the efficacy and toxicity of DCF were investigated in patients who were resistant to IFN-a treatment. Resistance was defined as: (1) progressive disease (PD) under IFN-a therapy for more than 2 months; (2) stable disease (SD) after more than 6 months of IFN-a treatment; (3) relapse within 3 months of discontinuing IFN-a; and (4) intolerance to IFN-a because of World Health Organization (WHO) grade 3 or 4 toxicity. DCF was applied at a dosage of 4 mg/m2 weekly x 3, then 4 mg/m2 every other week x 3. Responders were given a maintenance therapy once per month for a maximum of 6 months. At the time of report, 33 patients with resistant disease were evaluable for response and toxicity. Median duration of IFN-a therapy before DCF administration was 14.7 months (range, 1 to 41 months). Complete remissions (CRs) were achieved in 11 patients and partial remissions (PRs) in 15, resulting in a total response rate of 78.8%. Median interval between beginning of DCF therapy to best response was 3.9 months with a range from 2.0 to 7.0 months. Two patients who achieved PR have relapsed 7 and 14 months after cessation of DCF therapy. The median duration of response was over 11.5 months (range, over 3.0 to over 24.0 months). Three patients died within the first 6 weeks of DCF treatment: one of drug-unrelated cardiomyopathy and two of fungal pneumonia. The patients with early death (n = 3) and nonresponsive disease (n = 4) received IFN-a treatment for a longer period (median, 18.0 months) than did the 26 responsive patients (median, 10.0 months). Major side effects included nausea, skin rash, and infections and were otherwise mild. Thus, DCF is highly active in patients with HCL resistant to IFN-a.


Subject(s)
Antineoplastic Agents/therapeutic use , Coformycin/therapeutic use , Interferon Type I/therapeutic use , Leukemia, Hairy Cell/drug therapy , Ribonucleosides/therapeutic use , Adult , Aged , Aged, 80 and over , Blood Cell Count , Coformycin/adverse effects , Coformycin/analogs & derivatives , Drug Resistance , Female , Humans , Leukemia, Hairy Cell/blood , Male , Middle Aged , Pentostatin , Remission Induction
15.
Cancer Res ; 49(18): 4983-9, 1989 Sep 15.
Article in English | MEDLINE | ID: mdl-2788493

ABSTRACT

The mechanism of the depletion of ATP, recorded in the erythrocytes of adenosine deaminase-deficient children and of leukemia patients treated with deoxycoformycin, was investigated in normal human erythrocytes treated with this inhibitor of adenosine deaminase. Deoxyadenosine, which accumulates in both clinical conditions, provoked a dose-dependent accumulation of dATP, depletion of ATP, and increases in the production of inosine plus hypoxanthine. Concomitantly, there was an increase of AMP and IMP, but not of adenosine, indicating that catabolism proceeded by way of AMP deaminase. A series of nucleoside analogues (9-beta-D-arabinofuranosyladenine, N6-methyladenosine, 6-methylmercaptopurine ribonucleoside, tubercidin, ribavirin, and N-1-ribosyl-5-aminoimidazole-4-carboxamide riboside) also stimulated adenine nucleotide catabolism and increased AMP and IMP to various extents. The effects of deoxyadenosine and of the nucleoside analogues were prevented by 5'-iodotubercidin, an inhibitor of adenosine kinase. Strikingly, they were reversed if the inhibitor was added after the accumulation of nucleotide analogues and initiation of adenine nucleotide catabolism. Further analyses revealed linear relationships between the rate of phosphorylation of deoxyadenosine and nucleoside analogues and the increase in AMP and between the elevation of the latter above a threshold concentration of 10 microM and the rate of adenine nucleotide catabolism. Kinetic studies with purified erythrocytic AMP deaminase, at physiological concentrations of its effectors, showed that the enzyme is nearly inactive up to 10 microM AMP and increases in activity above this threshold. We conclude that the main mechanism whereby deoxyadenosine and nucleoside analogues stimulate catabolism of adenine nucleotides by way of AMP deaminase in erythrocytes is elevation of AMP, secondary to the phosphorylation of the nucleosides.


Subject(s)
Adenosine Deaminase Inhibitors , Adenosine Triphosphate/blood , Adenosine/analogs & derivatives , Adenosine/pharmacology , Coformycin/pharmacology , Deoxyadenosines/pharmacology , Erythrocytes/metabolism , Nucleoside Deaminases/antagonists & inhibitors , Ribonucleosides/pharmacology , Adenine/blood , Coformycin/analogs & derivatives , Erythrocytes/drug effects , Humans , In Vitro Techniques , Kinetics , Pentostatin , Structure-Activity Relationship
16.
Blood ; 74(3): 1121-5, 1989 Aug 15.
Article in English | MEDLINE | ID: mdl-2665862

ABSTRACT

The role of enzymatic deamination of adenosine monophosphate (AMP) and adenosine in the in vitro growth of the malaria parasite Plasmodium falciparum was investigated by means of human red cells deficient in AMP deaminase to which the adenosine deaminase inhibitor 2'-deoxycoformycin was added. Malaria parasites grew normally in red cells lacking one or both of these enzyme activities. As a further probe of adenosine triphosphate (ATP) catabolism, both infected and uninfected RBCs were incubated with NaF (with and without 2'-deoxycoformycin) and the purine nucleotide/nucleoside content was analyzed by high-performance liquid chromatography (HPLC). Uninfected RBCs lacking either AMP or adenosine deaminase were able to bypass the enzyme block and degrade ATP to hypoxanthine. Uninfected RBCs with both deaminases blocked were unable to produce significant quantities of hypoxanthine. On the other hand, infected RBCs were able to bypass blockade of both deaminases and produce hypoxanthine and adenosine. These findings establish that deamination of adenosine and/or AMP are not essential for plasmodial growth. However, further work will be required to elucidate the pathways that permit the parasites to bypass these catabolic steps.


Subject(s)
AMP Deaminase/deficiency , Adenosine Monophosphate/blood , Adenosine/blood , Coformycin , Erythrocytes/parasitology , Nucleotide Deaminases/deficiency , Plasmodium falciparum/metabolism , Ribonucleosides , AMP Deaminase/blood , Adult , Animals , Coformycin/analogs & derivatives , Deamination , Erythrocytes/enzymology , Erythrocytes/metabolism , Female , Humans , Malaria/blood , Malaria/enzymology , Malaria/parasitology , Pentostatin , Plasmodium falciparum/growth & development , Ribonucleosides/analogs & derivatives
17.
J Clin Invest ; 84(2): 665-71, 1989 Aug.
Article in English | MEDLINE | ID: mdl-2788175

ABSTRACT

Myocardial ischemia is characterized by the liberation of adenosine and by complement-mediated inflammation. We have reported that amidated C3, formed when ammonia (NH3) disrupts the thiolester bond of C3, serves as an alternative pathway convertase, generates C5b-9, and stimulates phagocytic oxidative metabolism. We investigated whether the deamination of adenosine by adenosine deaminase in hematopoietic cells might liberate sufficient ammonia to form amidated C3 and thereby trigger complement-mediated inflammation at ischemic sites. In the presence of 4 mM adenosine, NH3 production per erythrocyte (RBC) was equal to that per neutrophil (PMN) (3.3 X 10(-15) mol/cell per h). Because RBC outnumber PMN in normal blood by a thousandfold, RBC are the major source of NH3 production in the presence of adenosine. NH3 production derived only from the deamination of adenosine by the enzyme adenosine deaminase and was abolished by 0.4 microM 2'-deoxycoformycin, a specific inhibitor of adenosine deaminase. When purified human C3 was incubated with 5 X 10(8) human RBC in the presence of adenosine, disruption of the C3 thiolester increased more than twofold over that measured in C3 incubated with buffer, or in C3 incubated with RBC (P less than 0.05). The formation of amidated C3 was abolished by the preincubation of RBC with 2'-deoxycoformycin (P less than 0.001). Amidated C3 elicited statistically significant release of superoxide, myeloperoxidase, and lactoferrin from PMN. Thus, the formation of amidated C3 by RBC deamination of adenosine triggers a cascade of complement-mediated inflammatory reactions.


Subject(s)
Adenosine Deaminase/physiology , Complement C3/metabolism , Erythrocytes/metabolism , Inflammation/etiology , Nucleoside Deaminases/physiology , Adenosine/metabolism , Adult , Ammonia/metabolism , Coformycin/analogs & derivatives , Coformycin/pharmacology , Female , Humans , Male , Pentostatin
18.
Mol Pharmacol ; 36(1): 185-92, 1989 Jul.
Article in English | MEDLINE | ID: mdl-2787472

ABSTRACT

Transmembrane equilibration of 2',3'-dideoxyadenosine (ddAdo) was measured by rapid kinetic techniques in deoxycoformycintreated P388 and L1210 mouse leukemia cells and human erythrocytes, at 25 degrees. It was only about 10% as rapid as that of other purine nucleosides that are known substrates for the nucleoside transporters of these cells. ddAdo entry was nonsaturable up to a concentration of 1 mM and was not inhibited by other nucleosides or two nucleoside transport inhibitors, dipyridamole and nitrobenzylthioinosine. Thus, ddAdo permeation was mainly nonmediated. It was relatively rapid because of the high lipid solubility of ddAdo. ddAdo entered the cells at least 100 times more rapidly than dideoxycytidine but less rapidly than trideoxythymidine, with an even greater lipophilicity than ddAdo. ddAdo was not phosphorylated in human erythrocytes, but there was some phosphorylation in deoxycoformycin-treated P388 and L1210 cells. In situ conversion of 10 microM ddAdo to ddATP, however, was slow and ceased after 5-10 min at 25 degrees or 37 degrees. Cessation of net uptake was not due to turnover of dideoxy-ATP or deamination of dideoxy-AMP. The results suggest that ddAdo salvage in the absence of deamination is limited by feedback inhibition of its phosphorylation, perhaps by deoxycytidine kinase. Permeation into the cells was not rate limiting to ddAdo salvage. In P388 and L1210 cells that had not been treated with deoxycoformycin, ddAdo was salvaged at least 100 times more efficiently than in deoxycoformycin-treated cells and converted to nucleoside triphosphates, but the end-products and pathways of salvage have not been resolved entirely. Salvage of ddAdo required deamination but was not primarily via dideoxyinosine----hypoxanthine----IMP, as is the case for 2'-deoxyadenosine salvage, because [3H]ddAdo salvage was only little inhibited by unlabeled hypoxanthine, whereas it was strongly inhibited by 2'-deoxyadenosine, adenosine, and adenine.


Subject(s)
Dideoxynucleosides/pharmacokinetics , Zalcitabine/analogs & derivatives , Animals , Carrier Proteins/metabolism , Coformycin/analogs & derivatives , Coformycin/pharmacology , Deamination , Dideoxyadenosine , Erythrocytes/metabolism , Humans , Leukemia, Experimental/metabolism , Membrane Proteins/metabolism , Mice , Nucleoside Transport Proteins , Pentostatin , Permeability
19.
Biochem Pharmacol ; 38(11): 1717-25, 1989 Jun 01.
Article in English | MEDLINE | ID: mdl-2472139

ABSTRACT

Adenosine inhibited the release of histamine and leukotriene C4 (LTC4) from immunologically-activated basophils in a dose-dependent manner. Structural congeners of adenosine also attenuated the elaboration of these two mediators from stimulated basophils and a rank order of potency for the inhibition was observed following the sequence 2-chloroadenosine greater than or equal to N-ethylcarboxamidoadenosine (NECA) greater than adenosine greater than or equal to R-phenylisopropyladenosine (R-PIA) greater than or equal to S-PIA. These same nucleosides modulated the generation of LTC4 more potently than the release of histamine. A number of methylxanthines, which are antagonists of cell surface adenosine receptors, reversed the inhibition by adenosine and its congeners of the release of both histamine and LTC4 to varying extents. Dipyridamole and nitrobenzylthioinosine (NBTI), agents that block the intracellular uptake of adenosine, antagonized the inhibition of histamine release by adenosine (and 2-chloroadenosine) but failed to reverse the attenuation of LTC4 generation by the nucleoside. These same uptake blockers were unable to antagonize the inhibitory effects of NECA on either histamine or LTC4 release. In purified basophils, NECA and R-PIA, and in that order of decreasing reactivity, increased total cell cyclic adenosine monophosphate (cAMP) levels and inhibited the stimulated release of mediators. In total, these results suggest that the basophil possesses a cell surface adenosine receptor which, on the basis of both pharmacological and biochemical criteria, most closely conforms to an A2/Ra-like receptor. However, in addition to an interaction at the cell surface, studies with agents that block the intracellular uptake of adenosine suggest that the nucleoside may also exert intracellular effects when countering the release of histamine (but not LTC4).


Subject(s)
Adenosine/pharmacology , Basophils/metabolism , Histamine Release/drug effects , SRS-A/metabolism , 2-Chloroadenosine , Adenosine/analogs & derivatives , Basophils/drug effects , Coformycin/analogs & derivatives , Coformycin/pharmacology , Humans , In Vitro Techniques , Pentostatin , Structure-Activity Relationship , Theophylline/pharmacology
20.
Jpn J Cancer Res ; 80(5): 482-9, 1989 May.
Article in English | MEDLINE | ID: mdl-2502523

ABSTRACT

Growth-inhibitory activity of 2'-deoxycoformycin (DCF) and 9-beta-D-arabinofuranosyladenine (Ara-A) used either singly or in combination was assessed in 30 human cultured cell lines (seven T-cell, nine B-cell, five non-T,non-B and nine myeloid cell lines) derived from leukemias and lymphomas. DCF had little activity even at 100 microM on any of the cell lines, while Ara-A had an obvious inhibitory effect on them, especially on non-T,non-B cell lines at 10 microM or less. Lymphoid cell lines were apparently more sensitive to the combined use of Ara-A and DCF than myeloid cell lines. DCF potentiated the antiproliferative activity of Ara-A not only in T-cell lines with high adenosine deaminase (ADA) activity, but also in some other cell lines with low ADA activity. DCF was stable in the culture medium, but Ara-A in the medium containing cultured cells was rapidly inactivated. DCF completely inhibited the inactivation of Ara-A in the medium containing P12/ICH or NALM-6, but not in the medium containing Daudi. This suggests that there is some unknown mechanism(s) of inactivation of Ara-A other than ADA in Daudi, which was insensitive to Ara-A in the presence of 1 microM DCF. The capacity of DCF to inhibit degradation of Ara-A in the medium containing these cultured cells correlated with the level of Ara-A sensitivity potentiated by DCF. In all seven T-cell lines, seven of the nine B-cell lines, all five non-T,non-B cell lines, and only three of nine myeloid cell lines, the IC50 value for Ara-A decreased to 5 microM or less in the presence of 1 microM DCF. These results suggest that the combination of DCF and Ara-A may be effective against various types of lymphoid malignancies and some myeloid leukemias.


Subject(s)
Antineoplastic Agents/pharmacology , Coformycin/pharmacology , Ribonucleosides/pharmacology , Vidarabine/pharmacology , Adenosine Deaminase/analysis , Cell Division/drug effects , Coformycin/analogs & derivatives , Drug Stability , Drug Synergism , Humans , Leukemia/pathology , Lymphoma/pathology , Pentostatin , Tumor Cells, Cultured/drug effects
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