CANCER TREATMENT PHARM Flashcards

1
Q

what type of drug is dacarbazine?

A

an alkylating agent

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2
Q

what is the mechanism of dacarbazine?

A

They disrupt the structure of DNA by adding an alkyl group to the guanine base and can affect all phases of the cell cycle.

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3
Q

what type of drug is cyclophosphamide?

A

an alkylating agent/ nitrogen mustard

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4
Q

what is the moa of cyclophosphamide?

A

they work by either attaching alkyl groups to DNA bases, cross-lining DNA or inducing the mispairing of nucleotides

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5
Q

what are some side effects of cyclophosphamide?

A

sterility, birth defects mutations and cancer

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6
Q

what type of drug is rituximab?

A

a monoclonal antibody

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7
Q

what is rituximabs moa?

A

it binds to the CD20 antigen on B lymphocytes and mediates cell lysis

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8
Q

what type of drug is doxorubicin?

A

A cytotoxic anthracycline antibiotic

anti tumour antibiotic

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9
Q

what is doxorubicins moa?

A

it complexes with DNA and inhibits topoisomerase 2 activity, preventing religation

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10
Q

what type of drug is Paclitaxel?

A

a microtubule inhibitor

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11
Q

what is paclitaxals moa?

A

binds to the beta subunit of tubulin, causing hyper-stabilization of the microtubule. This prevents the cell from undergoing disassembly and prevents reorganisation which affects cell function

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12
Q

what drug is tamoxifen?

A

a selective estrogen receptor modulator

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13
Q

what is tamoxifens moa?

A

binds to the estrogen receptor, causing a conformational change and altering the expression of estrogen dependant genes. This prolonged binding also blocks estradiol uprake and decreases oestrogen response.

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14
Q

whar type of drug is 5-fluorouracil?

A

an antimetabolite

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15
Q

what is 5-fluorouracils moa?

A

inhibition of thymidylate formation from uracil, inhibiting DNA and RNA synthesis and causing cell death

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16
Q

what type of drug is etoposide?

A

a DNA topoisomerase 2 inhibitor

17
Q

what is etoposides moa?

A

inhibition of DNA topoisomerase 2 and therefore inhibiting DNA re-ligation. this causes critical errors in DNA synthesis and leads to apoptosis

18
Q

which phases of the cycle does etoposide affect?

A

mainly S and G2

19
Q

what type of drug is vinblastine?

A

a microtubule inhibitor

20
Q

what is vinblastines moa?

A

Vinblastine causes the crystallisation of the microtubules at the mitotic spindle, leading to inhibition of mitosis at metaphase = mitotic arrest = cell death

21
Q

give an example of a vinca alkaloid?

A

vinblastine

22
Q

what are the 2 classes of microtubule inhibitors?

A

vinca alkaloids and taxanes

23
Q

what drug is Imatinib?

A

a tyrosine kinase inhibitor

24
Q

what is the moa of Imatinib?

A

it targets the Bcr-ABL tyrosine kinase, inhibiting cell proliferation and inducing apoptosis

25
Q

what drug is tretinoin?

A

a vitamin A analogue

26
Q

whats the moa of tretinoin?

A

not currently known but it binds to retinoic acid receptors which have been associated with the development of acute promyelocytic leukaemia