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chemo drugs...old cancer
...that i still dont know
21
Medical
Graduate
12/13/2006

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Cards

Term
mechlorethamine
Definition
NM alkylator, non-enzymatic activation, hodgkins disease, (MOPP)
Term
cyclophosphamide
Definition
NM alkylator, CYP activation, burketts, ALL,
Term
ifosfamide
Definition
CYP, testicular cancer
Term
melphalan
Definition
NM alkylator, MM
Term
chlorambucil
Definition
CLL
Term
busulfan
Definition
alkyl sulphonate, CGL, effects only marrow (not lymphoid)
Term
nitrosoureas
Definition
carmustine, lomustine, inhibit dna, rna & protien synth...lipophillic - brain tumors
Term
imidazoetriazines (temozolomide)
Definition
triazine. spon activation, melanoma & astrocytoma
Term
dacarbazine
Definition
triazine, CYP activation, inhibirs rna/protien, melanoma
Term
cisplatin
Definition
inorganic guanine crosslinker, testicular&ovarian .. cumulative renal toxicity
Term
MTX
Definition
inhibits DHFR blocking THF (used to synth a precurser to thymidylate synthatase), S phase specific, resistance via dec influx, DHFR affinity. used in ALL and choriocarcinoma. use leucovorin rescue to regain NN-methylene-FH4. used in autoimmune disease at lower dose with folic acid as rescue
Term
pemetrexed
Definition
folate antagonist for mesothelioma and other lung cancers
Term
6-MP
Definition
hypoxanthine analog (purine), blocks HGPRT which blocks DNA synth. (S-phase). Metabolized by xanthine oxidase which can be inhibited by allopurinol (significant DDI)
Term
thioguanine
Definition
guanine analog, blocks HGPRT which blocks DNA synth. (S-phase). leukemia
Term
hydroxyurea
Definition
purine analog, inhibits DNA synth, Leukemia
Term
fludarabine
Definition
purine analog, CLL, inhibits DNA and induces apoptosis
Term
cladribine
Definition
purine analog, CLL, HCL
Term
pentostatin
Definition
adenine analog (inhibits adenine deaminase), HCL
Term
fluorouracil/fluxuridine
Definition
enzymatically activated to 5'MP nucleotide and inhibits thymidylate synthetase, breast cancer and psoriasis ... infusion=DNA bolus=RNA
Term
capecitabine
Definition
prodrug to flourouracil - breast cancer
Term
cytarabine
Definition
pyrimidine analog, S phase specific, used in ALL, activated via kinase...deactivated via deaminase ...(resistance via either)
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