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Anti-Microtubule
Drugs
During cell division, microtubles provide the scaffold through
which chromosomes are segregated into daughter cells. Thus, the
integrity of these structures is critical for cell survival.
In addition to this function, microtubules are also involved
in other processes such as membrane and intracellular scaffolding,
transport secretion, cell adhesion and signaling. Microtubules
consist of a heterodimeric mixture of alpha and beta tubulin.
These protein complexes aggregate in parallel with one another
to form a cylindrical filament (see Figure below). The polymerization
and depolymerization of microtubules requires energy and association
with a number of other proteins known as MAPs (microtubule associated
proteins). Together, these interactions govern the critical steps
of chromosome assemble and cell division.
There are a variety of antimicrotubule agents that are used
clinically for the treatment of cancer (see below). These drugs
differ primarily by the type of microtubule interaction that
occurs with each. For example, Taxol and Taxotere belong to the
family of compounds known as taxanes. These drugs bind to polymerized
microtubules and stabilize the overall structure. This stabilized
form resists the necessary step of depolymerization that occurs
during mitosis, so the cells remain frozen or arrested at this
phase of the cell cycle. Other agents such as the vinca alkaloids
act as depolymerizers. These drugs bind to tubulin and prevent
the formation of the polymerized microtubule scaffold, thus preventing
cells from organizing chromosomes for segregation. In both cases,
the sustained disruption of microtubule dynamics ultimately causes
cell death. Antimicrotubule drugs are among the most effective
drugs for treating cancer. For more information on individual
antimicrotubule drugs, please click on the link for each drug
below.
Vinca Alkaloids (Vincristine, Vinblastine, Vinorelbine)
Taxanes (Taxol, Taxotere)
Other (Estramustine, Epothilone)
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