Chemotherapy Flashcards
Interferes with DNA synthesis
Methotrexate
Inhibits folate to be taken up by the cell
Methotrexate
Has a high affinity for Dihydrofolate
Methotrexate
Inhibits FH2 from being hydrolyzed into FH4
Methotrexate
No nucleotide production = no cell replication
Methotrexate
Cytotoxic antibiotic- interferes with DNA replication
Doxyrubicin
stabilizes DNA- Topoisomerase complex
Doxyrubicin
Normally relaxes DNA Supercoil and breaks the strand apart for replication
Topoisomerase II
Drug that prevents DNA strands from being put back together
Doxyrubicin
Alkylating Agent
Cyclophosphamide
Prevents DNA Replication
Cyclophosphamide
and
Doxorubicin
Attaches an alkyl groups to guanine
Cyclophosphamide
crosslink via covalent bond causes DNA to supercoil
Cyclophosphamide
Topoisomerase unable to break apart DNA
Cyclophosphamide
Interferes with mitosis
Vincristine
binds to microtubule dimers which prevents their polymerization
Vincristine
Arrests cell in metaphase
Vincristine
prevents spindle formation
Vincristine
What do microtubules do
polymerize into long strands that pulls copies of chromosomes to opposite sides of cell
Hormone Therapy
Tamoxifen
Hormone therapy to treat estrogen positive breast cancer
Tamoxifen
__________ drug is an _________ to the estrogen receptor
Tamoxifen, Antagonist
Causes a conformational change that inhibits estrogen from binding to its receptor
Tamoxifen
Monocloanal antibodies
Cetuximab, Bevacixumab (Avastin)
What do monoclonal antibodies do?
Block Growth Signals
What dod mutated growth factor receptors do?
give a signal to proliferate even without growth factor bound
Stops hyperproliferation by binding to mutated growth factor receptors and preventing downstream signaling
Cetuximab
drug will not work if hyper proliferation is caused by downstream signaling and not the mutated receptor itself
Cetuximab
Monoclonal antibody that blocks angiogenesis
Bevacixumab (Avastin)
binds to VEGF-A which inhibits growth factor binding
Bevacixumab (Avastin)
Tyrosine Kinase Inhibitor
Gleevec (Imantinib)
inhibits an Oncogene
Gleevec (Imantinib)
Philadelphia chromosome translocation
BCR- Ab1 - chromosome 22 and 9
BCR- Ab1 translocation causes what cancer? How?
Chronic Myelogeneous Leukemia - mutated protein always has Tyrosine Kinase On causing continued proliferation
Prevents phosphorylation of the tyrosine kinase target which inhibits downstream proliferation
Gleevec (Imantinib)
Normal tyrosine kinase function
enzyme that removes a phosphate from ATP and attaches it to a tyrosine amino acid on a protein
What does the addition of a kinase to a protein generally do?
Signaling a downstream cascade