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Cancer Therapy
Cancer Therapy
32
Chemistry
Professional
02/02/2009

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Cards

Term
Melphalan
Definition

Class: alkylating agent

Mode of action: alkylates DNA bases

Term
Mercapitopurine
Definition

Class: purine antagonist

Mode of action: inhibits purine synthesis

Term
Fluorouracil
Definition

Class: pyrimidine antagonist

Mode of action: inhibits thymidylate synthesis

Term
Doxorubicin
Definition

Class: Anti-tumor anti-biotics

Mode of action: intercalates into DNA, inhibits topoisomerase

Term
Cisplatin
Definition

Class: DNA x-linking agents

Mode of action: x-links DNA strands, causes single strand breaks

Term
Taxol, Vinblastine
Definition

Class: mitosis inhibitor

Mode of action: inhibits spindle assembly or disassembly

Term
To minimize resistance
Definition
Why is chemo given in a drug cocktail?
Term

digestive tract, weight los and vomiting

peripheral nerve cells, loss of hands or feet

bone marrow, lowered immunity

surface cells, mouth sores and hair loss

cardiac toxicity, (some more than others)

Definition

SE in 5 areas bc of rapidly dividing cells in these areas:

 

What happens in these 5 areas?

Term

peripheral nerve cells

and 

cardiac toxicity

Definition
What are the 2 areas of the body that suffer SE due to mitochondrial damage?
Term
increased efflux, mediated by MRP and LRP
Definition
What is the most common drug resistance mechanism?
Term
multiple resistance protein
Definition
MRP
Term

1. lowered uptake

2. increased efflux

3. insufficient activation of drug

4. increased activation of drug

5. drug sequestration

6. mutation in target enzyme

7. increase of target enzyme

8. rapid repair mechanism

Definition
There are 8 drug resistance mechanisms. What are they?
Term
Methotrexate
Definition
What is an example of a drug with an increase of target enzyme?
Term

1. salvage pathways

2. de novo synthesis

Definition
What are the 2 ways that nucleotides are provided?
Term

attachment of recovered bases to sugar phosphate or phosphate to recovered nucleoside

 AKA

make purine NT by recycling purine bases

Definition
what is a salvage pathway?
Term
folate
Definition
What gives -CH3 to Uracil to make Thymine?
Term

PRPP

 

Definition
Free bases are ribosylated with _____.
Term
phosphoribosyl pyrophosphate
Definition
What is PRPP?
Term
ribonucleotide reductase
Definition
What converts UDP to dUDP?
Term

thymidylate synthase

 

THF to dihydrofolate

Definition

What converts dUMP to TMP?

 

This happens with the conversion of _____ to _____.

Term
5 Fluordeoxyuridylate
Definition
What inhibits thymidylate synthase?
Term
Dihydrofolate reductase
Definition
What helps convert THF to dihydrofolate?
Term

Methotrexate

Amniopterin

Definition
What inhibits dihyrofolate reductase?
Term
bevacizumab or "Avastin"
Definition
What inhibits the VEGF pathway?
Term

tamoxifen

raloxifene

Definition
What is a hormone mimetic that works in breast CA, estrogen receptor?
Term
"Tarceva" or erlotinib
Definition
What inhibits the EGF R pathway, kinase inhibitor?
Term
"Herceptin" or trastuzumab
Definition
What is a monoclonal antibody that works against breast CA, and the HER 2/neu receptor?
Term
"Rituxan" or rituximab
Definition
What is a monoclonal antibody that works against non-Hodgkins lymphoma, binds CD 20, a B cell surface protein?
Term

1. interleukins

2. interferons

Definition
What are 2 immune system modifiers?
Term
1. metastisis inhibitor
2. apoptosis promoter
3. cell cycle inhibitors
4. differentiation stimulators
5. farnesyl transferase inhibitor
6. inhibitor of epigenetics
7. antisense siRNA therapy
8. gene therapy
Definition
There are 8 developing approaches to targeted therapies. What are they?
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