Biological basis of cancer therapy Flashcards
Main anti-cancer modalities
- surgery
- radiotherapy
- chemotherapy
- immunotherapy
Cytotoxic chemotherapy
- Alkylating agents
- Antimetabolites
- Anthracyclines
- Vinca alkaloids and taxanes
- Topoisomerase inhibitors
-Given intravenously or by mouth (occasionally)
Targeted therapies
- Small molecule inhibitors
- Monoclonal antibodies
Alkylating agents
Eg: Chlorambucil, cyclophosphamide, dacarbazine, temozolomide
Pseudo=alkylating agents
Eg: carboplatin, cisplatin, oxaliplatin
Side effects of alkylating and pseudoalkylating agents
- nephrotoxicity
- neurotoxicity
- ototoxicity
- N&V
- diarrhoea
- immunosuppression
- tiredness
Anti-metabolites
-masquerade as purine or pyrimidine residues leading to inhibition of DNA synthesis, DNA double strand breaks and apoptosis
Side effects of anti-metabolites
- 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
Anthracyclines
/
Side effects of anthracyclines
/
Vinca alkaloids and taxanes
/
Side effects of microtubule targeting drugs
/
Topoisomerase inhibitors
/
Side effects of topoisomerase inhibitors
/
The 6 hallmarks of the cancer cell
/