Publications by authors named "S Di Gaeta"

Tigliane Diterpenoids.

Prog Chem Org Nat Prod

November 2024

The distribution, chemistry, and molecular bioactivity of tiglianes are reviewed from the very beginning of the studies on these diterpenoids, summarizing their clinical and toxicological literature mostly in its more recent and controversial aspects, and critically analyzing various proposals for their biosynthesis.

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To investigate the role of the secondary 5-hydroxy group in the activity of the anticancer drug tigilanol tiglate () (Stelfonta), oxidation of this epoxytigliane diterpenoid from the Australian rainforest plant was attempted. Eventually, 5-dehydrotigilanol tiglate () proved too unstable to be characterized in terms of biological activity and, therefore, was not a suitable tool compound for bioactivity studies. On the other hand, a series of remarkable skeletal rearrangements associated with the presence of a 5-keto group were discovered during its synthesis, including a dismutative ring expansion of ring A and a mechanistically unprecedented dyotropic substituent swap around the C-4/C-10 bond.

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Article Synopsis
  • A study was conducted to evaluate a structured social work approach to help cancer patients select and prepare a medical decision-maker (MDM) as part of advance care planning.
  • Out of 360 patient/caregiver pairs, only 32% had completed their Medical Power of Attorney documents at the start, and only 8% completed them by the end of the three-month follow-up.
  • Despite low engagement in selecting MDMs, many patients experienced changes in their care preferences during the study, and the understanding between patients and their caregivers improved over time, although overall correlation remained weak.
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The kernels of the Australian blushwood tree () are the source of the veterinary anticancer drug tigilanol tiglate (, Stelfonta) and contain a concentration of phorboids significantly higher than croton oil, the only abundant source of these compounds previously known. The oily matrix of the blushwood kernels is composed of free fatty acids and not by glycerides as found in croton oil. By active partitioning, it was therefore possible to recover and characterize for the first time a cryptic tigliane fraction, that is, the diterpenoid fraction that, because of its lipophilicity, could not be obtained by solvent partition of crude extracts.

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