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Triazenes: Synthesis and Chemical Properties.- Mechanisms of the
Biological Actions of Triazenes.- Triazenes and Triazene N-Oxides:
Antitumour Action in Animal Tumour Systems.- Antimestastatic Action
of Triazene Derivatives.- Effects of Triazenes on Immune
Responses.- Xenogenization of Experimental Tumors by Triazene
Derivatives.- The Metabolism of Antineoplastic Triazenes.- Notes on
the Metabolism, Pharmacokinetics and Mode of Action of N-Methyl and
N-Ethyl-Triazenes in Relation to Their Pharmacological Activity.-
Clinical Use of Triazenes.- Clinical Studies with the
p-Carboxyl-Dimethyl-Phenyl-Triazene CB10-277.- Triazenes:
Therapeutic Considerations and Perspectives.- Antitumor
Imidazotetrazines: Prodrugs Targeted to the Major Groove of DNA.-
O6-Alkylguanine-DNA-Alkyltransferase Gene Expression and the
Cytotoxicity of Triazenes.- N-Methylmelamines, a Unique Class of
Anti-Tumour Agents?.- Experimental Background and Early Clinical
Studies with Imidazotetrazine Derivatives.-
'O6-Alkylguanine-DNA-Alkyltransferase: Significance, Methods of
Measurement and Some Human Tumor and Normal Tissue Levels'
(Contributions of the Workshop).- Summary of Poster-Sessions.-
Contributors.
More than 25 years have elapsed since the development of the
seminal idea which led to the synthesis of dimethyl triazenes as
antitumor agents. The original suggestion of Shealy et ale was to
use 4-imidazone-carboxarnide as the carrier of a nitro-
gen-containing cytotoxic function. 5-diazoimidazole-4-carbox- amide
(diazo-IC) was synthesized and tested in mice as a potential
inhibitor of de novo purine biosynthesis. Its lack of antitumor
action was attributed to its polarity and to the resulting poor
uptake of this hydrophilic chemical. Diazo-IC was then coupled with
dimethylamine, yielding 5, (3,3-dimethyl-
l-triazeno)imidazole-4-carboxamide) (DTIC) with the intention of
obtaining a less polar and more lipophil~c prod rug which might
release diazo-IC intracellularly. Preliminary tests showed that
DTIC had good antiumor activity in experimental systems. Further
tests demonstrated a broad spectrum of action against rodent
tumors, and clinical trials indicated activity against human
malignancies. Subsequent clinical use of DTIC has demonstrated its
usefulness against malignant melanoma, for which it is currently
the drug of choice, and its effective- ness in combination
chemotherapy in the treatment of other human cancers. Because of
its antitumor activity the mechan- ism of action of DTIC has been
investigated in some detail. The original rationale for its
development, that is, the hydrolysis in vivo to diazo-IC, has been
shown not to be in- volved in th-e-mechansims of action. DTIC
requires metabolic acti- vation before it exerts its biological
effects.
Cape May Point, New Jersey, is home to a natural phenomenon of
stunning proportions. Each autumn millions of migrating birds
converge here on their annual flight to wintering grounds as far
away as Brazil and Peru. Season at the Point, the rich and telling
story of the birds and birders of Cape May, evokes the sense of
mystery and excitement that pervades the Cape as birders gather to
count owls by the hundreds, hawks by the tens of thousands, and
shorebirds and songbirds by the hundreds of thousands.
3156The National Institute for Occupational Safety and Health
(NIOSH) received a confidential employee request for a health
hazard evaluation from a veterinary teaching hospital in Michigan.
Employees were concerned about reproductive problems and hair loss
that they associated with work-related exposures to chemotherapy
drugs. NIOSH's findings and recommendations are discussed.
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