Discovery of 6-Diazo-5-oxo-l-norleucine (DON) Prodrugs with Enhanced CSF Delivery in Monkeys: A Potential Treatment for Glioblastoma
Language English Country United States Media print-electronic
Document type Journal Article
Grant support
R01 AG063831
NIA NIH HHS - United States
- MeSH
- Antimetabolites, Antineoplastic cerebrospinal fluid therapeutic use MeSH
- Diazooxonorleucine cerebrospinal fluid therapeutic use MeSH
- Glioblastoma drug therapy metabolism MeSH
- Glutamine metabolism MeSH
- Haplorhini MeSH
- Humans MeSH
- Mice, Nude MeSH
- Mice MeSH
- Brain Neoplasms drug therapy metabolism MeSH
- Prodrugs pharmacokinetics therapeutic use MeSH
- Animals MeSH
- Check Tag
- Humans MeSH
- Mice MeSH
- Female MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Antimetabolites, Antineoplastic MeSH
- Diazooxonorleucine MeSH
- Glutamine MeSH
- Prodrugs MeSH
The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 1) has shown robust anticancer efficacy in preclinical and clinical studies, but its development was halted due to marked systemic toxicities. Herein we demonstrate that DON inhibits glutamine metabolism and provides antitumor efficacy in a murine model of glioblastoma, although toxicity was observed. To enhance DON's therapeutic index, we utilized a prodrug strategy to increase its brain delivery and limit systemic exposure. Unexpectedly, simple alkyl ester-based prodrugs were ineffective due to chemical instability cyclizing to form a unique diazo-imine. However, masking both DON's amine and carboxylate functionalities imparted sufficient chemical stability for biological testing. While these dual moiety prodrugs exhibited rapid metabolism in mouse plasma, several provided excellent stability in monkey and human plasma. The most stable compound (5c, methyl-POM-DON-isopropyl-ester) was evaluated in monkeys, where it achieved 10-fold enhanced cerebrospinal fluid to plasma ratio versus DON. This strategy may provide a path to DON utilization in glioblastoma multiforme patients.
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