ccns mopp - university of minnesota duluthjfitzake/lectures/dmed/antineo...ccns increased dna repair...

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1 MECHLORETHAMINE CCNS Increased DNA repair Formation of trapping agents Decreased accumulation (decreased transport) Crosslinks DNA Nitrogen mustard MOPP PK: TU: Toxicity: CYCLOPHOSPHAMIDE CCNS Increased DNA repair Formation of trapping agents Increased inactivation Crosslinks DNA Nitrogen mustard CHOP CMF FAC PK: TU: Toxicity: IFOSFAMIDE CCNS Increased DNA repair Formation of trapping agents Increased inactivation Crosslinks DNA Nitrogen mustard PK: TU: Toxicity:

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  • 1

    MECHLORETHAMINE

    CCNS

    Increased DNA repairFormation of trapping agentsDecreased accumulation(decreased transport)

    Crosslinks DNA

    Nitrogen mustard

    MOPP

    PK:

    TU:

    Toxicity:

    CYCLOPHOSPHAMIDE

    CCNS

    Increased DNA repairFormation of trapping agentsIncreased inactivation

    Crosslinks DNA

    Nitrogen mustard

    CHOPCMFFAC

    PK:

    TU:

    Toxicity:

    IFOSFAMIDE

    CCNS

    Increased DNA repairFormation of trapping agentsIncreased inactivation

    Crosslinks DNA

    Nitrogen mustard

    PK:

    TU:

    Toxicity:

  • 2

    MESNA

    PK:

    TU:

    Toxicity:

    CARMUSTINE (BCNU)LOMUSTINE (CCNU)

    CCNS

    Increased DNA repairFormation of trapping agents

    Crosslinks DNA

    Nitrosourea

    PK:

    TU:

    Toxicity:

    CISPLATIN

    CCNS

    Increased DNA repair Crosslinks DNA

    PVB

    PK:

    TU:

    Toxicity:

  • 3

    CARBOPLATIN

    CCNS

    Increased DNA repair Crosslinks DNA

    PVB

    PK:

    TU:

    Toxicity:

    BUSULFAN

    CCNS

    Increased DNA repairFormation of trapping agents

    Crosslinks DNA

    PK:

    TU:

    Toxicity:

    DACARBAZINE

    CCNS

    Increased DNA repairFormation of trapping agents

    Crosslinks DNA

    ABVD

    PK:

    TU:

    Toxicity:

  • 4

    MELPHALAN

    CCNS

    Increased DNA repairFormation of trapping agents

    Crosslinks DNA

    Nitrogen mustard

    PK:

    TU:

    Toxicity:

  • 1

    DOXORUBICIN

    CCNS

    Changes in target proteinsIncreased inactivationDecreased accumulation

    Anthracylineantibiotic

    Intercalates DNA

    ABVDCHOPFAC

    PK:

    TU:

    Toxicity:Acute:

    Delayed:

    DAUNORUBICIN

    CCNS

    Changes in target proteinsIncreased inactivationDecreased accumulation

    Anthracylineantibiotic

    Intercalates DNA

    PK:

    TU:

    Toxicity:Acute:

    Delayed:

    DACTINOMYCIN

    CCNS

    Increased DNA repairFormation of trapping agents

    Crosslinks DNA

    Antibiotic

    PK:

    TU:

    Toxicity:Acute:

    Delayed:

  • 1

    BLEOMYCIN

    CCS

    Increased DNA repairIncreased inactivation

    Antibiotic

    DNA strand breaks

    ABVDPVB

    PK:

    TU:

    Toxicity:

    ETOPOSIDE

    CCS

    Changes in target proteinsDecreased accumulation

    Plant alkaloid

    DNA strand breaks

    PK:

    TU:

    Toxicity:

    IRINOTECAN

    CCS

    Decreased activation

    Plant alkaloid

    DNA strand breaks

    TOPO I

    PK:

    TU:

    Toxicity:

  • 2

    PROCARBAZINE

    CCS

    DNA strand breaks

    MOPP

    PK:

    TU:

    Toxicity:

  • 1

    VINBLASTINE

    CCS

    Changes in target proteinsDecreased accumulation

    ABVDPVB

    Interrupts mitosis

    Plant alkaloid

    PK:

    TU:

    Toxicity:

    VINCRISTINE

    CCS

    Changes in target proteinsDecreased accumulation

    CHOPMOPP

    Interrupts mitosis

    Plant alkaloid

    PK:

    TU:

    Toxicity:

  • 2

    PACLITAXEL

    CCS

    Changes in target proteinsDecreased accumulation

    Interrupts mitosis

    Plant alkaloid

    PK:

    TU:

    Toxicity:

    IXABEPILONE

    CCS

    Interrupts mitosis

    Antibiotic

    PK:

    TU:

    Toxicity: