RT Journal Article SR Electronic T1 New Molecular Mechanisms of Action of Camptothecin-type Drugs JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 3301 OP 3305 VO 26 IS 5A A1 KATHLEEN LEGARZA A1 LI-XI YANG YR 2006 UL http://ar.iiarjournals.org/content/26/5A/3301.abstract AB Camptothecin (CPT) derivatives have emerged as a promising group of chemotherapeutic agents. The FDA has approved the CPT derivatives topotecan and irinotecan for second line treatment of ovarian cancer and metastatic colorectal cancer, respectively. These and other CPT derivatives have become part of the multi-million dollar industry that is dedicated to finding better chemotherapeutic agents with excellent tumor kill and less normal tissue toxicity. In order to reach this goal it is imperative to understand the details of the mechanisms of action and the targets of these drugs, as well as the cellular response to the drugs. Although investigations of CPT date back to the 1960's, most of the studies that have been added to our present knowledge were done in the last 10 years. The purpose of this paper is to review the latest insights into the CPT binding site, CPT-induced gene expression and CPT-induced pathways to apoptosis. Copyright© 2006 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved