Side Effects of Chemotherapy Could be Cut Down by Fresh Discovery

by Nancy Needhima on Mar 13 2012 11:06 PM

Side Effects of Chemotherapy Could be Cut Down by Fresh Discovery
The structure of a key molecule that can transport chemotherapy and anti-viral drugs into cells, which could help to craft more potent drugs with fewer effects to healthy tissue, has been determined by scientists.
The transporter molecule, called a concentrative nucleoside transporter, works by moving nucleosides, the building blocks of DNA and RNA, from the outside to the inside of cells.

"Knowing the structure and properties of the transporter molecule may be the key to changing the way that some chemotherapies, for example, could work in the body to prevent tumor growth," Seok-Yong Lee, senior author of the study from Duke University, said.

The transporter molecule also transports nucleoside-like chemo drugs through cell membranes. Once inside the cells, the nucleoside-like drugs are modified into nucleotides that are incorporated into DNA in ways that prevent tumour cells from dividing and functioning.

"We discovered the structure of the transporter molecule, and now we believe it is possible to improve nucleoside drugs to be better recognized by a particular form of the transporter molecule that resides in certain types of tissue.

"Now we know the transporter molecule has three forms, which recognize different drugs and reside in different tissues," Lee said.

The team determined the chemical and physical principles a transporter molecule uses to recognize the nucleosides, "so if you can improve the interactions between the transporter and the drug, you won't need as much of the drug to get it into the tumor cells efficiently," Lee said.

"Knowing the shape of the transporters will let scientists design drugs that are recognized well by this transporter," Lee said.

Since the drugs enter healthy cells as well as tumor cells, giving a lower dose of drug that targets tumour tissue would be the best scenario, said Lee, who is also a member of the Duke Ion Channel Research Unit.

"Healthy cells don't divide as often as tumour cells, so lowering the amount of drug given overall would be an effective approach to killing tumours while protecting patients," Lee said.

The researchers studied transporter molecules from Vibrio cholera, a comma-shaped bacterium. The bacterial transporter serves as a good model system for studying human transporters because they share similar amino acid sequences.

They found that both the human and bacterial transporter use a sodium gradient to import nucleosides and drugs into the cells.

The study has been published in Nature online.


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