Novel ProTide prodrugs of 5-fluoro-2'-deoxyuridine for the treatment of liver cancer

Eur J Med Chem. 2023 Nov 15:260:115763. doi: 10.1016/j.ejmech.2023.115763. Epub 2023 Aug 25.

Abstract

ProTide prodrug technology has emerged as a promising way for the development of anti-viral and anti-tumor drugs, whereas, there are fewer applications for the treatment of liver cancer. Herein, a series of distinct 3'-ester ProTide prodrugs of 5-fluoro-2'-deoxyuridine (FdUR) were synthesized and evaluated for their anti-liver cancer activity. The most efficient prodrug 11b reached a sub-micromolar activity (IC50 = 0.42 ± 0.13 μM) against HepG2 and over 100-fold and 200-fold improvements compared to 5-FU, respectively. 11b also demonstrated favorable selectivity towards normal liver cells L-02 (IC50 > 100 μM). In vitro metabolic stability studies revealed that 11b is stable in the plasma and could be activated rapidly in the liver, which supported that 11b is liver-targeted. Importantly, to more accurately evaluate the anti-HCC activity of 11b, the liver orthotopic model was built and 11b significantly suppressed tumor growth (TGI = 75.5%) at a dose of 60 mg/kg/2d in vivo without obvious toxicity. Overall, these promising results indicated that 11b could serve as a safe and effective prodrug of 5-FU nucleoside for liver cancer therapy.

Keywords: 5-Fluorouracil; Liver cancer therapy; Mouse orthotopic models; ProTide prodrugs.

MeSH terms

  • Deoxyuridine / pharmacology
  • Fluorouracil / pharmacology
  • Fluorouracil / therapeutic use
  • Humans
  • Liver Neoplasms* / drug therapy
  • Prodrugs* / pharmacology

Substances

  • 5-fluoro-2'-deoxyuridine
  • Prodrugs
  • Deoxyuridine
  • Fluorouracil