Chemotherapeutic

The field of organogermanium chemistry is becoming increasingly important. Gertain germanium compounds have a low mammalian toxicity, but a marked activity against certain bacteria, which makes them useful as chemotherapeutic agents. 

Several of the naturally occurring indoles also have clinical importance. The dimeric vinca alkaloid vincristine and closely related compounds were among the first of the anti-mitotic class of chemotherapeutic agents for cancer[14]. The mitomycins[15] and derivatives of ellipticine[16] are other examples of compounds having anti-tumour activity. Reserpine, while not now a major drug, was one of the first compounds to show beneficial effects in treatment of mental disorders[17]... 

Recently, however, new interest has developed due to their chemotherapeutic and bacteriostatic usefulness in animal husbandry. They also have been patented as herbicides and plant-growth-regulating agents. 

ANTIPARASITICAGENTS - ANTIMYCOTICS] (Vol3) as antiepileptic agents fiYPNOTICS, SEDATIVES,ANTICONVULSANTS, AND ANXIOLYTICS] (Vol 13) -rolein chemotherapeutics [CITEMOTHERAPEUTICS ANTICANCER] (Vol5)... 

Fluorides ia small (1 ppm ia water, 0.1% ia dentifrices) quantities have been shown to provide dramatic reduction ia dental decay. Fluorides also show promise for bone treatment and ia pharmaceuticals (qv) (see also Chemotherapeutics, anticancer Steroids). However, larger quantities of fluorides can lead to dental fluorosis, bone fracture, and even death. The oral LD q for free fluoride ion ia rats appears to be 50 to 100 mg/kg body weight based on LD q values for several fluorides. 

See Analgesics, antipyretics, and antiinflammatory agents Chemotherapeutics, anticancer Immunotherapeutic agents. 

Interferons (lENs) (52,53), a family of species-specific vertebrate proteins, confer nonspecific resistance to a broad range of viral infections, affect cell proliferation, and modulate immune responses. AH three principal interferons, a-interferon (lEN-a) produced by blood leucocytes, P-interferon (lEN-P) by fibroblasts, and y-interferon (lEN-y) by lymphocytes, also have antiviral activity. The abiUty of interferons to inhibit growth of transplantable and carcinogen-induced tumor led to research showing the direct antiproliferative and indirect immune-mediated antitumor activities (see Chemotherapeutics, anticancer). IENs have been found to be efficacious in certain malignancies and viral infections, eg, hairy cell leukemia (85% response) and basal cell carcinoma (86% response). However, the interferons do have adverse side effects (54). 

Modem cancer therapy has been primarily dependent upon surgery, radiotherapy, chemotherapy, and hormonal therapy (72) (see Chemotherapeutics,anticancer Hormones Radiopharmaceuticals). Chemotherapeutic agents maybe able to retard the rate of growth, but are unable to eradicate the entire population of neoplastic cells without significant destmction of normal host tissue. This serious side effect limits general use. More recentiy, the immunotherapeutic approach to cancer has involved modification and exploitation of the cellular and molecular mechanisms in host defense, regulation of tissue proliferation, tissue differentiation, and tissue survival. The results have been more than encouraging. 

The conjugation of monoclonal antibodies (MoAbs) to radioisotopes, chemotherapeutic agents, and protein toxins has also been given consideration (65). Large amounts of human MoAbs can be produced by biotechnological means. 

The combination of different therapeutic modafities, surgery, chemotherapy, or radiation, as well as a combination of different chemotherapeutic... 

Phenyllithium can be used in Grignard-type reactions involving attachment of phenyl group, eg, in the preparation of analgesics and other chemotherapeutic agents (qv). It also may be used in metal—metal interconversion reactions leading, eg, to phenyl-substituted siUcon and tin organics. 

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