Chemotherapeutics: Antitumor Antibiotics, Topoisomerase Inhibitors and Antimitotics Flashcards
Bleomycin MOA
binds to DNA and produces free radicals that cleave DNA (single and double strand breaks)
what phase does Bleomycin arrest cell in
G2
bleomycin side effects
pulmonary fibrosis (bleomycin lung, can be fatal) and alopecia
another name for Dactinomycin
Actinomycin D
Dactinomycin MOA
intercalates DNA, blocks transcription and causes DNA strand breaks
Dactinomycin treats
peds sarcomas
dactinomycin side effects
immunosupression, myelosuppression, N/V
-rubicin suffix is for
anthracyclines
anthracyclines MOA
intercalates DNA, blocks RNA & DNA synthesis, causes DNA strand breaks following free radical formation.
anthracyclines side effects
cardiotoxicity/cardiomyopathy (from free radicals), myelosuppression, n/v, alopecia
doxorubicin unique properties
can cause red urine (not hematuria)
Anti-tumor antibiotics can cross BBB true/flase
False
daunorubicin unique properties
limited efficacy in solid tumors
idrarubicin treats
leukemias
idarubucin unique properties
daunorubicin analog; commonly used in combo with cytarabine in come leukemias
Topoisomerase II inhibitors
etoposide
Topoisomerase I inhibitors
topotecan and irinotecan
Blocks S-G2 transition
Etoposide
Blocks S phase
irinotecan and topotecan
etoposide treats
lung and testicular cancer
etoposide side effects
myelosuppression and alopecia
irinotecan treats
colorectal carcinoma
irinotecan side effects
myelosuppression and diarrhea
topotecan is 1st or 2nd line treatment
2nd
topotecan side effects
myelosuppression
vinca alkaloids
vinblastine (vbl), vincristine (vx), vinorelbine (vrb)
vinca alkaloids MOA
inhibit tubulin polymerization which is required for mitosis
vinblastine (VBL) treats
testicular cancer and lymphomas
vinblastine side effects
phlebitis, cellulitis, n/v, myelosuppression
vincristine side effects
peripheral neuropathy, neurotoxicity, and constipation
vinorelbine (VRB) treats
lung cancer
vinorelbine side effects
granulocytopenia
-taxel suffix for
taxanes
taxanes MOA
stabilizes microtubules, prevents depolymerization and blocks progression in mitosis
Taxanes treat
ovarian, breast, and lung cancers
taxane side effects are
neutropenia, peripheral neuropathy, alopecia, fluid retention, and hypersensitivity
taxane drugs
docetaxel and paclitaxel