Use of Gold Complexes to Treat Cancer

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INTRODUCTION

During recent years, platinum based drugs have been considered as a hallmark of cancer chemotherapy due to its considerable success in the treatment of a wide variety of cancer types. The most significant and commonly used form of platinum based drugs is cisplatin. Although treatment with cisplatin has found success on many occasions, its broad mode of action and overuse has led to toxic side effects in patients as well as increasing drug resistance in some tumor cells.1 For those reasons combined, scientists have redirected their investigation into other metal based drugs in attempt to find potential alternatives that can overcome cisplatin resistance and lessen the severity of toxic side effects.

Gold was one of the top choices of alternate metals to study due to its well established reputation in medicinal application throughout history. In the treatment of rheumatoid arthritis, gold drugs have been utilized for quite some time displaying notable results. Its immunosuppressive and anti-inflammatory characteristics exhibited in rheumatoid arthritis patients connected its potential benefits in cancer treatment.2 Gold was also a popular choice among other metals due to its similarity in geometrical structure as well as being isoelectronic with cisplatin.1 With those impending characteristics in hand, gold seemed like a reasonable candidate for this investigation.

CHARACTERISTICS OF THE GOLD COMPLEXES

Gold complexes in the oxidative state +I and +III are the main two forms of gold complexes used in cancer chemotherapy. Gold (I) complexes are comparable to the current leading rheumatoid arthritis drug auranofin in its structure along with upholding its immunosuppressive and anti-inflammatory characteristics.
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...rd R.T. Gold Derivatives For the Treatment of Cancer. Oncology Hematology. 2002, 42, 225-248.

[3] Ott, Ingo. On the Medicinal Chemistry of Gold Complexes as Anticancer Drugs. Coord. Chem. Rev. 2009, 253, 1670-1681.

[4] Gabbiani, Chiara; Cinellu, Maria Agostina, Maiore, Laura; Scaletti, Federica; Messori, Luigi. Chemistry and Biology of Three Representative Gold (III) Compounds as Prospective Anticancer Agents. Inorg. Chem., 2012, 393, 115-124

[5] Rigobella, Maria Pia; Messori, Luigi; Marcon, Giordana. Gold Complexes Inhibit Mitochondiral Thioredoxin Reductase: Consequences on Mitochondrial Functions. J. Inorg. Biochem. 2004, 98, 1634-1641.

[6] Palanichamy, Kamalakannan; Sreejayan, Nair; Ontko, Allyn. Overcoming Cisplatin Resistance Using Gold (III) Mimics: Anticancer Activity of Novel Gold (III) Polypyridyl Complexes. J. Inorg. Biochem. 2012, 106, 32-42.

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