Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers

Iron and copper are essential micronutrients needed for the proper function of every cell. However, in excessive amounts, these elements are toxic, as they may cause oxidative stress, resulting in damage to the liver and other organs. This may happen due to poisoning, as a side effect of thalassemia...

Full description

Bibliographic Details
Main Authors: Martin Hruby, Irma Ivette Santana Martínez, Holger Stephan, Pavla Pouckova, Jiri Benes, Petr Stepanek
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Polymers
Subjects:
Online Access:https://www.mdpi.com/2073-4360/13/22/3969
_version_ 1797508671987515392
author Martin Hruby
Irma Ivette Santana Martínez
Holger Stephan
Pavla Pouckova
Jiri Benes
Petr Stepanek
author_facet Martin Hruby
Irma Ivette Santana Martínez
Holger Stephan
Pavla Pouckova
Jiri Benes
Petr Stepanek
author_sort Martin Hruby
collection DOAJ
description Iron and copper are essential micronutrients needed for the proper function of every cell. However, in excessive amounts, these elements are toxic, as they may cause oxidative stress, resulting in damage to the liver and other organs. This may happen due to poisoning, as a side effect of thalassemia infusion therapy or due to hereditary diseases hemochromatosis or Wilson’s disease. The current golden standard of therapy of iron and copper overload is the use of low-molecular-weight chelators of these elements. However, these agents suffer from severe side effects, are often expensive and possess unfavorable pharmacokinetics, thus limiting the usability of such therapy. The emerging concepts are polymer-supported iron- and copper-chelating therapeutics, either for parenteral or oral use, which shows vivid potential to keep the therapeutic efficacy of low-molecular-weight agents, while avoiding their drawbacks, especially their side effects. Critical evaluation of this new perspective polymer approach is the purpose of this review article.
first_indexed 2024-03-10T05:07:10Z
format Article
id doaj.art-9f4c59362f0e453cbcad55855ae255cf
institution Directory Open Access Journal
issn 2073-4360
language English
last_indexed 2024-03-10T05:07:10Z
publishDate 2021-11-01
publisher MDPI AG
record_format Article
series Polymers
spelling doaj.art-9f4c59362f0e453cbcad55855ae255cf2023-11-23T01:09:40ZengMDPI AGPolymers2073-43602021-11-011322396910.3390/polym13223969Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to PolymersMartin Hruby0Irma Ivette Santana Martínez1Holger Stephan2Pavla Pouckova3Jiri Benes4Petr Stepanek5Institute of Macromolecular Chemistry, Academy of Sciences of the Czech Republic Heyrovského Náměstí 2, 162 06 Prague, Czech RepublicHelmholtz-Zentrum Dresden-Rossendorf, Institute of Radiopharmaceutical Cancer Research Bautzner Landstraße 400, 01328 Dresden, GermanyHelmholtz-Zentrum Dresden-Rossendorf, Institute of Radiopharmaceutical Cancer Research Bautzner Landstraße 400, 01328 Dresden, GermanyInstitute of Biophysics and Informatics, First Faculty of Medicine, Charles University in Prague, Salmovska 1, 120 00 Prague, Czech RepublicInstitute of Biophysics and Informatics, First Faculty of Medicine, Charles University in Prague, Salmovska 1, 120 00 Prague, Czech RepublicInstitute of Macromolecular Chemistry, Academy of Sciences of the Czech Republic Heyrovského Náměstí 2, 162 06 Prague, Czech RepublicIron and copper are essential micronutrients needed for the proper function of every cell. However, in excessive amounts, these elements are toxic, as they may cause oxidative stress, resulting in damage to the liver and other organs. This may happen due to poisoning, as a side effect of thalassemia infusion therapy or due to hereditary diseases hemochromatosis or Wilson’s disease. The current golden standard of therapy of iron and copper overload is the use of low-molecular-weight chelators of these elements. However, these agents suffer from severe side effects, are often expensive and possess unfavorable pharmacokinetics, thus limiting the usability of such therapy. The emerging concepts are polymer-supported iron- and copper-chelating therapeutics, either for parenteral or oral use, which shows vivid potential to keep the therapeutic efficacy of low-molecular-weight agents, while avoiding their drawbacks, especially their side effects. Critical evaluation of this new perspective polymer approach is the purpose of this review article.https://www.mdpi.com/2073-4360/13/22/3969ironcopperpolymerchelatorWilson’s diseasehemochromatosis
spellingShingle Martin Hruby
Irma Ivette Santana Martínez
Holger Stephan
Pavla Pouckova
Jiri Benes
Petr Stepanek
Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
Polymers
iron
copper
polymer
chelator
Wilson’s disease
hemochromatosis
title Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
title_full Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
title_fullStr Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
title_full_unstemmed Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
title_short Chelators for Treatment of Iron and Copper Overload: Shift from Low-Molecular-Weight Compounds to Polymers
title_sort chelators for treatment of iron and copper overload shift from low molecular weight compounds to polymers
topic iron
copper
polymer
chelator
Wilson’s disease
hemochromatosis
url https://www.mdpi.com/2073-4360/13/22/3969
work_keys_str_mv AT martinhruby chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers
AT irmaivettesantanamartinez chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers
AT holgerstephan chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers
AT pavlapouckova chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers
AT jiribenes chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers
AT petrstepanek chelatorsfortreatmentofironandcopperoverloadshiftfromlowmolecularweightcompoundstopolymers