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Cancer Chemotherapy
drugs used in chemotherapy and their actions/mechanisms
28
Pharmacology
Undergraduate 3
12/16/2012

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Cards

Term
Carcinoma
Definition
Epithelial cells, breast, prostate, lung colon
Term
Sarcoma
Definition
Connective tissue, mesenchymal bone, cartilage
Term
Lymphoma/Leukemia
Definition
hematopoietic cells
Term
Germ Cell Tumor
Definition
Pluripotent cells/testical ovary
Term
blastoma
Definition
immature precursor embryonic tissue
Term
Leukemmia - wat do?
Definition
reduction in immune response, bleeding, anemia
Term
Alkylating Agents target....
Definition
DNA alkylation, cisplatin, oxaliplatin, carboplatin
Term
Alkylating Agents
Definition
not cell cycle specific, Binds DNA through inter and intra strand crosslink
Term
Nitrosourea
Definition
alkylating agent
highly lipid soluble CAN CROSS BBB
Term
Cyclophosphamide
Definition
alkylating agent
Term
Anti-metabolites target... and are what phase...
Definition
DNA replication...s phase
Term
Methotrexate is an... that...
Definition
Anti-Metabolite
inhibit purine synthesis by blocking dihydrofolate reductase
Term
Methotrexate can be eliminated.... and reversed with..
Definition
renally, leucovorin folic acid analogue
Term
5-Fluorouracil
Definition
inhibits enzyme theymidylate synthase, inhibits DNA synthesis.
half life elongated by leucovorin
Term
Hydroxyurea
Definition
inhibits ribonucleotide reductase
blocks ribose to deoxyribose conversion
Term
Gemcitabine is a
Definition
pyrimidine analog
Term
cytosine arabinoside is a
Definition
pyrimidine analog
Term
6 - Mercaptopurine is a
Definition
purine analog
Term
Anthracycline: Doxorubicin
Definition
cell cycle nonspecific
causes various DNA damage
binds to cellular membranes to alter fluidity/ion transport
intercalates into DNA
inhibits top II
creates free radicals
Term
Alkaloids are...
Definition
mitosis blocking, taxanes, vinca alkaloids.
M phase specific
Term
Vinca Alkaloids
Definition
inhibit tubulin polymerization
metabolized by cyp450
Term
Taxanes
Definition
promotes tubulin polymerization
stabilize microtubules(paclitaxel, docetaxil)
blocks mitosis
Term
camptothecin
Definition
top 1
Term
etoposide
Definition
top 2
allows first cut, prevents resealing
Term
Mitomycin
Definition
must be metabolically activated before it crosslinks DNA
good with radiation to target hypoxic tumors
Term
Bleomycin
Definition
single and double DNA breaks.
pulmonary toxicity is concern
renally eliminated
Term
SERMS - tamoxifen,
Definition
binds to estrogen receptor
Term
combination therapy
Definition
maximal kill lower toxicity
effective against heterogenous tumors
slow drug resistance
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