Abstract

Dipeptide monoester prodrugs of floxuridine and gemcitabine were synthesized. Their chemical stability in buffers, enzymatic stability in cell homogenates, permeability in mouse intestinal membrane along with drug concentration in mouse plasma, and anti-proliferative activity in cancer cells were determined and compared to their parent drugs. Floxuridine prodrug was more enzymatically stable than floxuridine and the degradation from prodrug to parent drug works as the rate-limiting step. On the other hand, gemcitabine prodrug was less enzymatically stable than gemcitabine. Those dipeptide monoester prodrugs exhibited 2.4- to 48.7-fold higher uptake than their parent drugs in Caco-2, Panc-1, and AsPC-1 cells. Floxuridine and gemcitabine prodrugs showed superior permeability in mouse jejunum to their parent drugs and exhibited the higher drug concentration in plasma after in situ mouse perfusion. Cell proliferation assays in ductal pancreatic cancer cells, AsPC-1 and Panc-1, indicated that dipeptide prodrugs of floxuridine and gemcitabine were more potent than their parent drugs. The enhanced potency of nucleoside analogs was attributed to their improved membrane permeability. The prodrug forms of 5′-l-phenylalanyl-l-tyrosyl-floxuridine and 5′-l-phenylalanyl-l-tyrosyl-gemcitabine appeared in mouse plasma after the permeation of intestinal membrane and the first-pass effect, suggesting their potential for the development of oral dosage form for anti-cancer agents.

Highlights

  • The anti-cancer agents 2′,2′-difluoro-2′-deoxyuridine and 5-fluoro-2′deoxyuridine, two nucleoside analogs, have been used to treat pancreatic, nonsmall-cell lung, and colon cancers as the first-line therapy [1,2,3,4]

  • Amino acid monoester and dipeptide monoester prodrugs have been synthesized, characterized, and their potential to improve the oral bioavailability examined as a part of the development for oral drug delivery [7,11,12,13,14,15,16,17,18]

  • As the part of developing orally administrative cancer agents, we describe the stability and permeability of dipeptide monoester prodrugs of gemcitabine and floxuridine, as well as their anti-proliferation activity in pancreatic cancer cells, AsPC-1 and Panc-1 cells

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Summary

Introduction

The anti-cancer agents 2′,2′-difluoro-2′-deoxyuridine (gemcitabine, Gemzar®) and 5-fluoro-2′deoxyuridine (floxuridine, FdUR), two nucleoside analogs, have been used to treat pancreatic, nonsmall-cell lung, and colon cancers as the first-line therapy [1,2,3,4]. Amino acid monoester and dipeptide monoester prodrugs have been synthesized, characterized, and their potential to improve the oral bioavailability examined as a part of the development for oral drug delivery [7,11,12,13,14,15,16,17,18]. L-phenylalanyl-L-tyrosine was adopted as a dipeptide promoiety for the anti-cancer prodrugs to assess the feasibility of orally administrative nucleoside analogs, floxuridine and gemcitabine, because of its potential for enzyme-specific prodrug activation [47]. As the part of developing orally administrative cancer agents, we describe the stability and permeability of dipeptide monoester prodrugs of gemcitabine and floxuridine, as well as their anti-proliferation activity in pancreatic cancer cells, AsPC-1 and Panc-1 cells. The successful development of oral administrative anti-cancer drugs would improve the quality of life and drastically reduce the insurance costs for cancer patients [48]

Materials
The Synthesis of Gemcitabine Prodrug and Floxuridine Prodrug
Cell Culture
Enzymatic Stability
Uptake Studies
Solution for Single-Pass Intestinal Perfusion
Single-Pass Intestinal Perfusion Studies in Mice
Cell Proliferation Assays
Data Analysis
2.10. HPLC Analysis
2.11. LC-MS Analysis
Floxuridine and Gemcitabine Prodrugs
Cell Proliferation Assay
Conclusions

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