Key Points
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The diverse roles of chemistry in the discovery of anticancer drugs include not only chemical synthesis, but an understanding of drug–target interactions and of the features of drug molecules that govern uptake and metabolism.
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The role of chemistry in the development of anticancer drugs began with the mechanism-driven modification and synthesis of the nitrogen mustards.
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Since the 1950s, several important drugs have been discovered by screening novel organic compounds and natural products using in vitro cell lines.
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Structural biology and chemistry represent new approaches for discovering anticancer drugs, and are being used to determine the molecular aspects of kinase and protein–protein inhibition.
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In silico screening can be used to screen large virtual libraries of compounds against the known structure of a target.
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Molecules are being developed that selectively target a unique DNA sequence to inhibit transcription.
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Synthetic medicinal chemistry has made important contributions to the development of targeted therapies and prodrugs — otherwise inactive compounds that are converted in tumour cells to active species.
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Chemistry is essential for transforming 'lead molecules' into drugs. This requires optimizing the distribution, metabolism and excretion properties of a molecule as early as possible in the drug-discovery cycle.
Abstract
The chemical sciences are essential for the process of anticancer-drug discovery, and a range of chemical research techniques is needed to develop clinically effective drugs. Improved understanding of the cellular, molecular and genetic basis of cancer has increased the number of drug targets available. What chemical approaches are used to develop agents that target specific features of cancer cells and make these therapeutics more effective? We outline the roles that chemical synthesis and understanding of drug uptake have had in drug discovery over the past 100 years, as well as the chemical insights derived from knowledge of the three-dimensional structure of targets.
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Acknowledgements
We are grateful to Cancer Research UK and its predecessor, Cancer Research Campaign, for its support of cancer-related chemistry over many years, and, in particular, to their support of work in our laboratories.
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The authors are scientific advisors to the companies Antisoma Ltd (S.N.) and Spirogen Ltd (S.N. and D.E.T.), both of which are involved in the commercialization of anticancer agents. Both authors have a personal financial interest in Spirogen Ltd. S.N. receives research funding from Antisoma Ltd.
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Glossary
- SYNTHETIC CHEMISTRY
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The creation of new molecules by means of a series of defined chemical reactions.
- CREATIVE CHEMISTRY
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The intellectually driven application of chemical principles.
- PRODRUG
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An inactive compound that is activated to a reactive drug species, preferably within target tumour cells, possibly by metabolism, selective action of a cancer-cell-specific enzyme, or by differences in pH/oxygenation between tumour and non-tumour tissue.
- THERAPEUTIC INDEX
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Ratio of the drug dosage that is required for toxic effect to the dosage required for therapeutic effect.
- ALIPHATIC
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An organic molecule that contains fully saturated carbon atoms. That is, a molecule without any aromaticity.
- SN1 REACTION
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Displacement of an atom or group by a nucleophilic atom or group; the process occurs as a unimolecular or bimolecular reaction, respectively.
- STEREOCHEMISTRY
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The three-dimensional relationship of atoms to each other in a molecule.
- TOTAL CHEMICAL SYNTHESIS
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The multistep synthesis of complex molecules, usually natural products, from simple precursors.
- HIGH-THROUGHPUT
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Automated processes of biological, biochemical or biophysical assay that examine very large numbers of compounds (or compound mixtures) on a short time scale, and enable active compounds to be rapidly identified.
- SYNCHROTRON
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A particle accelerator that can produce extremely intense X-rays, used for studying very small and/or poorly diffracting macromolecular crystals.
- PHARMACOPHORE
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The group of atoms in a drug molecule that are responsible for the pharmacological effects of the drug.
- STRUCTURE–ACTIVITY RELATIONSHIPS
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The relationships between chemical structure, chemical or physical properties and biological activity.
- G-QUADRUPLEX
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Formed at the telomeres by the association of four guanine-rich strands of DNA.
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Neidle, S., Thurston, D. Chemical approaches to the discovery and development of cancer therapies. Nat Rev Cancer 5, 285–296 (2005). https://doi.org/10.1038/nrc1587
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DOI: https://doi.org/10.1038/nrc1587
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