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JP2007302609A - Agent for reinforcing radiation-sensitizing ability in hypoxic cell radiation sensitizer - Google Patents

Agent for reinforcing radiation-sensitizing ability in hypoxic cell radiation sensitizer Download PDF

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JP2007302609A
JP2007302609A JP2006133154A JP2006133154A JP2007302609A JP 2007302609 A JP2007302609 A JP 2007302609A JP 2006133154 A JP2006133154 A JP 2006133154A JP 2006133154 A JP2006133154 A JP 2006133154A JP 2007302609 A JP2007302609 A JP 2007302609A
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cancer
radiation
radiosensitizer
nitroimidazole
oxymethyl
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Nobuo Kubota
信雄 久保田
Koji Yokoyama
浩治 横山
Akiko Miyamae
亜紀子 宮前
Chihiro Kondo
千尋 近藤
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Pola Orbis Holdings Inc
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Pola Chemical Industries Inc
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a means for inhibiting recurrence and metastasis and further enhancing the effects in a hypoxic cancer cell radiation therapy using 1-(1-hydroxymethyl-2,3-dihydroxypropyl)oxymethyl-2-nitroimidazole as a radiation sensitizer. <P>SOLUTION: A platinum-based anti-cancer agent is used as an agent for reinforcing the radiation sensitizing ability of 1-(1-hydroxymethyl-2,3-dihydroxypropyl)oxymethyl-2-nitroimidazole against cancers. The platinum-based anti-cancer agent is preferably cisplatin, and the target cancer is preferably adenocarcinoma or squamous cell carcinoma, especially preferably lung cancer among adenocarcinoma, carcinoma cutaneum among squamous cell carcinoma, head and neck cancers and mammary cancer. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は、低酸素性細胞放射線増感剤において、その放射線増感能を増強する技術に関する。   The present invention relates to a technique for enhancing the radiosensitizing ability of a hypoxic cell radiosensitizer.

2−ニトロイミダゾール誘導体は、癌放射線療法において、放射線抵抗性を有する、低酸素性の癌細胞の、放射線感受性を高め、放射線療法の効果を高める有用な薬剤であることが既に知られている。この様な2−ニトロイミダゾール誘導体の内でも、1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールは、親水性が高く、神経細胞への移行性が殆ど存しないため、中枢毒性のない放射線増感剤として現在臨床試験中である。(例えば、特許文献1、特許文献2、特許文献3を参照)又、かかる物質においては、この様な低酸素性細胞に対する放射線増感効果以外にも、核酸水酸化物消去作用(例えば、特許文献4を参照)、アポトーシス・シグナル保持作用(例えば、特許文献5を参照)などが存し、癌治療においては有用な薬剤であると言える。   2-Nitroimidazole derivatives are already known to be useful drugs for enhancing the radiosensitivity and the effect of radiotherapy of cancer cells with radioresistance and hypoxic cancer in cancer radiotherapy. Among such 2-nitroimidazole derivatives, 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is highly hydrophilic and has almost no migration to nerve cells. Therefore, it is currently in clinical trials as a radiosensitizer without central toxicity. (See, for example, Patent Document 1, Patent Document 2, and Patent Document 3.) In addition to such a radiosensitizing effect on hypoxic cells, such substances have nucleic acid hydroxide scavenging action (for example, patents). Reference document 4), apoptosis signal retention action (for example, refer to patent document 5), etc. exist, and can be said to be a useful drug in cancer treatment.

かかる1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールを低酸素性癌細胞に対する放射線増感剤として用いる場合、前記放射線の線源としては、通常用いられるX線に加えて、コバルトの放射性同位体を線源とするγ線、電子線を直線型加速装置で加速した粒子線や、サイクロトロンなどより取り出されるα線などの重粒子線等が使用されており、癌治療効果としては重粒子線、粒子線、ガンマ線の順であるが、装置の規模もこの順で非常に大型化するため、治療用に汎用されているのはX線であり、大規模な病院でのみ直線加速型の粒子線が使用されている。この為、通常でも放射線に対する感受性の低い腺ガン、特に肺ガンの腺ガンなどにおいては、前記放射線増感剤を使用しても、良好な治療効果を得るには、照射回数を大幅に増やさなければならない状況が存しているし、加えて、転移の問題については対策が存しないと言える。転移という点について言及するならば、放射線感受性が良好であるとされている偏平上皮ガンにおいても、初回治療効果は確かに著しいものの、従来の放射線治療では再発、転移の可能性が高く残っており、この様な再発後転移した癌の処置は非常に困難であると言われている。即ち、癌放射線療法では、再発或いは転移と言った点について、更なる治療効果の向上手段の開発が望まれていたと言える。   When such 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is used as a radiosensitizer for hypoxic cancer cells, X-rays usually used as the radiation source are used. In addition to rays, gamma rays using cobalt radioisotopes as a source, particle rays obtained by accelerating electron beams with a linear accelerator, and heavy particle rays such as alpha rays extracted from cyclotrons are used. The effect of cancer treatment is heavy particle beam, particle beam, and gamma ray in this order, but the scale of the device is also very large in this order. Therefore, X-ray is widely used for treatment. The linear acceleration type particle beam is used only in hospitals. For this reason, even in the case of adenocarcinomas that are usually less sensitive to radiation, especially adenocarcinoma of lung cancer, the number of irradiations must be significantly increased in order to obtain a good therapeutic effect even if the radiosensitizer is used. It can be said that there is a situation that must be done, and in addition, there is no countermeasure for the transfer problem. In terms of metastasis, even in squamous cell carcinoma, which is considered to have good radiosensitivity, the effect of initial treatment is certainly remarkable, but the possibility of recurrence and metastasis remains high with conventional radiation therapy. It is said that the treatment of cancer that has metastasized after recurrence is very difficult. In other words, in cancer radiotherapy, it can be said that the development of a means for further improving the therapeutic effect was desired in terms of recurrence or metastasis.

一方、シスプラチン、カルボプラチンなどの白金系抗がん剤は、優れた抗がん作用と、放射線との併用効果の存することから、放射線治療時に用いられる機会の多い抗がん剤であった。(例えば、非特許文献1を参照)前記放射線との併用効果は、メトロニダゾール、ニモダゾールなどの4−ニトロイミダゾール誘導体乃至は5−ニトロイミダゾール誘導体に匹敵するほどのものであると言われている。(例えば、非特許文献2を参照)又、白金系抗がん剤は、頭頸部癌などの放射線感受性の高い癌の放射線治療においては、チラパザミンなどの増感剤と相加効果の存することも知られている。(例えば、非特許文献3を参照)しかしながら、シスプラチン等の白金系抗がん剤と1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールとを併用して、放射線治療において使用することも、この様な併用により放射線治療を著しく高め、放射線抵抗性の存する肺ガンのX線による治療においても、その有効性が高められることは全く知られていなかったし、その様な効果が存すると言う想像すらされていなかった。   On the other hand, platinum anticancer agents such as cisplatin and carboplatin are anticancer agents that have many opportunities to be used during radiotherapy because of their excellent anticancer activity and combined use effect with radiation. (For example, refer nonpatent literature 1) It is said that the combined effect with the said radiation is comparable to 4-nitroimidazole derivatives or 5-nitroimidazole derivatives, such as metronidazole and nimodazole. (For example, see Non-Patent Document 2) In addition, platinum-based anticancer agents may have an additive effect with sensitizers such as tirapazamine in radiotherapy of highly sensitive cancers such as head and neck cancer. Are known. (For example, refer nonpatent literature 3) However, platinum-type anticancer agents, such as cisplatin, and 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole are used together, It has not been known at all that it can be used in radiotherapy, and the radiotherapy can be remarkably enhanced by such a combination, and the effectiveness of radiotherapy for lung cancer with X-rays can be enhanced. It was not even imagined that such an effect would exist.

特開平3−223258号公報JP-A-3-223258 WO1994/014778WO1994 / 014778 特開2003−321459号公報JP 2003-321459 A 特開2005−27515号公報JP 2005-27515 A 特開平9−77667号公報JP-A-9-77667 Shibamoto Y, Sugie C, Ito M, Ogino H., Expert Opin Pharmacother. , 5(12):2459-67,(2004)Shibamoto Y, Sugie C, Ito M, Ogino H., Expert Opin Pharmacother., 5 (12): 2459-67, (2004) Zackrisson B, Mercke C, Strander H, Wennerberg J, Cavallin-Stahl E., Acta Oncol. 2003;42(5-6):443-61Zackrisson B, Mercke C, Strander H, Wennerberg J, Cavallin-Stahl E., Acta Oncol. 2003; 42 (5-6): 443-61 Rischin D, Peters L, Hicks R, Hughes P, Fisher R, Hart R, Sexton M, D'Costa I, von Roemeling R., J Clin Oncol. 2001 ;19(2):535-42Rischin D, Peters L, Hicks R, Hughes P, Fisher R, Hart R, Sexton M, D'Costa I, von Roemeling R., J Clin Oncol. 2001; 19 (2): 535-42

本発明は、この様な状況下為されたものであり、1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールを放射線増感剤として用いた、低酸素性癌細胞の放射線療法において、再発、転移を抑制しその効果を更に高める手段を提供することを課題とする。   The present invention has been made under such circumstances, and is hypoxic using 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole as a radiosensitizer. It is an object of the present invention to provide means for suppressing recurrence and metastasis and further enhancing the effect in radiotherapy of cancer cells.

この様な状況に鑑みて、本発明者らは、1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールの放射線増感剤としての作用を更に高める手段を求めて、鋭意研究努力を重ねた結果、シスプラチンなどの白金系抗がん剤にその様な作用が存することを見出し、発明を完成させるに至った。即ち、本発明は以下に示すとおりである。
(1)白金系抗がん剤からなる、次の化学式1に構造を示す1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールの癌に対する放射線増感能の増強剤。
In view of such circumstances, the present inventors have sought a means for further enhancing the action of 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole as a radiosensitizer. As a result of intensive research efforts, the inventors have found that such an action exists in platinum-based anticancer agents such as cisplatin, and have completed the invention. That is, the present invention is as follows.
(1) The radiosensitizing ability of 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole having a structure represented by the following chemical formula 1 consisting of a platinum-based anticancer agent to cancer. Enhancer.

Figure 2007302609
化学式1
Figure 2007302609
Chemical formula 1

(2)前記白金系抗がん剤が、シスプラチンであることを特徴とする、(1)に記載の放射線増感能の増強剤。
(3)前記1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールが、光学活性体乃至はラセミ体であることを特徴とする、(1)又は(2)に記載の放射線増感能の増強剤。
(4)前記1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールを癌に対する放射線増感剤として使用する条件において、放射線が、X線又はγ線であることを特徴とする、(1)〜(3)何れか1項に記載の放射線増感能の増強剤。
(5)治療すべき癌が腺ガン又は偏平上皮ガンであることを特徴とする、(1)〜(4)何れか1項に記載の放射線増感能の増強剤。
(2) The enhancer of radiosensitizing ability according to (1), wherein the platinum-based anticancer agent is cisplatin.
(3) The 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is an optically active substance or a racemate, (1) or (2) The agent for enhancing radiosensitivity described in 1.
(4) In the condition where 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is used as a radiosensitizer for cancer, the radiation is X-ray or γ-ray. The enhancer of radiosensitizing ability according to any one of (1) to (3), wherein:
(5) The agent for enhancing radiosensitivity according to any one of (1) to (4), wherein the cancer to be treated is adenocarcinoma or squamous cell carcinoma.

本発明によれば、1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールを放射線増感剤として用いた、低酸素性癌細胞の放射線療法において、再発、転移を抑制し、その効果を更に高める手段を提供することができる。   According to the present invention, recurrence and metastasis in radiotherapy of hypoxic cancer cells using 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole as a radiosensitizer. It is possible to provide means for suppressing the above and further enhancing the effect.

(1)本発明の放射線増感能の増強剤
本発明の放射線増感能の増強剤は、白金系抗がん剤からなり、癌放射線治療において、1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールの放射線増感剤としての作用を更に高める作用を有することを特徴とする。放射線増感剤としての作用を高める作用としては、治療期間を短縮する効果、治療しきれない癌を治療で出来るようにする効果、癌の再発を抑制する効果、再発後の転移を抑制する効果などが挙げられ、中でも、放射線治療後に時としておこる、癌の再発を抑制する作用が好ましく例示できる。本発明で言う白金系抗がん剤とは、その構造に白金原子を含み、臨床的に抗がん剤として使用されているものであれば特段の限定無く適用でき、例えば、シスプラチン、カルボプラチン或いはアクプラなどが特に好適に例示できる。かかる成分の用量は、これらの薬剤を癌治療の目的で臨床で、この薬剤単独で使用する用量に対して、同量乃至はその8割程度が好ましい。その投与は、放射線治療に先立って、数日、具体的には2乃至3日〜30分前に行っても良いし、照射後30分〜数日、具体的には2乃至3日に後処理として行っても良い。より好ましい形態は、放射線照射前1時間から30分に投与する形態である。この時、後記に示す放射線増感剤の投与と重ならないようにすることが好ましい。これは、放射線増感剤と本発明の放射線増感剤の増強剤を同時に投与した場合に、時として、お互いの副作用を増強する場合が存するためである。この様に、放射線増感剤と投与のタイミングをずらす場合には、先に本発明の放射線増感剤の増強剤を投与し、しかる後に放射線増感剤を投与することが好ましい。この様な順にした方が癌を抑制する作用に優れるためである。本発明の放射線増感剤の増強剤は、前記放射線増感剤の存在下においては、他の抗がん剤を併用しても、放射線増感剤の効果増強作用を奏するため、白金系抗がん剤以外の抗がん剤を更に併用して条件下でも使用できる。この様な抗がん剤としては、例えば、ビンオルビン、ビンクリスチン、ビンデシン、ビンブラスチン、タキソテール、タキソール等の植物性抗がん剤、5−フルオロウラシル、フトラフール、カペシタビン、フルツロン、メソトレキセート、ロイコボリン、アラC、ジェムザール、フルダラ、ロイスタチン、ロイナーゼ、ハイドレア等の代謝拮抗剤系抗がん剤、イリノテカン、エトポシド、ハイカムチン、ペラゾリン等のトポイソメラーゼ阻害剤系抗がん剤、マイトマイシン、カルセド、ファルモルビシン、アドリアシン、ダウノルビシン、ピラルビシン、ノバントロン、ブレオマイシン等の抗生物質系抗がん剤などが好適に例示できる。これらは、併用する場合に於いては、単独使用時の用量乃至はその用量の8割の用量で用いることが好ましい。この様な本発明の放射線増感剤の増強剤は、製剤化のための任意成分ととももに、常法に従って、散剤、顆粒剤、錠剤、座剤、注射剤に加工することが出来る。前記任意成分としては、乳化剤、可溶化剤、分散剤、賦形剤、結合剤、崩壊剤、滑沢剤、被覆剤、糖衣剤、矯味矯臭剤、安定剤などが好ましく例示できる。
(1) The radiosensitizing ability enhancer of the present invention The radiosensitizing capacity enhancer of the present invention comprises a platinum-based anticancer agent, and is used in cancer radiotherapy as 1- (1-hydroxymethyl-2,3). -Dihydroxypropyl) oxymethyl-2-nitroimidazole has the effect of further enhancing the action as a radiosensitizer. The effect of enhancing the action as a radiosensitizer is the effect of shortening the treatment period, the effect of enabling treatment of cancer that cannot be treated, the effect of suppressing recurrence of cancer, the effect of suppressing metastasis after recurrence Among them, the action of suppressing the recurrence of cancer, which sometimes occurs after radiotherapy, can be preferably exemplified. The platinum-based anticancer agent referred to in the present invention can be applied without particular limitation as long as it contains a platinum atom in its structure and is clinically used as an anticancer agent. For example, cisplatin, carboplatin or An example of ACPLA is particularly preferable. The dosage of these components is preferably the same or about 80% of the dosage of these drugs used clinically for the purpose of cancer treatment and the drug alone. The administration may be performed several days prior to radiation treatment, specifically 2 to 3 days to 30 minutes before, or 30 minutes to several days after irradiation, specifically 2 to 3 days later. It may be performed as a process. A more preferable form is a form administered from 1 hour to 30 minutes before irradiation. At this time, it is preferable not to overlap with administration of the radiosensitizer described later. This is because when the radiosensitizer and the enhancer of the radiosensitizer of the present invention are administered at the same time, sometimes the side effects of each other are enhanced. Thus, when the administration timing of the radiosensitizer is shifted, it is preferable to administer the enhancer of the radiosensitizer of the present invention first and then administer the radiosensitizer. This is because such an order is superior in suppressing cancer. In the presence of the radiosensitizer, the enhancer of the radiosensitizer of the present invention exhibits the effect of enhancing the effect of the radiosensitizer even when used in combination with other anticancer agents. It can also be used under conditions by further using an anticancer agent other than a cancer agent. Examples of such anticancer agents include plant anticancer agents such as vinolvin, vincristine, vindesine, vinblastine, taxotere, taxol, 5-fluorouracil, ftorafur, capecitabine, flutulon, methotrexate, leucovorin, ala C, gemzar. Anti-metabolite anticancer drugs such as fludara, leustatin, leunin, hydrarea, topoisomerase inhibitor anticancer drugs such as irinotecan, etoposide, hicamchin, and perazoline, mitomycin, chalced, farmorubicin, adriacin, daunorubicin, pirarubicin, novantrone An antibiotic anticancer agent such as bleomycin can be preferably exemplified. When these are used in combination, it is preferable to use a single dose or 80% of the dose. Such a radiosensitizer enhancer of the present invention can be processed into powders, granules, tablets, suppositories, and injections in accordance with conventional methods together with optional components for formulation. Preferred examples of the optional component include emulsifiers, solubilizers, dispersants, excipients, binders, disintegrants, lubricants, coating agents, sugar-coating agents, flavoring agents, and stabilizers.

(2)本発明の放射線増感剤の増強剤が増強すべき放射線増感剤
本発明の放射線増感剤の増強剤は、前記化学式1の構造を有する放射線増感剤の低酸素性癌細胞放射線増感効果を増強し、放射線治療後の再発を抑制する。前記化学式1の構造の化合物は不整炭素を2個有しており、その立体異性体はSS体、RS体、SR体、RS体の4種が存在するがこれらの何れの作用をも、本発明の増強剤は増強することが出来る。勿論、光学活性体の効果を増強することも出来るし、ラセミ体のような等量混合物の効果を増強することも出来る。特に好ましいものは、SR体とRS体の体であり、これは、臨床試験において、実際に有効性が確かめられているためである。かかる化合物は、特許文献1或いは特許文献2に記載された方法に従って製造することが出来、例えば、2−ニトロ−1−トリメチルシリルイミダゾールと2−アセトキシメトキシ−1,3,4−トリアセトキシブタンとをルイス酸の存在下縮合させ、しかる後に、ナトリウムメトキシドなどを反応させて脱アセチル化することにより、製造することが出来る。この時、2−アセトキシメトキシ−1,3,4−トリアセトキシブタンの立体特性が、最終生成物の1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールにも反映される。かかる放射線増感剤は、放射線増感効果を有しながら、中枢への配向が制限されており、神経毒性を極めて誘起しにくい放射線増感剤であり、これは非環状糖部分の水溶性による。しかしながら、この様な構造のために代謝により、速やかに腫瘍部位から排出されてしまうことを意味し、その投与は放射線照射30分前〜直前に行うことが好ましい。その用量も成人1人あたり、1〜5gを照射前に投与することが好ましい。又、この様な放射線増感剤と放射線増感剤の増強剤を用いて治療するにあたり、対象として好ましい癌腫は、腺ガン又は偏平上皮癌、特に腺ガンの内の肺癌が、偏平上皮癌の内の皮膚癌、頭頸部ガン又は乳ガンが例示できる。これは、この様な癌腫においては放射線抵抗性或いは転移による再発と、再発可能性が著しいためである。放射線療法に於ける、化学式1の構造の放射線増感剤と、本発明の放射線増感剤の増強剤の併用により、かかる放射線抵抗性と再発可能性を低下せしめることが出来る。
(2) The radiosensitizer that the radiosensitizer enhancer of the present invention should enhance The radiosensitizer enhancer of the present invention is a hypoxic cancer cell of the radiosensitizer having the structure of Formula 1 It enhances the radiosensitizing effect and suppresses recurrence after radiotherapy. The compound of the structure of the chemical formula 1 has two asymmetric carbons, and there are four types of stereoisomers, SS, RS, SR, and RS. The enhancer of the invention can be enhanced. Of course, the effect of an optically active substance can be enhanced, and the effect of an equivalent mixture such as a racemate can be enhanced. Particularly preferred are the SR and RS bodies, since this has been confirmed in clinical trials. Such a compound can be produced according to the method described in Patent Document 1 or Patent Document 2, for example, 2-nitro-1-trimethylsilylimidazole and 2-acetoxymethoxy-1,3,4-triacetoxybutane. It can be produced by condensation in the presence of a Lewis acid and then deacetylating by reacting with sodium methoxide or the like. At this time, the steric properties of 2-acetoxymethoxy-1,3,4-triacetoxybutane are also observed in the final product 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole. Reflected. Such a radiosensitizer is a radiosensitizer that has a radiosensitization effect but has limited orientation to the center and is extremely unlikely to induce neurotoxicity. This is due to the water solubility of the acyclic sugar moiety. . However, because of such a structure, it means that it is rapidly excreted from the tumor site by metabolism, and its administration is preferably performed 30 minutes before or just before irradiation. The dose is preferably 1 to 5 g per adult before administration. In addition, in the treatment using such a radiosensitizer and a radiosensitizer enhancer, a preferable carcinoma as a subject is adenocarcinoma or squamous cell carcinoma, in particular, lung cancer of adenocarcinoma is squamous cell carcinoma. Examples are skin cancer, head and neck cancer, and breast cancer. This is because in such a carcinoma, recurrence due to radioresistance or metastasis and the possibility of recurrence are remarkable. The combined use of the radiosensitizer having the structure of Chemical Formula 1 and the enhancer of the radiosensitizer of the present invention in radiotherapy can reduce such radioresistance and recurrence possibility.

以下に、実施例を挙げて本発明について更に詳細に説明を加えるが、本発明がかかる実施例にのみに限定されるものではない。   Hereinafter, the present invention will be described in more detail with reference to examples, but the present invention is not limited to such examples.

以下に示す処方に従って、本発明の放射線増感剤の増強剤である、シスプラチンについて、in vivoでその増強効果を確かめた。即ち、C3Hマウス(雌性、5週齢)1群5匹を4群用い、右後ろ足太股部に扁平上皮癌(SCCVII)由来細胞を10個移植し、1週間予飼育した。移植した部分に生じた腫瘍の大きさを計測した後、治療を開始した。治療は1群が20Gyの放射線照射のみ(第1群;放射線照射群)、1群はシスプラチンを8mg/Kg腹腔内投与し、その24時間後に20Gyの放射線照射を行い(第2群;シスプラチン投与群)、1群は200mg/Kgの1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾール(第3群;SR・RSラセミ体)を静脈内投与し、その15分後に20Gyの放射線照射を行い(放射線増感剤投与群)、残る1群はシスプラチンを8mg/Kg腹腔内投与し、24時間後に放射線を照射するが、その15分前に200mg/Kgの1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾール(SR・RSラセミ体)を静脈内投与した。(第4群;放射線増感・増強群) 放射線はX線を用いた。その2日後、7日後、9日後、10日後に腫瘍体積を計測した。これらの結果より、開始時の腫瘍体積を1とした場合の相対体積値を求めた。結果をこの相対体積値の遷移として、表1及び図1に示す。これより、本発明の増強剤を用いると、9日後から観察される癌の再発を防止できることが判る。再発を防止することにより、転移も抑制できる。 According to the formulation shown below, the enhancement effect of cisplatin, which is an enhancer of the radiosensitizer of the present invention, was confirmed in vivo. That is, 4 groups of 5 C3H mice (female, 5 weeks old) were used, and 10 5 squamous cell carcinoma (SCCVII) -derived cells were transplanted into the right hind leg crotch and pre-bred for 1 week. Treatment was started after measuring the size of the tumor in the transplanted area. For treatment, 1 group only received 20 Gy irradiation (Group 1; irradiation group), 1 group received 8 mg / Kg of cisplatin intraperitoneally, and then 20 Gy irradiation was performed 24 hours later (Group 2; cisplatin administration) Group), 1 group was administered intravenously with 200 mg / Kg of 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole (group 3; SR / RS racemate), After 15 minutes, 20 Gy was irradiated (radiosensitizer administration group), and the remaining group was administered cisplatin at 8 mg / Kg intraperitoneally, and irradiated 24 hours later, but at 15 minutes before that, 200 mg / Kg was irradiated. 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole (SR • RS racemate) was administered intravenously. (Group 4: radiosensitization / enhancement group) X-rays were used for radiation. The tumor volume was measured after 2 days, 7 days, 9 days and 10 days. From these results, the relative volume value when the tumor volume at the start was set to 1 was determined. The results are shown in Table 1 and FIG. 1 as transitions of this relative volume value. From this, it can be seen that the use of the enhancer of the present invention can prevent the recurrence of cancer observed after 9 days. By preventing recurrence, metastasis can also be suppressed.

Figure 2007302609
Figure 2007302609

ヒト肺ガン由来細胞RELF−LC−AI細胞を用いたMTT法で、本発明の放射線増感剤の増強剤であるシスプラチン(0.3μg/ml)の存在下又は非存在下での1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル;PR350)オキシメチル−2−ニトロイミダゾールの用量反応性を調べた。まず、細胞は800個をシャーレに播種し、17時間前培養した後、シスプラチンを0.3μmol/L添加して24時間インキュベーションした。その後、培地を交換し、PR-350を1〜4mmol/L添加し、低酸素条件下放射線を3Gy照射した。照射48時間後に発色液を加え、2時間37℃でインキュベーションした後、吸光度を測定し、細胞の増殖率を測定した。結果を図2に示す。これより、本発明の増強剤の存在下、PR350の濃度依存的に細胞増殖率が減少しており(図2、第6群〜第8群)、本発明の放射線増感剤の増強剤の効果が確認された。   1- (1) in the presence or absence of cisplatin (0.3 μg / ml), which is a potentiator of the radiosensitizer of the present invention, in the MTT method using human lung cancer-derived cells RELF-LC-AI cells. The dose response of 1-hydroxymethyl-2,3-dihydroxypropyl; PR350) oxymethyl-2-nitroimidazole was investigated. First, 800 cells were seeded in a petri dish and pre-cultured for 17 hours, and then cisplatin was added at 0.3 μmol / L and incubated for 24 hours. Thereafter, the medium was changed, PR-350 was added at 1 to 4 mmol / L, and radiation was applied at 3 Gy under hypoxic conditions. After 48 hours of irradiation, a coloring solution was added and incubated at 37 ° C. for 2 hours, and then the absorbance was measured to determine the cell growth rate. The results are shown in FIG. As a result, in the presence of the enhancer of the present invention, the cell growth rate decreased depending on the concentration of PR350 (FIG. 2, Group 6 to Group 8), and the radiosensitizer enhancer of the present invention The effect was confirmed.

本発明は、癌放射線治療の向上に利用できる。   The present invention can be used to improve cancer radiotherapy.

実施例1の腫瘍の体積変化を示す図である。It is a figure which shows the volume change of the tumor of Example 1. FIG. 実施例2の細胞増殖を示す図である。It is a figure which shows the cell proliferation of Example 2. FIG.

Claims (5)

白金系抗がん剤からなる、次の化学式1に構造を示す1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールの癌に対する放射線増感能の増強剤。
Figure 2007302609
化学式1
A potentiator of 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole having a structure shown in the following chemical formula 1, comprising a platinum-based anticancer agent, for enhancing the radiosensitization ability for cancer.
Figure 2007302609
Chemical formula 1
前記白金系抗がん剤が、シスプラチンであることを特徴とする、請求項1に記載の放射線増感能の増強剤。 The enhancer of radiosensitizing ability according to claim 1, wherein the platinum-based anticancer agent is cisplatin. 前記1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールが、光学活性体乃至はラセミ体であることを特徴とする、請求項1又は2に記載の放射線増感能の増強剤。 The radiation enhancement according to claim 1 or 2, wherein the 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is an optically active substance or a racemate. Sensitivity enhancer. 前記1−(1−ヒドロキシメチル−2,3−ジヒドロキシプロピル)オキシメチル−2−ニトロイミダゾールを癌に対する放射線増感剤として使用する条件において、放射線が、X線又はγ線であることを特徴とする、請求項1〜3何れか1項に記載の放射線増感能の増強剤。 In the condition where the 1- (1-hydroxymethyl-2,3-dihydroxypropyl) oxymethyl-2-nitroimidazole is used as a radiosensitizer for cancer, the radiation is X-rays or γ-rays. The enhancer of radiosensitizing ability according to any one of claims 1 to 3. 治療すべき癌が腺ガン又は偏平上皮ガンであることを特徴とする、請求項1〜4何れか1項に記載の放射線増感能の増強剤。 The enhancer of radiosensitizing ability according to any one of claims 1 to 4, wherein the cancer to be treated is adenocarcinoma or squamous cell carcinoma.
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JP2014185133A (en) * 2013-03-22 2014-10-02 Pola Pharma Inc Inhibitor of abc transporter
JP2017206538A (en) * 2017-06-29 2017-11-24 株式会社ポーラファルマ ABC transporter inhibitor
JPWO2017122743A1 (en) * 2016-01-14 2018-11-01 Agc株式会社 Curable composition, cured product, prepreg and fiber reinforced molded product
WO2020179125A1 (en) 2019-03-05 2020-09-10 株式会社エム・ティー・スリー Radiosensitizer
EP4353224A1 (en) 2022-10-11 2024-04-17 M.T.3, Inc. Pharmaceutical composition comprising a sulfoquinovosylacylpropanediol derivate for treating cancer

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014185133A (en) * 2013-03-22 2014-10-02 Pola Pharma Inc Inhibitor of abc transporter
JPWO2017122743A1 (en) * 2016-01-14 2018-11-01 Agc株式会社 Curable composition, cured product, prepreg and fiber reinforced molded product
JP2017206538A (en) * 2017-06-29 2017-11-24 株式会社ポーラファルマ ABC transporter inhibitor
WO2020179125A1 (en) 2019-03-05 2020-09-10 株式会社エム・ティー・スリー Radiosensitizer
EP4353224A1 (en) 2022-10-11 2024-04-17 M.T.3, Inc. Pharmaceutical composition comprising a sulfoquinovosylacylpropanediol derivate for treating cancer

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