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Mechanism of Action: Anticancer Agents
Pharmacology Exam 3
32
Pharmacology
Professional
03/31/2013

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Term
Nitrogen Mustards
Definition
loss of CL leads to intramolecular cyclization of side chain leads to reactive ethylene immonium derivative
Term
cyclophosphamide
Definition
broad spectrum of activity
Term
phase-nonspecific
Definition
alkylating agents, platinums
Term
Nitrosoureas
Definition
Alkylate DNA but carbamylate proteins (lisine residues) which leads to toxicity; can pass blood brain barrier
Term
non-classical alkylating agents; temosolomide, decarbazine, procarbazine
Definition
N-methylated by liver microsomal enzymes, then function as an alkylating agent; methylates Guanine and Adenosine
Term
alkylating agents
Definition
cross-link DNA; intrastrand (same strand of two-strand double helix) and interstrand (opposite strands of double helix), monoalkylate and intermediate
Term
Platinum analogs (cisplatin, carboplatin)
Definition
Cl dissociates creating a reactive complex that reacts with water and interacts with DNA leading to inTRAstrand cross-linking (G N7 with adjaccent G O6) ultimately causing denaturation DNA
Term
antimetabolites
Definition
folic acid analogs, pyrimidine analogs, and purine analogs
Term
folic acid analogs examples
Definition
methotrexate
Term
folic acid analogs MOA
Definition
competitively inhibits dihydrofolate reductase (FH2 Reductase); inhibits one carbon transfer which allows
Term
thymidylate synthetase
Definition
converts DUMP to DTMP, taking the one carbon unit (methyl group) from FH4 which oxidates into FH2
Term
Florouracil converted to FDUMP
Definition
inhibits thymidylate synthetase
Term
pyrimidine analogs of cytosine, thymine and uracil
Definition
incorporation into DNA/RNA; misreading, inhibition of DNA polymerase; inhibiting DNA elongation, inhibition of kinases, inhibition of enzymes involved in pyrimidine biosynthesis
Term
DNA polymerase inhibitors
Definition
pyrimidine analogs (cytarabine in particular), fludarabine
Term
cyclophosphamide
Definition
prodrug; hydroxylation leads to haldol phosphamide, then alkylation of guanine residue
Term
phsphoramide mustard and acrolein (toxic)
Definition
metabolites of cyclophosphamide
Term
5-fluorouracil (5-FU)
Definition
inside tumor cells, it is activated to a "fraudulent" nucleotide
Term
cytarabine
Definition
prodrug; phosphorylated in vivo to ara CTP which completely inhibits DNA polymerase and blocks synthesis causing cell death
Term
ara CTP
Definition
active metabolite of cytarabine that competes with dCTP and inhibits DNA polymerase, incorporates into DNA producing strand breaks AND triggers apoptosis
Term
purine antagonists
Definition
6-MP, 6-TG and fludarabine
Term
6-MP, 6-TG and fludarabine
Definition
prodrug; must be converted to nucleotides, MUST occur in target cells, rapidly broken down to inactive products but nucleotide forms have longer half-lives
Term
6-MP and 6-TG
Definition
must be converted intracellularly to nucleoside by HGPRT
Term
fludarabine
Definition
dephosphorylated to 2-fluoro-arabinofluranosyladenosine then phosphorylated intracellularly to TP
Term
anthracycline; daunorubacine, doxorubacin, mitoxantrone
Definition
intercalate into the base pairs in DNA minor groove, inhibit topoisomerase II preventing relaxation of supercoiled DNA, free radical damage of cell membrane
Term
mitomycin
Definition
reduced and reacts with amino acid groups on guanine residues on adjacent base pairs in complementary DNA strands that result in cross-linking
Term
bleomycin
Definition
planar end of bleomycin molecule intercalates with DNA (between GT and GC) sequence, the other end binds to Fe and facilitate its oxidation to Fe which generates oxygen free radicals
Term
vinka alkyloids; vincristine and vinblastine
Definition
binds to tubulin diamers in cytoplasm which inhibits ASSEMBLY of microtubules causing an arrest of M phase
Term
taxanes; paclitaxel and docetaxel
Definition
disrupt equilibrium between free tubulin and microtubules by shifting it in the direction of assembly; inhibits DISASSEMBLY of microtubules leading to abnormal bundles of microtubules
Term
camptothecins; topotecan, irinotecan
Definition
binds to DNA/ topo I which creates a cleavable complex preventing DNA re-ligation leading to DNA damage (single strand breaks) during S-phase
Term
epipodopyllotoxins; etoposide or VP-16
Definition
forms ternary complex complex with DNA and topo II leading to the formation of cleavable complex which causes DNA damage (double stranded breakage) and cell death
Term
double strand DNA breaks
Definition
topo II inhibitor; anthracycling and epipodopyllotoxins
Term
single strand DNA breaks
Definition
topo I cleavable complex
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