| Term 
 | Definition 
 
        | loss of CL leads to intramolecular cyclization of side chain leads to reactive ethylene immonium derivative |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | broad spectrum of activity |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | alkylating agents, platinums |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alkylate DNA but carbamylate proteins (lisine residues) which leads to toxicity; can pass blood brain barrier |  | 
        |  | 
        
        | Term 
 
        | non-classical alkylating agents; temosolomide, decarbazine, procarbazine |  | Definition 
 
        | N-methylated by liver microsomal enzymes, then function as an alkylating agent; methylates Guanine and Adenosine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | cross-link DNA; intrastrand (same strand of two-strand double helix) and interstrand (opposite strands of double helix), monoalkylate and intermediate |  | 
        |  | 
        
        | Term 
 
        | Platinum analogs (cisplatin, carboplatin) |  | Definition 
 
        | Cl dissociates creating a reactive complex that reacts with water and interacts with DNA leading to inTRAstrand cross-linking (G N7 with adjaccent G O6) ultimately causing denaturation DNA |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | folic acid analogs, pyrimidine analogs, and purine analogs |  | 
        |  | 
        
        | Term 
 
        | folic acid analogs examples |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | competitively inhibits dihydrofolate reductase (FH2 Reductase); inhibits one carbon transfer which allows |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | converts DUMP to DTMP, taking the one carbon unit (methyl group) from FH4 which oxidates into FH2 |  | 
        |  | 
        
        | Term 
 
        | Florouracil converted to FDUMP |  | Definition 
 
        | inhibits thymidylate synthetase |  | 
        |  | 
        
        | Term 
 
        | pyrimidine analogs of cytosine, thymine and uracil |  | Definition 
 
        | incorporation into DNA/RNA; misreading, inhibition of DNA polymerase; inhibiting DNA elongation, inhibition of kinases, inhibition of enzymes involved in pyrimidine biosynthesis |  | 
        |  | 
        
        | Term 
 
        | DNA polymerase inhibitors |  | Definition 
 
        | pyrimidine analogs (cytarabine in particular), fludarabine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | prodrug; hydroxylation leads to haldol phosphamide, then alkylation of guanine residue |  | 
        |  | 
        
        | Term 
 
        | phsphoramide mustard and acrolein (toxic) |  | Definition 
 
        | metabolites of cyclophosphamide |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inside tumor cells, it is activated to a "fraudulent" nucleotide |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | prodrug; phosphorylated in vivo to ara CTP which completely inhibits DNA polymerase and blocks synthesis causing cell death |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | active metabolite of cytarabine that competes with dCTP and inhibits DNA polymerase, incorporates into DNA producing strand breaks AND triggers apoptosis |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 6-MP, 6-TG and fludarabine |  | 
        |  | 
        
        | Term 
 
        | 6-MP, 6-TG and fludarabine |  | Definition 
 
        | prodrug; must be converted to nucleotides, MUST occur in target cells, rapidly broken down to inactive products but nucleotide forms have longer half-lives |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | must be converted intracellularly to nucleoside by HGPRT |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | dephosphorylated to 2-fluoro-arabinofluranosyladenosine then phosphorylated intracellularly to TP |  | 
        |  | 
        
        | Term 
 
        | anthracycline; daunorubacine, doxorubacin, mitoxantrone |  | Definition 
 
        | intercalate into the base pairs in DNA minor groove, inhibit topoisomerase II preventing relaxation of supercoiled DNA, free radical damage of cell membrane |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | reduced and reacts with amino acid groups on guanine residues on adjacent base pairs in complementary DNA strands that result in cross-linking |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | planar end of bleomycin molecule intercalates with DNA (between GT and GC) sequence, the other end binds to Fe and facilitate its oxidation to Fe which generates oxygen free radicals |  | 
        |  | 
        
        | Term 
 
        | vinka alkyloids; vincristine and vinblastine |  | Definition 
 
        | binds to tubulin diamers in cytoplasm which inhibits ASSEMBLY of microtubules causing an arrest of M phase |  | 
        |  | 
        
        | Term 
 
        | taxanes; paclitaxel and docetaxel |  | Definition 
 
        | disrupt equilibrium between free tubulin and microtubules by shifting it in the direction of assembly; inhibits DISASSEMBLY of microtubules leading to abnormal bundles of microtubules |  | 
        |  | 
        
        | Term 
 
        | camptothecins; topotecan, irinotecan |  | Definition 
 
        | binds to DNA/ topo I which creates a cleavable complex preventing DNA re-ligation leading to DNA damage (single strand breaks) during S-phase |  | 
        |  | 
        
        | Term 
 
        | epipodopyllotoxins; etoposide or VP-16 |  | Definition 
 
        | forms ternary complex complex with DNA and topo II leading to the formation of cleavable complex which causes DNA damage (double stranded breakage) and cell death |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | topo II inhibitor; anthracycling and epipodopyllotoxins |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
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