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Chemo agents & mechanisms

  

Related topics: Chemo agents & mechanisms | Common combosChemo combo abstracts | 
CHOP + complementary considerations
| Liposomal | Low Dose | Treatment settings | Treatment support

Treatments or Chemotherapy > Chemo agents & mechanisms

Last update: 04/18/2008

DNA-Altering | Anti-tumor Antibiotics | Antimetabolites | DNA Repair Enzyme Inhibitors |
Block Cell Duplication | Steroidal

Recommended Reading: 

General Mechanisms of Drug Action - ncbi.nlm.nih.gov 
Types of chemotherapy -
Chemocare.com
Cancer multidrug resistance (MDR)
 - nature.com 

"The ability of chemotherapy to kill cancer cells depends on its ability to halt cell division.  Usually, the drugs work by damaging the RNA or DNA that tells the cell how to copy itself in division.  If the cells are unable to divide, they die.  The faster the cells are dividing, the more likely it is that chemotherapy will kill the cells, causing the tumor to shrink.  They also induce cell suicide (self-death or apoptosis)." - chemocare.com

DNA-Altering Drugs
Alkylating agents:

DNA cross linking is a primary role of agents

Replicating cells are most susceptible to agents

Alkylating agents are not cell cycle specific 

fpnotebook.com

Also see Consequences and Targets of Alkylating Agents
 - PDF | PDF-Help
These drugs change DNA, the building block of cells, to prevent cell growth.
Bendamustine - micromedex.com (investigational) > Treatment abstracts
Carboplatin (Paraplatin®) -  BCCancer | Cancerbacup
Carmustine (BCNU®) - BCCancer | Cancerbacup MedlinePlus  
Chlorambucil (Leukeran®) -  BCCancer | Cancerbacup > Treatment abstracts
Cisplatin (Platinol®) - BCCancer | Cancerbacup | MedlinePlus
Evaluation of long-term toxicity in patients after cisplatin-based chemotherapy for non-seminomatous testicular cancer - PubMed
Cyclophosphamide injection (Cytoxan®) -  BCCancer | Cancerbacup
Cyclophosphamide oral  (Cytoxan®) -  BCCancer
Dacarbazine (DTIC®) - BCCancerCancerbacup | MedlinePlus
Ifosfamide (ifex®)Lomustine (CCNU®) -  BCCancer | Cancerbacup | MedlinePlus
Mechlorethamine (nitrogen mustard, Mustargen®) - BCCancerMedlinePlus
Melphalan (Alkeran®) - BCCancerCancerbacup | MedlinePlus
Procarbazine (Matulane®) -   BCCancer | Cancerbacup | MedlinePlus
Anti-tumor Antibiotics --
Interact with DNA and decrease cell survival
Pegylated Liposomal doxorubicin in combination chemotherapy in the treatment of previously untreated aggressive diffuse large-B-cell lymphoma. Med Oncol. 2002;19(1):55-8.
PMID: 12025891 PubMed | Related Abstracts
These drugs interact with DNA and decrease cell survival. Drugs that come from natural sources, such as plants or yeast, include the following. Click link to read details.
Bleomycin (Blenoxane®) -  BBCancerCancerbacup | MedlinePlus
Doxorubicin (Adriamycin®, Rubex®) -  BCCancer | Cancerbacup | MedlinePlus
Doxorubicin, Liposomal (Doxil) - BBCancer | MedlinePlusProject Inform  
Full prescribing info from Doxil.com - PDF | PDF-Help  | Cancerbacup
Idarubicin (Idamycin®) -  BBCancer | Cancerbacup | MedlinePlus
Mitoxantrone (Novantrone®) -  BBCancer | Cancerbacup | MedlinePlus
Antimetabolites -
About Antimetabolites - pharmacology.unmc.edu

"Antimetabolites are very similar to normal substances within the cell.  When the cells incorporate these substances into the cellular metabolism, they are unable to divide.  Antimetabolites are cell-cycle specific.  They attack cells at very specific phases in the cycle.  Antimetabolites are classified according to the substances with which they interfere." chemocare.com

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These drugs interfere with normal cell growth.
Chlorodeoxyadenosine (Cladribine®) - BBCancer | MedlinePlus  
Other names:  2-chlorodeoxyadenosine; 2-CdA
Cytarabine IV  (cvtosine arabinoside, Ara-C, Cytosar  - BBCancerMedlinePlus
Fludarabine IV (Fludara®)  -  BCCancer | Cancerbacup | MedlinePlus
Fludarabine oral  (Fludara®)  -  BCCancer | Cancerbacup | MedlinePlus
Gemcitabine (Gemzar®) - BBCancer | Treatment abstracts
Mercaptopurine oral (Purinethol®) - BBCancer | MedlinePlus | Cancerbacup
Methotrexate oral (Rheumatrex®) - BBCancer| MedlinePlus  | Cancerbacup
Other name: amethopterin
Pentostatin  IV (Nipent®) - BBCancerMedlinePlus
Thioguanine oral (Lanvis®)  - BBCancer | MedlinePlus | Cancerbacup
DNA Repair Enzyme Inhibitors
These drugs act on certain proteins (enzymes) that normally work to repair faulty DNA and therefore make cells more likely to die when they are injured.
Etoposide oral (VP-16, VePesid®, Etopophos) - BBCancer
Etoposide IV (VP-16, VePesid®, Etopophos) - BBCancerMedlinePlus  
Block Cell Duplication --
Damage cell structures that are required for a cell to divide
Microtubule inhibitors
About mechanism of action

 

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These drugs damage cell structures required for cells to divide.
Vinblastine (Velban®) - BBCancer | Cancerbacup | MedlinePlus
Vincristine (Oncovin®) -  BBCancer | Cancerbacup | MedlinePlus
Vinorelbine is a  vinca alkaloid that interferes with microtubule assembly.
 Vinorelbine (Navelbine®)  - FDA | BBCancer | Treatment abstracts

 

Targets Proteasome

inhibits  proteasomal degradation 

"The proteasomal degradation pathway is essential for many cellular processes, including the cell cycle, the regulation of gene expression, and responses to oxidative stress."

wikipedia

 

Velcade (bortezomib) 
FDA full prescribing information PDF  
Highlights of prescribing information
Steroidal 
(Corticosteroids)
steroidal: anti-inflammatory, Immunosuppressant
 
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Corticosteroids, including Prednisone, Prednisolone, Methylprednisolone and Dexamethasoneare are a group of synthetic hormones closely related to cortisol (a glucocorticoid), a natural hormone produced in the adrenal cortex.
"Prednisone decreases inflammation by preventing white blood cells from functioning properly.  More specifically, the drug interferes with lymphocytes (one of several types of white blood cells).  The presence of  white blood cells result in inflammation (for many reasons, damage to tissue, fungus, virus, bacteria, allergens and almost any foreign invader) - they go to a site and their presence inflames the area.  Prednisone causes lymphocytes to break apart and die."  Source: members.cox.net 
Corticosteroids in the Treatment of Neoplasms  ncbi.nlm.nih.gov 
Dexamethasone (Decadron®) - BBCancerMedlinePlus
Methylprednisolone (Medrol®) - MedlinePlus
Prednisone (Deltasone®) - BBCancer | MedlinePlus
Also see: Side Effects > Prednisone (Corticosteroids)
Background:
Glucocorticoids Disease Mechanism II: Inflammation - Powerful Anti-inflammatory Compounds - stanford.edu
Pretreatment with glucocorticoids enhances T-cell effector function: possible implication for immune rebound accompanying glucocorticoid withdrawal.
Cell Transplant. 1999 Nov-Dec;8(6):637-47. PMID: 10701493 | Related abstracts
Mechanisms of anti-inflammatory action - Related abstracts
Mechanisms of killing lymphoid cells - Related abstracts
Overview & side effects - About.com
 
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