Abstract

Since many anticancer drugs show severe adverse effects such as mucositis, peripheral neurotoxicity, and extravasation, it was crucial to explore new compounds with much reduced adverse effects. Comprehensive investigation with human malignant and nonmalignant cells demonstrated that derivatives of chromone, back-bone structure of flavonoid, showed much higher tumor specificity as compared with three major polyphenols in the natural kingdom, such as lignin-carbohydrate complex, tannin, and flavonoid. A total 291 newly synthesized compounds of 17 groups (consisting of 12 chromones, 2 esters, and 3 amides) gave a wide range of the intensity of tumor specificity, possibly reflecting the fitness for the optimal 3D structure and electric state. Among them, 7-methoxy-3-[(1E)-2-phenylethenyl]-4H-1-benzopyran-4-one (compound 22), which belongs to 3-styrylchromones, showed the highest tumor specificity. 22 induced subG1 and G2 + M cell population in human oral squamous cell carcinoma cell line, with much less keratinocyte toxicity as compared with doxorubicin and 5-FU. However, 12 active compounds selected did not necessarily induce apoptosis and mitotic arrest. This compound can be used as a lead compound to manufacture more active compound.

Highlights

  • This review is composed of four parts

  • Oral mucositis is reported to occur in 5–50% of patients receiving standard-dose chemotherapy and 68–98% of high-dose chemotherapy related to hematopoietic stem cell transplantation [1]

  • Cancer drug therapy has contributed to the improvement of survival rate and QOL by the development of cytocidal anticancer drugs and molecular targeted therapeutic agents, while the adverse effect of cancer drug therapy causes a decrease in QOL, sometimes causing the discontinuation of the drug therapy

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Summary

Introduction

This review is composed of four parts. The first part reviews the adverse effect of chemotherapeutic agents. The second part introduces our life-work research of development of chromone derivatives that show comparable anticancer activity and lower keratinocyte toxicity, as compared with anticancer drug. The third part describes the serious problems of neurotoxicity in G2 + M blocker. The fourth part is the summary of our major findings and future direction of chromone research.

Oral Mucositis Associated with Anticancer Drug
Neurotoxicity of Anticancer Drugs
Chemotherapy Extravasation
Mechanism of Action
Conclusions and Future Direction
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