Mech Flashcards
Drug Name
Mechanism
Cyclophosphamide, Melphalan, Chlorambucil
Forms covalent bonds to DNA, crosslinking strands and inhibiting DNA synthesis/transcription.
Carmustine (BCNU), Lomustine (CCNU)
Forms DNA crosslinks, inhibiting DNA replication and transcription.
Procarbazine, Dacarbazine
Alkylates DNA, leading to breaks in DNA strands.
Busulfan
Induces DNA crosslinks, halting DNA replication and transcription.
Cisplatin, Carboplatin, Oxaliplatin
Forms intrastrand and interstrand DNA crosslinks, inhibiting DNA synthesis.
Methotrexate (MTX)
Inhibits dihydrofolate reductase, blocking purine and thymidylate synthesis.
5-Fluorouracil (5-FU), Capecitabine
Inhibits thymidine synthesis and incorporates into DNA/RNA as a false nucleotide.
Cytarabine, Gemcitabine
Incorporates into DNA as a false nucleotide, inhibiting DNA polymerase and ribonucleotide reductase.
6-Mercaptopurine (6-MP)
Inhibits purine synthesis and incorporates false nucleotides into DNA/RNA.
Fludarabine, Cladribine
Inhibits DNA synthesis by disrupting purine nucleotide metabolism.
Vinblastine, Vincristine, Vinorelbine
Inhibits tubulin polymerization, disrupting microtubule assembly.
Paclitaxel, Docetaxel
Stabilizes microtubules, inhibiting their disassembly.
Etoposide
Inhibits topoisomerase II, preventing DNA strand religation.
Topotecan, Irinotecan
Inhibits topoisomerase I, preventing DNA single-strand breaks from being repaired.