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Description: A semisynthetic derivative of podophyllotoxin that exhibits antitumor activity. Etoposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent entry into the mitotic phase of cell division, and lead to cell death. Etoposide acts primarily in the G2 and S phases of the cell cycle. [PubChem]
Drug Type: Small Molecule; Approved
Pharmacology: Etoposide is an antineoplastic agent and an epipodophyllotoxin (a semisynthetic derivative of the podophyllotoxins). It inhibits DNA topoisomerase II, thereby inhibiting DNA synthesis. Etoposide is cell cycle dependent and phase specific, affecting mainly the S and G2 phases. Two different dose-dependent responses are seen. At high concentrations (10 µg/mL or more), lysis of cells entering mitosis is observed. At low concentrations (0.3 to 10 µg/mL), cells are inhibited from entering prophase. It does not interfere with microtubular assembly. The predominant macromolecular effect of etoposide appears to be the induction of DNA strand breaks by an interaction with DNA-topoisomerase II or the formation of free radicals.
Mechanism of Action: Etoposide inhibits DNA topoisomerase II, thereby inhibiting DNA synthesis at the premitotic stage of cell division. Etoposide is cell cycle dependent and phase specific, affecting mainly the S and G2 phases of cell division.
Indication: For use in combination with other chemotherapeutic agents in the treatment of refractory testicular tumors and as first line treatment in patients with small cell lung cancer. Also used to treat other malignancies such as lymphoma, non-lymphocytic leukemia, and glioblastoma multiforme.
Half Life: 4-12 hours
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Thought leaders and organizations working on research involving etoposide.

  • Alessandra Montecucco
  • Matthew D Cheney
  • Yizhou Liu
  • John H Bushweller
  • Stephen J Forman
  • Duke University
  • M.D. Anderson Cancer Center
  • Beckman Research Institute
  • Mayo Clinic
  • National Institute of Allergy and Infectious Diseases (NIAID)
  • University of Virginia
  • H Lee Moffitt Cancer Center and Research Institute
  • University of Pennsylvania
  • Istituto di Genetica Molecolare
  • St. Jude Children's Research Hospital

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