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Self-assembled Transition Metal Coordination Frameworks of ...

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Chapter I M W 7 7 _ __<br />

1.3.1.1. Anticancer drugs-A briefreport<br />

Cancer chemotherapy uses compounds that can differentiate to some degree<br />

between normal tissue cells and cancer cells. Mechlorethamine, a derivative <strong>of</strong> the<br />

chemical warfare agent nitrogen mustard, was first used in the 1940s in the treatment<br />

<strong>of</strong> cancer and was shown to be effective in treating lymphomas. Since then, many<br />

antineoplastic drugs have been developed and used with much success. Because<br />

cancer cells are similar to normal human cells, the anticancer agents are generally<br />

toxic to normal cells and can cause numerous side effects, some <strong>of</strong> which are life<br />

threatening. These adverse effects may require that the drug dosage be reduced or the<br />

antineoplastic drug regimen be changed to make the drug tolerable to the patient [86].<br />

Alkylating agents were the first anticancer drugs used, and, despite their<br />

hazards, they remain a cornerstone <strong>of</strong> anticancer therapy. Some examples <strong>of</strong><br />

alkylating agents are nitrogen mustards (chlorambucil and cyclophosphamide),<br />

cisplatin, nitrosoureas (carmustine, lomustine, and semustine), alkylsulfonates<br />

(busulfan), ethyleneimines (thiotepa) and triazines (dacarbazine). These chemical<br />

agents are highly reactive and bind to certain chemical groups (phosphate, amino,<br />

sulfliydryl, hydroxyl, and imidazole groups) commonly found in nucleic acids and<br />

other macromolecules. These agents bring about changes in the deoxyribonucleic acid<br />

(DNA) and ribonucleic acid (RNA) <strong>of</strong> both cancerous and normal cells. The result is<br />

that the nucleic acid will not be replicated. Either the altered DNA will be unable to<br />

carry out the functions <strong>of</strong> the cell, resulting in cell death (cytotoxicity), or the altered<br />

DNA will change the cell characteristics, resulting in an altered cell (mutagenic<br />

change). This change may result in the ability or tendency to produce cancerous cells<br />

(carcinogenicity). Normal cells may also be affected and become cancer cells.<br />

Alkylating agents have found use in the treatment <strong>of</strong> lymphoma, leukemia, testicular<br />

cancer, melanoma, brain cancer, and breast cancer. They are most <strong>of</strong>ten used in<br />

combination with other anticancer drugs [86].<br />

18

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