Chemo drugs Flashcards
Type: Cisplatin, carboplatin,oxaliplatin
alkylating agent
mechanism: cisplatin,carboplatin,oxaliplatin
Forms adenosine - guanine crosslinks
action: cisplatin,carboplatin,oxaliplatin
stop S phase
uses: cisplatin,carboplatin,oxaliplatin
Testicular and ovarian cancers
Sensitise cells to radiation therapy
Side Effects : cisplatin,carboplatin,oxaliplatin
Nephrotoxicity
Myelosuppression
Type: Methotrexate
Anti-metabolite
Mechanism: Methotrexate
Inhibits dyhydrofolate reductase –> no purine synthesis
action: Methotrexate
Stop S phase and nucleotide production.
uses: Methotrexate
Childhood acute lymphoblastic leukaemia
Choriosarcoma
Osteosarcoma
Burkitt’s lymphoma
Side effects: Methotrexate
Resistance : decreased transport
type: 5’Fluorouracil
anti-metabolite
mechanism: 5’Fluorouracil
5FU - phosphorus to ntd –> inhibit thymidylate synthase –> purine synthesis inhibited
action: 5’Fluorouracil
Stop S phase and nucleotide production.
uses: 5’Fluorouracil
Metastatic breast cancer, ovarian, prostate, pancreatic and hepatic.
side effects:5’Fluorouracil
resistance
type: cytarabine
anti-metabolite
mechanism: cytarabine
cytosine analogue - no OH - chain termination
action: cytarabine
stop S phase
uses: cytarabine
Remission in acute meylocytic leukaemia
side effects: cytarabine
Cerebral damage
Resistance
type: doxorubicin, actinomycin
cytotoxic antibiotics
mechanismL doxorubicin, actinomycin
inhibit topoisomerase III –> no unwinding of DNA
action: doxorubicin, actinomycin
no dna replication
uses: doxorubicin, actinomycin
acute leukaemia
malignant lymphomas
breast cancer
side effects: doxorubicin, actinomycin
resistance
cardiotoxicity
type: dactinomycin
cytotoxic antibiotics
mechanism: dactinomycin
inserts into minor groove of DNA –> interferes with RNA polymerase = no transciption
action: dactinomycin
inhibition of replication
uses: dactinomycin
combo therapy
side effects: dactinomycin
N/A
type: bleomycin
cytotoxic antibiotics
mechanism: bleomycin
inserts into major groove of DNA –> breaks phosphate backbone –> makes superoxides and breaks DNA
actions: bleomycin
inhibit DNA replication
uses: bleomycin
Testicular cancer
Ovarian cancer
side effects: bleomycin
Pulmonary fibrosis
type: vincristine, vinblastine
plant alkaloid - vinca alkaloid
mechanism: vincristine, vinblastine
Acts on microtubule assembly
no polymerisation
no spindle formation
action: vincristine, vinblastine
stop mitosis
uses: vincristine, vinblastine
childhood leukaemia
Hodgkin’s and non Hodgkins
Testicular and ovarian
vinblastine: curative for metastatic TESTICULAR cancer
side effects: vincristine, vinblastine
neurotoxicity
type: L-asparaginase
enzyme
mechanism: L-asparaginase
Asparaginine essential amino acid in highly metabolic cell –> broken down –> cell die
action: L-asparaginase
cell death
side effects: L-asparaginase
N/A
type: imatinib
tyrosine kinase inhibitor
mechanism: imatinib
n/a
uses: imatinib
BCR-ABL positive tumour
CML
mechanism: bortezomib
inhibit NF-kB
uses: bortezomib
multiple myeloma