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|  Mitomycin
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| Systematic (IUPAC) name |  
| 6-Amino-1,1a,2,8,8a,8b-hexahydro-8- (hydroxymethyl)- 8a-methoxy-5-methyl-azirino[2', 3':3,4] pyrrolo[1,2-a]indole-4,7-dione carbamate (ester) |  
| Identifiers |  
| CAS number | 50-07-7 |  
| ATC code | L01DC03 |  
| PubChem | 5746 |  
| DrugBank | APRD00284 |  
| Chemical data |  
| Formula | C15H18N4O5 |  
| Mol. mass | 334.327 g/mol |  
| Pharmacokinetic data |  
| Bioavailability | ? |  
| Metabolism | Hepatic |  
| Half life | 8-48 min |  
| Excretion | ? |  
| Therapeutic considerations |  
| Pregnancy cat. | D (Au, U.S.)
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| Legal status | ℞-only (U.S.), POM (UK)
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| Routes | [Intravenous therapy |  The mitomycins are a family of aziridine-containing natural products isolated from Streptomyces lavendulae. One of these compounds, mitomycin C, finds use as a chemotherapeutic agent by virtue of its antitumour antibiotic activity. It is given intravenously to treat upper gastro-intestinal (e.g. esophageal carcinoma) and breast cancers, as well as by bladder instillation for superficial bladder tumours. It causes delayed bone marrow toxicity and therefore it is usually administered at 6-weekly intervals. Prolonged use may result in permanent bone-marrow damage. It may also cause lung fibrosis and renal damage.
   Mechanism of Action Mitomycin C is a potent DNA crosslinker.  A single crosslink per genome has shown to be effective in killing bacteria.  This is accomplished by reductive activation, followed, by two N-alkylations.  Both alkylations are sequence specific for a guanine nucleoside in the sequence 5'-CpG-3'.[1] 
   Biosynthesis In general the biosynthesis of all mitomycins [2]  proceed via combination of 3-amino-5-hydroxybenzoic acid (AHBA), D-glucosamine, and carbamoyl phosphate, to form the mitosane core, followed by specific tailoring steps.  The key intermediate, AHBA, is a common precursor to other anticancer drugs, such as rifamycin and ansamycin.
 Specifically, the biosynthesis begins with the addition of phosphoenolpyruvate (PEP) to erythrose-4-phosphate (E4P) with a yet undiscovered enzyme, which is then ammoniated to give 4-amino-3-deoxy-D-arabino heptulosonic acid-7-phosphate (aminoDHAP).  Next, DHQ synthase catalyzes a ring closure to give 4-amino3-dehydroquinate (aminoDHQ), which is then undergoes a double oxidation via aminoDHQ dehydratase to give 4-amino-dehydroshikimate (aminoDHS).  The key intermediate, 3-amino-5-hydroxybenzoic acid (AHBA), is made via aromatization by AHBA synthase.
 
 Synthesis of the key intermediate, 3-amino-5-hydroxy-benzoic acid.
 The mitosane core is synthesized as shown below via condensation of AHBA and D-glucosamine, although no specific enzyme has been characterized that mediates this transformation.  Once this condensation has occurred, the mitosane core is tailored by a variety of enzymes.  Unfortunately, both the sequence and the identity of these steps are yet to be determined.
 Complete reduction of C-6 - Likely via F420-dependent tetrahydromethanopterin (H4MPT)) reductase and H4MPT:CoM methyltransferase
 Hydroxylation of C-5, C-7 (followed by transamination), and C-9a. - Likely via cytochrome P450 monooxygenase or benzoate hydroxylase
 O-Methylation at C-9a - Likely via SAM dependent methyltransferase
 Oxidation at C-5 and C8 - Unknown
 Intramolecular amination to form aziridine - Unknown
 Carbamoylation at C-10 - Carbamoyl transferrase, with carbamoyl phosphate (C4P) being derived from L-citrulline or L-arginine
 
 Formation of mitosane core followed by tailoring specific to Mitomycin C.
  References
^ Tomasz, Maria (September 1995). "Mitomycin C:  small, fast and deadly (but very selective).". Chemistry and Biology 2 (9): 575-579.^ Mao Y.; Varoglu M.; Sherman D.H. (April 1999). "Molecular characterization and analysis of the biosynthetic gene cluster for the antitumor antibiotic mitomycin C from Streptomyces Iavendulae NRRL 2564.". Chemistry and Biology 6 (4): 251-263.
  Hata, T.; Sano, Y.; Sugawara, R.; Matsumae, A.; Kanamori, K.; Shima, T.; Hoshi, T. J. Antibiot. Ser. A 1956, 9, 141-146.
 Fukuyama, T.; Yang, L. "Total Synthesis of (±)-Mitomycins via Isomitomycin A." J. Am. Chem. Soc. 1987, 109, 7881-7882.
 Mao, Y.; Varoglu, M.; Sherman, D.H. "Molecular characterization and analysis of the biosynthetic cluster for the antitumor antibiotic mitomycin C from Streptomyces lavendulae NRRL 2564." Chemistry & Biology 1999, 6, 251-263.
 Varoglu, M.; Mao, Y.; Sherman, D.H. "Mapping the Biosynthetic Pathway by Functional Analysis of the MitM Aziridine N-Methyltransferase." J. Am. Chem. Soc. 2001, 123, 6712-6713 and references therein.
 | Chemotherapeutic agents/Antineoplastic agents (L01) | 
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 | Alkylating and alkylating-like agents | Nitrogen mustards: (Chlorambucil, Chlormethine, Cyclophosphamide, Ifosfamide, Melphalan). Nitrosoureas:(Carmustine, Fotemustine, Lomustine, Streptozocin). Platinum (alkylating-like): (Carboplatin, Cisplatin, Oxaliplatin, BBR3464). Busulfan, Dacarbazine, Procarbazine, Temozolomide, ThioTEPA, Uramustine | 
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 | Antimetabolites | Folic acid: (Aminopterin, Methotrexate, Pemetrexed, Raltitrexed). Purine:(Cladribine, Clofarabine, Fludarabine, Mercaptopurine, Pentostatin, Thioguanine).  Pyrimidine:(Capecitabine,  Cytarabine, Fluorouracil, Floxuridine, Gemcitabine) | 
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 | Spindle poison/mitotic inhibitor | Taxane: (Docetaxel, Paclitaxel). Vinca: (Vinblastine, Vincristine, Vindesine, Vinorelbine). | 
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 | Cytotoxic/antitumor antibiotics | Anthracycline family: (Daunorubicin, Doxorubicin, Epirubicin, Idarubicin, Mitoxantrone, Valrubicin) - streptomyces (Actinomycin, Bleomycin, Mitomycin, Plicamycin) - Hydroxyurea | 
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 | Topoisomerase inhibitors | Camptotheca: (Camptothecin, Topotecan, Irinotecan), Podophyllum:(Etoposide, Teniposide) | 
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 | CI monoclonal antibodies | Receptor tyrosine kinase (Cetuximab, Panitumumab, Trastuzumab) - CD20 (Rituximab, Tositumomab) - other (Alemtuzumab, Bevacizumab, Gemtuzumab) | 
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 | Photosensitizers | Aminolevulinic acid, Methyl aminolevulinate, Porfimer sodium, Verteporfin | 
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 | Tyrosine kinase inhibitors | Dasatinib, Erlotinib,  Gefitinib,  Imatinib, Lapatinib, Nilotinib, Sorafenib, Sunitinib | 
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 | Other | retinoids (Alitretinoin, Tretinoin) - Altretamine, Amsacrine, Anagrelide, Arsenic trioxide, Asparaginase (Pegaspargase), Bexarotene, Bortezomib, Denileukin diftitox, Estramustine, Ixabepilone, Masoprocol, Mitotane | 
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