Motexafin gadolinium: a redox-active tumor selective agent for the treatment of cancer
- PMID: 15627019
- DOI: 10.1097/01.cco.0000142073.29850.98
Motexafin gadolinium: a redox-active tumor selective agent for the treatment of cancer
Abstract
Purpose of review: Redox regulation has been shown to be an important component of malignant cell survival and is a system that may be pharmacologically manipulated for the treatment of cancer. Motexafin gadolinium is a member of a class of rationally designed porphyrin-like molecules called texaphyrins. The rationale for its use in cancer therapy is that, like naturally occurring porphyrins, it tends to concentrate selectively in cancer cells and it has a novel mechanism of action as it induces redox stress, triggering apoptosis in a broad range of cancers.
Recent findings: In vitro studies have shown that motexafin gadolinium is synergistic with radiation and varied chemotherapeutic agents. A phase III international study has shown that the onset of neurologic progression is significantly delayed in patients with brain metastases from lung cancer treated with whole-brain radiation and motexafin gadolinium (compared with radiation alone). Recent preclinical data have shown that motexafin gadolinium alone is cytotoxic to cancers such as multiple myeloma, non-Hodgkin lymphoma, and chronic lymphocytic leukemia through redox and apoptotic pathways. Multiple clinical trials examining motexafin gadolinium as a single agent and in combination with radiation and/or chemotherapy for the treatment of solid and hematopoietic tumors are underway.
Summary: Motexafin gadolinium is a novel tumor-_targeted agent that disrupts redox balance in cancer cells by futile redox cycling. Motexafin gadolinium is currently in numerous hematology/oncology clinical trials for use as a single agent and in combination with chemotherapy and/or radiation therapy.
Similar articles
-
Motexafin gadolinium: gadolinium (III) texaphyrin, gadolinium texaphyrin, Gd-Tex, GdT2B2, PCI 0120.Drugs R D. 2004;5(1):52-7. doi: 10.2165/00126839-200405010-00012. Drugs R D. 2004. PMID: 14725495 Review.
-
Motexafin gadolinium: a novel radiosensitizer for brain tumors.Expert Rev Anticancer Ther. 2007 Jun;7(6):785-94. doi: 10.1586/14737140.7.6.785. Expert Rev Anticancer Ther. 2007. PMID: 17555388 Review.
-
Motexafin gadolinium: a novel radiosensitizer for brain tumors.Expert Opin Pharmacother. 2009 Sep;10(13):2171-80. doi: 10.1517/14656560903179325. Expert Opin Pharmacother. 2009. PMID: 19640206
-
Motexafin gadolinium induces oxidative stress and apoptosis in hematologic malignancies.Curr Treat Options Oncol. 2005 Jul;6(4):289-96. doi: 10.1007/s11864-005-0033-y. Curr Treat Options Oncol. 2005. PMID: 15967082 Review.
-
Motexafin gadolinium in the treatment of brain metastases.Expert Opin Pharmacother. 2007 Feb;8(3):351-9. doi: 10.1517/14656566.8.3.351. Expert Opin Pharmacother. 2007. PMID: 17266469 Review.
Cited by
-
Selective leukemic-cell killing by a novel functional class of thalidomide analogs.Blood. 2006 Dec 15;108(13):4126-35. doi: 10.1182/blood-2006-04-017046. Epub 2006 Aug 29. Blood. 2006. PMID: 16940421 Free PMC article.
-
Development of an intrabiliary MR imaging-monitored local agent delivery technique: a feasibility study in pigs.Radiology. 2012 Mar;262(3):846-52. doi: 10.1148/radiol.11110723. Radiology. 2012. PMID: 22357886 Free PMC article.
-
Molecular properties of a triazole-Ce(III) complex with antioxidant activity: structure, spectroscopy, and relationships with related derivatives. Influence of the ligands in the complex.Front Chem. 2024 Nov 6;12:1450106. doi: 10.3389/fchem.2024.1450106. eCollection 2024. Front Chem. 2024. PMID: 39569014 Free PMC article.
-
Radiosensitizing high-Z metal nanoparticles for enhanced radiotherapy of glioblastoma multiforme.J Nanobiotechnology. 2020 Sep 3;18(1):122. doi: 10.1186/s12951-020-00684-5. J Nanobiotechnology. 2020. PMID: 32883290 Free PMC article. Review.
-
Fibrin glue mediated direct delivery of radiation sensitizers results in enhanced efficacy of radiation treatment.Discov Oncol. 2024 Apr 4;15(1):101. doi: 10.1007/s12672-024-00953-x. Discov Oncol. 2024. PMID: 38573401 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Research Materials