The 1-beta-D-arabinofuranosylcytosine (
ara-C) conjugates 1-O-alkyl (
ether) and 1-S-alkyl (
thioether)
phospholipids, being analogues of ara-CDP-sn-1,2-O-dipalmitoylglycerol (1), showed significant antitumor activity against L1210 and
P388 leukemia in vivo. The more active conjugates include the 1-O-alkyl analogues, ara-CDP-rac-1-O-hexadecyl-2-O-palmitoylglycerol (2) and ara-CDP-rac-1-O-octa-decyl-2-O-palmitoylglycerol (3), and the corresponding 1-S-alkyl analogues, ara-CDP-rac-1-S-hexadecyl-2-O-palmitoyl-1-thioglycerol (4) and ara-CDP-rac-1-S-octadecyl-2-O-palmitoyl-1-thioglycerol (5,
Cytoros). The conjugates were formulated by sonication, in which the conjugates existed as discs (size 0.01-0.04 microns). Among the conjugates of the three different
phospholipids, the 1-S-alkyl analogues 4 and 5 displayed the strongest antitumor activity against
L1210 leukemia in mice, followed by the 1-O-alkyl (2 and 3) and the 1-O-acyl (1) analogues. The 1-S-alkyl analogue 5 was considerably more effective than the 1-O-acyl analogue 1 against myelomonocytic WEHI-3B
leukemia in mice. Conjugate 5 (
Cytoros) showed a significant therapeutic activity in mice with colon 26
carcinoma, M5076
sarcoma, and C-1300
neuroblastoma. Furthermore, this agent inhibited liver
metastases of M5076
sarcoma. Conjugates 3 and 5 also inhibited the
metastasis of 3-Lewis lung
carcinoma to the lungs of mice.
Cytoros (5) and its analogues, with other
ether and
thioether phospholipids, appear to offer increased therapeutic benefit to mice with
tumors.