Vincristine chemical structure
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Vincristine

Vincristine (OncovinĀ®) is an alkaloid from the Madagascar periwinkle (Catharanthus roseus, formerly Vinca rosea and hence its name). It is used in chemotherapy. more...

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Mode of action

Tubulin is a structural protein which polymerises to form microtubules. The cell cytoskeleton and mitotic spindle, amongst other things, are made of microtubules. Vincristine binds to tubulin dimers causing disassembly of microtubule structures. Disruption of the microtubules arrests mitosis in metaphase. The vinca alkaloids therefore affect all rapidly dividing cell types, including cancer cells but also as intestinal epithelium and bone marrow.

Side effects

The main side-effects of vincristine are peripheral neuropathy and constipation. The latter may require laxatives, while the former can be a reason to reduce the dose of vincristine.

Accidental injection of vinca alkaloids into the spinal canal (intrathecal administration) is highly dangerous, with a mortality rate approaching 100%. The medical literature documents cases of ascending paralysis due to massive encephalopathy and spinal nerve demyelination, accompanied by intractable pain, almost uniformly leading to death; a handful of survivors were left with devastating neurological damage with no hope of recovery.

Uses

Vincristine, injected intravenously only, is used in various types of chemotherapy regimens. Its main uses are in non Hodgkin's lymphoma as part of the chemotherapy regimen CHOP, Hodgkin's lymphoma as part of the Stanford V chemotherapy regimen, and in acute lymphoblastic leukemia.

History

Having been used as a folk remedy for centuries, studies in the 1950s revealed that C. roseus contained 70 alkaloids, many of which biologically active. Vincristine gained FDA approval in July 1963 as Oncovin. The drug was initially marketed by Eli Lilly.

Suppliers

Three generic drug makers supply vincristine in the United States - APP, Mayne, and Sicor.

Read more at Wikipedia.org


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In vitro cytotoxic properties of Ipomoea aquatica leaf
From Indian Journal of Pharmacology, 11/1/05 by K. Prasad

Byline: K. Prasad, G. Ashok, C. Raghu, G. Shivamurthy, P. Vijayan, S. Aradhya

Efforts are being made to develop anticancer agents from natural sources by many workers. In the past, plants have provided anticancer compounds like vincristine and taxol. Several members of the species Ipomoea ( Convolvulaceae ) are being used traditionally for the treatment of a large number of disease conditions. Among them Ipomoea bahiensis is reported to posses anticancer activity.[1] Ipomoea aquatica leaf is being used as a green leafy vegetable and also in traditional medicine for nose bleed and high blood pressure with high antioxidant properties.[2] No investigation has been carried out for its anticancer property till now. In view of these reports and ethnomedical uses of Ipomoea aquatica leaf, we studied the in vitro cytotoxic properties of its crude methanolic extract (CME), its column fraction (CF) and purified bioactive compound i.e., 7-O-?-D-glucopyranosyl-dihydroquercetin-3-O-a-D-glucopyranoside (DHQG) isolated from it.

The leaves of Ipomoea aquatica were collected from Mysore, Karnataka, India, authenticated by a taxonomist and a specimen preserved (specimen no: 9/1) at the Department of Botany, University of Mysore, Mysore. The leaves (628 g) were oven dried at 48[degrees]C for 36 h to prevent enzyme action,[3] powdered and extracted with methanol (2.5 l) in a Soxhlet extractor for 8 h. The extract was concentrated under reduced pressure and controlled temperature to yield CME (146 g, 23.3%). This extract (60 g) was purified partially by using silica column chromatography to obtain the CF. This fraction was in turn purified by using XAD-4 resin column chromatography to obtain a pure compound (1.7 g). This 100% pure compound based on UV, NMR and GC-MS studies was identified as DHQG.[2] Each test sample (CME, CF and DHQG) were separately dissolved in 1% dimethyl sulphoxide[4] (DMSO) and the volume was made up to 10 ml with Dulbecco's modified Eagles medium (DMEM), pH 7.4 supplemented with 2% heat inactivated newborn calf serum (Maintenance medium, PAA Laboratories, Austria), to obtain a stock solution of 1 mg/ml concentration, sterilized by filtration and stored at -20[degrees]C till use.

The CME, CF and DHQG were investigated for cytotoxic properties against normal and cancer cell lines. Vero (normal African green monkey kidney) and Hep-2 (human larynx epithelial carcinoma) cell lines were obtained from Pasteur Institute of India, Coonor. A-549 (human small cell lung carcinoma) was obtained from National Center for Cell Sciences, Pune. The cultures were maintained in DMEM, pH 7.4 supplemented with 10% heat inactivated newborn calf serum,[5] penicillin (100 IU/ml), streptomycin (100 [micro]g/ml) and amphoterecin-B (5 [micro]g/ml) and were grown in 25 cm[2] tissue culture flasks (Tarsons Products [P] Ltd., Kolkata, India) until confluent and used for cytotoxicity assays.

Cell lines in exponential phase were washed with serum free DMEM medium, trypsinised using 0.2% trypsin and re-suspended in DMEM medium with 10% heat inactivated newborn calf serum.[5] Cells were plated at 10,000 cells/well in 96 well microtiter plates (Tarsons Products [P] Ltd., Kolkata, India) and incubated for 24 h at 37[degrees]C, 5% CO<sub>2</sub> in a humidified atmosphere, during which period a partial monolayer was formed. The cells were then exposed to different concentrations (15.6, 31.2, 62.5, 125, 250, 500 and 1000 mg/ml, prepared by serial two-fold dilutions using maintenance medium from the stock solution) of test sample in quadruplicate. Control wells received only maintenance media. The cells were incubated at 37[degrees]C in a humidified incubator with 5% CO<sub>2</sub> for a period of 72 h according to method of Brown[4] et al ., (2004). Morphological changes were examined using an inverted tissue phase-contrast microscope (Olympus Optical Co., Ltd., Japan, Model 1X70) at 24 h time intervals and compared with the control. At the end of 72 h, cellular viability was determined using standard 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT)[6] and Sulphorhodamine B (SRB)[7] assays and the CTC<sub>50</sub> value (concentration of the sample required to kill 50% of the cells) was calculated.

DHQG showed cytotoxicity towards cell cultures with CTC<sub>50</sub> values of 387 mg/ml against normal Vero cell line, where as 156 and 394 mg/ml, against Hep-2 and A-549 cell lines respectively. The CME and CF gave CTC<sub>50</sub> values ranging from 41-332 mg/ml in Vero, 46 - 114 mg/ml in Hep-2 and 44 - 230 mg/ml in A-549 cell lines. [Table 1]

The CME was more potent than that of DHQG probably due to synergistic effects resulting from the combination of anthocyanins and other phenolic compounds.[8] Presence of sugar moiety in DHQG may be attributed to its low activity, probably due to steric hindrance by addition of sugar moieties.[9] The results of CTC<sub>50</sub> values thus obtained indicate that DHQG showed cytotoxicity towards cancer cell lines tested. Hence further investigations are required to prove the toxicity of DHQG in vivo .

References

1. Bieber LW, Filho AADS, Rosalia MO, Lima C, Chiappeta AD, Nascimento SC, et al . Anticancer and antimicrobial glycosides from Ipomoea bahiensis . Phytochemistry 1986;25:1077-81.

2. Prasad KN, Divakar S, Shivamurthy GR, Aradhya SM. Isolation of a free radical-scavenging antioxidant from water spinach ( Ipomoea aqutica Forsk.). J Sci Food Agric. In press 2005.

3. Markham KR. Techniques of flavonoid identification. London: Academic Press; 1982.

4. Brown R, Boger-Brown U. Methods in Molecular Medicine. Vol 28: Cytotoxic Drug Resistance Mechanism.Totowa, NJ: Humana Press; 1999.

5. Freshney RI, Culture of animal cells-A manual of basic technique. New York: John Wiley & Sons, Inc Publications; 2000.

6. Francis D, Rita L. Rapid colorometric assay for cell growth and survival modifications to the tetrazolium dye procedure giving improved sensitivity and reliability. J Immunol Methods 1986;89:271-7.

7. Skehan P, Storeng R, Scudiero D, Monks A, McMahon J, Vistica D, et al . New colorimetric cytotoxic assay for anti-cancer drug screening. J Natl Cancer Inst 1990;82:1107-12.

8. Seeram NP, Adams LS, Hardy ML, Heber D. Total cranberry extract versus its phytochemical constituents: Antiproliferative and synergestic effects against human tumor cell lines. J Agric Food Chem 2004;52:2512-7.

9. Koide T, Hashimoto Y, Kamei H, Kojima T, Hasgawa M, Terabe K. Antitumor effect of anthocyanin fractions extracted from red soybeans and red beans in vitro and in vivo . Cancer Biother Radiopharm 1997;12:277-80.

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