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DNA Methylation Inhibitors (2) |
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Definition
Azacytidine Decitabine
Inhibit DNA methylation at cytosine residues by blocking DNA methyltransferases
Treatment of Myelodysplastic syndrome (MDS) |
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Acetylates E-amino groups of lysine residues on histone which reduces histone basicity and expose DNA to transcription factors leading to gene expression |
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Removes acetyl groups from histone E-N-acetylated lysine and restore positive charge and block transcription |
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Histone Deacetylase inhibitors (2) |
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Definition
1. Vorinostat (SAHA) Treats Cutaneous T-cell lymphoma (CTCL)
2. Romidepsin A depsipeptide HDAC inhibitor |
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Definition
Epidermal growth factor receptor
A type of receptor tyrosine kinase
4 Members: ErbB1 (HER1), ErbB2 (Her2/neu), B3 and B4 |
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A EGFR that is overexpressed in 30% of breast cancers and increased expression of gene correlates with poor prognosis |
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This antibody targets HER2/neu receptor |
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Definition
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These 2 antibodies target ErbB1 receptor |
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Definition
1) Cetuximab
2) Panitumumab |
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Definition
RTK Inhibitor of ErbB1 receptor overexpressed in LUNG CANCERS |
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dual RTK inhibitor that inhibits both ErbB1 and HER2/neu |
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RTK inhibitor associated with PDGF and VEGF and Raf kinase
Treats RENAL CELL CARCINOMA |
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Definition
RTK inhibitor for treatment of 1) Gastrointestinal stromal tumor (GIST) 2) Renal cell carcinoma
Also inhibit kit kinase |
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Vascular endothelial growth factor
Another RTK (Other than EGFR)
Inhibition stops angiogenesis
2 Drugs: Pazopanib (for renal cell carcinoma) and Bevacizumab (Avastin) |
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VEGF receptor inibitor of all 3 isoforms |
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Definition
targets VEGF for treatment of glioblastoma |
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2 Types of Non-receptor tyrosine kinase inhibitors |
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Definition
1) Abl kinase inhibitors 2) Serine/threonine kinase mTOR inhibitors |
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Chronic myelogenous leukemia pathophysiology |
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Definition
Due to abnormal chromosome Philadelphia chromosome leading to Constitutively active Abl protein 3 Treatments: Imatinib (Gleevec) Nilotinib Dasatinib |
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First FDA-approved drug targeted to specific molecular defect in a cancer to treat chronic myelogenous leukemia from Philadelphia chromosome |
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Second generation Abl tyrosine kinase inhibitor |
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Second generation Abl kinase inhibitor for resistance to imatinib |
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mammalian target of rapamycin
A serine/threonine protein kinase
3 inhibitors: 1) Sirolimus (rapamycin) 2) Temsirolimus 3) Everolimus |
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inhibitor of mTOR approved for treatment of ADVANCED RENAL CELL CARCINOMA |
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mTOR inhibitor for renal cell carcinoma after failure with sunitinib |
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