MedKooCat#:100764
Name:Romidepsin
CAS#:128517-07-7
ChemicalFormula:C24H36N4O6S2
ExactMass:540.20763
MolecularWeight:540.7
ElementalAnalysis:C,53.31;H,6.71;N,10.36;O,17.75;S,11.86
Synonym:FK228;FK-228;FK228;FR901228;FR-901228;FR901228;NSC630176.depsipeptide;USbrandname:Istodax.
IUPAC/ChemicalName:(1S,4S,7Z,10S,16E,21R)-7-ethylidene-4,21-bis(1methylethyl)-2-oxa-12,13-dithia-5,8,20,23-tetraazABIcyclo[8.7.6]tricos-16ene-3,6,9,19,22-pentone
InChiKey:OHRURASPPZQGQM-GCCNXGTGSA-N
InChiCode:InChI=1S/C24H36N4O6S2/c1-6-16-21(30)28-20(14(4)5)24(33)34-15-9-7-8-10-35-36-12-17(22(31)25-16)26-23(32)19(13(2)3)27-18(29)11-15/h6-7,9,13-15,17,19-20H,8,10-12H2,1-5H3,(H,25,31)(H,26,32)(H,27,29)(H,28,30)/b9-7+,16-6-/t15-,17-,19-,20+/m1/s1
SMILESCode:O=C([C@H](C(C)C)NC(/C(N1)=C/C)=O)O[C@](CC(N[C@H](C(C)C)C(N2)=O)=O)([H])/C=C/CCSSC[C@]2([H])C1=O
Romidepsin,ahistonedeacetylase(HDAC)inhibitor,isabicyclicdepsipeptide.Atroomtemperature,romidepsinisawhitepowderandisdescribedchemicallyas(1S,4S,7Z,10S,16E,21R)-7-ethylidene-4,21-bis(1methylethyl)-2-oxa-12,13-dithia-5,8,20,23-tetraazabicyclo[8.7.6]tricos-16ene-3,6,9,19,22-pentone.TheempiricalformulaisC24H36N4O6S2.ISTODAX(romidepsin)forinjectionisintendedforintravenousinfusiononlyafterreconstitutionwiththesuppliedDiluentandafterfurtherdilutionwith0.9%SodiumChloride,USP.ISTODAXissuppliedasakitcontainingtwovials.ISTODAX(romidepsin)forinjectionisasterilelyophilizedwhitepowderandissuppliedinasingle-usevialcontaining10mgromidepsinand20mgpovidone,USP.DiluentforISTODAXisasterileclearsolutionandissuppliedinasingle-usevialcontaininga2-mLdeliverablevolume.DiluentforISTODAXcontains80%(v/v)propyleneglycol,USPand20%(v/v)dehydratedalcohol,USP.
Accordingtohttp://en.wikipedia.org/wiki/Romidepsin,Romidepsinwasfirstreportedinthescientificliteraturein1994,byateamofresearchersfromFujisawaPharmaceuticalCompany(nowAstellasPharma)inTsukuba,Japan,whoisolateditinacultureofChromobacteriumviolaceumfromasoilsampleobtainedinYamagataPrefecture.Itwasfoundtohavelittletonoantibacterialactivity,butwaspotentlycytotoxicagainstseveralhumancancercelllines,withnoeffectonnormalcells;studiesonmicelaterfoundittohaveantitumoractivityinvivoaswell.ThefirsttotalsynthesisofromidepsinwasaccomplishedbyHarvardresearchersandpublishedin1996.Itsmechanismofactionwaselucidatedin1998,whenresearchersfromFujisawaandtheUniversityofTokyofoundittobeahistonedeacetylaseinhibitorwitheffectssimilartothoseoftrichostatinA.RomidepsinisbrandedandownedbyGloucesterPharmaceuticals,nowapartofCelgene.OnNovember5,2009,itwasapprovedbytheU.S.FoodandDrugAdmiNISTrationforthetreatmentofCTCL,afterfiveyearsintheagency'sfasttrackdevelopmentprogram.
MechanismofAction
Romidepsinisahistonedeacetylase(HDAC)inhibitor.HDACscatalyzetheremovalofacetylgroupsfromacetylatedlysineresiduesinhistones,resultinginthemodulationofgeneexpression.HDACsalsodeacetylatenon-histoneproteins,suchastranscriptionfactors.Invitro,romidepsincausestheaccumulationofacetylatedhistones,andinducescellcyclearrestandapoptosisofsomecancercelllineswithIC50valuesinthenanomolarrange.Themechanismoftheantineoplasticeffectofromidepsinobservedinnonclinicalandclinicalstudieshasnotbeenfullycharacterized.
1:SaijoK,ImamuraJ,NaritaK,OdaA,ShimodairaH,KatohT,IshiokaC.Biochemical,BIOLOGical,andstructuralpropertiesofromidepsin(FK228)anditsanalogsasnovelHDAC/PI3Kdualinhibitors.CancerSci.2014Dec10.doi:10.1111/cas.12585.[Epubaheadofprint]PubMedPMID:25492515.
2:FossF,CoiffierB,HorwitzS,ProB,PrinceHM,SokolL,GreenwoodM,LernerA,CaballeroD,BaranE,KimE,NicholsJ,BalserB,WolfsonJ,WhittakerS.Tolerabilitytoromidepsininpatientswithrelapsed/refractoryT-celllymphoma.BiomarkRes.2014Sep8;2:16.doi:10.1186/2050-7771-2-16.eCollection2014.PubMedPMID:25279222;PubMedCentralPMCID:PMC4181623.
3:OdaA,SaijoK,IshiokaC,NaritaK,KatohT,WatanabeY,FukuyoshiS,TakahashiO.Predictingthestructuresofcomplexesbetweenphosphoinositide3-kinase(PI3K)andromidepsin-relatedcompoundsforthedrugdesignofPI3K/histonedeacetylasedualinhibitorsusingcomputationaldockingandtheligand-baseddrugdesignapproach.JMolGraphModel.2014Nov;54:46-53.doi:10.1016/j.jmgm.2014.08.007.Epub2014Sep8.PubMedPMID:25254927.
4:YuP,PetrusMN,JuW,ZhangM,ConlonKC,NakagawaM,MaedaM,BamfordRN,WaldmannTA.AugmentedefficacywiththecombinationofblockadeoftheNotch-1pathway,bortezomibandromidepsininamurineMT-1adultT-cellleukemiamodel.Leukemia.2014Aug14.doi:10.1038/leu.2014.241.[Epubaheadofprint]PubMedPMID:25118879.
5:FinnN,LaroucheJF.RomidepsinusedasmonotherapyinsequencewithallogeneicstemcelltransplantinapatientwithperipheralT-celllymphoma.CaseRepHematol.2014;2014:404078.doi:10.1155/2014/404078.Epub2014Jul7.PubMedPMID:25105035;PubMedCentralPMCID:PMC4109362.
6:SatwaniP,BavishiS,SahaA,ZhaoF,AyelloJ,vandeVenC,ChuY,CairoMS.UpregulationofNKG2Dligandsinacutelymphoblasticleukemiaandnon-Hodgkinlymphomacellsbyromidepsinandenhancedinvitroandinvivonaturalkillercellcytotoxicity.Cytotherapy.2014May20.pii:S1465-3249(14)00548-9.doi:10.1016/j.jcyt.2014.03.008.[Epubaheadofprint]PubMedPMID:24856896.
7:Romidepsiniseffectiveandwell-toleratedinpatients≥60yearsoldwithrelapsedorrefractoryperipheralT-celllymphoma(PTCL):analysisfromphase2trials.ClinAdvHematolOncol.2014Feb;12(2Suppl5):17-8.PubMedPMID:24852793.
8:WeiDG,ChiangV,FyneE,BalakrishnanM,BarnesT,GraupeM,HesselgesserJ,IrrinkiA,MurryJP,StepanG,StrayKM,TsaiA,YuH,SpindlerJ,KearneyM,SpinaCA,McMahonD,LalezariJ,SloanD,MellorsJ,GeleziunasR,CihlarT.HistonedeacetylaseinhibitorromidepsininducesHIVexpressioninCD4Tcellsfrompatientsonsuppressiveantiretroviraltherapyatconcentrationsachievedbyclinicaldosing.PLoSPathog.2014Apr10;10(4):e1004071.doi:10.1371/journal.ppat.1004071.eCollection2014Apr.PubMedPMID:24722454;PubMedCentralPMCID:PMC3983056.
9:KarthikS,SankarR,VarunkumarK,RavikumarV.Romidepsininducescellcyclearrest,apoptosis,histonehyperacetylationandreducesmatrixmetalloproteinases2and9expressioninbortezomibsensitizednon-smallcelllungcancercells.BiomedPharmacother.2014Apr;68(3):327-34.doi:10.1016/j.biopha.2014.01.002.Epub2014Jan15.PubMedPMID:24485799.
10:CoiffierB,ProB,PrinceHM,FossF,SokolL,GreenwoodM,CaballeroD,MorschhauserF,WilhelmM,Pinter-BrownL,PadmanabhanIyerS,ShustovA,NielsenT,NicholsJ,WolfsonJ,BalserB,HorwitzS.Romidepsinforthetreatmentofrelapsed/refractoryperipheralT-celllymphoma:pivotalstudyupdatedemonstratesdurableresponses.JHematolOncol.2014Jan23;7(1):11.doi:10.1186/1756-8722-7-11.PubMedPMID:24456586;PubMedCentralPMCID:PMC4016573.
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