treatment of cancer Flashcards
treatment of Hodgkins lymphomaphoma
The name ABVD is an abbreviation for the four types of drugs used in this treatment:
A: doxorubicin hydrochloride (Adriamycin)
B: bleomycin sulfate.
V: vinblastine sulfate. - nephrotoxicity
D: dacarbazine.
X-linkers
Cross link DNA preventing replication
Alkylating agents – cyclophosphamide
Platinum compounds – cisplatin and carboplatin
Non cell cycle specific
antimetabolites
a substance that interferes with the normal metabolic processes within cells, typically by combining with enzymes.
S phase specific
Antimetabolites block production or incorportaiton ofncuelic acids into DNA and RNA eg 5FU ( fluorouracil)
methotrexate
Topoisomerase inhibits
These block enzyme that unwinds DNA druing synthesis
Exmaples are etoposide and teniposide
DNA interclators – doxorubicin and eprirubicin – cnat stick
topoI inihibors – topotecan
tubule toxins
tubule toxins disrptu the function of microtubule sin mitosis
vinca-alkaloids – vincrisitine
taxanes – paclitaxel
Immunotherapy – blocking CTLA-4 and PD1 ( ipilimumab and nivolumab respectively) one is interaction between dendritic and t cells and switches of the immune system) whereas PD-1 is interaction between T cells and tumour cell in the tumour microenvironment
reasons to give chemo
curative intent
adjuvant
palliative