4.3 Review

The Use of Temozolomide for the Treatment of Malignant Tumors: Clinical Evidence and Molecular Mechanisms of Action

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出版社

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/157489210791760526

关键词

Anti-cancer drug; alkylating drug; DNA damage; temozolomide; triazenes

资金

  1. Ministero Italiano dell'Universita e della Ricerca
  2. RSA Tor Vergata

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Temozolomide (TMZ) is a monofunctional methylating agent which is spontaneously activated in aqueous solution into the dacarbazine metabolite 5-(3-methyl-1-triazeno)imidazole-4-carboxamide. This drug has been approved for the treatment of metastatic melanoma and glioblastoma multiforme, the latter in combination with radiotherapy. Furthermore, clinical trials have been performed to assess the activity of TMZ, alone or in combination, on brain metastatic solid tumors and leukaemias. This review will report clinical evidence on the use of TMZ for the treatment of different types of cancer; it also considers current knowledge on TMZ's molecular mechanisms of action of and discusses relevant patents relating to the same drug.

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