MedKooCat#:100220
Name:Dactinomycin
CAS#:50-76-0
ChemicalFormula:C62H86N12O16
ExactMass:1254.62847
MolecularWeight:1255.42
ElementalAnalysis:C,59.32;H,6.90;N,13.39;O,20.39
Synonym:Abbreviation:DACT;ACTD;actinomycinC1;actinomycinD;actinomycinI1;actinomycinIV;actinomycinX1;actinomycinthrvalprosarmeval;dactinomycine;meractinomycin;USbrandnames:Cosmegen;Lyovac.
IUPAC/ChemicalName:2-amino-N1,N9-bis((6S,9R,10S,13R,18aS)-6,13-diisopropyl-2,5,9-trimethyl-1,4,7,11,14-pentaoxohexadecahydro-1H-pyrrolo[2,1-i][1]oxa[4,7,10,13]tetraazacyclohexadecin-10-yl)-4,6-dimethyl-3-oxo-3H-phenoxazine-1,9-dicarboxamide
InChiKey:RJURFGZVJUQBHK-IIXSONLDSA-N
InChiCode:InChI=1S/C62H86N12O16/c1-27(2)42-59(84)73-23-17-19-36(73)57(82)69(13)25-38(75)71(15)48(29(5)6)61(86)88-33(11)44(55(80)65-42)67-53(78)35-22-21-31(9)51-46(35)64-47-40(41(63)50(77)32(10)52(47)90-51)54(79)68-45-34(12)89-62(87)49(30(7)8)72(16)39(76)26-70(14)58(83)37-20-18-24-74(37)60(85)43(28(3)4)66-56(45)81/h21-22,27-30,33-34,36-37,42-45,48-49H,17-20,23-26,63H2,1-16H3,(H,65,80)(H,66,81)(H,67,78)(H,68,79)/t33-,34-,36+,37+,42-,43-,44+,45+,48+,49+/m1/s1
SMILESCode:O=C(N[C@@H]1C(N[C@@H](C(N2[C@]([H])(C(N(CC(N([C@H](C(O[C@@H]1C)=O)C(C)C)C)=O)C)=O)CCC2)=O)C(C)C)=O)C3=C(C(C(C)=C4OC5=C(C(C(N[C@@H]([C@@H](C)O6)C(N[C@H](C(C)C)C(N7CCC[C@@]7([H])C(N(C)CC(N(C)[C@@H](C(C)C)C6=O)=O)=O)=O)=O)=O)=CC=C5C)N=C43)=O)N
DactinomycinisachromopeptideantineoplasticantibioticisolatedfromthebacteriumStreptomycesparvulus.Dactinomycinintercalatesbetweenadjacentguanine-cytosinebasepairs,blockingthetranscriptionofDNAbyRNApolymerase;italsocausessingle-strandDNAbreaks,possiblyviaafree-radicalintermediateoraninteractionwithtopoisomeraseII.Checkforactiveclinicaltrialsorclosedclinicaltrialsusingthisagent.(NCIThesaurus).
Clinicaluse
Aschemotherapy: ActinomycinD,marketedunderthetradenameDactinomycin,isoneoftheolderchemotherapydrugs,andhasbeenusedintherapyformanyyears.Itisaclear,yellowliquidadministeredintravenouslyandmostcommonlyusedintreatmentofavarietyofcancersincludinggestationaltrophoblasticneoplasia, Wilms'tumorandrhabdomyosarcoma.
Asanantibiotic:Itwasthefirstantibioticshowntohaveanti-canceractivity,butisnotnormallyusedassuch,asitishighlytoxic,causingdamagetogeneticmaterial.
Researchuse:ActinomycinDanditsfluorescentderivative,7-aminoactinomycinD(7-AAD),areusedasstainsinmicroscopyandflowcytometryapplications.Theaffinityofthesestains/compoundsforGC-richregionsofDNAstrandsmakesthemexcellentMarkersforDNA.7-AADbindstosinglestrandedDNA;thereforeitisausefultoolindeterminingapoptosisanddistinguishingbetweendeadcellsandliveones.Fromhttp://en.wikipedia.org/wiki/Dactinomycin.
DRUGDESCRIPTION
Dactinomycinisoneoftheactinomycins,agroupofantibioticsproducedbyvariousspeciesofStreptomyces.DactinomycinistheprincipalcomponentofthemixtureofactinomycinsproducedbyStreptomycesparvullus.UnlikeotherspeciesofStreptomyces,thisorganismyieldsanessentiallypuresubstancethatcontainsonlytracesofsimilarcompoundsdifferingintheaminoacidcontentofthepeptidesidechains.TheempiricalformulaisC62H86N12O16.COSMEGENisasterile,yellowtoorangelyophilizedpowderforinjectionbytheintravenousrouteorbyregionalperfusionafterreconstitution.Eachvialcontains0.5mg(500mcg)ofdactinomycinand20.0mgofmannitol.
MechanismofAction
Generally,theactinomycinsexertaninhibitoryeffectongram-positiveandgram-negativebacteriaandonsomefungi.However,thetoxicpropertiesoftheactinomycins(includingdactinomycin)inrelationtoantibacterialactivityaresuchastoprecludetheiruseasantibioticsinthetreatmentofinfectiousdiseases.Becausetheactinomycinsarecytotoxic,theyhaveanantineoplasticeffectwhichhasbeendemonstratedinexperimentalanimalswithvarioustypesoftumorimplants.Thiscytotoxicactionisthebasisfortheiruseinthetreatmentofcertaintypesofcancer.DactinomycinisbelievedtoproduceitscytotoxiceffectsbybindingDNAandinhibitingRNAsynthesis.
1:WeaverMS,NavidF,HuppmannA,MeanyH,AngiolilloA.VincristineandDactinomycininInfantileMyofibromatosisWithaReviewofTreatmentOptions.JPediatrHematolOncol.2014Nov11.[Epubaheadofprint]PubMedPMID:25389917.
2:WalterhouseDO,PappoAS,MezaJL,BrenemanJC,Hayes-JordanAA,ParhamDM,CripeTP,AndersonJR,MeyerWH,HawkinsDS.Shorter-durationtherapyusingvincristine,dactinomycin,andlower-dosecyclophosphamidewithorwithoutradiotherapyforpatientswithnewlydiagnosedlow-riskrhabdomyosarcoma:areportfromtheSoftTissueSarcomaCommitteeoftheChildren'sOncologyGroup.JClinOncol.2014Nov1;32(31):3547-52.doi:10.1200/JCO.2014.55.6787.Epub2014Sep29.PubMedPMID:25267746;PubMedCentralPMCID:PMC4209105.
3:RaggiD,GiannatempoP,MiceliR,FarèE,PivaL,BiasoniD,CatanzaroM,TorelliT,StagniS,MarongiuM,GianniAM,NicolaiN,SalvioniR,NecchiA.Etoposide,Methotrexate,andDactinomycinAlternatingWithCyclophosphamideandVincristine(EMACO)forMalePatientsWithHCG-expressing,ChemoresistantGermCellTumors.AmJClinOncol.2014Aug7.[Epubaheadofprint]PubMedPMID:25089532.
4:WangT,FengFZ,XiangY,WanXR,RenT.Combinationchemotherapyregimenwithfloxuridine,dactinomycin,etoposide,andvincristineasprimarytreatmentforgestationaltrophoblasticneoplasia.ZhongguoYiXueKeXueYuanXueBao.2014Jun;36(3):300-4.doi:10.3881/j.issn.1000-503X.2014.03.013.PubMedPMID:24997824.
5:HanSN,AmantF,LeunenK,DeviUK,NevenP,VergoteI.EP-EMAregimen(etoposideandcisplatinwithetoposide,methotrexate,anddactinomycin)inaseriesof18womenwithgestationaltrophoblasticneoplasia.IntJGynecolCancer.2012Jun;22(5):875-80.doi:10.1097/IGC.0b013e31824d834d.PubMedPMID:22635033.
6:EirikssonL,WellsT,SteedH,SchepanskyA,CapstickV,HoskinsP,PikeJ,SwenertonK.Combinedmethotrexate-dactinomycin:aneffectivetherapyforlow-riskgestationaltrophoblasticneoplasia.GynecolOncol.2012Mar;124(3):553-7.doi:10.1016/j.ygyno.2011.10.036.Epub2011Nov9.PubMedPMID:22079360.
7:LeeAC,GohPY.Dactinomycin-inducedHepaticSinusoidalObstructionSyndromeRespondingtoTreatmentwithN-acetylcysteine.JCancer.2011;2:527-31.Epub2011Oct25.PubMedPMID:22043237;PubMedCentralPMCID:PMC3204401.
8:Rabbani-ChadeganiA,Keyvani-GhamsariS,ZarkarN.Spectroscopicstudiesofdactinomycinandvinorelbinebindingtodeoxyribonucleicacidandchromatin.SpectrochimActaAMolBiomolSpectrosc.2011Dec15;84(1):62-7.doi:10.1016/j.saa.2011.08.064.Epub2011Sep6.PubMedPMID:21981942.
9:LangholzB,SkolnikJM,BarrettJS,RenbargerJ,SeibelNL,ZajicekA,ArndtCA.Dactinomycinandvincristinetoxicityinthetreatmentofchildhoodcancer:aretrospectivestudyfromtheChildren'sOncologyGroup.PediatrBloodCancer.2011Aug;57(2):252-7.doi:10.1002/pbc.22882.Epub2010Dec1.PubMedPMID:21671362;PubMedCentralPMCID:PMC3467305.
10:RaneyRB,WalterhouseDO,MezaJL,AndrassyRJ,BrenemanJC,CristWM,MaurerHM,MeyerWH,ParhamDM,AndersonJR.ResultsoftheIntergroupRhabdomyosarcomaStudyGroupD9602protocol,usingvincristineanddactinomycinwithorwithoutcyclophosphamideandradiationtherapy,fornewlydiagnosedpatientswithlow-riskembryonalrhabdomyosarcoma:areportfromtheSoftTissueSarcomaCommitteeoftheChildren'sOncologyGroup.JClinOncol.2011Apr1;29(10):1312-8.doi:10.1200/JCO.2010.30.4469.Epub2011Feb28.PubMedPMID:21357783;PubMedCentralPMCID:PMC3083999.
11:OsborneRJ,FiliaciV,SchinkJC,MannelRS,AlvarezSecordA,KelleyJL,ProvencherD,ScottMillerD,CovensAL,LageJM.PhaseIIItrialofweeklymethotrexateorpulseddactinomycinforlow-riskgestationaltrophoblasticneoplasia:agynecologiconcologygroupstudy.JClinOncol.2011Mar1;29(7):825-31.doi:10.1200/JCO.2010.30.4386.Epub2011Jan24.PubMedPMID:21263100;PubMedCentralPMCID:PMC3068058.
12:FengF,XiangY,WanX,GengS,WangT.Salvagecombinationchemotherapywithfloxuridine,dactinomycin,etoposide,andvincristine(FAEV)forpatientswithrelapsed/chemoresistantgestationaltrophoblasticneoplasia.AnnOncol.2011Jul;22(7):1588-94.doi:10.1093/annonc/mdq649.Epub2011Jan13.PubMedPMID:21239399.
13:KangWD,KimCH,ChoMK,KimJW,ChoHY,KimYH,ChoiHS,KimSM.SerumhCGlevelandrisingworldhealthorganizationscoreatsecond-linechemotherapy(pulsedactinomycin):poorprognosticfactorsformethotrexate-failedlow-riskgestationaltrophoblasticneoplasia.IntJGynecolCancer.2010Nov;20(8):1424-8.doi:10.1111/IGC.0b013e3181f5873e.PubMedPMID:21051988.
14:ChangJW,HsiehJJ,ShenYC,HoE,ChuangCK,ChenYR,LiaoSK,ChenJS,LeongSP,HouMM,ChangNJ,WangCH.Immunotherapywithdendriticcellspulsedbyautologousdactinomycin-inducedmelanomaapoptoticbodiesforpatientswithmalignantmelanoma.MelanomaRes.2009Oct;19(5):309-15.PubMedPMID:19750589.
15:BradyMS,BrownK,PatelA,FisherC,MarxW.Isolatedlimbinfusionwithmelphalananddactinomycinforregionalmelanomaandsoft-tissuesarcomaoftheextremity:finalreportofaphaseIIclinicaltrial.MelanomaRes.2009Apr;19(2):106-11.doi:10.1097/CMR.0b013e32832985e3.PubMedPMID:19282789.
16:FujiokaS,YamashitaY,KawabeS,KamegaiH,TeraiY,OhmichiM.Acaseofamethotrexate-resistantectopicpregnancyinwhichdactinomycinwaseffectiveasasecond-linechemotherapy.FertilSteril.2009Mar;91(3):929.e13-5.doi:10.1016/j.fertnstert.2008.10.003.Epub2009Jan10.PubMedPMID:19135660.
17:TaranA,IgnatovA,SmithB,BischoffJ,CostaSD.Methotrexatemonotherapyforhigh-riskgestationaltrophoblasticneoplasiaaftertherapywithetoposide,methotrexate,anddactinomycin:acasereport.AmJObstetGynecol.2008Nov;199(5):e6-8.doi:10.1016/j.ajog.2008.07.045.PubMedPMID:18984073.
18:MeanyHJ,SeibelNL,SunJ,FinklesteinJZ,SatoJ,KelleherJ,SondelP,ReamanG.Phase2trialofrecombinanttumornecrosisfactor-alphaincombinationwithdactinomycininchildrenwithrecurrentWilmstumor.JImmunother.2008Sep;31(7):679-83.doi:10.1097/CJI.0b013e3181826d72.PubMedPMID:18600176;PubMedCentralPMCID:PMC2677078.
19:AbrãoRA,deAndradeJM,TiezziDG,MaranaHR,CandidodosReisFJ,ClagnanWS.Treatmentforlow-riskgestationaltrophoblasticdisease:comparisonofsingle-agentmethotrexate,dactinomycinandcombinationregimens.GynecolOncol.2008Jan;108(1):149-53.Epub2007Oct10.PubMedPMID:17931696.
20:MarkaszL,KisLL,StuberG,FlabergE,OtvosR,EksborgS,SkribekH,OlahE,SzekelyL.Hodgkin-lymphoma-derivedcellsshowhighsensitivitytodactinomycinandpaclitaxel.LeukLymphoma.2007Sep;48(9):1835-45.PubMedPMID:17786721.