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11 Cards in this Set

  • Front
  • Back

MTX inhibits

DHFR which makes THF

Florouracil

Instead of dUMP


AND INHIBITS THYMIDILATE SYNTHASE


Prodrug

Metabolized by DPD, which African Americans mostly women are deficient (toxicity)

Fluorouracil

Capecitabine (Xeloda)

5FDump prodrug


PO


First line colorectal cancer


Tumor selective (Thymidine phosphorylase) in activation

Competes for DHFR enzyme against DHF, indirectly feedback inhibits TS (rate limiting step enzyme)


Also inhibits purine synthesis brought GAR inhibition

Trexall, MTX

Purine antagonist inhibitor of

Amidophosphoribosyl transferase (rate limiting!!)


AGR TRANSFORMYLASEinhibited by MTX AND permetrxed

TPMT and SAM

Cause inactive substrate


Poor metabolized is bad —>active pathway toxic myelosupression

Inhibit AMIDOPHOSPHORIBOSYL TRANSFERSASE (rle)


Bone marrow suppression!!

Mercaptopurine

Cytarabine/ gemticibine


All the -bines

Dna chain elongation inhibitors

Dna methyltransfrase inhibitors

Aza, is dec,nel

Adenosine deaminase inhibitor

Pentostatine