Biological basis of cancer therapy Flashcards

1
Q

Main anti-cancer modalities

A
  • surgery
  • radiotherapy
  • chemotherapy
  • immunotherapy
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2
Q

Cytotoxic chemotherapy

A
  • Alkylating agents
  • Antimetabolites
  • Anthracyclines
  • Vinca alkaloids and taxanes
  • Topoisomerase inhibitors

-Given intravenously or by mouth (occasionally)

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3
Q

Targeted therapies

A
  • Small molecule inhibitors

- Monoclonal antibodies

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4
Q

Alkylating agents

A

Eg: Chlorambucil, cyclophosphamide, dacarbazine, temozolomide

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5
Q

Pseudo=alkylating agents

A

Eg: carboplatin, cisplatin, oxaliplatin

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6
Q

Side effects of alkylating and pseudoalkylating agents

A
  • nephrotoxicity
  • neurotoxicity
  • ototoxicity
  • N&V
  • diarrhoea
  • immunosuppression
  • tiredness
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7
Q

Anti-metabolites

A

-masquerade as purine or pyrimidine residues leading to inhibition of DNA synthesis, DNA double strand breaks and apoptosis

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8
Q

Side effects of anti-metabolites

A
  • Hair loss (alopecia)
  • Bone marrow suppression causing anaemia, neutropenia and thrombocytopenia
  • increased risk of neutropenic sepsis or bleeding
  • N&V
  • mucositis and diarrhoea
  • palmar-plantar erythrodysesthesia
  • fatigue
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9
Q

Anthracyclines

A

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10
Q

Side effects of anthracyclines

A

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11
Q

Vinca alkaloids and taxanes

A

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12
Q

Side effects of microtubule targeting drugs

A

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13
Q

Topoisomerase inhibitors

A

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14
Q

Side effects of topoisomerase inhibitors

A

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15
Q

The 6 hallmarks of the cancer cell

A

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16
Q

The added 4 hallmarks of the cancer cell (now 10 hallmarks)

A

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17
Q

Self-sufficient hallmark

A

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18
Q

Monoclonal antibodies

A

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19
Q

Glivec

A

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20
Q

Anti-sense oligonucleotides

A

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21
Q

RNA interference

A

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