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      Substrate specificity and phosphorylation of antiviral and anticancer nucleoside analogues by human deoxyribonucleoside kinases and ribonucleoside kinases

      review-article
      a , b , * , b
      Pharmacology & Therapeutics
      Elsevier Inc.
      Antiviral therapy, Anticancer therapy, Chemotherapy, Nucleoside analogue, Deoxyribonucleoside kinase, Ribonucleoside kinase, ADK, adenosine kinase, AIDS, aquired immunodeficiency syndrome, AraC, 1-β-d-arabinofuranosylcytosine (Cytarabine), AraG, 9-β-d-arabinofuranosylguanine (Nelarabine), AZT, 3′-azido-2′,3′-dideoxythymidine (Zidovudine), CAFdA, 2-chloro-2′-fluoro-9-β-d-arabinofuranosyladenine (Clofarabine), CdA, 2-chloro-2′-deoxyadenosine (Cladribine), dCK, deoxycytidine kinase, ddC, 2′,3′-dideoxycytidine (Zalcitabine), ddI, 2′,3′-dideoxyinosine (Didanosine), dGK, deoxyguanosine kinase, dFdC, 2′,2′-difluorodeoxycytidine (Gemcitabine), dNK, deoxyribonucleoside kinase, d4T, 2′,3′-didehydro-3′-deoxythymidine (Stavudine), F-AraA, 2-fluoro-9-β-d-arabinofuranosyladenine (Fludarabine), FDA, Food and Drug Administration, FIAU, 1-(2′-deoxy-2′-fluoro-β-d-arabinofuranosyl)-5-iodouracil (Fialuridine), HBV, hepatitis B virus, mtDNA, mitochondrial DNA, HIV, human immunodeficiency virus, NA, nucleoside analogue, NDPK, nucleoside diphosphate kinase, NMPK, nucleoside monophosphate kinase, 5′-NT, 5′-nucleotidase, rNK, ribonucleoside kinase, RR, ribonucleotide reductase, RT, reverse transcriptase, TK1, thymidine kinase 1, TK2, thymidine kinase 2, UCK1, uridine-cytidine kinase 1, UCK2, uridine-cytidine kinase 2, 3TC, 2′-deoxy-3′-thiacytidine (Lamivudine)

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          Abstract

          Structural analogues of nucleosides, nucleoside analogues (NA), are used in the treatment of cancer and viral infections. Antiviral NAs inhibit replication of the viral genome, whereas anticancer NAs inhibit cellular DNA replication and repair. NAs are inactive prodrugs that are dependent on intracellular phosphorylation to their pharmacologically active triphosphate form. The deoxyribonucleoside kinases (dNK) and ribonucleoside kinases (rNK) catalyze the first phosphorylation step, converting deoxyribonucleosides and ribonucleosides to their corresponding monophosphate form. The dNKs have been studied intensively, whereas the rNKs have not been as thoroughly investigated. This overview is focused on the substrate specificity, tissue distribution, and subcellular location of the mammalian dNKs and rNKs and their role in the activation of NAs.

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          The mitochondrial genome: structure, transcription, translation and replication.

          J Taanman (1999)
          Mitochondria play a central role in cellular energy provision. The organelles contain their own genome with a modified genetic code. The mammalian mitochondrial genome is transmitted exclusively through the female germ line. The human mitochondrial DNA (mtDNA) is a double-stranded, circular molecule of 16569 bp and contains 37 genes coding for two rRNAs, 22 tRNAs and 13 polypeptides. The mtDNA-encoded polypeptides are all subunits of enzyme complexes of the oxidative phosphorylation system. Mitochondria are not self-supporting entities but rely heavily for their functions on imported nuclear gene products. The basic mechanisms of mitochondrial gene expression have been solved. Cis-acting mtDNA sequences have been characterised by sequence comparisons, mapping studies and mutation analysis both in vitro and in patients harbouring mtDNA mutations. Characterisation of trans-acting factors has proven more difficult but several key enzymes involved in mtDNA replication, transcription and protein synthesis have now been biochemically identified and some have been cloned. These studies revealed that, although some factors may have an additional function elsewhere in the cell, most are unique to mitochondria. It is expected that cell cultures of patients with mitochondrial diseases will increasingly be used to address fundamental questions about mtDNA expression.
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            DNA replication fidelity.

            DNA replication fidelity is a key determinant of genome stability and is central to the evolution of species and to the origins of human diseases. Here we review our current understanding of replication fidelity, with emphasis on structural and biochemical studies of DNA polymerases that provide new insights into the importance of hydrogen bonding, base pair geometry, and substrate-induced conformational changes to fidelity. These studies also reveal polymerase interactions with the DNA minor groove at and upstream of the active site that influence nucleotide selectivity, the efficiency of exonucleolytic proofreading, and the rate of forming errors via strand misalignments. We highlight common features that are relevant to the fidelity of any DNA synthesis reaction, and consider why fidelity varies depending on the enzymes, the error, and the local sequence environment.
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              Fludarabine compared with chlorambucil as primary therapy for chronic lymphocytic leukemia.

              Fludarabine is an effective treatment for chronic lymphocytic leukemia that does not respond to initial treatment with chlorambucil. We compared the efficacy of fludarabine with that of chlorambucil in the primary treatment of chronic lymphocytic leukemia. Between 1990 and 1994, we randomly assigned 509 previously untreated patients with chronic lymphocytic leukemia to one of the following treatments: fludarabine (25 mg per square meter of body-surface area, administered intravenously daily for 5 days every 28 days), chlorambucil (40 mg per square meter, given orally every 28 days), or fludarabine (20 mg per square meter per day for 5 days every 28 days) plus chlorambucil (20 mg per square meter every 28 days). Patients with an additional response at each monthly evaluation continued to receive the assigned treatment for a maximum of 12 cycles. Assignment of patients to the fludarabine-plus-chlorambucil group was stopped when a planned interim analysis revealed excessive toxicity and a response rate that was not better than the rate with fludarabine alone. Among the other two groups, the response rate was significantly higher for fludarabine alone than for chlorambucil alone. Among 170 patients treated with fludarabine, 20 percent had a complete remission, and 43 percent had a partial remission. The corresponding values for 181 patients treated with chlorambucil were 4 percent and 33 percent (P< 0.001 for both comparisons). The median duration of remission and the median progression-free survival in the fludarabine group were 25 months and 20 months, respectively, whereas both values were 14 months in the chlorambucil group (P<0.001 for both comparisons). The median overall survival among patients treated with fludarabine was 66 months, which was not significantly different from the overall survival in the other two groups (56 months with chlorambucil and 55 months with combined treatment). Severe infections and neutropenia were more frequent with fludarabine than with chlorambucil (P=0.08), although, overall, toxic effects were tolerable with the two single-drug regimens. When used as the initial treatment for chronic lymphocytic leukemia, fludarabine yields higher response rates and a longer duration of remission and progression-free survival than chlorambucil.
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                Author and article information

                Contributors
                Journal
                Pharmacol Ther
                Pharmacol. Ther
                Pharmacology & Therapeutics
                Elsevier Inc.
                0163-7258
                1879-016X
                4 November 2003
                November 2003
                4 November 2003
                : 100
                : 2
                : 119-139
                Affiliations
                [a ]Department of Nephrology-Hypertension, University of Antwerp, 2610 Antwerp, Belgium
                [b ]Division of Clinical Virology, Huddinge University Hospital, F68, Karolinska Institute, S141 86 Stockholm, Sweden
                Author notes
                [* ]Corresponding author. Tel.: +46-8-585879352; fax: +46-8-58587933. anna.karlsson@ 123456mbb.ki.se
                Article
                S0163-7258(03)00119-0
                10.1016/j.pharmthera.2003.07.001
                7126524
                14609716
                30aa2287-0f92-449c-b83d-0956c8174a82
                Copyright © 2003 Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                Pharmacology & Pharmaceutical medicine
                antiviral therapy,anticancer therapy,chemotherapy,nucleoside analogue,deoxyribonucleoside kinase,ribonucleoside kinase,adk, adenosine kinase,aids, aquired immunodeficiency syndrome,arac, 1-β-d-arabinofuranosylcytosine (cytarabine),arag, 9-β-d-arabinofuranosylguanine (nelarabine),azt, 3′-azido-2′,3′-dideoxythymidine (zidovudine),cafda, 2-chloro-2′-fluoro-9-β-d-arabinofuranosyladenine (clofarabine),cda, 2-chloro-2′-deoxyadenosine (cladribine),dck, deoxycytidine kinase,ddc, 2′,3′-dideoxycytidine (zalcitabine),ddi, 2′,3′-dideoxyinosine (didanosine),dgk, deoxyguanosine kinase,dfdc, 2′,2′-difluorodeoxycytidine (gemcitabine),dnk, deoxyribonucleoside kinase,d4t, 2′,3′-didehydro-3′-deoxythymidine (stavudine),f-araa, 2-fluoro-9-β-d-arabinofuranosyladenine (fludarabine),fda, food and drug administration,fiau, 1-(2′-deoxy-2′-fluoro-β-d-arabinofuranosyl)-5-iodouracil (fialuridine),hbv, hepatitis b virus,mtdna, mitochondrial dna,hiv, human immunodeficiency virus,na, nucleoside analogue,ndpk, nucleoside diphosphate kinase,nmpk, nucleoside monophosphate kinase,5′-nt, 5′-nucleotidase,rnk, ribonucleoside kinase,rr, ribonucleotide reductase,rt, reverse transcriptase,tk1, thymidine kinase 1,tk2, thymidine kinase 2,uck1, uridine-cytidine kinase 1,uck2, uridine-cytidine kinase 2,3tc, 2′-deoxy-3′-thiacytidine (lamivudine)

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