Chemotherapy Flashcards

1
Q

Interferes with DNA synthesis

A

Methotrexate

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2
Q

Inhibits folate to be taken up by the cell

A

Methotrexate

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3
Q

Has a high affinity for Dihydrofolate

A

Methotrexate

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4
Q

Inhibits FH2 from being hydrolyzed into FH4

A

Methotrexate

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5
Q

No nucleotide production = no cell replication

A

Methotrexate

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6
Q

Cytotoxic antibiotic- interferes with DNA replication

A

Doxyrubicin

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7
Q

stabilizes DNA- Topoisomerase complex

A

Doxyrubicin

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8
Q

Normally relaxes DNA Supercoil and breaks the strand apart for replication

A

Topoisomerase II

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9
Q

Drug that prevents DNA strands from being put back together

A

Doxyrubicin

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10
Q

Alkylating Agent

A

Cyclophosphamide

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11
Q

Prevents DNA Replication

A

Cyclophosphamide

and

Doxorubicin

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12
Q

Attaches an alkyl groups to guanine

A

Cyclophosphamide

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13
Q

crosslink via covalent bond causes DNA to supercoil

A

Cyclophosphamide

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14
Q

Topoisomerase unable to break apart DNA

A

Cyclophosphamide

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15
Q

Interferes with mitosis

A

Vincristine

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16
Q

binds to microtubule dimers which prevents their polymerization

A

Vincristine

17
Q

Arrests cell in metaphase

A

Vincristine

18
Q

prevents spindle formation

A

Vincristine

19
Q

What do microtubules do

A

polymerize into long strands that pulls copies of chromosomes to opposite sides of cell

20
Q

Hormone Therapy

A

Tamoxifen

21
Q

Hormone therapy to treat estrogen positive breast cancer

A

Tamoxifen

22
Q

__________ drug is an _________ to the estrogen receptor

A

Tamoxifen, Antagonist

23
Q

Causes a conformational change that inhibits estrogen from binding to its receptor

A

Tamoxifen

24
Q

Monocloanal antibodies

A

Cetuximab, Bevacixumab (Avastin)

25
Q

What do monoclonal antibodies do?

A

Block Growth Signals

26
Q

What dod mutated growth factor receptors do?

A

give a signal to proliferate even without growth factor bound

27
Q

Stops hyperproliferation by binding to mutated growth factor receptors and preventing downstream signaling

A

Cetuximab

28
Q

drug will not work if hyper proliferation is caused by downstream signaling and not the mutated receptor itself

A

Cetuximab

29
Q

Monoclonal antibody that blocks angiogenesis

A

Bevacixumab (Avastin)

30
Q

binds to VEGF-A which inhibits growth factor binding

A

Bevacixumab (Avastin)

31
Q

Tyrosine Kinase Inhibitor

A

Gleevec (Imantinib)

32
Q

inhibits an Oncogene

A

Gleevec (Imantinib)

33
Q

Philadelphia chromosome translocation

A

BCR- Ab1 - chromosome 22 and 9

34
Q

BCR- Ab1 translocation causes what cancer? How?

A

Chronic Myelogeneous Leukemia - mutated protein always has Tyrosine Kinase On causing continued proliferation

35
Q

Prevents phosphorylation of the tyrosine kinase target which inhibits downstream proliferation

A

Gleevec (Imantinib)

36
Q

Normal tyrosine kinase function

A

enzyme that removes a phosphate from ATP and attaches it to a tyrosine amino acid on a protein

37
Q

What does the addition of a kinase to a protein generally do?

A

Signaling a downstream cascade